Accora 01223 206100 Alerts Quote Demo

Learning difficulties

JOHN

John’s story

 John is a 65-year-old gentleman who lives in supported accommodation with 24 hour care. John has mild learning difficulties and behavioural difficulties, he has poor risk awareness and impulsive behaviour at times. As a result of Polio, John has always been dependent on Callipers to support his lower limbs when mobilising, however when indoors he tends to crawl and pull himself up using his upper limb strength to transfer on and off furniture independently.

John experienced a stroke which resulted in weakness in his upper limbs, this had a significant impact on his functional levels and he was unable to transfer on and off his furniture independently.The impact on his upper limb function resulted in John becoming dependent on the carers to assist him with all transfers. Due to John’s learning difficulties and impulsive behaviour, he would often transfer off the bed independently and require significant assistance from the carers to assist him off the floor. This placed strain on the carers and they were considering provision of a hoist to manage this, however they were concerned about how John would react to this.

Results

A FloorBed™ was put into place for a trial and set at the lowest point of 70 mm from the ground. The floor level height of the bed meant that John did not require as much upper limb strength to pull himself up onto the bed. As a result, John was once again able to transfer into bed safely and independently as and when he wished, giving him back his dignity and independence.The carers reported that the FloorBed™ has a very positive impact on their role as well; not only did the bed significantly reduce the physical strain, it also reduced the amount of supervision and assistance John required to ensure he remained safe.The provision of the FloorBed™ provided additional benefits for John:It eliminated the need for additional manual handling equipment such as a hoist.The risk of an injury was significantly reduced when transferring out of bed due to the floor level height which reduced the impact when transferring.Once on the bed, the bed could be raised to allow for a sliding transfer onto the wheelchair and mobile shower chair/commode.The bed could be raised to an appropriate height to allow for care to be carried out safely

Click here to download the full case study.

 

Elderly man

Michael’s story

 Due to significant learning difficulties, 58 year old Michael has very poor risk awareness and is dependent on carers to provide full support in ensuring that his daily needs are met in a safe and appropriate way.Michael chooses to spend most of his waking time on the floor, where he is able to crawl and independently access his sensory tent and other safe and appropriate activities. Michael is unable to weight bear and is dependent on a hoist for most transfers between the furniture and the floor. Unfortunately, Michael finds the hoist transfers very distressing.

Unaware of the risks associated with transfers, Michael would attempt to get out of bed when alone, placing him at risk of injury. Consequently bed rails were fitted to reduce this risk, but this caused further falls risk as he was able to climb over the rail. Frequent monitoring was required to ensure that he remained safe.

Results

A FloorBed™, with a mattress platform height of just 7cm from the ground, was put into place for a trial. The low height means that the risk of injury in the event of a bed fall is significantly reduced, thus providing the carers with much needed reassurance.The ultra-low function also means that Michael is able to safely and independently crawl in and out of bed, enabling him to choose when he wishes to access activities such as the sensory tent or go to bed. This significantly reduces the amount of hoist transfers carried out on a daily basis which in turn minimises the amount of distress caused to Michael each day.Not only has the FloorBed™ provided reassurance that Michael remains safe when alone, but it has also given Michael a significant amount of freedom and independence and reduced his levels of anxiety previously caused by the hoist transfers.In addition, the FloorBed™ provides a safe and appropriate working height for the carers when assisting with care tasks.

Testimonial

‘The most important thing for him [Michael] is that he is getting the best out of life as the increase in independence allows him to reach his maximum potential without assistance. The FloorBed™ allows Michael to maintain his privacy in a safe way as there is no risk of entrapment under the bed; the bed allows him to have total free movement.’

Click here to download the full case study.