Residents in chairs who are unable to reposition themselves need repositioned more often than they do in bed. They need a position change at least every hour and more often if they are at greater risk for break down. A momentary relief of pressure and return to the same position (microshift of 5 or 10 degrees or a 10-15 second lift from a seated position) is NOT adequate to allow sufficient capillary refull and tissur perfusion. Residents who can be taught, should be taught to shift their weight every 15 minutes while sitting in a chair. Moreover, attntion should be given to postural alignment, wight distribution, sitting balance and stability, and pressure reduction when positioning residents in a chair. (Information from the Draft SOM manual on pressure ulcers).
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 2, 2004 10:13 AM
To: [EMAIL PROTECTED]
Subject: sitting question to group thank you
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-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 2, 2004 10:13 AM
To: [EMAIL PROTECTED]
Subject: sitting question to group thank you
Dear Lstmate:
Since most of you work in nursing homes, I have a friend on another list who can't get a question answer? Do you change residents every 2 hrs? when siting? Like a bed bound resident or more? I said I would ask you all. You may email me privately or if list wants this answered too, used your judgment.
Thank you very much.
Quoted by another Lstmate:
First, thanks for responding. So far, you are the only one that did. I find that a little telling. Let me give you some background.
A friend who is a Risk manager at a large nursing home recently attended a seminar in which the State regulatory agency made a presentation. In the presentation, the surveyor said that it was a "standard of care....to change the position of a sitting patient/resident every 30 minutes". You read it right. Sounds like a wonderful idea but I have got to say, it is a new one to me.
I have trying to get a census of what others policies and procedures state....if at all. Also, I am one of these fanatics that really does not like to use an arbitrary "standard of care": meaning, someone, somewhere has to have it written and/or described. You just don't pull these things out of midair.
Thus, my query on the list. I was hoping to get several responses similar to yours. No luck.
I seriously doubt that most people think about change of position while sitting. Unfortunate, but true.
A friend who is a Risk manager at a large nursing home recently attended a seminar in which the State regulatory agency made a presentation. In the presentation, the surveyor said that it was a "standard of care....to change the position of a sitting patient/resident every 30 minutes". You read it right. Sounds like a wonderful idea but I have got to say, it is a new one to me.
I have trying to get a census of what others policies and procedures state....if at all. Also, I am one of these fanatics that really does not like to use an arbitrary "standard of care": meaning, someone, somewhere has to have it written and/or described. You just don't pull these things out of midair.
Thus, my query on the list. I was hoping to get several responses similar to yours. No luck.
I seriously doubt that most people think about change of position while sitting. Unfortunate, but true.
Sincerely,
Marti
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