Situation: an elderly (97 years old) lady recovering from a #NOF is unable to get in and out of bed by herself. She has the ability and strength in her lower limbs to push a little bit to help stand but cannot support her full body weight. Movement increases her pain significantly.
Task: to assist the nursing staff in getting this pt in and out of bed so she can sit in a chair for lunch. This has to be done in a way that looks after our backs and well as something that is safe for the pt.
Action: we used a standing hoist help this pt out of bed, however there was a fault with the hoise the first time we went to use it. By this stage we had the pt sitting on the edge of the bed, and we couldn't safely leave her there by herself, she would have fallen off. One PT had to block her legs and hold her on the edge of the bed while one of the nurses went to get a different hoist. Unfortunately there was no other standing hoist available, so we had to use a sling hoist. This was no as comfortable for the client and not very effective in helping her to move. It did protect our backs, but it required us to do alot more moving and supporting the pt as we already had her on the edge of the bed. The t/f required 5 people.
Result: this method was ineffective in moving the pt and we did not manage to get her sitting out of bed. It was also very uncomfortable and awkward for her.
Evaluation: while this method did not work, we were unable to use the standing hoist so it was the best we could do. It would not have been safe to lift her instead of using a hoist as we could have hurt our own backs. Unfortunately we did achieve our goal of getting the pt out of bed.
Strategies: test the hoist before preparing the pt!!
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