Assisting Frail Seniors With Toileting in a Home Bathroom: Approaches Used by Home Care Providers.
J Appl Gerontol
; 38(5): 717-749, 2019 05.
Article
en En
| MEDLINE
| ID: mdl-28460561
ABSTRACT
Home care providers experience high occupational injury rates. Improving safety is becoming increasingly urgent as this sector expands to support the aging population. Caregivers identify assisting with toileting as a particularly frequent and difficult activity. This mixed-methods observational study identified and analyzed the toileting subactivities that place care providers at the greatest risk of musculoskeletal injury. Eight personal support workers (home care aides) assisted a frail older adult (actor) in a simulated home bathroom. Overall technique and body postures were analyzed. Exposure to musculoskeletal injury risk factors (low back loads and time in extreme trunk postures) was greatest when removing/replacing clothing and providing posterior perineal care; high loads were also possible during transfers. Exposures can be reduced by lowering the pants only to knee level or squatting to raise them. A bidet seat or attachment can perform perineal cleaning, which accounted for 32% of time in severe trunk flexion.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cuartos de Baño
/
Anciano Frágil
/
Auxiliares de Salud a Domicilio
/
Traumatismos Ocupacionales
/
Servicios de Atención de Salud a Domicilio
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
J Appl Gerontol
Año:
2019
Tipo del documento:
Article
País de afiliación:
Canadá