Two Person Dependent Transfer

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

One day I was ask to transfer Mrs X from bed into wheelchair. Mrs X is paralised so to transfer her a full body hoist is needed. I had to call for help, it wouldn’t be safe to do this by myself. So while I was waiting for the other carer to arrive I have explained to Mrs X what and how we are going to do it. I have also cheked the hoist and battery if its fully charged and operational. I put right size sling on Mrs X with her cooperation. I carefully manovered hoist close to bed, then I hooked sling onto the hoist with short hooks on to of the body and long hooks on bottom. That was when my collegue arrived to help me with transfer.We asked Mrs X if she is ready when she said yes by pushing

accommodating an elderly person in their home who just broke their hip. It is a very

Aides spend many hours standing and walking, and often face heavy workloads. Because they may have to move patients in and out of bed or help them stand or walk, they must guard against back injury. Aides may also face hazards from minor infections and major diseases such as AIDS and hepatitis, but can avoid infections by following proper procedures. Most L.P.N.’s work a 40-hour week, but because patients need around-the-clock care, some work nights, weekends, and holidays. They often stand for long periods and help patients move in bed, stand, or walk. They also face hazards from caustic chemicals, radiation, and infectious diseases and also are subject to back injuries when moving patients. In addition, the patients they care for may be confused, irrational, agitated or uncooperative.

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.

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.

S- Clinical check off for the skills patient positioning and preventing to patient for fall, transferring patient from bed to wheelchair and wheelchair to bed.

SC read grab bars policy and completed A&R request, CMI addendum, ageing waiver case review and ISP signature page and submitted case for SCS review. The Pa is requesting for 3 grab bars to be installed in her tube and at the top of stair elevator to maximize safety during those transfers. Due to Pa’s declining health. The following dx affects the Pa’s ability to transfers without aids: COPD, Osteoarthritis, knee replacement 2002, Osteoporosis, CVA 2000, Lupus erythematous, PVD, h/o right hip dislocated, scoliosis, and spinal stenosis. Per Pa she experience’s very unsteady gait, decreased ROM, and decreased transfer ability. The SC is recommending the installation of three gar bars 2 in the tube and one at the top of stairs. SC reviewed: Provider

Mrs. Redd, a 72 y/o is a patient falling in the category for a greatest risk for bed sore development (pressure ulcer, bed ulcer). She is up out of bed only during her physical therapy sessions and the rest of the time trying to spend in the bed. I need to find out may be she does not feel confident walking in the hallway along. May be she need some device like walker to help her if she is able to walk. I need to initiate her to change position every two hours. If I have CNA assigned to me, I will delegate him/her to move Mrs. Redd every two hours and to assist with walking in the hallway despite if she uses walker, that she will feel more confident.

Patient is a 55-year old male who was diagnosed as a Quadriplegia. The reason the patient is quadriplegia due to uncontrolled hypertension. The patient is under the care of Hallmark Home Healthcare. According to the Hallmark Home Healthcare policy, the staff must turn every changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin stay healthy and prevents bedsores. According the patient’s chart the patient was turn every 2 hour and the staff change the patient incontinence pads. On March 15, 2015, Skye Moore the patient daughter, report her father had a skin is worn away and underlying muscles, tendons, and bones are exposed on the patient sacrum and heel. The patient was rush to Wing of Mercy’s

JT is at risk for falls because of his bik ak amputation. When transferring him the nursing staff have to keep in mind that he does have an inability to balance himself making transfers more difficult.. Also they should precaution that he could roll out of bed.

The patient's laboratory work reveals her to be mildly anemic with hemoglobin of 10.7. Her sodium is 130 and chloride of 95. She also has a progressive decline in her hemoglobin over the next 24-48 hours 8.7 and ultimately to 7.6. She also had some fluctuations in her blood pressure dropping to 97/48 and requiring a bolus of 2 bringing up to a more normal range. Sodium continued to fluctuate between 130, 131, 129, and 130. Physical therapy eval is done reveals both right upper extremities her strength is only 3+/5, lower extremities 3+/5, she needs contact guard assistance to sit to stand, bed to chair. The patient was able to take 3-4 steps from the bed to the chair with contact-guard assist. She held onto the arm chair rest throughout the exercise. She had a lot of verbal cueing required for performance. It is the recommendation of the physical therapy that the patient would profit from continued physical therapy services on discharge. I believe this patient requires acute inpatient admission probably needs and deserves a long-term care in a facility. Social issues will have to looked at with the son but she certainly is not a safe discharge to be home without 24 7

Due to chronic back pain and Parkinson’s disease, client requires maximum assistance in walking. She uses wheelchair, walker, and a gait belt to transfer from bed to

Client safety is an important and vital component of quality nursing care. Conducting a focused geriatric assessment as part of the standard assessment can also improve older adults quality of life and keep them as independent as possible for as long as possible( Elsawy, B., & Higgins, K. E. 2011). Monitor vital signs and perform peripheral neurovascular assessment and document findings. Keep Audrey’s bed in a low position and keep needed items within easy reach of her to promote safety and prevent fall. Keep call bell within easy reach of Audrey and encourage to ask for assistance whenever needed. Encourage Audrey to wear compression stockings as hip fractures carry a significant risk of developing a venous thromboembolism. The National

The inpatient setting I have chosen to discuss is an inpatient rehabilitation facility. The main objective of an inpatient rehabilitation facility is to give the patient the tools necessary for recovery and essentially go back to leading a normal life. These patients may include people who have suffered a stroke, an orthopedic injury, a spinal cord injury, or a brain injury. The recovery activities for recovery may include massages, daily living activities, exercise, and stretching. The professionals who work with the patients includes nurses, physicians, occupational therapists, physical therapists, speech therapists, dietitians, psychologist, pharmacists and social workers. Family and friends are also a major support for the patient’s recovery. Inpatient rehabilitation facilities can be located in a hospital or a separate facility. Rehabilitation facilities that are located within a hospital are privy to specialist such as surgeons, cardiologist, neurologist and oncologist.