Subject: FW: information
On Feb 15, 2012, at 12:07 PM, Terry G. wrote:
Hi Max- good to speak to you!
When it comes to assessing a resident for a wheelchair- it is true that one has to look at the basic essential needs of the resident. As well, (and this comes with experience) one has to be able to look beyond the “now” to know that this resdent will require a cat 5 tilt wheelchair.
When it comes to behavioural issues- This becomes more of an issue. For sure the staff just want that resident in a tilt – with a restraint – and problem solved. Well, not so straight forward. First of all- we all know that restraints increase agitation and there is a risk of injury to the resident. I try as much as possible to stay away from them – and think of alternatives.
So a compromise may be as I mentioned a DYNAMIC TILT wheelchair- ( google Ibiis as an example) where resident can be tilted ( approx 20 degrees) and still have feet on the ground. When it comes to behavioural issues there is no black r white. IT is all about compromise and ongoing discussion with staff to work out what is best and safest for resident.
I was mistaken when I stated that I never had an issue with any of the staff- I did have one very difficult resident issue-However- with ongoing explanation etc- a compromise was reached= She is using a positional belt as a restraint- but staff are following restraint protocol- and there is consent from DR and POA>
Anyway hope that helps- Feel free to contact me –if you have any other questions.