Unit HSC 2028: Move and position individuals in accordance with their plan of care
Regina has been delegated the job of caring for Albert. Albert has
Alzheimer’s disease, a type of dementia that makes him forgetful.
Albert also has painful arthritis, which means he has to be supported in moving from his bed to a chair, and from the chair to the toilet or bathroom. Before Regina works with Albert, she looks at his risk assessment, which is in his care fi le along with all the records of his care. There is also a moving and handling risk assessment. On reading it she sees that Albert is helped to use a hoist to bath, and that because of his arthritis particular care is taken to make sure he remains as comfortable as possible.
As she expects to support Albert in his personal care activities,
Regina reads the moving and handling part of the risk assessment.
This says that the equipment should be checked to make sure it is not dirty or broken; that there are no hazards such as wet fl oors or furniture in the way; and that he is supported by two members of staff trained to operate the hoist, to avoid undue pain from Albert’s arthritis when he is moved.
Arnold Streep has dementia, and is partially paralysed following a stroke. He lives in a care home. He is very forgetful and cannot remember where he is. He is incontinent of urine and faeces and requires support with personal care activities, such as using toilets, washing and dressing. In the bathroom he is supported using a hoist because a risk assessment recommended this as the safest way to make sure he could be showered without causing undue pain and discomfort. As Clara, his care practitioner, prepares to support him, he refuses to use the hoist. He tries to get into the shower cubicle unaided.
Clara talks to Arnold as she has a good relationship with him. In the end she agrees with him that he won’t shower at this time, but have a strip wash instead. In this way she does not try to overrule his wishes, but treats them with respect. If Arnold had refused the strip wash as well, then Clara knew that the next step would be to seek support from her manager to resolve the confl ict.
Admiral House is a small care home for adults with learning disabilities. Many of the residents also have physical disabilities that affect their mobility. Some are unable to move unaided. Mabel, one of the residents, is supported by two care practitioners to move her to and from her favourite armchair. This chair is near the door to the kitchen. Mabel likes to watch as the support staff brings meals to the residents.
In the evening, as they get Mabel ready for bed, one of the practitioners turns the lights on and checks around the chair, making sure there are no potential hazards before they begin moving Mabel. The care practitioner moves another chair and a small table away, and picks up a chocolate wrapper. She then makes sure there is nobody in the kitchen, and agrees with Mabel that they are about to help her move from her favourite armchair into a wheelchair.
While supporting Mrs Tibbs, who lives in a residential home, Eva notices that she has a cut on her fi nger. She quickly goes to the offi ce and asks her supervisor for a plaster which she applies to the cut. Her supervisor then asks Eva to explain to a new care practitioner, Sharon, how else they take precautions against the spread of infections. This is an area that Eva believes she is good at, and arranges to show
Sharon what she does later in the morning.
An hour later, Eva asks Sharon if she would like to help her support
Mrs Tibbs moving into the dining room. First she washes her hands using an antibacterial liquid soap, and then puts on a fresh plaster.
She asks Sharon to tie her hair back and to remove the bangle she wears. They then each put on a protective apron and go to help
Eliza lives in her house, which is being adapted following a car accident in which she lost the use of