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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!