Ten tips for Moving and handling individuals with complex body postures.

Complex body postures may be encountered in individuals with disabilities, medical conditions, or those who have limited mobility.

Assessment:

1. Conduct a thorough assessment of the individual's physical condition, including their range of motion, muscle strength, and any specific challenges related to their body postures. Are their hip's fixed?
2. Consider any medical equipment or assistive devices the individual may be using.
3. Address any situation that may increase the tone in the individual's body. Is the individual sensitive to touch, do you know how they like to be touched?
4. Are they sensitive to noise, such as slide sheets, banging doors or the pulling apart of velcro? Do either of those situations cause a startle reflex.
5. Do they prefer a shower or a bath?
6. How are you going to egress in a fire situation will the individuals body shape fit into fire evacuation equipment. Consider will it be safer to transfer them into a wheelchair
7. Do they have any breathing difficulties or are at risk of aspiration?
8. Are they in any pain when moved a certain way, an example may be the individual's body shape may determine they can only be rolled on one side.
9. Skin and tissue viability are a key consideration and will require regular monitoring. Communication:

1. Communicate with the individual to understand their preferences, concerns, and any specific instructions related to their body postures.
2. Communication may not just be the spoken word but tone of our voice and touch.
3. Obtain consent before assisting with movements and involve the individual in the planning process.

1. Individualised Care Plan:

1. Develop an individualized care plan that addresses the unique needs and challenges presented by the individual's complex body postures.
2. Include input from healthcare professionals, such as physical therapists or occupational therapists, in creating the care plan.Training and Competency:

1. Ensure that caregivers involved in Moving and Handling individuals with complex body postures receive adequate training and demonstrate competency in safer techniques.Use of Equipment:

1. Identify and use appropriate assistive devices such as hoists, slings, or slide sheets to facilitate safe movements.
2. Seating and sleep systems are now considered main stream and are vital to ensure any further deterioration of the individuals posture.
3. Other equipment such as support in bathing and toileting will be required
4. Ensure that equipment is in good condition, regularly maintained, and used according to manufacturer guidelines.
5. Ensure staff are trained and know how to use the equipment
6. Is dressing an issue do you need adapted clothes or slide sheets to dress an individual?Teamwork:

1. Collaborate with the team of caregivers, health and social care professionals and family members, to ensure safe and coordinated care.
2. Use clear communication and establish roles and responsibilities during Moving and Handling procedures.Positioning:

1. Employ proper positioning techniques to maintain the individual's comfort and prevent injury.
2. Use pillows, wedges, or specialised in-bed sleep systems and cushions to support individuals with complex body postures during transfers or while in bed.
3. Who we position individuals do we physically do this or use equipment? Regular Monitoring and Reassessment:

1. Monitor the individual's condition regularly and reassess their needs and capabilities.
2. Adjust the care plan and techniques as necessary to accommodate changes in the individual's health or mobility.Documentation:

1. Maintain accurate documentation of moving and handling activities, including any challenges, preferences, or concerns raised by the individual.
2. Document any incidents or changes in the individual's condition and posture.Legal and Ethical Considerations:

1. Adhere to legal and ethical standards respecting patient rights, dignity, and confidentiality.
2. Respect the autonomy and choices of individuals with complex body postures.

It's essential to approach moving and handling with sensitivity, respecting the individual's autonomy and preferences while prioritising safety and well-being. Additionally, seeking guidance from health and social care professionals and incorporating their recommendations into care plans is crucial.

Author

Deborah Harrison

MD A1 Risk Solutions

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