Notify nurse/restorative nurse if resident is having difficulty with walking/transfers. Floor mats and body pillows and blanket rolls under mattress should always be applied as ordered. Ensure that appliances such as eyeglasses and hearing aids are worn. Always use a gait belt when transferring a resident who does not require the use of a mechanical lift. Always use 2 staff member to transfer resident who requires a mechanical lift.
A person with dementia may need help with going to the toilet, getting dressed, brushing their teeth and grooming hair and nails. It is quite common for people with dementia to forget about, or lose interest in, personal hygiene. They may neglect basic activities such as bathing and changing their clothes. This can be perplexing and upsetting for a carer. Understanding the cause can help you decide which strategies may be helpful when caring for a person with dementia.
2.1 As health care workers we must follow “LOLER 1998 Legislation”, also the home will have work instructions which we must follow, not to work without correct training. We must follow risk assessments in the residents care plans which are tailored to the individuals and their specific conditions. When residents come into the home they are assessed for their specific capabilities by the in house physiotherapist and if a hoist is needed they are then measured and assessed for the type of hoist and sling used so they have the correct fit and weight for the hoist and sling. The residents all have their own slings to be used on the hoist to avoid cross contamination and to ensure they are accessible when needed. 2.2 The health and safety factors that need to be taken into account when moving and handling residents and using the equipment to do this are making sure we follow the health and safety at works act 1974 whilst
Health care delivery, cost, and accessibility, and treatment are scored by quality management. The Joint Commission’s patient safety standards suggest a framework for overlapping risk and quality activities by requiring that, at least every 18 months, organizations select a high-risk process and conduct a proactive risk assessment of the process to correct process problems and prevent adverse events. The quality manager will be able to identify high-risk processes based on
This rates falls risk on a number of factors including falls history, medications, medical conditions, sensory loss, foot problems, cognitive status, continence, nutritional status, and function. Falls risk assessment is a recommended component of guideline based falls prevention programs, successfully reduced falls in residential settings, hospitals and nursing homes. This includes the use of bed rails, mobility devices and already listed factors. (Australasian Journal on Ageing, 2011) 3. What is a “No Lift Policy”?
Unit 4222-226 Gain access to the hoes of individuals, deal with emergencies and ensure security on departure (HSC 2019) Be able to deal with emergencies encountered after gaining entry 4.1 Describe emergencies that may be encountered when gaining entry to an individual’s home Gaining entry into an individual’s home can be challenging. Permission is needed except in cases where imminent harm is suspected. It is important to reassure the individual that you are there to assess for health problems and the need for services. Stress your desire to keep the older adult safe and functioning in the community. If you suspect abuse or neglect, be forthright about the issue.
Unit 4222-223 Support individuals to meet personal care needs (HSC 2015 Outcome 2 Be able to provide support for personal care safely Explain how to report concerns about the safety and hygiene of equipment or facilities used for personal care. 2.3 if there is any concern document your concerns and report to manager, deputy or senior as soon as possible Describe ways to ensure the individual can summon help when alone during personal care. 2.4 The individual can summon help by pulling on the red alarm system in the bathroom or the nurse call button if in bed and using bedpan etc. Outcome 6 Be able to monitor and report on support for personal care. Monitor personal care functions and activities in agreed ways.
It is also in place that employers must report deaths. RIDDOR is in place for “work related” incidents to be reported. The type of injuries that need to be reported are – • The death of any person (Regulation 6) • Specified Injuries to workers (Regulation 4) • Injuries to workers which result in their incapacitation for more than 7 days(Regulation 4) • Injuries to non-workers which result in them being taken directly to hospital for treatment, or specified injuries to non-workers which occur on hospital premises. (Regulation 5) COSSH 1994 COSSH is control of substances hazardous to health. COSSH requires employees to carry out the correct risk assessments and to ensure that employees are aware of the hazards.
Outcome 2 Be able to support individuals to manage their own continence 1 Encourage an individual to express preferences and concerns about continence needs When a service user is moving in our care home and they have continence needs, they are seen by a health professional with specialist knowledge of continence issues as part of our overall needs assessment. In their care plan should explain how their needs should be met. I have to communicate using the individual’s preferred spoken language, the use of signs, symbols, pictures, writing, objects of reference, communication passports; other non-verbal forms of communication; human and technological aids to communication and make that nothing has change in their preferences about their
This includes: * Where the fall happened (including a bed number) * What the patient was doing e.g. reaching for their call bell It is important for a trained nurse to carry out checks in case the patient has a fracture or an injury. This should be done before the patient is moved. In order to try and avoid a fall, the following should be done: * Keep the patients bed on the lowest setting, but also ensuring that the brakes are on * Do not leave patients who are confused on the toilet or commode as they may get up themselves and risk having a fall * Ensure there is a light on in the hallway on the ward, particularly when patients walk to the toilet * Put slipper socks on the patient as they have a rubber grip underneath which provides support A falls Risk Assessment should be completed within 24 hours of admission and when moving a patient to another ward. Bedrail Assessments should also be done within 24 hours of admission.