Safe patient handlingBariatrics

Håkan Skenhede

Principles!

• A principle can be used in many thousand different ways.

• A technique is just an example on how to solve a very specific problem

Natural pattern

The way a strong and

healthy patient is moving

Compensatory patterns

The way a person is moving trying to compensate

for their ”problem”

Standing up - Natural pattern

• Natural patternStand up quickly and write down:1. what you do2. in what order you do it and 3. in which direction you do it

Standing upCompensatory pattern for a bariatric patient

1. Identify the ”problem”2. Stand up and try to act as you have the

”problem”3. Create a technique based on the

compensatory pattern and good ergonomics

Back in chairNatural pattern

• Natural patternStart in a relaxed position and move back in the chair quickly and write down:1. what you do2. in what order you do it and 3. in which direction you do it

Back in chairCompensatory pattern for a bariatric patient

1. Identify the ”problem”2. Move back and try to act as you have the

”problem”3. Create a technique based on the

compensatory pattern and good ergonomics

Crossing legs in bedNatural pattern

• Natural patternStart in a supine position and cross your legs and write down:1. what you do2. in what order you do it and 3. in which direction you do it

Crossing legs in bedCompensatory pattern for a bariatric patient

1. Identify the ”problem”2. Move back and try to act as you have the

”problem”3. Create a technique based on the

compensatory pattern and good ergonomics

Biomechanics when liftingNatural pattern

• What is the distance between lifting points in a supine position. Attach a sling in a supine position and measure the distance between the upper two loops and the two loops from the legparts.

Distance is:

Biomechanics when liftingCompensatory pattern

• What is the distance between lifting points in a seated position. Attach a sling in a seated position and measure the distance between the upper two loops and the two loops from the legparts.Distance for a ”M” person is: Distance for a ”XXL” person is:

2 motors on one trackan automatically adapting crossbar

When you use 2 separate motors, one for the loops by the shoulder and one for the loops by the legs you can:

• Have a ”cross slingbar” (4-point) that automatically adjust between the measurement for supine AND seated lift.

• Adjust the sitting angle by raising/lowering just one motor.

Sleeping on a slingIs that ok?

• How would this affect the pressure?

• How would it affect shearing?

Turning with a hoist

• Easy to turn

• Easy to keep patient on the side