What increases the challenge
The difficulties associated with turning a service user in bed could possibly increase in the following circumstances:
- If the service user is unable to contribute to the activity in any way and is fully dependent on the carer to assist with every aspect of the task. This includes positioning the head and limbs appropriately in preparation for turning and providing support to maintain this position as the task of turning is being carried out.
- If the service user is resistant to the movement – often due to challenging behaviours and/or cognitive impairment which can often lead to aggressive behaviours such as hitting out or kicking.
- The service user has involuntary movements due to spasms or other medical conditions such as Huntington’s disease which impact greatly on their ability to control their movements at any time.
- If the service user has sensory processing difficulties or has exceptionally sensitive skin due to a medical condition they may struggle to tolerate being touched, especially when the pressure required for turning may be relatively strong.
- If the service user has a large body mass and is of a significant weight, the difficulties of turning the service user may be increased due to increased difficulty shifting the service user’s weight from one side to another. The task may also be more challenging due to the increased weight that the carer is having to support during the task.
- In some circumstances due to the size of the person, involuntary movements, complex posture or limited function, the service may be very close to the edge of the bed when turned onto their side. This may increase the risk of bed falls and anxiety and may result in the need for a second carer.