Dietary Manager Author: Legvold and Salisbury Title: Foodservice Management –

Program: Health Care Assistant Course: Healing 3 Assign 1: Using the “7-steps” framework for decision making by the HCA, describe the step by step approach you would take to handle the following clinical scenario: 1. Confirm Instructions 2. Gather information 3. Perform Activity 4. Observe responses 5. Report 6. Record 7. Evaluate Eleanor is an 87 year old resident with mild cognitive impairment. She weighs about 90 lbs and is 5’3″. Eleanor has severe osteoporosis, is incontinent of urine but wears Depends and her right knee is very sore and she is having trouble walking. You are assigned to provide Eleanor with a bath and get her ready for the day. You enter Eleanor’s room to say good morning and she is huddled under the covers in her bed which is wet. You advise her that you are there to help her with her bath but she says “No, it is too cold and my knee hurts too much, I don’t want to have a bath!” Using the problem solving approach above, what are you going to do? How will you convince Eleanor to take a bath when she is too cold? What can you do regarding the fact that her knee is sore and she is having trouble walking? How will you deal with her wet bed? What will you report at the end of your shift? Write what your specific report would look like? Activity 2: ACTIVITY #3: Personal Care (Reposition Client) Step 1: Review the following SafeCareBC video on repositioning clients using a slider sheet. https://safecarebc.ca/innovation/swift-ultraslide-patient-re-positioning-system/ Step 2: Explain why using a device such a slider sheet is important in handling clients. Post on-line. Step 3: Review and make a comment on below post regarding this activity. Post: They help prevent injuries to both patients and healthcare workers. Repositioning or moving patients manually can strain healthcare workers’ muscles and joints, leading to potential injuries like back strains. For patients, improper handling can cause skin injuries, discomfort, or exacerbate existing conditions. Slider sheets allow for smoother and more comfortable movement of patients, minimizing friction and shear forces on the skin. This is especially important for patients with delicate or sensitive skin, reducing the risk of skin breakdown and pressure ulcers. These devices make it easier for healthcare workers to reposition patients, often requiring less time and fewer staff members. This efficiency can improve workflow and reduce the physical demands on healthcare staff, allowing them to focus on other aspects of patient care. Using a slider sheet can provide a more dignified experience for patients, as it allows for gentle and respectful movement. This is particularly important for patients who may feel vulnerable or uncomfortable during manual repositioning.

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