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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


Positioning the feet 6 to 8 inches apart


Keeping the knees straight


Sliding heavy objects


Relaxing the abdominal muscles



head raised 45 to 60 degrees, pillows, foot board


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


movement of limb away from the body


movement of limb toward axis of the body


abnormal flexion and fixation of a joint


bend or flex backward


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


lying supine with the hips and knees flexed and thighs abducted


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


turning the lower arm so that the palm is down


turning the lower arm so that the palm is up


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


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


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


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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