Yesterday I went to see a gentleman who has learning disabilities, bi-polar disease and spinal cord compression in his neck. He and his support staff are finding it difficult to assist him in transfers between his wheelchair and his bed.
I worked with him and his support staff to work out the best way of allowing him as much independence as possible.
We decided that he would continue to use the handle on the wall to pull himself up into standing and support staff will use small pieces of equipment to assist him onto the bed. It was very good getting several members of his support staff together and hearing the ways in which they support him. This gave us the opportunity to choose the best methods and pull them together and ensure everyone is doing the same thing so there is a good level of consistency in his care.
The staff were trained to use the new small pieces of equipment and are confident in the use of them. They will be able to cascade this training onto other staff members.
These are a few of the pieces of equipment they will be using. (pictures taken from http://www.nrs-uk.co.uk)
Things taken into consideration included the fact that there is only space for one member of staff to assist, the gentleman's health difficulties meaning he can change in mood very quickly and the need to maintain his abilities.
The assessment and problem solving went well and now it needs to be put into practice to monitor how well it works in reality.
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