Avoiding Caregiver Injuries

By Hope Hospice staff

Being a caregiver for a frail or bedridden patient requires assisting the person with ambulation, positioning, and transfers. If not performed with great care, these tasks can cause you serious back and neck injuries, and potentially injure the person receiving assistance as well. Muscle strains are common in nursing and caregiving professions, but they can be avoided by taking safety precautions.

Preparation

Before taking action, review the patient’s plan of care and consider the task at hand. Think about what you are capable of, what assistance you might need, and to what degree the one in your care can assist you. Never attempt to move or lift a person or object heavier than you can reasonably handle.

• Explain to the patient what you are about to do; a person who is startled or confused may naturally pull away from the direction you are trying to take them.
• When planning on the space you need to move, pivot, or transfer, allow for more space than you think you need. Move any tripping hazards such as clutter, throw rugs, or excess furniture.
• Have all needed equipment ready, such as a transfer belt, chair, wheelchair, commode, or Hoyer lift. If transferring to or from a bed or assistive device with locking brakes, make sure the brakes are engaged.

Body Mechanics

The proper use of our bodies is called body mechanics. It involves standing and moving in ways that prevent injury, avoid fatigue, and make the best use of strength. When you learn how to move, control, and balance your own body, it’s easier to help move another person.

• • Create a base of support by standing with your feet 8 to 12 inches apart with one foot a half step ahead of the other.
  • Bend your knees slightly.

• Keep your spine in a neutral (normal arch, not stiff) position while lifting.
• Use your leg strength instead of your back to do most of the work—leg muscles are stronger than back muscles.
• Pivot your whole body instead of twisting only your trunk.
• Always wear supportive, closed-toe shoes with good shock absorbing soles.

Injury-Prevention Practices

K eeping yourself in good physical and emotional/mental health is essential and helps you provide the best care to patients.

• Maintain a healthy weight to ensure freedom of movement and to protect your joints and cartilage.
• Regularly stretch your entire body before and after your shift.
• Monitor your stress level. Enduring chronic external stress makes you more prone to physical injury, illness, brain fog, and exhaustion.
• Practice good posture. No slumping! Avoid “tech neck” caused by too much time looking down at your cell phone or e-reader. Slightly suck in your stomach to keep abdominals tight, which transfers muscular work from your back to your core.

Back-Strengthening Exercises

A good back routine will take time to take effect. Stick with it—even after your back feels stronger.

Hug Your Knees: Lie on your back with knees bent and soles on the floor. Use your arms to hug one knee at a time to your chest. Repeat 10x each knee.

Flatten Your Back: Lie on your back with knees bent. Take deep breaths as you tighten your abdominal muscles and press the small of your back into the floor. Hold to a count of 15 as you breathe deeply. Repeat 3x.

Chest Lift: Lie on your stomach in a relaxed position. Put your hands palms down at chest level and raise your head and chest from the floor. Breathe and hold this position for a count of 25. Repeat 3x.

Cat–Cow: Borrowed from yoga, this floor pose on all fours alternates between flexion and extension of spine. On the inhale, soften the belly while slowly pushing the sternum and ribs forward; the neck remains in line with the upward direction of the upper spine. On the exhale, lower the head and neck while the spine rounds. Repeat 10x.

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