Cultural Change: Getting Residents Out of Wheelchairs
DiariesPosted on Tue Feb 27, 2007 at 01:46:09 PM EST
Getting residents out of wheelchairs and up and walking and when rest is required to provide real chairs for them to sit in. As many facilities have a great fear instilled in staff that residents must not fall, they have preferred to keep them in wheelchairs, with alarms and lap restraints to keep them seated. This practice is not meeting the goals of real cultural change. Read on.....
The elderly are people, just like you and me who happen to have gotten old and somehow ended up in a nursing home. The old adage of the nursing home is that a resident gets a bed, pillow and also comes with a wheelchair and if the person did not get transferred into the facility in a wheelchair, the person will soon get one. Once an elderly person is placed into a wheelchair, it takes only three short weeks and that person never walks again, no matter what was wrong with them in the first place. Staff will tell you that it is easier to move residents confined to a wheelchair, but is that practice in the best interest of the resident?
If a facility is really going to embrace cultural change, then people must be taken out of wheelchairs and taught to walk once again, safely. Mucels and bones can be rebuilt to be used as they shoud be, for walking independently. Falls may occur, but over time the falls will decrease and real cultural change will occur.
Let's look at our own houses....do you walk into your house and see the people living with you sitting in wheelchairs? Of course, not. Then why should we see people living in long term care sitting around in wheelchairs when perfectly good furniture is sitting in the front parlors and living rooms of facilities basically untouched by residents.
When a resident goes to the dining room and has the new dining room concept in place for cultural change, is the resident sitting in a real dining room chair or is the resident sitting in a wheelchair? Do your guests,when they come to your home for dinner sit in wheelchairs or do you have regular dining rooms chairs around the table? When you watch television, play a game, do a puzzle or engage in a craft, are you sitting in a wheelchair or a regular chair?
Let's start assessing our people for wheelchair use and if they do not really need a wheelchair due to a neulogical disorder that would affect walking such as M-S, ALS, Huntington's disease, or are paraplegics, or quadreplegics, why are normal elderly sitting for extended periods of time in wheelchairs? Facilities are just beginning to look at this issue and if cultural change is really going to take affect in your facility, you take a look to at this wheelchair practice and change it. NOW!
If a facility is really going to embrace cultural change, then people must be taken out of wheelchairs and taught to walk once again, safely. Mucels and bones can be rebuilt to be used as they shoud be, for walking independently. Falls may occur, but over time the falls will decrease and real cultural change will occur.
Let's look at our own houses....do you walk into your house and see the people living with you sitting in wheelchairs? Of course, not. Then why should we see people living in long term care sitting around in wheelchairs when perfectly good furniture is sitting in the front parlors and living rooms of facilities basically untouched by residents.
When a resident goes to the dining room and has the new dining room concept in place for cultural change, is the resident sitting in a real dining room chair or is the resident sitting in a wheelchair? Do your guests,when they come to your home for dinner sit in wheelchairs or do you have regular dining rooms chairs around the table? When you watch television, play a game, do a puzzle or engage in a craft, are you sitting in a wheelchair or a regular chair?
Let's start assessing our people for wheelchair use and if they do not really need a wheelchair due to a neulogical disorder that would affect walking such as M-S, ALS, Huntington's disease, or are paraplegics, or quadreplegics, why are normal elderly sitting for extended periods of time in wheelchairs? Facilities are just beginning to look at this issue and if cultural change is really going to take affect in your facility, you take a look to at this wheelchair practice and change it. NOW!
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