Manual Handling

• Acute Pain


  pain that comes on quickly, can be severe, but lasts a relatively short time
• Bariatric


  a person is classified as having obesity + may be referred to as a bariatric patient when they have a BMI that is equal to/greater than 40 or weight is over 152kg
• Chronic Pain


  chronic/persistent pain = pain that carries on for longer than 12 weeks despite medication/treatment
• Competence


  someone who has the ncessary skills, experience + knowledge to manage health + safety
• Consent


  when an adult is asked for their consent, info about the proposed care + treatment must be provided in a way that the person can understand
• Cumulative Stress


  an accumulation of stress that impacts bodily functioning
• Efficient Movement Principles


  applying the elements while performing a manual handling task will help to reduce physical discomfort/pain when u move
• Ergonomics


  the modification of fitting the task to the person to eliminate discomfort + risk of injury
• Lateral Transfer


  the process of moving a patient from one surface to another using a PAT (patient-assisted transfer board)
• Manual Handling


  transporting/supporting a load by hand/bodily force

  inc lifitn, putting down, pushing, pulling, carrying or moving loads - object, person or animal
• Mental Capacity


  where an adult is considered to lack the mental capacity to consent, elected individuals should be consulted (if it is practicable + appropiate to do so) about what would be in the person's best interests
• Risk Assesment


  a careful examination of what could cause harm to ppl, to enable precautions to be taken to prevent injury + ill-health
• Importance of Manual Handling


  poor manual handling contributes to workplace injuries + work-related ill health imposes costs on employers, on individuals + on the gov
• Impacts of Manual Handling


  acute back pain, weakness + muscoskeletal disorders

  chronic back pain w increased risk of repeated injury

  sick leave for prolonged periods of time
• Causes of Back Pain

  intervertebral disc displacement

  bone injury

  strained muscles and/or ligaments

  effects of vertebral forces

  irritated + inflamed nerve fibres

  compromised facet joints

  arthiritis + osteoporosis
• Traumatic Injury


  caused by either an unpredictable event like a car accident, but often is an avoidable accident like slips, trips or falls
• Mechanical Back Pain

  primary cause of back pain

  collective term = cummulative stress + occurs over time cos health, fitness, occupational + social factors
• Degenerative Stress


  happens to everyone over time + is the process of aging or can be attributed to disease/ocuppational effects
• Factors Contributing to Cummulative Stress


  personal fitness

  abnormal weight

  pregnancy

  clothing restrictions

  not using provided equipment

  lack of engagement w training

  previous injury

  habits
• Informal Manual Handling


  the individual carrying out the manual handling task will need to assess the situation, plan for the manouvre + prepare for it
• Formal Manual Handling


  a risk assessmet tool/document should be completed by a suitably tained individual

  the tool/doc will highlight the level of risk in relation to the procedures regularly carried out w in their work area or for any equipment they r using
• AARR


  AVOID

  ASSESS

  REDUCE

  REVIEW
• AARR - Avoid


  do u need this task/can the patient/service user do it independently

  pyjama paralysis - present in the elederly

  e.g. over 70s patient who has been admitted for testing but spending most of day in bed, quickly losing independence to their normally indepent life + relying on staff to assit despite being capable

  need a lil gentle encouragement to keep that patient focused on their capabilities
• AARR - Assess


  Load - the object that needs to be moved

  Individual - am i physically able to do this

  Task - what d o you have to do

  Environment - is the eviro i am in safe to carry the manouvre out, free of trip hazards + adequately lit etc
• 4Ps


  Plan - completed assesment?

  Prepare - check for all necessary equipment + staff, enviro is clear

  Position - r staff + equipment in place, leader appointed?

  Perform - go
• Efficient Movement Principles - Definition


  how we position ourselves to complete a manouvre whether to move an animate/inanimate load, is vital to protect ourselves + others from injury
• Efficient Movement Principles


  think before u move

  feet shoulder width apart = stable base

  flex knees + hips, shoulders relaxed

  maintain a neutral spine, in nautural curve

  keep neck aligned w neutral spine

  change position by moving feet - no twisting/stretching

  keep centre of gravity close to load