Move and Position Individuals in Accordance with their Plan of Care
1.1 When moving and positioning individuals it is important to have a basic understanding of anatomy and physiology to help reduce the risk of harm to yourself and others. Muscles in the body act like levers and allow bones at a joint to move like hinges, when a muscle pulls, this moves the bone making the body move. These muscles can only move bones at a joint as far as the joint will allow and trying to extend joints beyond their range can cause serious damage. Nerve fibres, which send impulses to the muscles enabling them to contract and relax can be easily damaged as a result of poor moving and handling techniques due to their delicate structure. 1.2 Arthritis: Anyone suffering with arthritis often have painful, stiff joints, resulting in limited movement in the affected areas. When moving and positioning someone with arthritic joints, care and attention needs to be taken to reduce the possibility of causing pain and discomfort. Arthritic joints should never be moved beyond their limits, this could cause severe pain and discomfort to the individual. Parkinson’s Disease: Sufferers of Parkinson’s disease can experience limb rigidity, affecting normal movement and positioning. Never push these limbs further than its limits as it could damage the joint and cause discomfort and pain. As reaction times in sufferers of Parkinson’s disease are slower never rush them and always look for non-verbal signs of pain or discomfort as they may not be able to tell you. Amputation: The loss of a limb, for example a leg, can also affect how well a person can move, depending on where it has been amputated, for example, below or above the knee. Artificial limbs can improve mobility, but these benefits also vary depending on where the limb has been amputated. Cerebral Palsy: People who have Cerebral Palsy may have contracted muscles or joints causing fixed, rigid limbs. The needs of those with Cerebral Palsy need to be recognised when assisting to move or reposition them. Stroke: Someone who has suffered a stroke could be left with devastating effects; it may leave a person with no long-term effects, with a permanent weakness down one side of their body, or even result in them being in a deep coma from which they never recover. When moving and handling people who have suffered from a stroke, it is important to be aware of the extent of the stroke and which parts of the body have been affected.
2.1 Legislation is put in place to protect care workers and those being supported. The Health and Safety at Work Act 1974 makes it a legal requirement for employers to ensure that the health, safety and welfare of their employees is maintained and employees themselves have a duty to take reasonable care of the health, safety and welfare of themselves and others. The Manual Handling Operations Regulations 1992, which was amended in 2002, addresses moving and handling in the workplace and should be followed at all times to protect yourself and others. 2.2 When attempting to move and position individuals, factors that should be considered are; the activity, the environment, the person being moved or positioned, yourself and others and equipment that may be used. When considering the activity, you should consider what activity you are assisting them with, who will need to help you and how long the activity will take. When considering the environment you will need to try and identify potential hazards, such as, obstacles or obstructions, safe floor surfaces, lighting and space. The person who is being assisted to move or who is being positioned will be at the heart of the activity and therefore it is important to consider them when planning the activity. Things need to be considered such as; what they can do for themselves, how much support they require, how independence can be promoted throughout the activity, have they done this activity before and...
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