Andrew George
232: Move and position individuals in accordance with their plan of care
1:1 Outline the anatomy and physiology of the human body in relation to the importance of correct moving and positioning of individuals.
We need to know the normal range of movement of the muscles and joints so when moving, handling and positioning a person we know the limits of each limb. We need to take into consideration other factors that may inhibit a person’s movements as:
• Old Fractures
• Torn Muscles
• Rheumatism and Arthritic conditions.
This should all be written within the individuals care plan as well as a step by step plan on that has been agreed with them on how to move and handle them.
We need to understand that elderly people are
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It is preferable if you are always visible when approaching a patient. Always follow the correct procedures, and never carry out any procedure you have not been trained to do and do not use equipment you have had no training on.
3:2 Please see and refer to 2:2 of this unit.
3:4 Describe actions to take in relation to identified risks.
All identified risks should be reported to the nurse or the line manager on duty so it can be corrected/amended and a new risk assessment can be put in place. This also should be documented appropriately.
3:5 Describe what action should be taken if the individual’s wishes conflict with their care plan of care in relation to health and safety and their risk assessment.
If the individuals’ wishes conflict with their care plan in relation to health & safety and their risk assessment, you would need to ensure that the individuals’ wishes were listened to and respected and that their, your own and others health and safety was not put at risk. Include the individual in the risk assessment to help prevent conflict from arising, help them feel empowered, the reasons why it is necessary, that it in place for them as well as the people that are helping them. Ask the individual why it is that they object/disagree and give them time to explain. Give reassurance and try to reach a compromise that is safe and protects the individual, yourself and other’s well being. Explain the consequences for
4.2- outline how the principle of ‘duty of care’ can be maintained whilst supporting individuals to take risks
should check the care plan in order to know they are providing the correct care and support and following the individuals wishes. If any problems are recognised then the care plan can be updated to reflect these changes.
2. ensure the agreed care plan has been checked prior to undertaking the pressure area care
Staff are required to make an entry in to an individuals care plan once in twelve hours. This entry is in the daily life and review and will contain details regarding medication administration, dietary and fluid intake, elimination, mobility, mood, behaviour exhibited and any changes or deteriation of the individual. There is also a requirement to record visits from doctors, nurses and other health proffessionals.
SHC34-2.2 Describe how to manage risks associated with conflicts or dilemmas between an individual's rights and the duty of care.
The importance of the human body with correct moving and positioning in relation to anatomy and physiology includes making sure you understand the different kinds of joints (hinge/ball and socket for example) are held together by ligaments and tendons and how easy it is to damage these joints by pulling on them or for example heaving people around a bed or not using a hoist but instead by dragging people up under their armpits. This could cause a shoulder to be dislocated etc by incorrect handling. There are pressure areas on the human body (shoulders, ankles, bottom etc) which are prone to pressure sores which can progress on to full thickness of skin loss.
Anatomy and Physiology of a human body in relation to the importance of correct moving and positioning of individuals
Before an individual moves into the property they should be given plenty of opportunity to visit the property, this enables them to get to know the other individuals who reside at the property and also gives them a chance to meet the staff team. The individual should first come for a daytime visit with their social worker/CPN and also if they wish a family member or another individual they may choose, after the initial visit the individual should then be invited to the property for a communal meal, then for an overnight stay and finally a 2 night stay.
When working with an individual it is important to uphold their rights to be fully involved in their own care, whilst adhering to legal requirements. It is also the individuals right to refuse any care, support or treatment they do not want. It is also essential that people not only give you their consent but also that they understand what they are consenting to and the implications of this. Gaining consent protects not just the career but the individual receiving the care and support as-well. If no consent is given then you cannot proceed with the care. It is illegal to pressure anyone into
Good communication with the individual should be enhanced. Both individual and carer must compromise and negotiate to what would benefit most for the individual as long as it is safe. Thorough information should be given and must acknowledge the benefits of their choices. This is a way of recognising rights and choices of the individual. One example is the resident’s choice not to use his/her walking frame. This is one conflict of decision – making. Decision should be tailored to the needs of the resident
2.2 Describe how to manage risks associated with conflicts or dilemmas between an individual’s rights and the duty of care.
While working with vulnerable groups of individuals in health and social care settings there are times when care workers are faced with a conflict of interests. Very often ethical dilemmas will not have the right answer and will depend upon a number of considerations. When the care worker is faced with a dilemma and will be expected to make a decision. Before making a decision, the care worker must consider their risks to the individual and any other people, the policies of the organisation and if they have all the facts of the case.
2.2 Describe how to manage risks associated with conflicts or dilemmas between an individuals rights and the duty of care.
To begin with the person is the centre of the plan, to be consulted with and their views must always come first: It should include all aspects of their care, and every professional should work together to provide it. (Leathard 2000) Autonomy refers to an individuals’ ability to come to his or her own decisions and requires nurses to respect the choices patients make concerning their own lives (Hendrick 2000).However Gillon Argues that the principle respect for autonomy may need some restriction, otherwise we may be morally obliged to respect an autonomous course of action with unthinkable consequences.( Gillon 1986) Every human being has an intrinsic value, they all have a right to well being, to self-fulfilment and to as much control over their own lives as is consistent with others (British Association of Social Workers 2002).Professional Judgement and patient preference cannot be suspended if practice is to be safe and effective rather than routine(DOH 2005) Alex had to attend this session as it was within his Timetable, how could it have been effective?, he was unhappy and
This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and