Pressure injuries are a real issue for the health of older people, like residents in aged care homes. Lying too long in one position can restrict blood flow and cause injuries to the skin and infections.
Pressure injuries are a real issue for the health of older people, like residents in aged care homes. Lying too long in one position can restrict blood flow and cause injuries to the skin and infections.
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Elizabeth Jones: Hi, my name is Elizabeth Jones, and I'm a graduate in the Certificate III in Individual Support. One of the things I know how to do well is pressure injury care on my patients. They can occur in any of the bony prominence on the body. It is caused when the pressure is built up on the skin, and it restricts the blood flow. So the bony prominences are mostly common in the sacrum, back of the elbows, and on the back of the heels of the patient. This can be prevented by using an air mattress or having a pillow in between their legs or any extra padding on the bony prominence. So let me show you how to do that now. So, first of all, you will acknowledge your patient. Hi Mary, I'm going to move you now. Is that okay? Obviously, Mary's is not going to respond, but normally this is what you would do.
Elizabeth Jones: Pull the blankets back just a little bit. Raise the beds because we want to protect our backs, put the head of the bed down just to make it safer for the patient and safer for us. Then we would use a slide sheet, and it prevents the friction or the tearing of the skin, which can also lead to pressure injuries. Pull in the blankets all the way back, protecting the patient's dignity at all times. We would lift this leg and put the arm over the chest and roll the patient safely. Take the slide sheet out and place it underneath the patient and then gently roll them back.
Elizabeth Jones: Repeat the same on the other side, making sure the slide sheet is nice and flat, roll it down again. And then in one swift movement, my colleague would push towards me, and I will pull up, and the patient will turn. In three, two, one. Once the patient is on the side, we would stabilize their legs, remove this slide sheet by pulling downwards, not to rip their skin, place a pillow behind their back to give them some extra support and comfort, and a pillow in between their legs just to prevent any further rubbing or pressure on the ankles or knees. Reposition them, make sure they're nice and comfortable and then cover them back up. And there you have it. Pressure injury care is something I know how to do really well. I care for my career because I have RMIT Know-How.
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For older patients (like residents in aged care homes) this can cause real issues regarding their health, and can lead to infections. Even a small fold in the sheet can cause real discomfort.
Many of these patients have conditions where mobility is limited, and it was through studying a Certificate III in Individual Support (Ageing and Disability) that I learned how to help them feel more comfortable.
If you have a loved one that has these issues, it’s really simple and safe to learn how to move patients and ensure they don’t develop pressure injuries.Here’s how it works.
It's as easy as 1,2,3...
We use a slide sheet. This is a sanitised sheet made from polyester and coated with silicon. It makes it easy for the patient to move, and makes it easier for us to move them.
It’s best to have a second person helping with this. It makes it easier for the carer, and makes the patient feel more secure about being moved.
Lift the patient’s knee closest to you and bend it, place their arm on the same side over their chest then roll them onto their side. This helps us get the slide sheet under them.
Fold the slide sheet in half lengthwise, and make sure the opening of the sheet is on the opposite side in which direction you want the patient to turn. This will help with the rolling. Lay them on their back and repeat the knee lift and roll on the other side, to ensure the slide sheet is flat and completely under the patient.
Once we have the slide sheet under them, making sure the patient is flat, in one swift push/pull motion, we turn the patient.
If they need, we can put a pillow behind their back for extra support. It’s also good to have something between their knees and their ankles to reduce any extra pressure build up that may occur.
Now the slide sheet can be removed from under the patient. This is done by pulling down, to prevent any injury to the skin. You can now cover the patient back up and ensure they are comfortable.
That’s how we move patients using a slide sheet!
If you do find a pressure injury, or potential injury, you need to address it to prevent further injury. Depending on how big it is, you would cover it and perform more frequent rotations. Rotation should be done at a minimum of 2 hourly. If needed, you can also get advice from the doctor.
Treating and caring for people with pressure injuries is just one of the skills I learned in my Certificate qualification. It’s nursing know-how I got from RMIT, so that I can care for my career.
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