Leaving – Nurse wastage associated with back pain

Abstract from article

Results from a survey of 1008 National Health Service nurses and nursing auxiliaries leaving their current position are reported. These indicate that 1.3% of nurse leavers are leaving their positions for good solely because of back pain. Further, one nurse leaver in 29 is leaving their position with back pain as a main or contributory cause and 12% of all nurse leavers intending to leave for good cited back pain as either a main or contributory factor. The findings from this survey have implications for Health Authorities in relation to costs and manpower planning, and emphasize the need to provide further education and prompt referral and treatment to prevent long-term back morbidity and wastage, not only for registered nurses but also for nursing auxiliaries and aides.

Ergonomics Research Unit, The Robens Institute, University of Surrey, Guildford, Surrey

DA Stubbs -PW Buckle-MP Hudson – PM Rivers- D Baty

My experience as a trial participant

When I stand up straight, which isn’t often, I’m 182 cm tall, or just under 6 feet in the old imperial scale. I weigh in at 97 kg. In comparison, my wife, Marz is a quite short, at just 155 cm.

Visually, the chair might look rather imposing. Add to that almost 100 kg of middle-aged male and I could’ve been excused for wondering how my little wife was going to manage moving me about! But she did and she did it easily!

Moving around the tiled surface of the bathroom I felt like I was gliding with her in some old movie starring Fred Astaire and Ginger Rogers – something like a dream for these shaky legs. My wife was easily spinning me around within the footprint of the chair, positioning me for toileting and showering.

Small adjustments to tailor the chair for my weight distribution were made and voila, my wife had tilted me back safely and easily through all the graduations of the chair positions – with one hand, until I was sitting back horizontally, staring at the ceiling. Perfect for visiting therapists. Throughout the process, she easily opened and replaced panels to gain access to various body parts, making bathing and toileting so easy.

I could not have been more comfortable throughout this process. As the chair was moved through its various positions it was quite therapeutic, in that it gave different muscles and joints relief from the normal tension and spasticity I endure as part of my Parkinson’s condition.

It would be special for me just to be able to sit back and look at the stars on a clear night or enjoy the warmth on a sunny day comfortably.

This phase of the trial complete, my wife wheeled me out of the bathroom, along the carpeted hallway and into the bedroom, where the next exciting phase of the trial took place.

I was easily transferred onto the bed, direct from the Chair, without any manual handling, hoists, or other lifting devices. The chair was docked at the foot of the bed, the headrest was removed from the chair. A smart phone was used as a remote control and the chair tilted back, gently placing me onto the bed conveyor.

There was no fuss or manual handling. Before I knew it, I was laying back on the bed with a pillow under my head. A relaxing conclusion to a stress-free daily event. Just as life should be.

From a carer perspective

The majority of aged care in Australia is provided to people in their homes, reflective of people’s preferences to remain living in their own home and to remain connected to their family and community for as long as possible.

The requirement for increased care and services for people who are bed bound or who have significantly decreased mobility often meant that their preference for care at home was costly and involved a timetable of paid carers. Sometimes their care needs could not be met by home care services or with support from their loved ones resulting in transfer to a Residential Care Facility. 

The BehnTM Bed and Chair Integrated Solution allows for the person to be easily transferred from the bed to the chair, their personal care or other health care needs attended to and they can then participate in family life by sitting in the lounge room or sitting at the meal table for as long as they wish. They are not tied to a timetable of visits by a paid carer. 

The design concept is centred around the ability of the carer, which may be a spouse or other loved one, to safely and easily transfer the person from their bed into a mobile chair. This can enhance the person’s sense of dignity and spare them the discomfort of being lifted by multiple carers or not feeling safe when transferred in a hoist. 

The BehnTM Bed and Chair Integrated Solution eliminates the need for lifting or hoists when the person transitions into or out of bed. There is a reduced risk of strains and injuries to formal and/or informal carers. Visiting health practitioners can attend to assessments and other therapies with ease as the chair has in-built functions and access points facilitating accurate assessment and a safe working posture. 

The BehnTM Bed and Chair Integrated Solution challenges the traditional models of home care for a person with significantly decreased mobility enabling them to lead more fulfilled lives. Informal carers are empowered and assisted to utilise the technology at anytime of the day or night, decreasing the reliance on paid carers.

Heather Watts – Registered Nurse

Accessing health services during COVID-19

People with a disability may have higher rates of health issues. The Department of Health has provided a list resources and support to help minimise health risks. Refer to The Department of Health’s Coronavirus (COVID-19) advice for people with disability

The Department of Health is helping vulnerable and self-isolated people to:

SA Pathology has expanded its metropolitan and regional services. Refer to Expanded Domiciliary Service for COVID-19 Testing.

https://www.covid-19.sa.gov.au/health-community/care-and-support

The future is bright

“The modern world has unprecedented wealth and technological capacity and this has presented extraordinary opportunities to empower men and women to reach old age in better health and with more fully realised wellbeing”

*Kofi Annan –Secretary General United Nations –International Plan of Action for the Ageing-Madrid – April 2002.