Move and Position Individuals in Accordance with Their Plan of Care

Anyone with limited mobility should be assisted to change positions by the care providers on a regular schedule to help

3.4 summarise the types of risks that may be involved in assessment in own area of responsibility.

3. Explain how risk assessment can help address dilemmas between rights and health and safety concerns

I chose a learning plan topic that would increase my nursing practice competency as a senior nursing student, would be relevant to my placement setting, would build on my knowledge obtained from completing NSE417 – Nursing Practice IV class and NSE407 – Nursing: Professional Issues and Trends class, and was approved by my Primary Preceptor and Faculty Advisor (FA). With a global trend of an increasing senior population and having a placement in a nursing home, it was important to choose a learning plan that focused on the challenges and trends in senior safety. My Overarching goal for my learning plan was to expand my knowledge and critical thinking skills related to expertly assessing and managing elder frailty in a long-term care setting by Tuesday, March 1, 2016. By completing this learning plan, I have fulfilled and demonstrated the College of Nurses of Ontario (CNO)’s Continuing Competency Standard by performing a self-assessment of my knowledge, developing and implementing a learning plan, and evaluating the outcomes of the plan (CNO, 2002). Ultimately, the goal is to enhance geriatric care at my placement setting and advance my competency in delivering safe, ethical, competent client-centred care.

Those who live healthy and active lives have improved muscle strength and tone, which means that they are less likely to have an accident or experience falls that could lead to injury.

D1) Make recommendations in relation to the identified hazards to minimise the risks to the service user.

Aiii – A list of the principles to be followed for safe moving and handling

It is important to assess health and safety risks in order to reduce or eliminate them. Risk assessments are vitally important in order to protect the health and safety of both you and the individual’s you support. You should always check that a risk assessment has been carried out before you undertake any task in order for you to follow the steps identified and reduce any risk posed. There are many regulations that require risks

2.2 Describe how to manage risks associated with conflicts or dilemmas between an individuals rights and the duty of care.

All identified risks should be reported to the nurse or the line manager on duty so it can be corrected/amended and a new risk assessment can be put in place. This also should be documented appropriately.

* There are three (3) schools of thought regarding risk. The first considers the positive and negative aspects of risk, but sees them as separate. The second group believes that there are benefits from treating threats and opportunities together, while the third school does not label uncertainties, but addresses uncertainty as part of “doing the job.” Argue the value of having a risk strategy despite the cost associated with it. Include an example to support

Although PCP is an idealistic approach, it is still seen from evidences and results from studies that it is a favorable way of providing a quality health care to the elderly in the long term care setting and individuals. However there is a need for further research on the utilization and effectively of person centered care planning for the elderly. In addition, further research is necessary to provide specification on which aspects of PCP is efficient for particular patient groups ( Coutler et al., 2015). In conclusion, PCP is a very important aspect of care in recognizing the need, preferences of every individual towards their care. It encourages collaboration between the individual and the health care professionals including the organizations

8. What’s the message related to risk management that comes from all the focus on the reality of assumptions?

material and above-stated body position changes for patients is the best practice and should be implemented into policy and practice. Any device used to prevent heel pressure injuries should be selected and fitted appropriately to ensure pressure is adequately offloaded. ("Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure

They evaluate if the skin was at risk for developing pressure ulcers after the patient was repositioned routinely every 2 hours. Measurement of the pressure points were taken every 30 seconds continuously (Peterson et al., 2013). The study is relevant to my study as well because they use the same method as far as pressure mapping as Behrendt et al (2014) but they measured pressure points. Their study showed that patients are still at risk to develop pressure ulcers when repositioned every 2 hours, some area of the body did not relieve from pressure after repositioning. This means that even after the patient was repositioned to prevent or reduce the risk of pressure ulcer formation, there are substantial areas of skin that do not get relieved and remain at risk for pressure ulcers regardless of routine repositioning by experienced nurses (Peterson et al., 2013). The study was done to reduce pressure ulcers prevention by revealing that other areas of the skin were still at risk after repositioning the patient. Further studies would reveal inconsistencies in this study whether or not these “triple jeopardy” areas will into pressure ulcers, progress a pressure ulcer or occur at specific tissue location only, these can be tested by expending the testing time to 24 hours rather than 4 to 6 hours. Expansion of