Håkan Skenhede Active Rehab Equipment (Thursday, Limelight 2 Room, 3.30-5)

1. Safe patient handling
Bariatrics
Håkan Skenhede

2. Principles!
• A principlecan be used in manythousand
different ways.
• A technique is just an example on how to
solve a veryspecific problem

3. Naturalpattern
The way a strong
and
healthy patient is moving

4. Compensatorypatterns
The way a person is moving
trying to compensate
for their ”problem”

5. Standing up - Naturalpattern
• Naturalpattern
Stand up quickly and writedown:
1. what you do
2. in what order you do it and
3. in whichdirection you do it

6. Standing up
Compensatorypattern
for a bariatric patient
1. Identify the ”problem”
2. Stand up and try to act as you have the
”problem”
3. Create a techniquebased on the
compensatorypattern and goodergonomics

7. Back in chair
Naturalpattern
• Naturalpattern
Start in a relaxed position and move back in
the chairquicklyand writedown:
1. what you do
2. in what order you do it and
3. in whichdirection you do it

8. Back in chair
Compensatorypattern
for a bariatric patient
1. Identify the ”problem”
2. Move back and try to act as you have the
”problem”
3. Create a techniquebased on the
compensatorypattern and goodergonomics

9. Crossing legs in bed
Naturalpattern
• Naturalpattern
Start in a supine position and cross your legs
and writedown:
1. what you do
2. in what order you do it and
3. in whichdirection you do it

10. Crossing legs in bed
Compensatorypattern
for a bariatric patient
1. Identify the ”problem”
2. Move back and try to act as you have the
”problem”
3. Create a techniquebased on the
compensatorypattern and goodergonomics

11. Biomechanicswhenlifting
Naturalpattern
• What is the distancebetweenlifting points in a
supine position. Attach a sling in a supine
position and measure the distancebetween
the uppertwo loops and the two loops from
the legparts.
Distanceis:

12. Biomechanicswhenlifting
Compensatorypattern
• What is the distancebetweenlifting points in a seated
position. Attach a sling in a seated position and
measure the distancebetween the uppertwo loops
and the two loops from the legparts.
Distance for a ”M” person is:
Distance for a ”XXL” person is:

13. 2 motors on onetrack
an automaticallyadaptingcrossbar
When you use 2 separate motors, one for the loops by
the shoulder and one for the loops by the legs you
can:
• Have a ”cross slingbar” (4-point) that
automaticallyadjustbetween the measurement for
supine AND seated lift.
• Adjust the sitting angle by raising/lowering just one
motor.

14. Sleeping on a sling
Is that ok?
• Howwould this affect the pressure?
• Howwould it affectshearing?

15. Turning with a hoist
• Easy to turn
• Easy to keep patient on the side