?e???s

1
?e???sµ?? as?e??? / Patient Handling - ??sa????

• NMS1 2010-11

2
?e???sµ?? as?e???

• St???? µa??µat??
• S???t?ste t? ???? t?? asfa???? ?e???sµ?? t??
  a????p?? sta epa????µata ??e?a?
• ?? ???d???? st? ep???e?µa t?? f/t?
• S?et??? ??µ??es?a, s???e???µ??a MHOR (1992)
• ????? / e????? t?? ?pa?????? e???d?t?
• F???s?f?a ?a? st?d?a t?? TILEE

3
?e???sµ?? as?e???

• ??µ??es?a ?a? ?ate????t???e? ?d???e?
• ?????
• ?a??d???s?
• ??asf???s? t?? a????p???? a?a???? ?a? d??a??µ?t??
  
• ?p?f??? ap???µ??s??
• ??µ??es?a
• ?st??? d??a??
• ?ate????t???e? ?d???e?
• ?p???e?µa
• ?pa??e?µat???? s???????

4
?e???sµ?? as?e???

• ??µ??es?a / ???µ??? ?as??e??
• Health and Safety at Work Act (1974) HSWA 74
• ?e???aµß??e? t? ?e???sµ? t?? as?e??? µ?sa se
  ??a e???te?? p?a?s?? t?? p??????? t?? at???µ?t??
  - e?d???? ?d???e? se s??s? µe t?? e???d?t? /
  e????e? t?? e??a??µ?????
• ?p?ß??? t?? HSWA e??a? µ?s? t?? asfa??st????
  f???a (HSE), ?a? ? ap?t???a ?a s?µµ??f??e? µe t??
  p???? µp??e? ?a ?d???se? se d???? (p??????
  d??a??)

5
?e???sµ?? as?e???

• ??µ??es?a / ????da
• ????S ??.???T. 3850 (F?? 84? 02.06.2010)
• ????s? t?? ??d??a ??µ?? ??a t?? ??e?a ?a?
  t?? asf??e?a t?? e??a??µ????
• ? pa??? ??d??a? ??e? ?? a?t??e?µe?? t??
  efa?µ??? µ?t??? ??a t?? p??a???? t?? ??e?a? ?a?
  t?? asf??e?a? t?? e??a??µ???? ?at? t?? e??as?a.
  ???? t? s??p? a?t?, pe????e? ?e????? a????
  s?et??? µe t?? p?????? t?? epa??e?µat????
  ???d???? ?a? t?? p??stas?a t?? ??e?a? ?a? t??
  asf??e?a?, t?? e???e??? t?? s??te?est?? ???d????
  t?? e??at???? at???µ?t?? ?a? t?? epa??e?µat????
  as?e?e???, t?? e??µ???s?, t? d?aß???e?s?, t??
  ?s????p? s?µµet???, t?? ?at??t?s? t?? e??a??µ????
  ?a? t?? e?p??s?p?? t???, ?a??? ?a? t??? ?a???e?
  ??a t?? efa?µ??? t?? ?e????? a?t?? a????.

6
?e???sµ?? a????p??????S ????pa??? d??t??
?????f???s??

• ?T???? S?S???? G?? ??? ???GG???????? ?SF????? ???
  ?G???
• F??e?? ?a? ?? ?esµ?? p?? p??sd???????? t??
  p???t??? ?a? t? p?a?s?? t?? asf??e?a? ?a? ??e?a?
  st?? e??as?a st?? ????da
• ?T????? F????S (p? ?????? ?G?????S ??? ?SF?????S
  ??S ??G?S??S (?.?.?.?.))
• ??????? (µ? ?e?d?s??p???? f???a?, pa???e?
  s?µß???e?t???? ?p??es?e? ?a? ?p??es?e?
  eµpe??????µ??a se ep??e???se??, s??d??a??st????
  ???a??se?? ?a? ?????? f??e?? se ??µata asf??e?a?
  ?a? ??e?a? t?? e??as?a?.
• ????? (? e???d?t?? p???e?µ???? ?a a?tap?????e?
  st?? apa?t?se?? t?? ??µ??es?a? ??a t?? ?p?????s?
  ???s?µ?p???s?? ?p??es??? te?????? asf??e?a? ?a?
  ??at??? e??as?a? µp??e? ?a ep????e? µeta?? t??
  pe??pt?se?? a???es?? t?? ?a?????t?? a?t?? se
  e??a??µe???? st?? ep??e???s? ? se ?t?µa e?t?? t??
  ep??e???s?? ? t?? s??a??? s?µßas?? µe ?????
  (???te????? ?p??es?e? ???stas?a? ?a? ????????) ?
  s??d?asµ? µeta?? t?? d??at?t?t??.
• S?stas? ?p?t??p?? ??e?a? ?a? ?sf??e?a? t??
  ???a??µ???? (?.?.?.?.)

7
?e???sµ?? at?µ??

• ?a?????ta e???d?t?
• St? p?a?s?? t?? e?????? t?? ? e???d?t??
  ?aµß??e? ta a?a??a?a µ?t?a ??a t?? p??stas?a t??
  ??e?a? ?a? t?? asf??e?a? t?? e??a??µ????,
  s?µpe???aµßa??µ???? t?? d?ast????t?t?? p???????
  t?? epa??e?µat???? ???d????, e??µ???s?? ?a?
  ?at??t?s??, ?a??? ?a? t?? d?µ??????a? t??
  apa?a?t?t?? ??????s?? ?a? t?? pa????? t??
  a?a??a??? µ?s??.(????? 42 pa?. 5)

8
?a?????ta e???d?t?

• a) ?a f???t??e? ?ste ?a p??sa?µ????ta? ta µ?t?a
  a?????a µe t?? µetaß???? t?? pe??st?se?? ?a? ?a
  ep?d???e? t? ße?t??s? t?? ?f?st?µe???
  ?atast?se??,
• ß) ?a efa?µ??e? t?? ?p?de??e?? t?? te?????? ?a?
  ??e????µ???? ep??e???t?? e??as?a? ?a? ?e???? ?a
  d?e??????e? t? ???? t??? µ?sa st?? ep??e???s?
  ?at? t??? e???????,
• ?) ?a ep?ß??pe? t?? ???? efa?µ??? t?? µ?t???
  ??e?a? ?a? asf??e?a? t?? e??a??µ????,
• d) ?a ???st?p??e? st??? e??a??µ????? t??
  epa??e?µat??? ???d??? ap? t?? e??as?a t???,
• e) ?a ?ata?t??e? p????aµµa p????pt???? d??s?? ?a?
  ße?t??s?? t?? s??????? e??as?a? st?? ep??e???s?,
• st) ?a e?asfa???e? t? s??t???s? ?a? t??
  pa?a???????s? t?? asfa???? ?e?t?????a? µ?s?? ?a?
  e??atast?se??,
• ?) ?a e??a????e? ?a? d?e??????e? t?? ep?µ??f?s?
  ?a? e?pa?de?s? t?? e??a??µ???? ?a? t?? e?p??s?p??
  t???, s?µf??a µe ta ????a 22 ?a? 48
• ?) ?a ?aµß??e? s???????? µ?t?a p??stas?a? t??
  e??a??µ????.(????? 42, pa?. 6)

9
?a?????ta e???d?t?

• ? e???d?t?? efa?µ??e? ta µ?t?a p?? p??ß??p??ta?,
  ß?se? t?? a???????? ?e????? a???? p???????, (
  ????? 42 pa? 7)
• a) ap?f??? t?? ???d????
• ß) e?t?µ?s? t?? ???d???? p?? de? µp????? ?a
  ap?fe??????
• ?) p??sa?µ??? t?? e??as?a? st?? ?????p?,
  e?d???te?a ?s?? af??? st? d?aµ??f?s? t?? ??se??
  e??as?a?, ?a??? ?a? t?? ep????? t?? e??p??sµ??
  e??as?a? ?a? t?? µe??d?? e??as?a? ?a? pa?a?????,
  p???e?µ???? ?d??? ?a µet??as?e? ? µ???t??? ?a?
  ???µ??? epa?a?aµßa??µe?? e??as?a ?a? ?a µe??????
  ?? ep?pt?se?? t?? st?? ??e?a
• d) a?t??at?stas? t?? ep????d???? ap? t? µ?
  ep????d??? ? t? ????te?? ep????d???

10
?a?????ta e???d?t?

• e) p????aµµat?sµ?? t?? p??????? µe st??? ??a
  s??e?t??? s????? p?? ?a e?s?µat??e? st?? p??????
  t?? te?????, t?? ??????s? t?? e??as?a?, t??
  s?????e? e??as?a?, t?? s??se?? µeta?? e???d?t??
  ?a? e??a??µ???? ?a? t?? ep?d?as? t?? pa?a???t??
  t?? pe??ß?????t?? st?? e??as?a,
• st) ?atap???µ?s? t?? ???d???? st?? p??? t???,
• ?) p??te?a??t?ta st? ???? µ?t??? ?µad????
  p??stas?a? se s??s? µe ta µ?t?a at?µ????
  p??stas?a?,
• ?) p??sa?µ??? st?? te?????? e?e???e??
• ?) pa???? t?? ?at??????? ?d????? st???
  e??a??µ?????.

11
?a?????ta e???d?t? / e?pa?de?s?

• ? e???d?t?? e?asfa???e? se ???e e??a??µe??
  ?at?????? ?a? epa??? e?pa?de?s? st?? t?µ?a t??
  asf??e?a? ?a? t?? ??e?a?, ?d??? ?p? µ??f?
  p????f????? ?a? ?d????? ep e??a???a
• a) t?? p??s????? t??,
• ß) t???? µet??es?? ? a??a??? ?a?????t??,
• ?) e?sa????? ? a??a??? e??p??sµ?? e??as?a? ?a?
• d) e?sa????? ??a? te???????a? p?? af??? e?d??? t?
  ??s? e??as?a? ? ta ?a?????t? t??.
• ? e?pa?de?s? a?t? p??pe?
• a) ?a p??sa?µ??eta? st?? e?????? t?? ???d???? ?a?
  st?? eµf???s? ???? ???d???? ?a?
• ß) a? ??e???eta?, ?a epa?a?aµß??eta? se ta?t?
  ??????? d?ast?µata.

12
?a?????ta e???d?t? / e?pa?de?s?

• ? e???d?t?? e?asfa???e? ?t? ?? e??a??µe??? se
  e??te????? ep??e???se??, p?? e?te???? e??as?e?
  st?? ep??e???s? t??, ????? ??ße? t?? ?at?????e?
  ?d???e?, ?s?? af??? t??? ???d????? ??a t??
  asf??e?a ?a? t?? ??e?a ?at? t?? d?ast????t?te?
  t??? s a?t?.
• ?? e?p??s?p?? t?? e??a??µ???? d??a????ta? ?a
  ?aµß????? t?? ?at?????? e?pa?de?s?.
• ? e?pa?de?s? p?? p??ß??peta? st?? pa?a???f??? 1,
  2 ?a? 4 de? ßa???e? t??? e??a??µ????? ? t???
  e?p??s?p??? t???. ? e?pa?de?s? p?? p??ß??peta?
  st?? pa?a???f??? 1 ?a? 2 p??pe? ?a pa???eta? ?at?
  t?? ??a e??as?a? (????? 48)

13
?p???e?se?? e??a??µ???? (????? 49)

• ???e e??a??µe??? ??e? ?p?????s? ?a efa?µ??e?
  t??? ?a???e? ??e?a? ?a? asf??e?a? ?a? ?a
  f???t??e? a?????a µe t?? d??at?t?t?? t?? ??a t??
  asf??e?a ?a? t?? ??e?a t??, ?a??? ?a? ??a t??
  asf??e?a ?a? t?? ??e?a t?? ????? at?µ?? p??
  ep??e????ta? ap? t?? p???e?? ? pa?a?e??e?? t??
  ?at? t?? e??as?a s?µf??a µe t?? e?pa?de?s? t??
  ?a? t?? ?at?????e? ?d???e? t?? e???d?t? t??.
• ?a a?af????? aµ?s?? st?? e???d?t? ?/?a? se
  ?s??? as???? a?µ?d??t?te? te?????? asf??e?a? ?a?
  ?at??? e??as?a?, ??e? t?? ?atast?se?? p?? µp??e?
  ?a ?e????e? e????a ?t? pa???s?????? ?µes? ?a?
  s?ßa?? ???d??? ??a t?? asf??e?a ?a? t?? ??e?a,
  ?a??? ?a? ???e ???e??? p?? d?ap?st??eta? sta
  s?st?µata p??stas?a?,

14
?p???e?se?? e??a??µ???? (????? 49)

• ?a s??t?????? t?? e???d?t? ?a? ?s??? as????
  a?µ?d??t?te? te?????? asf??e?a? ?a? ?at???
  e??as?a?, ?s?? ?a??? ??e?aste?, ?ste
• ?a ?ataste? d??at? ? e?p????s? ???? t??
  ?a?????t?? ? apa?t?se??, p?? ep?ß?????ta? ap? t??
  a?µ?d?a ?p??e???s? ???as?a? ??a t?? p??stas?a t??
  asf??e?a? ?a? t?? ??e?a? t?? e??a??µ???? ?at? t??
  e??as?a
• ? e???d?t?? ?a µp??e? ?a e?????e? ?t? t?
  pe??ß????? ?a? ?? s?????e? e??as?a? e??a?
  asfa?e?? ?a? ????? ???d????? ??a t?? asf??e?a ?a?
  t?? ??e?a e?t?? t?? ped??? d?ast????t?t?? t???.
• ?? e??a??µe??? ????? ?p?????s? ?a pa?a?????????
  ta s?et??? seµ?????a ? ???a ep?µ??f?t???
  p?????µµata se ??µata ??e?a? ?a? asf??e?a? t???.

15
?e???sµ?? as?e???

• ??µ??es?a
• S???e???µ??a µe t? Metaf??? / Meta????s?
• Manual Handling Operations Regulation (MHOR)
  1992, t??p?p???s? t? 1998, 2004
• Provision and Use of Work Equipment Regulations
  (PUWER) 1998
• Lifting Operations and Lifting Equipment
  Regulations (LOLER) 1998
• ??e?? ?a????sµ?? p?? efa?µ????ta? ap? t?
  ??eta???? ??µ??es?a, ?pe?ta ap? d??f??e? ?d???e?
  p?? e?d?d??ta? ap? t?? ????pa??? ?????t?ta

16
?e???sµ?? as?e???

• MHOR (1992)
• ?d???e? s?et??? µe t? µeta????s? / µetaf???
  pe???aµß?????
• ?????s? / Lifting
• ?f??? / Putting down
• ???s? ?a? t??ß??µa / Pushing and pulling
• ?etaf??? / Carrying
• ?eta????s? / Moving

17
??????? ? ? ??e???? t?? ???d???? ??a t?? ??e?a
?a? t?? asf??e?a t?? a????p?? p?? µp??e? ?a
p?????e? ?? ap?t??esµa t?? e??p??sµ?? p??
???s?µ?p????? st?? e??as?a (????? 49)

•   ?? e??a??µe??? ?fe????? s?µf??a µe t??
  e?pa?de?s? t??? ?a? t?? ?at?????e? ?d???e? t??
  e???d?t? t???
• a) ?a ???s?µ?p????? s?st? t?? µ??a???, t??
  s?s?e???, ta e??a?e?a, t?? ep????d??e? ??s?e?, ta
  µetaf????? ?a? ???a µ?sa,
• ß) ?a ???s?µ?p????? s?st? t?? at?µ???
  p??state?t??? e??p??sµ? p?? t??eta? st? d???es?
  t??? ?a? µet? t? ???s? ?a t?? ta?t?p????? st?
  ??s? t??,
• ?) ?a µ? ??t??? e?t?? ?e?t?????a?, a??????? ?
  µetat?p????? a??a??eta t??? µ??a??sµ??? asf??e?a?
  t?? µ??a???, e??a?e???, s?s?e???, e??atast?se??
  ?a? ?t????? ?a? ?a ???s?µ?p????? s?st? a?t???
  t??? µ??a??sµ??? asf??e?a?,

18
?sf??e?a st? ???s? t?? e??p??sµ??

• ???a???, s?s?e??? ?a? e??a?e?a µe t?? ?????a t??
  pa???t?? e??a? ta a?t??e?µe?a p??
  ???s?µ?p?????ta? st??? t?p??? e??as?a? ?a? p??
  ??????ta? µe ?p??ad?p?te ???? e????e?a, e?t?? ap?
  t?? a????p???.
• ?? µ??a???, s?s?e??? ?a? e??a?e?a p??pe? ?a
  ????? ?atas?e?as?e? ?ts?, ?ste µe t?? ????
  t?p???t?s? ?a? ???s? t??? ?a µ? d?µ????????
  ???d????? ??a t??? e??a??µ?????.
• ?? µ??a???, s?s?e??? ?a? e??a?e?a p??pe? ?a
  e??a? ?atas?e?asµ??a ?ts?, ?ste ta ?????µe?a
  st???e?a t???, p?? e??a? d??at? ?a d?µ??????s???
  ???d????? ??a t??? e??a??µ?????, ?a µ?? e??a?
  p??s?t? ? ?a ap???e?eta? t??a?a epaf? µa?? t???
  st? µ?t?? p?? a?t? de? pa?a????e? t? ?e?t?????a
  ?a? ???s? t???.

19
?sf??e?a st? ???s? t?? e??p??sµ??

• St?? µ??a???, s?s?e??? ?a? e??a?e?a ?a? st?
  µ?t?? p?? de? pa?a????eta? ? s??p?? ???s?? t???,
  p??pe? ?a ap?fe????ta? ?? a??µ???? ????e? ?a?
  a?µ??, ?a??? ?a? ?? t?a?e?e? ep?f??e?e?.
•   ?? ??e?t????? µ??a???, s?s?e??? ?a? e??a?e?a
  p??pe? ?a ????? ?atas?e?as?e? ?ts?, ?ste ?at? t?
  ???s? t??? ?a ?p???e? epa???? p??stas?a ap? t???
  ???d????? t?? ??e?t????? e????e?a?.
• ?? de? e??a? d??at? ?a ap?t?ape? ? ?pa???
  e??te????? ?a? p??s?t?? st??? e??a??µ?????
  pe??st?ef?µe??? st???e??? ? st???e??? µet?d?s??
  t?? ????s??, p??pe? ?a ?aµß????ta? ?d?a?te?a
  µ?t?a p??stas?a? t?? e??a??µ???? ap? a?t?.
• ??st?p???s? t?? f??t??? p?? µp????? ?a s???s???,
  p? ?e?a????a
• ???s? ap? ??a?? ?t?µa, µe ?at?????? e?pa?de?s?

20
?e???sµ?? at?µ??

• Ge????te??? f?a?µ?? st? ?e???sµ? at?µ??
• Disability Discrimination Act (1995) / ??µ?? pe??
  d?a???se?? ???? a?ap???a?
• Mental Capacity Act (2005) / ??µ?? pe??
  p?e?µat???? ??a??t?ta?
• Childrens Act (1989, 2004) / ??µ?? ??a ta pa?d??
• Care Standards Act (2000) / ??µ?? ??a t?
  d?asf???s? t?? pe???a????

21
?e???sµ?? as?e???, Campo et al, (2008)
Work-Related Musculoskeletal Disorders in
Physical Therapists,

• Work Related Musculoskeletal Disorders (WRMSD)
  Se f?s????e?ape?t??
• Low back pain / ?sf?a???a
• Hand and wrist / ?a?p??
• Shoulder / ?µ??
• Upper back / ??? µ???a t?? S.S
• Hip and thigh / ?s??? ?a? µ????
• Ankle and foot / ast???a??? ?a? p??µa
• Knee / ???at?
• Elbow / a????a?

22
?e???sµ?? as?e??? Work-related musculoskeletal
disorders affecting members of the Chartered
Society of Physiotherapy, CSP 2005)

• WRMSD st? f?s????e?ape?a
• 67.5 t?? f/t?? a??fe?a? 1 t??????st?? epe?s?d??
  WRMSD
• 43.2 t?? f/t?? a??fe?a? 2 t??????st?? epe?s?d?a
• 48.4 a??fe?a? 1 epe?s?d?? LBP
• 1 in 6 f/te? ???a?a? ep???e?µa ? ap?s?????a? ??a
  ap??at?stas?
• 59 ap? a?t??? p?? t?a?µat?s???a? ?ta? p??? t??
  ?????a t?? 30 ?a? 32 p?? a??fe?a? ????s? ?ta?
  st?? p??t? pe?taet?a
• 12 ?ta? f??t?t??

23
?e???sµ?? as?e???, Campo et al, (2008)
Work-Related Musculoskeletal Disorders in
Physical Therapists,

• ?a?????te? ???d????
• ?etaf??? as?e??? / Patient transfers
• ??p???t?s? as?e??? / Positioning
• ??µ?e?? ? pe??st??f???? ??se?? / Bent or twisted
  postures
• ?a?atetaµ??e? ??se?? / Awkward postures
• ?pa?a?aµßa??µe?e? ????se?? / Repetitive tasks
• ???as?a?? st?e? / Job strain
• ?????a
• F???
• ??e? e??as?a?
• ????µ?? as?e???, a?? ?µ??a ?a? eßd?µ?da
• ?pa??? 2?? e??as?a?

24
?e???sµ?? as?e??? (Work-related
musculoskeletal disorders affecting members of
the Chartered Society of Physiotherapy, CSP 2005)

• ?d???e? ??a asfa??? e??as?a?? pe??ß?????
• G??s? t?? pa?a???t?? ???d????
• ??a?????s? p??s?p???? ?????
• ???fe?e t?a?µat?sµ? / s?µpt?µata
• ??a?e?µµata
• ??a?t??? ?a? ?e???a st? d?µ??????a st?at??????
• Risk assessment / e?t?µ?s? epa??e?µat????
  ???d????

25
?e???sµ?? as?e???

• ?d???e?
• ?at? t?? ??a??? t?? p?a?t???? sa?
• S???t?ste µe t?? e?pa?de?t? sa? t? t????? /
  p??s?p??? ep?ped? t?? asfa???? ?e???sµ??
  (?e???a? ?a? t?? p?a?t????)
• ?p???sd?p?te ???? ?e???sµ?? ?ata???feta?
• ??as??p?s?, ?e???sµ?? / d?ast????t?te? as?e???
  p?? µp??e? s?????? ?a ??t????? st?? p?a?t??? sa?
• ??????a µe t?? as?e?? sa?, s???t?ste µe t??
  ?pe????? sa? a? e?ste ??a??? ?a t? a?a??ßete
• ?) a? ?p???e? ?e???sµ?? p?? de? ??????ete
  ???s?µ?p???ste e?a??a?t???
• ?) a? de ????ete s??????? ??a t? ?e?ape?a
  a?a??ßete ???? ????

26
?e???sµ?? ?s?e???

• ?? ?e????? ?t? e?ste st?? p?a?t??? de s?µa??e?
  ?t? de? µp??e?te ?a a?tepe????ete st?? d?s????e?
  / ??a pe??stat??? ep????s? t? ep?p?d??
  ?e???sµ??
• S?????? ?? ?pe?????? ?????? s?st? a???es?
  pe??stat????, s?µf??a µe t? ep?ped? ???se??
  s???? ???? ???? ???t??a?
• ? ?pa??? f??t?t?? ??e? st?? ?pe???µ?s? ??a
  s?st??? ?e???sµ???

27
Patient Handling

• ??af??? t?a?µat?sµ??
• ?? ?p???e? t?a?µat?sµ?? st? d????e?a t??
  e??as?a?, e??a? ??µ?µ? d??a??µa ?a t? a?af??e??.
• ??µ??es?a t?a?µat?sµ??
• Reporting of Injuries, Diseases and Dangerous
  Occurrences Regulations 1995 (came into force on
  1 April 1996)
• Allows enforcing authorities to identify and
  investigate incidents
• ?? t?a?µat?sµ?? ?ata???f??ta? se e?d???? f??µe?
• ??at???s? a?t????f??

28
Patient Handling

• ????????s? t?? ???d????-?t?µ??? a???????s?
  t?? ???d????
• G?a ?a d?????e?? µe asf??e?a e??a?
  apa?a?t?t? ?a p??sd????se?? t? e??a? ?at??????
  ??a ???e as?e?? t?? ???e st??µ?
• ??t? s???? pe???aµß??e? t?? ap?fas? ??
  p?a?µat??? pe???aµß??e? t? ?????, p?sa ?t?µa
  ??e???eta? ?a s?µpe????f????? p???? e??p??sµ??
  e??a? apa?a?t?t??.?
• ??a µ??f? a???????s?? t?? ???d???? p??
  s???? ???s?µ?p??e?ta? e??a? t? TILE(E)
• St????
• ??at?µ??e?s?
• F??t??
• ?e??ß?????
• ???p??sµ??

29
Patient Handling

• St????
• ?? sa? ??t??e ?a ???ete? p???? e??a? ? st?????
• ???e? ?? a??????, e?d??µese? ?a? te?????
  t?p??et?se?? t?? as?e???? ?a? t?? ?e???st??
  pe???aµß????? ???d????
• ??p?? ? st???? pe???aµß??e? µetaf??? t?? f??t???
  se µe???? ap?stas??
• ??se? epa?a???e??? pe???d?? ?e????as?? ?a?
  a???aµ????

30
Patient Handling

• ??at?µ??e?s? (the handler(s) (? ?e???st??)
• ?p??ad?p?te t?????sa ?at?stas? p? e???µ?s???.
• ???e? e??a? ?? ??a??t?te?- f?s????,
  ???????????, ?e???t????.
• F?s????
• ?p??ad?p?te t?????sa ????s?/ as???e?a p? ß??a?,
  p?????fa???, ?p?tas? ??p
• ?p??ad?p?te p??????µe?? ????s?/as???e?a
• S?µat?t?p??
• ???s?e?et??? d??aµ? / µ????
• ???se?? ap? ?p???d?p?te p??state?t??? ????a p?
  ???t?a ?a? ????a.
• ??????????
• ?p???d?p?te s??a?s??µa p?? a????e? t??
  d???es? p? ????as?, ?a?? d???es?, ?pe?ß?????
  d???es?
• Te???t???
• ???? ep?ped? e?pa?de?s??/e??as?a?-p??a ???s?
  ??e? ???e? p????

31
Patient Handling

• ?? f??t?? (? as?e???)
• ?? e??a? ??a??? ?a ???e? ? as?e??? ? de?
  µp??e? - se ep?ped? f?s???, ???s??,
  s?µpe??f????/a?t??????
• ?? ??e?d? e??a? ?a a?a?????se?? e?? ?p???e?
  ??p???? ???d???? µ? p??ß????µ??
• F?s???
• S?µat?t?p?? / ß???? (µetaß???? st? µ???? t???)
• ?p?????sa as???e?a / ????s? - t? e?d??, p??,
  ??te ??p
• S??d?eta? µe p???
• ?a?et??e?, peta???de?
• ???s?µ?t?ta t?? ?st??

32
Patient Handling

• MHOR de d??e? saf? ???a ??a t? f??t??
• ?a a??????a e??a? ?a??d???t???? t?µ?? p?? ?????
  e?d??e? se s??s? µe t? p??te???µe?? a??ßasµa ?a?
  t? ?at?ßasµa f??t??? ??a ??d?e? ?a? ???a??e?, e??
  t? a?t??e?µe?? e??a? p???, p??pe? ?a ?d???se? se
  ?at?????? a???????s? t?? ???d???? ?a? t? ???s?
  t?? ?at??????? e??p??sµ??. ???e ???t? pe????e?
  ??a ß????, ?ate????t???a ?d???a, ??a t?? a????s?
  ?a? ????d? st? ???? a?t?.

33
Patient Handling

• ?? f??t?? (? as?e???)
• S?µpe??f???/a?t?????
• ?? a?t??aµß??eta? ? as?e??? ??a t??
  d?ast????t?ta-?p???e? pe??pt?s? aßeßa??t?ta?
  p?? st????eta? st?? ???e??? ?ata???s?? ?a?
  a??a??? s?µpe??f????.
• ??t? µp??e? ?a e??a? ap?t??esµa p?????
  d?af??et???? a?t???
• ?? a?t?a? ????s??/as???e?a? t?? ?e?t?????
  ?e?????? s?st?µat??
• ??t? µp??e? ?a e??a? ?af???? p? ?a?d?a??
  p??sß???, e??efa???? ????s?
• ? e?e??ss?µe?? p? pa?af??s???
• ?? a?t?a? t?? as???e?a? pe?????sµ??? a?µ?t?s?
  t?? e??ef???? p? s?ßa?? as???e?a
  p?e?µ????/?a?d???

34
Patient Handling

• ?? f??t?? (? as?e???)
• ??t?????/S?µpe??f???
• ?e?????sµ??? a?s??t??? a?t????? (µe??µ??? ??as?
  ? a???).
• ?e?????sµ??? ???s? t?? ???ssa?.
• ?e?????sµ??? de?t???t?ta (t? µp??e? ?a
  a???se? ?a? ?a p?????se?/a?t???f?e?) ?a? ?a
  e?f??se? (t? µp??e? ?a pe? µe ????a),
  ep????????a
• ?????
• ??a??????ta? ap? t? ?e??????e??.
• Fa?µa?e?t??? a????
• ?????, st?e?

35
Patient Handling

• F??t?? / as?e???
• ??t????? / Perceptually
• ?ata?aßa??e? (a?t??aµß??eta?) ? as?e??? t??
  ??s? t?? se s??s? µe t?? d??? sa? ?a? t??
  e???te??? pe??ß?????t??-?p???e? pe??pt?s? µ?
  p??ß????µ?? p?? ßas??eta? st?? ???e???
  a?t?????? t?? ?????
• ? a?t????? µp??e? ep?s?? ?a s?et??eta? µe
  d?af??et???? p??sd???e? p? ?????a, ?????, f???
  ?a? e?????t?ta - ????? a????????e? ??
  p??sd???e? t??? p?? ????? a?tap?????e?.
• ? a?t????? ?a? epa??????? s?µpe??f??? µp??e?
  ep?s?? ?a ßas??eta? st?? p??????µe?e?
  eµpe???e?, e?te p??s?p???? ? ap? ??p????
  ?????, e?d??? se pe??pt?se?? p?? ?? ?????p??
  a?af????? a???t???? eµpe???e?.

36
Patient Handling

• F??t?? / as?e???
• s??µa, µ??e???, ?a? ß???? p????aµµat????ta? e?
  t?? p??t???? ?a? ?ts? ?????ta? asfa??. ?? µ?
  p??ß????µ? e??a? p??? p?? d?s???? ?a
  s?ed?aste? ?a? ?? a?t? ??e???eta? µe?a??te??
  p??s??? se a?t?? t?? pe??pt?se??
• ??? ?p???e? µ? p??ß????µ? e??a? a????? ?a
  a????????e? p??a µ??f? a?t? µp??e? ?a p??e?
  p? ??? ep?ßa???µe?? d?ast????t?ta, ?a
  ep?ß???e?, ep??et???t?ta
• ?p?????se ?a? ta d?? t?? f?s??? ??a??t?ta
  t?? as?e?? t?? p???es? t?? /ep???µ?a ?a
  ?????e?, e?? ??e? ?ata??ße? t?? ????s?

37
Patient Handling

• ?e??ß?????
• ????? t? ?p???e? ????, t? e??a? sta?e??
  ?a? t? µp??e? ?a µeta?????e?, e??a? s?µa?t???
  ?a µ?? ?e???µe ? ????? p?? ??a ?t?µ? µe
  f?s???????? ????t???t?ta µp??e? ?a d?a?e???ste?
  de? e??a? ?d??? µe a?t?? p?? ??e???eta?
  ??a ?t?µ? µe µe??µ??? ????t???t?ta, t? ?p???
  µp??e? ?a ???e? ß?µata µp??st? a??? ?s??
  ??? p??? ta p?s? ? p????a
• ??ped? e????? ?a ?????e? p??? ????? ???d??? p?
  ?e??, a??µa?? ? asta??? ep?f??e?a, s?a??p?t?a,
  ?a??d?a, ?a??µµata ??p
• ?at??????? ?a? epa???? f?t?sµ??
• Te?µ???as?a / ???as?a, ?a? ta 2 ep??e?????
  s?µat??? ?a? ?????????? t?? t??p? e??as?a?

38
Patient Handling

• ???p??sµ??
• ?? e??a? d?a??s?µ? - e??a? a????? ?a
  s?efte?? ??a ??e? t?? p??a??t?t??
  s?µpe???aµßa??µ???? ?a? t?? ??eßat???
• ? e??p??sµ?? e??a? se ?at?stas? ?e?t?????a? -
  de? ??e? p??fa?? s?µe?a ? ß??ße? ?a? ???? ??
  ??e???? asfa?e?a? st? ??s? t???
• ?? ?e???st?? e??a? e????e??µ???? µe t?
  d?a??s?µ? e??p??sµ???a e??? f?sµa e??p??sµ??
  e??a? d?a??s?µ? ??a ???s? Profiling ??eß?t?a /
  ??e?t??????ta Sliding sheets / Lateral
  transfer systemsSa??da µetaf???? / Transfer
  boardsRoll boards / ?e??st?ef?µe??? d?s???
  Standing hoists / Sling hoists / Walking hoists
  ?e?a???? / ????st?te?

39
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40
Patient Handling

• ????? t? TILEE - a???????s? t?? ???d???? ??e?
  ?????????e?, ?at?????a ????afa p??pe? ?a
  s?µp????????
• ?e?µ????s? ??????? a?t??????a? ?a?
  d?ast????t?ta? p?? ??e? a?a??f?e? ap?te?e? ??µ???
  ?p?????s?, ß????
• ?e?t??s? t?? ep????????a? µeta?? t?? p??s?p????
• ?d???? ??a asfa?? ?e???sµ? t?? ?????
• ???s??µ??e? ap?de??t??? st???e?a ?a? a?t??????s?
  ??a t? ?e???sµ? sa?, a? te?e? ?p? aµf?sß?t?s? ap?
  ??????
• ???µ? ?a? ? µ????te?? d?ast????t?ta ?e???sµ??
  p??pe? ?a ?ata???feta?

41
Patient Handling

• Ge????? ?d???e?
• ?p?f??? d?ast????t?ta? µe p???? ?t?µa
• ?? ???, ??e??e t??? ???d?????
• ?at?????? s?st?µa asfa?e?a? / e??p??sµ?? ?a?
  a???µ?? at?µ??
• ??t? ??a s???µa,sp????µ?, ???????sµa, t??ß??µa,
  ?a ???st??se?
• ?p?f??? pa?atetaµ???? / ??se??
• ?a? ta 2 p?d?a st? ?daf??, ?a?? ß?s? st??????,
• S?st? pa?a????µata (?t??µ?? sta?e??? p?µe -
  ??? 1,2,3)