Nvq Move

12 December 2016

Move and position individuals in accordance with their plan of care (HSC 2028) It is important to have a understanding of basic anatomy and physiology in my job as it can help reduce the risk of harm to me and the clients whilst undertaking moving and handling procedures. Muscles allow the bones at a joint to work like hinges. Muscles pull and move the bones at particular joints, this makes the joint move and therefore the body moves.

When a muscle contracts, it pulls the bones at a joint in the direction that it is designed to move. With reduced mobility, muscles can become floppy and make movement slower and more difficult, but when muscles are used on a regular basis, they remain firm and move more easily. When supporting moving and positioning activities, it is important to remember that muscles can only move the bones at a joint as far as the joint allows.

Nvq Move Essay Example

For example, the elbow and knee joints have limited movement; trying to extend these joints beyond their range can cause painful damage to the joint. Nerve fibres run all the way through the body and send impulses to muscles, which enable the muscles to contract and relax. Nerve fibres are delicate structures and can easily become damaged through poor moving and handling techniques, understanding basic principles such as this can help me protect my clients and myself from physical harm.

There are a number of conditions that can have an impact on the correct movement and positioning of people. For example arthritis, people suffering with arthritis often have stiff painful and sometimes swollen joints and frequently have limited movement in the affect areas. Care needs to be taken when moving or positioning arthritic people, to reduce the possibility of causing pain and discomfort. Also I would need to be aware of the limited movement of arthritic joints and not attempt to move these beyond their limits.

For example I have a client, Mrs D who has arthritis in her shoulders, this means her arms have a limited range of movement so when helping her remove clothing I have to be very gentle and only raise her arms as high as is comfortable for her, some days are worse than others for her so we have to have clear communication and make sure her arms are not moved beyond their comfort zone. Also Parkinson’s disease sufferers of Parkinson’s may experience limb rigidity that can affect normal movement and positioning. And also loss of control of limbs due to shaking and muscle tremors.

Suffers of Parkinson’s can sometimes suffer from dementia alongside; this may mean they are confused or perhaps not entirely aware of why they are being moved or handled. It is my job to make sure they are as aware and compliant as possible, one gentleman I used to visit as part of a double up call had severe symptoms of Parkinsons and when being helped to walk would find controlling his legs difficult, this meant he required a lot of support from two carers and sometimes transferring had to happed via wheel chair as his condition just didn’t allow us to correctly move him safely.

Current legislation helps protect me and my the people I am working with, as part of my induction training I did a ‘moving and handling of people induction’ course, in this course legislation was outlined and correct working practices. I understand that in the manual handling operations 1992 (amended 2002) it is imposed that my duty as an employee is to avoid all hazardous manual handling activities, where it is reasonably practical to do so.

I must take appropriate action to reduce risk. If for example this means getting a colleague to help me move somebody then it is acceptable to do this, as it is my responsibility to look after myself and the client. There is a number of health and safety factors that I need to consider before attempting to move or position people.

For example when I went to help Mrs l visit the toilet I first considered the activity, I was helping her stand from her chair and walk to the loo, I had another colleague to help me as I knew her mobility is poor and she has a high risk of falls in her risk assessment, which is found at the front of her file, I also do my own mini risk assessment before undertaking any movement, for example if she is too tired we do have commode we can bring in and minimise the movement Mrs l has to do to relieve herself .

I also know she gets tired very easily but we didn’t have far to go and the walk itself should take no more than a few minutes. Next I considered the environment; before we set off I made sure the walkway was clear and the bathroom was prepared (frame in place, light on) and we had enough space for all three of us to manoeuvre safely. There was a wrinkle in the rug which may of caused her to trip so I straightened that out and double checked everything was completely safe for Mrs l to walk through, I then out on PPE (gloves and apron).

I know mrs l well and am aware of her strengths and limitations, however before undertaking any movement I had caught up on the contact notes to find out how she was, and had a chat to mrs l to make sure she was feeling up to the movement. She can manage to stand and walk with support, and needs support to remove her trousers and pants, once sat Mrs l can be left alone and is able to call us back when she is finished, with support Mrs l is able to wipe her bottom but needs help to pull clothing back up and move round to wash her hands in the sink.

Mrs l has a set routine which she is comfortable and confident with so I do my best to stick to it as it is a safe and easy way of carrying out the movement. Some visits Mrs L does not need to visit loo so we never steam and just begin, always make sure Mrs l is ready and willing and needs to visit the loo, today she did and was ready for us to help her up. Mrs L is a very easy lady to talk to and it is not often that her wishes conflict with her plan of care, however if they did I would simply talk through why she has the plan of care and how it minimises risks to her and us.

Often she likes to walk independently, we do encourage this but make sure we are close by in case she becomes unsteady. It is important to encourage independence as well as minimise risk. In another call we had to roll a gentleman who was unable to move of his bed at all, so to carry out personal care we had to (as a double up) gently roll him on to his side and wash and clean him to maintain his personal hygiene. Following his care plan we rolled him onto his left hand side, avoiding a pressure sore on the right hand side, the agreed technique was to gently encourage him to roll on to his side and support him to stay in that position.

One carer stayed at the top end, making sure he was comfortable and ok whilst the second carer carried out the personal care and communicated any help they may need. We made sure Mr D was as involved as possible in his condition, he would actively hold himself over by holding his bed stick, I made sure he was not in any pain and was always happy for the procedure to continue. I then wrote what we had done in the contact sheet and noted that he would need to be rolled and helped to be cleaned and have his cream applied again when the next carers came, as the Doctor had requested we keep a close eye on his pressure sores particularly.

On occasion I may not be con? dent in being able to carry out a manoeuvre competently, in this occasion I would seek advice from an experienced colleague or my manager. I ask them to supervise me and help were necessary until I can demonstrate the required level of competence. I may also have concerns that a manoeuvre is no longer appropriate for someone, because, for example, their health or ability to understand instructions has changed, I would contact my manger as the manoeuvre may have to be reviewed and adapted.

The same is true if I had concerns that any aids or equipment are not suf? ciently clean or well-maintained, I would not use these as it is important that health and safety is not put risk by using unsafe equipment. Sources of information about moving and positioning individuals are available from care plans and risk assessments, colleagues and the individual themselves. I also have background knowledge from attending training courses which supply me with reading material etc.

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