Sitting Posture, Seating & Positioning

The difference to someone’s independence can simply be facilitated through correct seating. Recognising the challenges faced with the selection and purchase of seating, we aim to educate team members to understand the effects of correct seating and posture and care.

We can also help with identifying the chair profile you have yourself and inform the team on resident suitability.

Outline:

  • Define sitting posture and seating and review how posture and seating affects function.
  • Identify the problems/risk factors associated with abnormal posture and seating.
  • Review chair mechanisms, such as ‘tilt and recline’ and ‘adjustable and elevating’ foot rests, to promote optimum sitting posture.
  • The workshop also looks at repositioning and using handling equipment combined with good manual handling.

Duration: This will vary from two to four hours depending on the pre-agreed scope.

Venue: The workshop can be completed in-house with current team members.

Results/Benefits:

  • Improved patient sitting posture promoting maximum independence and function for ADL’s.
  • Improved repositioning of residents promoting independence for residents and safety for all.
  • Prevention of posture related complications for residents through improved sitting posture and enhanced reporting and referral for seating interventions.
  • All attendees get to practice techniques, and receive a certificate of attendance.

 

Pressure Care & Cushions

The amount of pain and discomfort that pressure sores cause along with the length of time to treat cannot be understated. Therefore this workshop assists in identifying those clients at risk and the strategies and appropriate equipment to prevent pressure sores and deformities developing.

This workshop can be delivered to give a good general knowledge base or an in depth clinical look at specific risk factors and prescription of pressure care equipment.

Outline:

  • Identify Pressure care needs in sitting.
  • Analyse pressure care grading.
  • Determine appropriate pressure care assessment.
  • Recognise appropriate cushion for pressure care.

Duration: This will vary from two to four hours. Certified 2-4 CPD points

Venue: The workshop can be completed in-house.
Results/Benefits:

  • Increased safety awareness in home regarding pressure care and cushions use.
  • Improved knowledge on appropriate cushions for clients.
  • Improved referral of patients for pressure care interventions.

 

Positioning & Repositioning – Wheelchair Tilt & Recline Mechanism

For those individuals who require specialised chairs the importance of positioning and repositioning through the correct use of the tilt and recline mechanisms cannot be overemphasised.

We have found that due to the variety of specialised chairs and the sometimes conflicting or lack of appropriate instructions, these chairs are often incorrectly used and the opportunity for the individual to avail of the many benefits are lost.

This workshop can be delivered to give a good general knowledge base on the benefits that can be gained by using these chairs correctly and clear instructions on how to operate correctly.


Outline:

  • Identify traditional and specialised wheelchairs
  • Analyse the effects of traditional wheelchairs on posture and seating
  • Outline the benefits of specialised wheelchairs
  • Define tilt in space and recline mechanisms
  • How to use these features to achieve effective posture and seating

Duration: This will vary from two to four hours. Certified 2-4 CPD points

Venue: The workshop will be completed in-house with current team members.

Results/Benefits:

  • Increased awareness of the importance of correct use of specialised wheelchairs
  • Patients receiving the maximum benefits of specialised wheelchairs
  • Reduced pressure areas, contractures, spasticity and edema of patients

 

Assisting an older person with respiratory conditions

This workshop covers the main causes of respiratory difficulties with older people, and how we can make their management and mobility easier. It will cover methods of assisting a resident to manage their breathlessness e.g. positioning, breathing techniques and exercise intervention encouraging compliance with treatment plans.


Outline:

  • Basic review of breathlessness including common conditions
  • Symptoms, aggravating and easing factors.
  • Helpful positioning while in bed
  • Positions of ease to relieve breathlessness
  • Simple and safe breathing exercises
  • General exercises appropriate to assist in improving respiratory conditions

Duration: This will vary from two to four hours depending on scope. Certified 2-4 CPD points

Venue: In-house or Fit For Life Training Centre.

Results/Benefits:

  • Improved recognition and management of breathlessness in patients.
  • Optimising an individual’s capacity to achieve maximum respiratory function through appropriate positioning
  • Ability to assist individuals in safely performing physiotherapist prescribed breathing exercises or other home exercise programme to improve respiratory condition

 

Transfers & mobilising – Long Term Care

This workshop covers a practical demonstration of the correct techniques to assist someone in transferring and walking. Levels of dependency are covered as are methods to support the healthcare worker. Independence in transfers is an important part of managing people living in long term care. Transfers are vital for independence in getting in and out of a chair/bed. Mobility is also an important function for independence. This will support walking, bed mobility and independence. The different types of mobility we get in long term care are discussed along with the common causes of poor mobility.

Outline:

  • Discuss importance of maintaining and enabling maximum independence/ability for older adults during transfers and mobilising.
  • Understanding the causes of poor mobility.
  • Review techniques and cueing strategies to assist an older adult to mobilise and transfer.
  • Review of common falls risk factors for older adults in long term care.

Duration: This will vary from 2-4 hours. Certified 2-4 CPD points

Venue: The workshop will be completed in-house with care team members.

Results/Benefits

  • Promotion of independence in ADL’s of older adults.
  • Improved care staff assistance techniques and cueing strategies promoting safety for all.
  • Full certificates are issued on completion of the training.

 

Transfers & mobilising – Community

Maintaining an individual’s independence is at the core of all of our services, ensuring that those caring for individuals/loved ones have the confidence and techniques to safely maximize an individual’s mobility and independence.

This workshop covers the correct techniques and strategies to assist someone in transferring and mobilising safely while carrying activities of daily living such as getting in and out of a care or climbing a stairs. The correct and safe way to use assistive devices is demonstrated as incorrect use of aids can often be a falls risk factor.

Outline:

  • Discuss importance of maintaining and enabling maximum independence/ability for older adults during transfers and mobilising.
  • Understanding of causes of poor mobility
  • Review techniques and cueing strategies to assist an older adult to mobilise and transfer safely
  • Common activities of daily living(ADL’s) are all covered
  • Review of common falls risk factors for older adults in the community

Duration: This will vary from 2-4 hours depending on the pre-agreed scope. Certified 2-4 CPD points

Venue: Can be completed on site in an individuals’ home, step down/daycare facility or our training centre

Results/Benefits

  • Promotion of independence in ADL’s of older adults.
  • Improved care staff assistance techniques and cueing strategies promoting safety for all.
  • Full certificates are issued on completion of the training.

 

This workshop can be run separately or in conjunction with the previous workshops relating to the transfer and mobilising of individuals in the community or in long term care facilities.

Depending on the length of the workshop and background of those attending, the content can be altered to provide an appropriate level of detail and identify what stage of dementia an individual is at and the appropriate instructions and strategies to use in order to transfer and mobilise someone safely.

Individuals with cognitive impairment are also at a higher risk of falls so there are additional falls risk factors that must be considered.

Outline:

  • Discuss importance of maintaining and enabling maximum independence/ability for older adults during transfers and mobilising
  • Understanding the types of Dementia and how that relates to mobilising and transfers
  • Review techniques and cueing strategies to assist an older adult to mobilise and transfer
  • Review of common falls risk factors and additional risk factors for older adults with cognitive impairment

Duration: This will vary from 2-4 hours. Certified 2-4 CPD points

Venue: The workshop can be completed in-house with care team members.

Results/Benefits

  • Promotion of independence in ADL’s of older adults with Alzheimers or related dementia
  • Increased awareness and knowledge of appropriate instructions and commands to use with this population
  • Improved knowledge of the falls risk factors to reduce the possibility of a fall occurring
  • Greater confidence to take individuals/loved ones on outdoor trips/excursions
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Stroke Positioning & Handling

This workshop is aimed at those working in long term care facilities or someone who is caring for an individual in their own home. We cover the basic effects that can occur post stroke and give general practical examples of optimum positioning of an individual in bed or sitting to best promote their independence.

The workshop content can be tailored depending on the experience or expertise of the attendees and/or the level of dependency commonly dealt with.

Outline:

  • Basic review of common post-stroke dysfunctions and potential effects of same.
  • Review stroke positioning and handling techniques to promote optimum posture.

Duration: This will vary from 2-4 hours. Certified 2-4 CPD points

Venue: The workshop can be completed in-house with care team members.

Results/Benefits:

  • Promote optimum posture to enable maximum patient independence for ADL’s and promote safety for all.
  • Improved positioning for stroke patients preventing secondary complications/injuries.

 

Restraints

This workshop covers the role of a care provider in person centred care and how it applies to daily practice. This is fundamental in the understanding of the HSE Restraint Free Policy and we go through their relationship in our workshop. Understanding a resident’s behaviour and responding to individual needs should be at the centre of patient care. All residents should be assessed comprehensively in order to establish the trigger or cause of concerning behaviour. Staff will go through their role in assessment, decision making and what procedures they use to carry out these roles.  
 
Outline:

  • To understand person centred care
  • To know the national and company policy, covering laws and restraints
  • To know the types of restraints in long term care and when a restraint is an enabler
  • Procedures in relation to restraints
  • Guideline resources and decision making

 
Duration: This will vary from 2-4 hours. Certified 2-4 CPD points

Venue: The workshop can be completed in-house with care team members.

Results/Benefits

  • Your team will have knowledge on person centred care and how to apply this to daily practice in your home
  • To provide a comprehensive assessment tool for the decision process of using a restraint
  • To familiarise health professionals with standards set by HSE and HIQA which all nursing homes should adhere to

 

Depression in the elderly & exercise intervention

Commonly underdiagnosed in the older adult population depression can be a very debilitating disease. As with depression with the younger population, exercise is an essential part of any successful intervention.

In this workshop we outline the prevalence and tell tale signs of depression and how to access appropriate support and referral pathways for assistance. We then give motivational strategies and suggestions to support and encourage an individual to incorporate exercise into their treatment plan.

Outline:

  • Review incidences and signs and symptoms of depression in the older adult.
  • Review risk factors of depression in older adults.
  • Review referral, intervention and support pathways for older adults suffering from depression.
  • Motivational strategies to initiate exercise interventions

Duration: This will vary from 2-4 hrs. Certified 2-4 CPD points

Venue: The workshop will be completed in-house with Healthcare team members.

Results/Benefits:

  • Improved knowledge on condition and signs associated with the condition.
  • Improved recognition of the prevalence of depression in older adults.
  • Improved support and referral pathways to optimise client outcomes.
  • Full certificates of attendance provided to all attendees.

Mobilisation & transfers programmes – ‘Walk & Talk’ (activity therapist, healthcare assistant)

Do you want to give your team a tool to help recognise their role in daily mobility? Then this is the course for you.

The healthcare team are hugely responsible for activities of daily living. Getting some one up and walking them to the sitting room or dining room is done everyday. What we have designed is a programme that gives the healthcare team a tool to use with your clients and to help with motivational goals to encourage daily mobility. It was also developed to show the healthcare team how responsible they are for real life mobility programmes and to recognise their work.

Outline:

  • To understand the techniques for safe transfers for client and staff.
  • To apply safe transfers and mobility into a programme.
  • Knowledge of the importance of the positive effects it can have on clients

Duration: Varies from 2-4 hrs. Certified 2-4 CPD points

Venue: The workshop can be completed in-house or at our Falls Prevention Clinic

Results/Benefits:

  • Your team will be motivated to use a ‘walk and talk’ programme to help with client mobility. It is a tool that helps your team to manage and reward the client with daily mobility programmes.