Final answer:
Orientation for new nurses includes understanding the fragile nature of older adult's skin, the necessity to support soft tissues during movement, the commonality of weakness and hypotension in bedridden elders, the loss of flexibility and joint mobility with aging, and the potential fear of hydraulic lifts.
Step-by-step explanation:
During the orientation for newly hired graduate practical/vocational nurses at a long-term care facility, certain considerations regarding mobility and the older adult are essential. The following points should be included:
- The skin of older adults is more fragile and susceptible to injury. It is vital to handle their skin gently to prevent tears or bruises.
- Always support older adults under the soft tissue when moving them in bed to avoid pressure injuries and provide comfort.
- Weakness and hypotension (not hypertension) are common issues faced by older adults on bed rest, leading to challenges in mobility.
- Aging tends to result in a loss of flexibility and joint mobility, hence it is important to regularly assist in passive or active range of motion exercises.
- Older adults may sometimes become fearful when hydraulic lifts are used for transfers. It is important to introduce and explain the equipment to alleviate anxiety.
Understanding these aspects will contribute to the quality of care provided to the older adults, ensuring safety and promoting their mobility and independence as much as possible within the long-term care setting.