Move and Position Individuals

Being move and position one individual is very important in

Healthcare sector. Not only on the patients but also with the one
who gives support. Training are given especially for the people
who give support. Each Client needs are not same as some of the
other client . We consider their function mobility if they are
INDEPENDENT , PARTIALLY MOBILE OR IMMOBILE. Let me share
individual has vary cases.

Firstly, Jayne ( not her real name) she is 98 years old. As I

entered her house through the back door I went straight to the
kitchen I washed my hand with twenty – twenty rule in handwashing.
I did wet my hand and applied soap, rubbing my hands, fingers ,
palm , in between fingers , nails and arms then rinse it with
running water dried my hand with paper towel after turned off the
faucet using the paper towel that I used for drying my hand then
threw it in the proper bin. Washing hand thoroughly is keeping off
the individual getting germs or viruses most likely people who are
vulnerable to infection . Put on personal protective equipment
such as mask, apron and gloves to protect the individual for
possible germs and bacteria you carried from outside. This is in
relation to Health and Social Care Act 2008 (Regulated Activities)
Regulations 2014 and the role of infection prevention (including
cleanliness).

Reviewed her medical history through the PASS APP. Jayne has
macular degeneration and glaucoma, she has a poor eyesight and
decreases over the period of time and one of her care plan is
Continence care. Continence care is assisting the client to pass
urine of faeces voluntarily. Jaynes toilet is upstairs of her
house in order to have easy access to toilet her daughter provide
commode in her bedroom. Needs assistance every time when moving or
transferring to places ,like her bedroom and into the living room.
In order to perform the task in the care plan use of the
appropriate aid will prevent risk and harm.

Assessed the task, Moving individual form chair to commode. I

need to distinguish how far the commode from her location. Make
sure that she wear her comfortable slippers. Look for any obstacle
hazzard , Moved chair and take away the bags near the piano for
her to pass freely. should be clear and clutter free the area she
will going to and manoeuvrer. Make sure the zimmer is working
properly. Check the zimmer wheels, remove all the stuff from the
zimmer to avoid falling off on her feet. As regards to Management
of health and safety at work regulation (1999) I have duty to
examine the safety at work for the client and for me as a Care
worker. Before the task start will inform Jayne we need to go to
her commode, sometimes she refuses however I explain using commode
frequently is keeping her away from the infection. After she
agreed that we will going to her commode, When standing up from
the sitting position, I encourage her to move a bit forward her
body, shuffle forward, hands on the arm chair and use her hand to
push her body up. Give her a cue so I can be ready aswell. In a
count of three she will coordinate to stand up. Then when she
already stood up I assist her to shift her hand to her zimmer
while saying, “ This is the simmer you need to hold on to it and
the other hand aswell.

Prior to walking I make her an assurance that I am at her

side. “ Jayne Im just here I will not let you go by yourself”. I
need to say that all the time because sometimes she panic because
of her poor eyesight.

Instruct her to safe to move and push her zimmer slowly .

Giving her clear direction “ jayne , just keep forward.” when
about to turn , direct her to turn to the right and if it needs
to manuever I needs to tell to her “ we need to turn to your left
now Jayne”. after she had her turn I told her. “ you need to step
backward and feel the commode at the back of your knee.” and when
she felt the commode by acknowledging it. Prior to pull down her
trouser and underpants slowly by saying to her “ I will pull down
your trouser and pants you need to hold tight on the zimmer. When
she is ready to sit , I direct and assisting her hand to hold the
arm commode saying, “ this is the arm commode and also onto the
other hand. Once she have a grip she slowly sit down with my hands
at her side and the other hand is at her back to assist.

On the other case my other client, lets call him JOE. His
medical condition are Alzheimers, vascula dementia, type 2
diabetic and significant hearing loss. Part of his care plan is to
have shower everyday, however the shower room is upstairs and he
is stays downstairs. One visit I observed him, when he walking
using his zimmer towards the stairs notice he had a weak right
leg. I instruct him to lift his leg more but he cannot coordinate
and it is at risk to go upstairs. Explained to his wife, her
husband has unstable leg and we cannot risk to go upstairs due to
inability to respond to his environment. Instead of showering I
offered body washed downstairs and suggested to see a doctor for
his condition. I reported and write it to my notes on PASS the
risk of going upstairs and asked for advice from my superior.
Manager told me a stair lift could be one of the option. Relay the
message to her wife however she said is they cant afford it . Once
again JOE had a fall and wife told me, Evaluate Joe’s condition if
there is any serious injury, Made sure it is included to my notes
even the incident is not happened on my time of visit and informed
management about it through email also told them a Request for re-
assessment of clients condition, they have coordinate with my
manager and then the Care manager visited them and gave them
options . They provide a keysafe and a community alarm for JOE
hence they decided to be in a shelter home and they will apply
for it.

The other cases is my colleague’s son case has cerebral

palsy. I called him POGI ( that is handsome in tagalog) Every time
I visited them I always wash my hands at the sink with twenty –
twenty rule in handwashing. Even its out of work case its my duty
to keeping the individual safe from microorganism. Preventing and
reducing the transmittable disease is essential, securing the
individual stay healthy based on Infection Prevention and Control.

Cerebral Palsy is a neurological disorder causing effect to

one individual a motor impairment and function capabilities are
limited. Pogi has severe type of cerebral palsy due to his motor
disorder in all extremities that cause him immobile, in addition
to that he is on Percutaneous endoscopic gastrostomy feeding. In
order to prevent complications individual needs to reposition pogi
frequently. Since im not a carer for him and no access on the care
plan. I need to examine what could cause harm to the individual
and also to me. Need to identify the risk and know the all the
precautions in order to avoid any injury or harm. An assessment of
a child’s needs for care and support, Care Act 2014.

Moving from bed to chair needs to 2 person to assist

individual . First and foremost Need to check the aid will be the
using. They are using ceiling hoist, a neurological wheelchair and
a sling. Primarily examine the sling if its the right sling for
Pogi . Estimate the height and weight of the individual, checked
the label on the sling, if its unreadable its a sign that need to
replace new one. Inspect also the stiches on the sling straps if
its coming loose and test its tightness. Look into ceiling hoist,
seen the service date on the equipment is up to date, this is in
relation to Provision and Use of Work Equipment regulation (1998)
and Lifting Operation and Lifting Regulation ( 1998). After
inspect the wheel chair’s back support, arm rest , foot rest and
brakes.
 When everything is checked. Need to put the sling underneath
for Pogi. Make sure before moving the individual ensure that the
wheel chair is already position near the bed and apply the brake
on both side of the wheel. Other person will be helping will be
positioned in the other side of the bed. Pull down the bed side
rail. Then I will let the individual know what we will going to do
to him. “Pogi we will going to transfer you on wheel chair, first
we need to put this sling under we going to turn you to your
left”. bend one right leg up and turned him to the left with the
support of the other side. Carer make sure Pogi will not turn out
of the bed. Rolled half of the sling and inserted under Pogi. Pogi
has scoliosis however aim for the middle of his body and placed
the sling centred.

Again tell to Pogi we will turn him to the opposite side of

the bed. Rolled him through the center and right leg down , left
leg bend and turned him towards myself my hand assisted on his
head and the other arm on his bottom . The other carer will
unrolled the sling then turned pogi to his middle. Once the sling
is in the middle of the body inserted the leg strap in between
Pogi’s leg. Double check the strap interlock to the other straps.
made sure the straps on both end are even in length. Made sure
hands around the arm. Press the down button of the remote to
lower the ceiling hoist. Connect the sling straps to hoist. Made
sure color coding of each straps are the same on the other side.
At the time all is secure we can lift Pogi. Pressed the up button
and just at the moment if the individual up to a point from the
bed we moved the hoist towards the wheel chair. Pogi need to turn
round before placing him in his wheel chair. Wheel is design for
his case and it can be recline for relaxed position with his back
supported. The other person assisting Pogi recline the wheel chair
on what is the best position for Pogi. Move closer the hoist to
the wheel chair just as when its proper position its time to press
the down button to lower the individual to his wheelchair. Secure
him with his chair belt. We also adjusted his sitting position by
using the lever on his wheelchair.In addition on Pogi’s needs to
turned every two hours due to physically impairment. Turning helps
to keep the blood flow and will prevent him getting a bed sores.
With the aid of slide sheet we can turned onto the other side
with out hurting ourselves. Following a chart on his folder had a
turning and reposition log sheet helps to identify when is the
last turn and which side he had been turned.