Opinions please? Lifting vs lift - page 2

I'm working with a pt who is about 80lbs. The parents don't want a lift in the house because they feel it is more work than just lifting the patient. The parents also make excuses like the carpet... Read More

  1. by   CloudySue
    Lifting in regards to weight is subjective. 80lbs on one person is different on another, when considering the size of the ct, muscle tone, and weight distribution. I have a 65lb ct who is light as a feather to me, bc she had no large center of gravity and she can hold up her own head. I could carry her around all day if I had to. Another ct, a 30lb boy, is big in the middle and floppy as a rag doll. I never feel totally safe picking him up, especially carrying him down stairs! What parents sometimes don't realize is that when you pick up your child every day in a row since birth, they very gradually become accustomed to lifting a heavier and heavier child. It's very difficult to just walk in cold and muscle up like that. Being Hoyered is frightening if you are not used to it. It feels weird but very safe if done correctly. It could be a good idea to acclimate a child very early, even when not physically necessary, so there aren't resistance problems later. My 65lb teen is starting to get nurses who balk at lifting her, and she refuses the Hoyer, so her pool of nurses is getting smaller and smaller. Her dad isn't always home and mom is having serious back problems. So the potential for a problematic stalemate is always there. Also, she's developed eating disorders, trying to maintain her weight and avoid the Hoyer. Ironically this is much more dangerous than the Hoyer itself.
  2. by   sellafork
    good thinking girls. u take care of u. it is very true when a parent grows up with the child and constantly lifting them, it becomes normal at any weight. i have a kiddo i care for and he is almost 80lb. of solid dead weight. its not nice. parents are trying to do the ceiling tracking system because his bed is really big and a lift is not applicable for his situation. parents should be aware that the state will pay for ANYTHING medically necessary for a child. the problem starts when no one will spread the news about certain information available to parents and their disabled children. this happen for various reasons but its crucial that these families know what is avail to them.
    *** hahaha *** now it may take a number of months or perhaps years to get it and to complete all the appeals process but heck..... its only time right? ohhh! and one more thing.... PROPER WORDING WITHIN THE REQUEST IS CRUCIAL. i remember my family needing xopenex svn instead of albuterol but they were D E N I E D... over and over again because on the perscription it read "pt has rapid heart rate". WRONG!!!! "pt has 'tachycardia'". gotta just love our world yah?
    in conclusion.... watch your back girls!
  3. by   MBrickle

    My company requires the use of a lift for patients > 50lbs. I had a non-ambulatory, vented pt who weighed about 100-110lbs. Even though he was in the lift for transfers to/from his bed and wheelchair or changing table, I am willing to bet that the torque on my body to lift him to get the sling under him, or to reposition him in his chair was greater than 50lbs. Combine that with the fact that his changing table at school could not be adjusted to my height, and that the table and his bed at home were up against the wall so I could not access him on BOTH sides of his body to provide care or diaper changes, etc. and I massively herniated a lumbar disc. Nerve compression, ungodly painful sciatica, loss of muscle function in my left leg and 6 months out of work. Ugh. Not to mention dealing with Worker's Comp which is pretty much the most awful organization ever.

    Luckily I didn't need surgery, but I have to lift 2-3x a week and hit the gym almost every day, including doing about an hour of stretches 3-4x a week. I am back to work with an ambulatory patient, doing nights, but this injury has severely limited what I am willing to do in the future. I refuse to go through this again. I'm only 29. In fact, I'm currently fighting a shoulder injury (likely from lifting weights) and praying that I haven't slipped a cervical disc in my quest to rehab my lumbar disc!

    You only have one back. A back injury is so debilitating and painful. It just isn't worth it.