Health and Social Care

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Unit HSC 2028

Move and position individuals in accordance with their plan of care

This unit is primarily concerned with those people who are most dependent upon your assistance. The level of assistance they need can vary from needing help to get out of a chair to being completely dependent on others to move them, to turn them over and to alter their position in any way, for example, if they are unconscious or paralysed. It is essential that people are moved and handled in a sensitive and safe way. This is also vital for you as a worker, to prevent injury to yourself. It is possible to minimise the risk to both you and the people whom you support by following the correct procedures and using the right equipment.

In this unit you will learn about:
1. anatomy and physiology in relation to moving and positioning individuals 2. current legislation and agreed ways of working when moving and positioning individuals 3. how to minimise risk before moving and positioning individuals 4. how to prepare individuals before moving and positioning 5. how to move and position an individual 6. when to seek advice from and/or involve others when moving and positioning an individual.

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Level 2 Health and Social Care Diploma

1. Understand anatomy and physiology in relation to moving and positioning individuals 1.1 Anatomy and physiology of the human body in relation to the importance of correct moving and positioning Key term

Anatomy – the physical structure of the body Physiology – the normal functions of the body

If, as part of you role as a care worker, you are required to assist people to move or help to reposition people, it is important that you understand the related anatomy and physiology. Having an understanding of basic anatomy and physiology can help reduce the risk of harm to yourself or others when undertaking moving and handling procedures. The following diagrams show the muscular and skeletal systems of the body.

The muscular system.

The skeletal system.

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Move and position individuals Unit HSC 2028
Muscles work like levers and allow the bones at a joint to work like hinges. 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 floppy and make movement slower and more difficult, but when muscles are used on a regular basis, they remain firm and move more easily. When supporting moving and positioning activities, it is important to remember that muscles can only move the bones at a joint as far as the joint allows. For example, the elbow and knee joints have limited movement; trying to extend these joints beyond their range can cause painful damage to the joint. Nerve fibres run all the way through the body and send impulses to muscles, which enable the muscles to contract and relax. Nerve fibres are delicate structures and can easily become damaged through poor moving and handling techniques.

Key term
Contract – get shorter

Activity 1

Keep moving
Bend and straighten your arm. While you are doing this, look at and feel the muscles in your upper arm. What have you noticed? How far back does your elbow go? Why can you not go further than this? What would happen if you tried to go further than the normal position of the elbow?

1.2 Impact of specific conditions on correct movement and positioning There are a number of conditions that can have an impact on the correct movement and positioning of people.

Arthritis
People suffering with arthritis will often have stiff painful joints and frequently have limited movement in the affect areas. Care needs to be taken when moving or positioning arthritic people, to reduce the possibility of causing pain and discomfort. You also need to be aware of the limited movement of arthritic joints and not attempt to move these beyond their limits....
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