TY  - JOUR
PY  - 2019//
TI  - Assisting frail seniors with toileting in a home bathroom: approaches used by home care providers
JO  - Journal of applied gerontology
A1  - King, Emily C.
A1  - Boscart, Veronique M.
A1  - Weiss, Brett M.
A1  - Dutta, Tilak
A1  - Callaghan, Jack P.
A1  - Fernie, Geoff R.
SP  - 717
EP  - 749
VL  - 38
IS  - 5
N2  - Home care providers experience high occupational injury rates. Improving safety is becoming increasingly urgent as this sector expands to support the aging population. Caregivers identify assisting with toileting as a particularly frequent and difficult activity. This mixed-methods observational study identified and analyzed the toileting subactivities that place care providers at the greatest risk of musculoskeletal injury. Eight personal support workers (home care aides) assisted a frail older adult (actor) in a simulated home bathroom. Overall technique and body postures were analyzed. Exposure to musculoskeletal injury risk factors (low back loads and time in extreme trunk postures) was greatest when removing/replacing clothing and providing posterior perineal care; high loads were also possible during transfers. Exposures can be reduced by lowering the pants only to knee level or squatting to raise them. A bidet seat or attachment can perform perineal cleaning, which accounted for 32% of time in severe trunk flexion.<p />  <p>Language: en</p>
LA  - en
SN  - 0733-4648
UR  - http://dx.doi.org/10.1177/0733464817702477
ID  - ref1
ER  -