Abstract
The huge toll caused by back and shoulder injuries among nursing home workers (nursing assistants) has been well documented. These injuries have been related primarily to tasks involving lifting and handling of the residents. There is strong evidence that reduction in load would decrease the risk of injury. “Zero-lift” programs are designed to reduce these loads and involve several components: support of management and participation of employees; acquisition of equipment; policies surrounding the use of equipment; training; and management of injuries that do occur. There appears to be a significant disparity between the availability of technology to reduce the hazards associated with handling tasks and the adoption of the technology by the industry. The challenge for nursing homes is to effectively implement programs that reduce physical loads on nursing assistants while maintaining a safe and caring environment for the residents.
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