First Health Video Analysis

Anyone with limited mobility should be assisted to change positions by the care providers on a regular schedule to help

Topical preparations such as cream and ointments can speed up healing process and prevent further tissue damage.There is also a vast range of equipment that is designed specifically to assist with moving and handling.- Chairs - Wheelchairs - Beds - Shower/Commode Chairs - Sliding Boards - Sliding Sheets - Low Friction Rollers - One Way Slides - Turntables - Hoists and Slings

During hourly rounds assess the patients pain level and take necessary intervention to alleviate pain, reposition patients who need assistance and make sure that urinals and call light and telephone are within reach of the patient. Taking care of these needs in a timely manner will make the patient comfortable, which will reduce anxiety and stress levels in the patient and reduce the risk of falls. The nurse should always make sure that the environment is safe for the patient by keeping the area clutter free. Comfort measures like tightening the wrinkled bed, giving warm blanket, changing moist dressings or repositioning the tubes or other objects that bothering the patient can enhance their comfort level Monitor high risk patients with delirium, dementia, hypotension, medications, and other conditions which can increase the risk of fall. Providing safety companions for continuous observation and to help the patients will reduce the number of falls. Nurses should educate and encourage patients to use the call light and phone to call for help. Provide patients with appropriate assistive devices like cane, walker as needed to keep them steady. I believe the concept in this theory of comfort can be utilized to reduce the occurrence of falls in health care settings.

Outline the anatomy and physiology of the human body in relation to the importance of correct moving and positioning of individuals.

Different approaches to alleviate pain and minimise discomfort could be from medication – a doctor or nurse could review medication and prescribe medication to help with pain and discomfort temporarily or permanently. Regular moving and positioning of an individual could help to relieve pain and discomfort especially if they have limited movement and it will also help prevent pressure sores when the individual is moved and positioned regularly. It is just as important to encourage the less able or individuals that can walk around to move and encourage gentle movement like walking to the table to have their meal. We care for an elderly lady in her home and she can walk with walking frames but would prefer to just sit and not do anything.

When we have to move a patient out of bed and get him in the armchair, so we have a look on the risk assessment manual & handling form how to mobile, it is written need to use a arjo hoist. To use a hoist we have to have a training how to use it and how to know which sling we should use. A patient weigh 60 kg, so we check the different colors of the slings and we should use the yellow sling, so now we can hoist the patient on the armchair. So for that we need a manual handling training update.

The problem is in the critical care unit it is difficult to turn and reposition the patient due to dynamically unstable patient.

In addition, high risk participants received education relating to falls which involved nurses instructing participants not to get out of bed without assistance, to press the call-bell for assistance and how to use the call-bell. As part of this study protocol, participants in the intervention group received usual care which include: fall risk assessment, placing the call-bell, TV remote control, eyeglasses, dentures, and hearing aids within the patient’s reach. Other interventions that have been used were bed and chair alarms, bed was in the lowest position at all time except when care was being provided and bed brakes were locked at all times. The patient’s elimination needs were scheduled every two hours, bedside commode was provided for frequent elimination needs, the patient was not left unattended while on bedside commode or in the bathroom. For a safe bathroom environment toilets was raised, toilet seats were secure, and handrails was strong enough to support patients, and patient was also instructed to pull the call light if feeling dizzy or in need of any assistance . Furthermore, the room temperature was

As a PA whenever moving and handling, I am always aware of the extent of the stroke and what parts of the body have been affected. In order to prevent the client falling I and the other PA use hoist when lifting into and out of his chair, bed or shower, also when dressing and

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

After evaluation, Suzy needs assistance to set up and move from wheelchair to bed. She can stand, pivot with assistance, and is cooperative. She is about 5 feet tall and weighs about 100 pounds. Explaining the procedures is important for the resident to understand what will be done and how (Anon., n.d.). After explaining procedures and ensuring Suzy understands, place right arm under shoulders, left arm over legs, gripping Suzy's right knee, bending and bracing knees against the and keeping back as straight as possible to avoid injury, using

E- Initially in clinical Hope outlined the key concepts to positioning a patient successfully, following Diane demonstrated. Additionally, we separated into groups of three to practice each position. I felt overwhelmed due to all the possible pillow placements and the potential consequences if an area is not supported. I also felt it was difficult to notice subtle adjustments to further the alignment of the patient. Brooke and Ashleigh first practiced putting me in each position. This was helpful because I could feel where the pillows were and what structures they were supporting. After Brooke and Ashleigh positioned me in each position, we followed the same procedure with Ashleigh as the patient. Our plan was to relax the muscles by identifying the structures requiring support from pillows and

Mrs. Nellie Ostalowich has required left hip surgery after failing while shoveling snow. Prior to the fall Nellie favored laying on her left side or back when sleeping. After her surgery, Mrs. Ostalowich has been spending much more time lying on her back without changing positions. Nellie has also requested to wear a protective undergarment as she has trouble with dribbling and struggles to make it to the bathroom on time.

In conclusion, several studies have outlined that falls and fall related injuries are leading cause of mobility and mortality amongst hospitalised patients (Ang, Mordiffi, & Wong, 2011; Sahota et al., 2014; Shuman et al., 2016). According to Ang, Mordiffi, and Wong (2011) targeted multiple strategies focuses on identifying patient’s individualise fall risk such cognitive status, medication of the patient that can contribute to mobility issues and a medical condition that could affect the patient bodily functions. Similarly, Sahota et al. (2014) outline that nurses’ role is to provide health teachings and to develop specific interventions that can minimise patient risk for fall. Additionally, health instructions needs to be provided not limited to the patient but also with the family.As a result, patients will become more educated and play a more active role in their care.

Teaching the importance of activity and exercise has a huge significance to the patient especially she undergone surgery, left knee arthroplasty. Lack of adequate knee exercise after surgery will lead to various complications that are dangerous and life threatening such as deep vein thrombosis, stroke and pulmonary embolism. Another complication that is associated with inadequate movement of the limbs and extremities is muscle contracture (LeMone et.al, 2011 p 142). Patient has a high risk of developing these complications. We wanted to educate the patient about these so that we could lower her risk at some point. We believe that even when patient is lying down on the bed, she can do a lot of things to improved her health and prevent