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45 terms

Body Mechanics and Patient Mobility

STUDY
PLAY
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