Role Care Worker Resident Care Facility Task Shower in shower chair On an early shift, Residents require full assistance with personal care, showering and dressing, transport and ambulation. Residents may be relatively independent requiring verbal and light assistance with showering and dressing, to require maximum support, including limb support. Some Residents have increased tone in their limbs, making them very heavy to manoeuvre. (For example lifting an arm away from the Resident’s side to wash all areas) The volume of showers per is up to 5-6 residents. Staff is required to demonstrate the capacity to: bend squat, and frequently kneel / half kneel reach forwards and sideways to 60 degrees frequently to 90 to 120 degrees occasionally to access all body parts to wash hair. Tilt-in-space shower chair provides more flexibility for care staff for resident transfers and for showering and dressing. Critical physical demands Physical Demand N O F C Description Sitting Standing Walking Climbing Stooping Frequent stooping to access all resident to wash Bending Frequent bending to access all resident to wash Kneeling To access feet and perianal areas Squatting Frequent squatting to access all Resident / resident areas to wash Crawling Gripping Forward Reach Overheard Reach Frequent reach above shoulder height with spinal bend to access all areas of resident to wash Risk of developing a MSI Lift Limbs to wash under arms, limbs can be resistive increasing force required Carry Push / Pull Can be strong pull force required to move limbs if spasticity in limbs N = Never, O = Occasional (1–33%), F = Frequent (34–66%), C = Constant (67–100%) Repetitive action / sustained posture Neck: Shoulders: Thoracic: Lumbar: Neck flexion, looking down when showering, and extension, looking up when reaching forwards. Repetitive extended forward and above shoulder reach and can be forceful pushing, pulling with arms outstretched to manoeuvre resistive limbs. Sustained forward bending Bending down frequently to access all areas of resident to wash. Twisting and reaching over the shower chair. Lift/Push/Pull demands-Medium
Role Carer worker Resident Care Facility Task Transferring resident using sling lifter Dependant residents who cannot reliably weight bear require assistance with personal care and transfers with the aid of a lifter. If the resident has poor head and trunk control and is unable to sit over the side of the bed a sling lifter is required. Two Care assist (may be more Care staff if risk assessment indicates). Postures adopted by the Care staff range from forward reach to spinal bend, semi squat and lunge and half kneel to assist in all aspects of the transfer. Initially the resident is assisted to roll onto their side to apply the sling Resident is lowered into the Once sling is secured the resident is raised in the lifter. Staff work together to position resident in the chair. The lifter is moved away from the bed. Push pull forces can be very high with a resident who has spasm / or is very heavy. Chair is positioned within the lifter base. CW postures range from squat/ lunge/ half kneel. The sling is removed by leaning the resident forward, or by using the lifter boom. To move the leg straps a half kneel is adopted by Care staff. Critical physical demands Physical Demand N O F C Description Sitting Standing On either side of the bed Walking distance inside the room and the home Climbing Stooping Dressing all areas, increased if resident in fixed height low bed Bending Dressing all increased if resident in fixed height low bed Kneeling Squatting Dressing lower limbs Crawling Gripping Clothing Forward Reach Dressing all Overhead Reach all areas Risk of developing a MSI Lift Clothing, resident limb if assistance is required, can be heavy if limb dependant or rigid Carry Push / Pull Turn resident, reposition limbs N = Never, O = Occasional (1–33%), F = Frequent (34–66%), C = Constant (67–100%) Repetitive action / sustained posture Neck: Shoulders: Elbows: Thoracic: Lumbar: Repetition: Neck flexion, looking down when dressing resident and extension, looking up when reaching forwards. Repetitive forward and sideways to 60 degrees Flexion to 90 degrees and full supination to half pronation and wrist extension. Sustained forward bending. Bend to 90 degrees, sideways lunge Bending forward and sideways frequently to access all areas. Semi-squat and leaning forward. Frequent arm action, grip and bend / lunge / squat to access all areas to assist in transfer. Lift/Push/Pull demands-Medium