safe patient handling and pressure ulcer prevention patient handling mr fred… · pressure ulcer...

Safe PatientHandling andPressure UlcerPrevention

Fredrik RadencrantzDurban

October 17 2013

2

Mobility Gallery

The Big Five Issues

PressureUlcers

HAI

Patient FallsDVT

MSD

• Pressure• Friction• Shear• Skin Microclimate

• Static Load• Dynamic Load

• Surgical Site Infections• Pneumonia• Urinary Tract Infections• Blood Infections

• Blood clots• “Toileting”

PressureUlcers

• Pressure• Friction• Shear• Skin Microclimate

Today’s Focus Areas

PressureUlcers

MSD

• Pressure• Friction• Shear• Skin Microclimate

• Static Load• Dynamic Load

Musculoskeletal DisordersWork Related Injuries

Pressure Ulcers

5

Five facts about care today

• Number 1 profession for strain and sprain risks(BLS 2004)

• 2 ½ times the injury / illness of any other industry(BLS 2004)

• 89% of all back injuries among carers are related tomanual transfers of patients / residents (Jenson 1998)

• Carers spend 21% of their 8-hour working day standing inpositions causing static overload (Engels et al. 1994)

• Average weight transferred per carer during one shift:7,500 kg (BGW)

Recommendations fromVeterans Affairs in the US

Note: 16 kg

Recommendations fromVeterans Affairs in the US

Note: 12 kg

Five Challenges with Doris and Emma

• Toiletting and Hygiene

• Changing Bed Sheets

• Weighing the Patient

• Turning/Repositioning in Bed

• Lateral Transfers

Manual Handling of Albert and Barbara

Manual Handling of Carl

Manual Handling of Carl

Manual Handling of Doris

Manual Handling of Emma

Manual Handling of Emma

15

SAFE Patient Handling

Albert and Barbara

16

In Bed/Chair Mobility Hygiene

Carl

17

In Bed/Chair Mobility Hygiene

Doris

18

In Bed/Chair

Doris

19

Mobility/Lateral Transfers

Doris

20

Mobility/Lateral Transfers

Doris

21

Hygiene

Emma

22

In Bed

Emma

23

Mobility/Lateral Transfers

Emma

24

Mobility/Lateral Transfers

Emma

25

Hygiene

THANK YOU!