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In these cases it is necessary to use equipment that
will reduce the exposure of the nurse to safe levels.
At the same time these residents are able to actively
contribute to the movement and it is important for
the resident to maintain or improve this capacity as
much as possible. The assistance that is given in
these instances is, for example, transfer using an
active lifter. It is important to stimulate remaining
capacity and slow down deterioration of mobility.
DORIS
CHARACTERISTICS
• Sits in wheelchair
• No capacity to support
herself at all
• Cannot stand unsupported
and is not able to bear
weight, not even partially
• Dependent on carer in
most situations
• Physically demanding for
carer
• Stimulation of remaining
abilities is very important
The resident is not capable of performing daily
activities independently or to contribute to this
actively in any substantial or reliable way. The
assistance in this case will, without special
precautions, result in a risk of physically
overloading the nurse/carer. It is necessary to use
equipment that eliminates this risk of overloading.
The resident can, in this case, not contribute
substantially to this movement. In spite of this,
where- and whenever possible it remains important
to activate these residents. The assistance provided
in this case is for example the transfer with a
passive lifter. An extra point of attention in this case
is the prevention of the risks of immobility, (e.g.
give good skin care). It is important to slow down
deterioration of mobility.
EMMA
CHARACTERISTICS
• Passive resident
• Might be almost completely
bedridden
• Often stiff, contracted joints
• Totally dependent
• Physically demanding for carer
• Stimulation and activation is
not a primary goal
The resident is not capable of performing daily
activities independently or to contribute to these
activities actively. The assistance in this case will,
without special precautions, result in a risk of
physically overloading the nurse/carer. It is
necessary to use equipment that eliminates this risk
of overloading. In Emma's case it is not considered
important any more to stimulate her to contribute to
the movement and become active. Promoting or
stimulating mobility and activating the resident is
not a goal in the care plan anymore. Providing
optimum care and/or prevention of the
complications of immobility, e.g. good skin care,
are given priority. Transfers will in this case be
performed with for example a passive litter. The
aim is to avoid complications caused by long-term
confinement to bed and make her as comfortable as
possible.
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