H29 Practical tools and transfer aids in daily care for clients with advanced hd

Abstract

Background Topaz Huntington Centre Overduin is a long term care facility that provides care to both ambulant (100) and long term care patients (70). In the last stages of disease many clients require assistance with transfers and care because of the physical limitations, in combination with involuntary movements, reduced cognitive abilities and behavioral disorders. Standard procedures for transfers or the use of equipment are not designed for these patients and are a potential threat to the health of patients and a tremendous physical strain for nurses. Aims To develop an advanced HD friendly transfer handbook and training guide. Methods/techniques First, a selection of the top 5 most strenuous transfers was selected by way of a survey in HD-experienced care staff. A study team consisting of physiotherapists, an occupation therapist and care staff used a predefined ‘trial and error’ protocol to compare traditional and experimental methods. Results After experimenting with new methods, a new handbook is developed with procedures and materials for advanced HD adjusted transfers and practical tools. Conclusions Standard procedures are not always efficient when providing care to clients with HD. Adaption of these procedures and tools and knowledge transfer is necessary in order to give employees the ability to care in a precise, proper way for clients with advanced HD.