body mechanics and patient mobility -...
Post on 08-Mar-2018
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2
Body Mechanics
Nursing Worker’s Comp Claims
Always a need to transfer patients
When do injuries happen?
How do we prevent injury?
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Body Mechanics
Important to use proper body mechanics
Define Body Mechanics
Assisting patients requires that use of
assistive devices
Preventing injury involves knowing how
muscles function during the performance
of tasks.
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Body Mechanics
Maintaining proper body alignment
Base of Support
When stooping: flex/bend your hips, and
knees, keep back straight, and avoid
bending from the waist
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Promote Proper Body Mechanics
Feet 6-8 inches apart
Balance weight between both feet
Flex Knees
Tilt pelvis forward
Tighten stomach muscles
Chest up
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Promote Proper Body Mechanics
Head up
Face your work
Lift twice
Don’t lift higher than chest level
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Patient Positioning
Proper positioning of patients helps in
preventing permanent disability
Positions include: Supine (dorsal),
Fowler’s (45-60 degrees), Semi-
Fowler’s (30 degrees), orthopneic,
Sim’s, Prone, Lithotomy, Trendelenburg
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Mobility
Mobility - ability to move around freely
within environment
ADL’s activities of daily living
Immobility related complications
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Mobility
Preventing immobility complications -
reposition every 2 hours, encourage PO
intake (food and fluids), prevent
deformities, maintain proper body
alignment, early ambulation,
antiembolism measures, progressive
ambulation
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Patient Falls
If a patient is going to fall while you are
in attendance, do not attempt to prevent
it
Stand with feet apart, bring patient close
(use gait belt), rest patient buttocks on
your leg, lower patient to floor, call for
help, assist patient back to bed, Report
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Neuro Checks
Major nursing responsibility is cheking
CSM
Includes: Skin color, temp, movement,
sensation, pulses, cap refill, and pain
Compare affected limb with unaffected
limb
Compartment Syndrome
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Range of Motion
immobilized patients need some type of
exercise
prevents muscle atrophy and joint
contractures
Passive/Active ROM
CPM machine
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Patient Moving
Frequently required in nursing
Includes lifting up in bed, in to WC, off
gurney, in to shower, turning in bed
Mechanical equipment
Remember: LIFT TWICE
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Patient Moving
Considerations when providing
assistance: What can patient do,
dependence, decrease in self-care, pain
Always focus on what patient can do for
themselves
If there is pain, ALWAYS make sure
patient is medicated before moving
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Patient Moving
Moving up in bed
Turning patient
Dangling patient
Log-rolling patient
Transferring patient (gait belt use)
Assess body alignment, pressure areas
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As a nurse, it is your responsibility to
make sure that your patient’s are
appropriately positioned and that
pressure relieving measures are in place
for ALL patients that are cared for
Assessment includes patient’s ability to
change position and interventions
needed to promote skin integrity &
mobility
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Question A nurse is preparing to reposition a
dependent client who weighs more than
250 pounds. What intervention is best for
the nurse to consider when moving the
client?
Get help
Keep elbows close and work close to
body
First place client in Trendelenburg’s
Administer pain med before moving
client
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Question A nurse is administering a cleansing
enema to a client with a fecal impaction.
Before administering enema, the nurse
assists the client in to what position?
left Sims’
right Sims’
left side, HOB elevated
right side, HOB elevated
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