Body Mechanics and Patient Mobility

45 terms by boh1985

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Have adequate help

2 workers divide the work in half

Keep back, neck, plevis and feet aligned

twisting increases risk of injury

Use arms and legs

the leg muscles are stronger

Slide patient toward you using pull sheet

sliding requires less effort for lifting

Facin away fromt the work

inappropriate

Positioning the feet 6 to 8 inches apart

appropriate

Keeping the knees straight

inappropriate

Sliding heavy objects

appropriate

Relaxing the abdominal muscles

inappropriate

Fowlers

head raised 45 to 60 degrees, pillows, foot board

Supine

lying horizontally on back, towel, pillow, tronchanter rolls, sandbags, small pillow, footboard, hand rolls

Dorsal recumbent

lying in back, head and shoulder with extremities moderatelly flexed, pillow, small lumber pillow

Hand Rolls

maintains thumb slightly adducted

Foot boots

maintaines feet in dorsiflexion

Side Rails

allows weak patient to roll side to side

Wedge pillows

maintain the legs in abduction

The patient expereinced a CVA that left her with sevfere left-sided paralysis and very limited mobility. To prevent prolonged dorsiflexion, the nurse uses a

foot boot

Abduction

movement of limb away from the body

Adduction

movement of limb toward axis of the body

Contracture

abnormal flexion and fixation of a joint

Dorsiflexion

bend or flex backward

Flexion

movement of the joint to decrease the angle between two adjoining bones

Lithotomy

lying supine with the hips and knees flexed and thighs abducted

Orthopneic

sitting up in bed at a 90 degree angle, perhaps resting forward

Pronation

turning the lower arm so that the palm is down

Supination

turning the lower arm so that the palm is up

Trendelenburg

head is positioned lower, with the torso and legs inclined upward

Sims

patient lies on side with knee and thigh drawn upward toward chest, piilows

Prone

being in horizontal position when lying face down, pillows

Purpose and principles for Range of motion

inciated for patients confined to bed for long periods. Gives some type of exercise to prevent excessive muscle atrophy and joint contracture

The patient has had a surgical procedure and is getting up to ambulate for the first time. While ambulating down the hallway, the patient complains of severe dizziness. The nurse should first

lower the patient gently to the floor

Complications of immobility

msucle and bone atrophy, contractures, pressure ulcer, constipation, urinary tract infection

Nursing Interventions of immobility

reposition every 2 hours, adequate intake, encourage a well balanced diet, prevent deformities

The patient develops a reddened area on the sacrum

reposition

While transferring the patient from the bed to a chair, the patient starts to fall

ease patient to floor

The patinet with right-sided weakness following a cerebrovascular accident is unable to perform range of motion of the right extremities

you help them

Compartment Syndrome symptoms

pain, paresthesias, pallor, pulse absent, paralysis, palated tense tissue

Prevent respiratory complications

encouraging deep breathing and coughing every hour

Psychosocial needs

let's talk about what you used to do at home during the day

Expected finding of a neurovascular status

pulses strong and easily palpated

A patient is going to ambulate after not being out of bed for a while

have another person help, place patient supine with head tilt, face patient

A patient who is in bed and has a serious head and neck condition needs to be turned

add protection ot that area

A patient with left-sided weakness is to move from the bed to a chair

provide support on that side

Correct technique for lifting a patient

keep the legs slightly bent

Nursing diagnosis for a CVA

impaired physical mobility r/t CVA resulting right-sided paresis

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