Individuals with arthritis have to be supported to move gently as they may be in a lot of pain and positioning or moving may be uncomfortable. An individual that has had a stroke might have one arm or leg stronger than the other so this needs to be taken into account when weight bearing or moving so as to avoid putting pressure on the weak side. An individual who is blind might need more reassurance and explanations about the move and what is around them as they cannot see. 2.1Legislation includes the Management of Health and Safety at Work Regulations, this introduced the requirement for risk assessment, risks when moving and positioning individuals must be assessed and acted on. all staff must be trained in moving and positioning individuals and employers are to
Muscles pull and move the bones at particular joints, this makes the joint move and therefore the body moves. When a muscle contracts, it pulls the bones at a joint in the direction that it is designed to move. With reduced mobility, muscles can become weak and make movement slow and more difficult. Joints are where two or more bones make contact. Some joints allow more movement than others.
Andrew George 232: Move and position individuals in accordance with their plan of care 1:1 Outline the anatomy and physiology of the human body in relation to the importance of correct moving and positioning of individuals. We need to know the normal range of movement of the muscles and joints so when moving, handling and positioning a person we know the limits of each limb. We need to take into consideration other factors that may inhibit a person’s movements as: • Old Fractures • Torn Muscles • Rheumatism and Arthritic conditions. This should all be written within the individuals care plan as well as a step by step plan on that has been agreed with them on how to move and handle them. We need to understand that elderly people are not as supple as younger people and even if they do not suffer movement restriction through a medical condition.
In order for a squat to be done correctly the knees may not extend past the toes because of the increased torque that could occur and cause injury. The back must also remain upright to also avoid the magnitude of force put on the back, which it isn’t accustomed to carrying. The knees and hips are moving in opposite directions away from the center of gravity, which should be within the base of the feet. The center of gravity can be moved by the person’s knees going out to far or if their back doesn’t remain The knees must travel forward the same amount that the hips travel backwards otherwise the athlete will fall forward because the center of gravity will be out of place. By disrupting the center of gravity, too much force may be put on the knees and cause injury.
The individual and carers will not experience pains and discomfort. | 1.2 Describe the impact of specific conditions on the correct movement and positioning of an individual (Planned: 0 , Completed:0) Before moving an individual you must always consider if they have any specific condition that will acquire different moving and handling techniques. For example if an individual has suffered from a stroke they may have paralyses down one side of there body which will mean there muscles and limbs will be tight. The individual may need assistance to move parts of there body that are paralysed. Great care and training will be required for this.
Regular ankle strengthening exercises are recommended to reduce the rick of getting an ankle sprain or reinjuring an ankle. Ligaments that are injured are the anterior talofibular ligament, which is the most common ligament to be injured, posterior talofibular ligament this ligament is rarely injured and also the calcaneofibular ligament. Most ankle sprains include the anterior talofibular ligament and the calcaneofibular ligament. With any ankle sprain if there is any worry about dislocation or fracture the person should be immobilized and needs to be seen. When someone sprains an ankle there will be swelling, bruising and tenderness and the pain will be at the lateral part of the ankle and sometimes at the medial part.
Unit 56. 1.1 When moving and positioning service users it is important to make sure they are not moved more than their body is capable of as muscles can only move bones at the joint as far as the joint allows. It’s also important to move and handle correctly to ensure their nerves are not damaged as they are delicate and send impulses in the body which enable muscles to relax and contract. 1.2 If you have people with arthritis often have stiff, painful joints which means their joints have limited movement, which means it is important to not move them beyond these limits and be careful when moving and positioning the service user which when done correctly will prevent as much and pain and discomfort as possible. People with Parkinson’s disease can have rigid limbs that affect normal moving, so it is important to not force movement in the affected limb as it can cause pain and damage to the joints.
When a muscle contacts it pulls the bone in the direction it is designed to move, when somebody has reduced mobility muscles are more flaccid making it more difficult and slower to move. When muscles are used regularly they remain firm and move more easily. Muscles can only move a joint as far as the joint is able to move, if you try and move the joint further than it is designed to then you can cause painful damage to the joint. If this happens the nerve fibres that make the muscle relax and contract can be damaged, so it is very important when moving someone to use the correct moving and handling techniques. 1.2 Describe the impact of specific conditions on the correct movement and positioning of an individual There are some conditions that can have an impact on the correct moving and handling of an individual some examples are: • Stroke – a stroke can have a serious affect on someone, especially if it is a severe one; it can leave someone with permanent weakness down one side or even in a deep coma from which they may never recover, in the same way a stroke can have no long-term damage on somebody’s life.
It is important that you check the person, equipment and the environment before undertaking any moving and positioning activities. When positioning people who are unable to move themselves, such as those who have suffered from a severe stroke, it is important to remember to check their pressure areas, particularly the elbows, heels and sacrum. Poor positioning techniques can cause pressure areas to develop. 3.4 Describe actions to take in relation to identified risks Once risks have been identified on a risk assessment form, risk control measures will be put in place to minimise the risk of harm. As a care worker, it is our responsibility to ensure that we follow the risk control measures put in place by our employer.
In a further instance of a condition which affects the way we would need to assist an individual to move, someone with arthritis would need to be gently supported as they may be in pain when repositioning or moving and this would cause discomfort. A client who has had a stroke may have one side affected more than the other, in this case we would take this into account when moving in order to not put pressure on the client's weaker side. Someone with a visual disability may need more verbal and kinesthetic assistance and guidance, perhaps more reassurance than others, to give then a clearer 'direction' given their lack of sight. 2.1 Describe how current legislation and agreed ways of working affect working practices related to moving and positioning individuals Legislation which affects current working practices include the Management of Health and Safety at Work Regulations - this covers the requirement for risk assessment, for risks when moving and positioning individuals and how they must be assessed, acted on and reviewed, and that all staff must be trained in the moving and positioning of individuals. The Lifting Operations and Lifting Equipment Regulations - LOLER - introduce the requirement for employers to provide lifting equipment that is safe to use and maintained and that staff must be provided