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Condition
  • Dementia
  • Physical and cognitive impairment
  • Fully dependent on others to meet all needs.
Difficulty
  • Turning in bed
  • Challenging behaviours
  • Dependent on two carers for all tasks
  • Resistant to carer assistance
  • Risk to carers
Functional benefit
  • Reduced carers required from 2 to 1
  • Increased comfort and decreased distress to Mike
  • Reduced risk to carers

Mike's story

Reasoning

Alternative methods and interventions such as a 4-way glide sheets had been trialled, however this had not reduced the risk or distress to Mike adequately. It was therefore decided to trial the Turna.

Turna is a unique combination of an electronically driven turning sheet and two bed rails. The system is controlled using a handset which rotates one roller at a time, causing the sheet to turn the person laying on it.

This combination reduced the strain of turning Mike considerably. The carers reported that after just two weeks, the Turna had not only made their task much easier by reducing the physical strength required, but more significantly they reported that Mike was much calmer and more cooperative when being turned using the Turna.

The care staff report that the Turna minimizes the physical contact from the care staff to Mike and he responds very well to this. Mike remains calm and cooperative throughout the task and no longer hits out or resists the movement. This enables the carers to manage the task much more easily and in less time.

Conclusion

The change in circumstances has been significant and has resulted in the nursing home being able to reduce the care staff required to carry out this task from two to one. The risk to the carers has been reduced significantly as Mike no longer resists the movement which previously increased the physical strain and risk to the carers.

The care staff have reported that use of the Turna has been very successful as they feel they can complete the task in less time and the risk of injury to them has decreased significantly. They also report that Mike no longer displays aggressive, agitated behaviours during this task.