Safeguarding of Vulnerable Adults

Male-nurse

This IAHA approved course is recommended for all healthcare professionals
working with service users who may be vulnerable, focusing on the elderly.

What will you learn on this course?
What is  a vulnerable adult? What constitutes abuse? How to recognise signs
of abuse; How to respond to concerns of an elderly person who may have
suffered abused.

How does it work?
The course uses continuous assessment so you are not faced with a large
block of questions at the end of each module. If you do not pass that module
you can go back and redo that module.

Retail Price: €45.00
Exclusive price for all IAHA members and those referred by IAHA : €31.50
(30% Discount)

Bulk purchases

Bulk orders of  5-9 courses = €25.00 per course.
Bulk orders of 10 + courses = €20.00 per course.

Safeguarding of Vulnerable Adults

Dehydration in Older Populations

Dehydration

Nurses and HCAs play an important role in the hydration of clients.

A review of recent literature shows just how important this can be with much of the evidence reporting patients and clients are at a high risk, especially older adults.

A study by Miller (2017) suggests that dehydration is ‘frequently dismissed’ for people in nursing homes. Burns (2016) similarly connects dehydration to concerns for client safety.

Not only can this lead to long-term medical issues, with Lecko and Best (2013, cited in Burns 2016) reporting cases of pressure ulcers, falls, and UTIs being associated with dehydration, but dismissed dehydration may also diminish the person’s overall quality of life (Miller 2017).

‘Dehydration of as little as 2% loss of body weight results in impaired physiological responses and performance.’ (Nutrient Reference Values 2014).

Dehydration is not an issue confined to nursing homes, as it is also linked to hospital care (Burns 2016).

Chan et al. (2018) express that dehydration also significantly affects ‘care outcomes and postoperative recovery’. Interestingly, the retrospective documentary review found that there was a ‘high prevalence’ of older people being dehydrated at hospital admission. Female clients and people with swallowing difficulties may also be more likely to be connected to dehydration (Chan et al. 2018).

Managing Dehydration

Nurses play an important role in the hydration of clients.

Nurses and carers can promote hydration by adequately screening clients for hydration (Miller 2017).

Hydration is also influenced by ‘physical, mental and behavioural factors’ that affect the ‘willingness’ and ability for people to remain hydrated (Miller 2017).

A non-modifiable risk factor for dehydration is older age (Burns 2016). Whilst it may not be possible to turn back time, nurses can use this information to modify their practice.

In nursing homes, it is recommended that nurses perform hourly checks on clients to ensure that they have access to and are assisted with hydration (Burns 2016). Chan et al. (2018) acknowledge that it is crucial for nurses to identify and treat dehydration early.

Signs of Dehydration

Some signs of dehydration may include:

  • Increased thirst
  • Altered mood
  • Headache
  • Dry/cracked lips
  • Nasal dryness
  • Hallucinations
  • The person may respond more slowly

(Better Health Channel 2014)

Burns (2016, p. 21) highlights that: ‘Signs of severe dehydration, which can result in a medical emergency, include (NHS Choices 2015):

  • Lethargy.
  • Confusion.
  • Oliguria.
  • Weak/rapid pulse.
  • Reduced consciousness.’

The systematic review by Hooper et al. (2015) found that:

‘There is limited evidence of the diagnostic utility of any individual clinical symptom, sign or test or combination of tests to indicate water-loss dehydration in older people. Individual tests should not be used in this population to indicate dehydration; they miss a high proportion of people with dehydration, and wrongly label those who are adequately hydrated.’

Why Are Older Adults at Risk of Dehydration?

Due to the ageing process, older adults may not feel as thirsty. Some older people may have poor signalling and not recognise their thirst or dehydrated state (Better Health Channel 2014). This may therefore lead to dehydration or ‘water loss dehydration’. Hooper et al. (2015) explain that ‘water loss dehydration’ refers to the person not consuming enough fluids.

The Better Health Channel (2014) also identifies poor mobility as a risk factor for dehydration in the elderly. This highlights the need for nurses to complete regular, hourly rounds to check that clients have access to and assistance with drinking.

Other aspects that nurses may need to be aware of when nursing older clients is that medications (e.g. laxatives, diuretics) may place the person at risk of dehydration(Better Health Channel 2014). Also, the ageing process can lead to declining kidney function, which can place the older individual at further risk of dehydration.

Better Health Channel (2014) also reinforce that older people may experience dehydration related to chronic disease (e.g. diabetes, kidney disease) and hormonal changes.

Testing for Dehydration

Hooper et al.’s (2015) systematic review examined 67 different tests to evaluate whether any tests were able to satisfactorily tell if the person was hydrated or not.

Their study of older adults states that:

‘There was sufficient evidence to suggest that some tests should not be used to indicate dehydration. Tests that should not be used include dry mouth, feeling thirsty, heart rate, urine colour, and urine volume’

Hydration Recommendations

Nutrient Reference Values for Australia and New Zealand (2014) recommends that women aged over 70 years have 8 cups or 2.1L of fluids to drink in a day, and that males aged 70 years and over have 10 cups or 3.4L of fluids to drink per day.

This recommendation is an average, and evidently, factors such as very hot climates must be taken into account for the individual’s hydration needs (Nutrient Reference Values 2014).

For example, the following may lead to a person needing additional fluids to remain hydrated (Better Health Channel 2014): high protein diets, high fibre diets, vomiting, diarrhoea, sweating or exercise.

It is suggested that 75% of adult hydration is from oral fluids and 25% is from foods (Nutrient Reference Values 2014).

Obviously, healthcare professionals must be careful to follow the hydration needs of the individual such as fluid restrictions set by specialist doctors. It is thereby also essential to document fluid balance accurately.

One of the rare risks of consuming too much water can include hyponatraemia (Better Health Channel 2014). Hyponatraemia could potentially lead to blurred vision, coma, death, cramps, convulsions, or brain swelling (Better Health Channel 2014).

References
  • Better Health Channel 2014, Water – a vital nutrient, State Government of Victoria, Melbourne, viewed 23 April 2018, https://www.betterhealth.vic.gov.au/health/healthyliving/water-a-vital-nutrient
  • Burns, J 2016, ‘Patient safety and hydration in the care of older people’, Nursing Older People, vol. 28, no. 4, pp. 21-4, viewed 23 April 2018, https://www.ncbi.nlm.nih.gov/pubmed/27125939
  • Chan, HYL, Cheng, A, Cheung, SSS, Pang, WW, Ma, WY, Mok, LC, Wong, WK & Lee, DTF 2018, ‘Association between dehydration on admission and postoperative complications in older persons undergoing orthopaedic surgery’, Journal of clinical nursing, viewed 23 April 2018, https://www.ncbi.nlm.nih.gov/pubmed/29493857
  • Hooper, L, Abdelhamid, A, Attreed, NJ, Campbell, WW, Channell, AM, Chassagne, P, Culp, KR, Fletcher, SJ, Fortes, MB, Fuller, N, Gaspar, PM, Gilbert, DJ, Heathcote, AC, Kafri, MW, Kajii, F, Lindner, G, Mack, GW, Mentes, JC, Merlani, P, Needham, RA, Olde Rikkert, MGM, Perren, A, Powers, J, Ranson, SC, Ritz, P, Rowat, AM, Sjöstrand, F, Smit,h AC, Stookey, JJD, Stotts, NA, Thomas, DR, Vivanti, A, Wakefield, BJ, Waldréus, N, Walsh, NP, Ward, S, Potter, JF, Hunter, P 2015, ‘Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people’, Cochrane Database of Systematic Reviews 2015, no. 4, viewed 23 April 2018, http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD009647.pub2/full

Best Practice Healthcare are offering the following training –

 

BPH

  • 'Implementing a Medical Protocol in Epilepsy' - HCA's & carers role in seizure management and response.
  • 'Implementing a Medical Protocol in Diabetes' -  HCA's & carers role in hypoglycemia management and response.
  • 'Implementing a Medical Protocol in Asthma' - HCA's & carers role in asthma attack management and response.
  • 'Implementing a Medical Protocol in Anaphylaxis' -  HCA's & carers role in anaphylaxis management and response.
  • Assessment & Management of Pain in a Residential Setting (NMBI accredited)
  • An Introduction to Person Centred Care (NMBI accredited)
  • Reporting Decline in Condition & Effective Clinical Communication - National Early Warning Score & I.S.B.A.R

For more information please go to: Deirdre Kennedy

p: 087-393-3771 | e: deirdre.kennedy@bestpracticehealthcare.ie | w: bestpracticehealthcare.ie

 

Welcome to our new Corporate Member, CPL/Servisource!

CPL

 

What are the benefits associated with these Healthcare Assistant jobs ?

-Excellent rates of pay
-Weekly pay + paid holidays
-Subsidised training scheme to keep you up to date with all of your mandatory certificates

- Flexible hours to promote a great work/life balance

 

What are the requirements for these Healthcare Assistant jobs ?

FETAC/QQI Level 5 in Healthcare Support/Pre-Nursing Studies (or equivalent) – 2nd or 3rd Year STUDENT NURSES are also eligible to apply!

250 hours work experience as a Healthcare Assistant
Hepatitis B Vaccines
In-date certificates for Patient Moving and Handling, Infection Control, Safeguarding Adults, MAPA and CPR (can be provided by our training department if needed)
Fluency in English with excellent communication and interpersonal skills

Must have full eligibility to work in Ireland

All applications will be treated with the strictest of confidence

To apply for these Healthcare Assistant jobs in Dublin North please send an updated CV to lcurran@servisource.ie quoting the job order number JO-1811-419471 in the subject bar of your email

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Welcome to our new Corporate Member, Highfield Healthcare!

Welcome to Highfield Healthcare.

Highfield healthcare

 

Highfield Healthcare now has 4 facilities and a total complement of 313 beds and is highly regarded for the provision of acute mental health treatment and care for adults and older persons with acute, serious and enduring mental health disorders and complex mental health issues associated with neuropsychiatric disorders and dementia.

Careers at Highfield Healthcare

At Highfield Healthcare we foster an environment that is based on great people and exceptional patient care. Whether you are employed in one of our long stay residential units or in our acute adult mental health hospital you will be part of a team of professionals who are progressive and innovative in their delivery of care. We respect the individual and recognise that our greatest strength lies with our people. We are always looking for energetic and talented individuals with a desire to make a difference in the delivery of world class care.

Training and development is an integral part of our culture and goes hand in hand with our investment in advancing technology. We pride ourselves on developing a highly skilled and motivated workforce and have strong links with many professional associations.

As an employee of Highfield Healthcare you can expect the following benefits:

  • Opportunities for advancement and career development
  • Flexible working arrangements
  • Relocation packages for overseas nurses
  • Premium for Night Duty, Sundays and Bank Holidays
  • Staff support and counselling services
  • Discounted health insurance
  • Employee discount schemes
  • Subsidised restaurant
  • Free tea and coffee
  • Free on-site parking
  • Excellent local transport services (served by Dublin Bus 1, 16, 33, 41, 41c, 44)
  • TaxSaver travel scheme
  • Cycle to Work scheme

In whatever capacity, you choose to join the Highfield Healthcare team, you’re here to make a difference. We’ll encourage your growth with educational options. We’ll value your input and feedback and support your curiosity to explore new professional avenues.

We are always happy to hear from candidates interested in working with us.

Training, Health & Wellness Roadshow 2018 + Virtual Dementia Experience

Event 2018

Super excited to announce our Training, Health & Wellness Roadshow for Healthcare Assistants, Nurses & Allied Health Professionals. Upskill, get a free health check, sample free food, try out the latest products & free prizes .. join us for a Positive, Inspiring and Energising day!!

Update..Virtual Dementia Experience..Scary, Intimidating, Confusing & a feeling of vulnerability - the Virtual Dementia Tour is a 'must have' training for every care professional who want to understand dementia by walking in the shoes of a person with the disease.- Debrief & Cert. Limited places, pre-book essential. €85 - info@iaha.ie or call 089 9667041

Exciting New Event – Training, Health & Wellness Roadshow Oct 26th 2018 OLH Dublin

We are super excited to announce our Training, Health & Wellness Roadshow for Healthcare Assistants, Nurses and Allied Health Professionals. This is an opportunity to upskill, get a free health check and sample free food, try out the latest products and therapies enter for prizes (proceeds go to Our Lady's Hospice Dublin)... join us for a Positive, Inspiring and Energising day!!

Roadshow Event 2018-page-001 (2)

For exhibitors that this would be an ideal opportunity to engage face to face with your target audience and offers  maximum exposure to collect high quality leads and create new business opportunities.

Register for free admission tickets here - https://bit.ly/2nqOLmr

Contact: Irish Association of Healthcare Assistant - info@iaha.ie /0899667041 or Medical Staff Ireland - david@medicalstaffireland.com/01 5310298

Vital Sign Training with Blood Glucose Checking & Oxygen Therapy -EWS & SEPSIS for HCAs

Vital Sign

Vital Sign Training with Blood Glucose, Oxygen Therapy & EWS & SEPSIS for HCAs - 26th Oct 2018

Duration: 1 Day

Location: Dublin

Provider: Irish Association of Healthcare Assistants

IAHA Members Price: €65.00

Non Members Price:   €85.00 (Discounts available for multiple bookings- contact us)

 Candidates: Candidates for this course are expected to have a QQI Level 5 Healthcare Qualification, CPR/AED & be working in a health care setting.

This course is aimed at health care workers who are required to record and report clinical observations and carry out blood glucose checking in their place of work.

By the end of this course candidates will be able to:-

  • Understand & state normal parameters for pulse, blood pressure, temperature, respiration and oxygen saturation
  • Take a manual and automatic blood pressure
  • Take and record temperature, respirations and radial pulse, and oxygen saturations
  • Explain how to assess level of consciousness using AVPU
  • Take a blood glucose reading
    • Benefits of Oxygen Therapy
    • The Dangers of Hypoxia
    • Patient Assessment
    • Adult & Child Oxygen Administration
    • Treating Respiratory Failure
    • Orapharyngeal Airways
    • Continuous Patient Monitoring
    • Safety in the Presence of Oxygen
    • Use of hand held suction units
    • Flow Rates and Gauges
    • Storage of Oxygen Cylinders
    • EWS & SEPSIS

For more info please Email: info@iaha.ie or Call 089 9667041

All our Trainers are experts in the field of Healthcare, Safety and Emergency Care and are recognised by the Irish Heart Foundation, Pre-Hospital Emergency Care Council, Health & Safety Authority, and other national and international organisations.

We bring realistic training, relating real life events into the classroom.