Promoting Safety with Transfers

HCA ASSIGNMENT FT DELIVERY Course Name: Healing 3 Assignment #: 2 Assignment Title: Promoting Safety with Transfers] Mobility Weight: 20% Using the “7-steps” framework for decision making by the HCA, describe the step by step approach you would take to handle the following clinical scenario: 1. Confirm lnstructions 2. Gather information 3. Perform Activity 4. Observe rESponSES 5. Report 6. Record 7. Evaluate Joseph is a 90-year-old resident with mild cognitive impairment. He has always been a tall, sturdy man with a height of 6 feet and weight of 220 lbs. Joseph has recently had surgery for a hip replacement due to a fall and has just returned to the facility. He is feeling very tired and has not yet mobilized on his own. Lately he has been very unsteady on his feet. You are assigned to provide Joseph evening care to get him ready for bed. You enter his room to say hello and find him sitting in his lazy boy watching television with is eyes closed. You wake Joseph to say that you are there to help him get ready for bed. Joseph says he is too tired and weak to go to bed and just wants to sleep in his chair. He has never used a lifting device before. Using the problem-solving approach above, what are you going to do? How will you approach convincing Joseph to get into bed? What will you do about the information that he has given you that he is tired and weak and has a history of falls just having recently returned from hip replacement surgery? What fall prevention strategies would you consider in this situation? What will you report at the end of your shift? Write what your specific report would look like?