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Ch 17 & 18 - Body Mechanics + Repositioning
Terms in this set (51)
Base of support
The area on which an area rests
Body alignment (posture)
The way the head, trunk, arms, and legs are aligned with one another
Using the body in a efficient + careful way
The science of designing a job to fit the worker
What is considered good alignment?
Everything is straight
What should you do for good body mechanics?
-bend at the knees + squat to lift heavy objects
-hold items close to your body/base of support
What is OSHA?
Occupational Safety and Health Administration
What are the 4 risk factors for MSDs identified by OSHA?
Force, repeating actions, awkward postures, heavy lifting
How often should a person be repositioned?
At least every 2 hrs
What do regular posture changes prevent?
Pressure ulcers + contractures
What are the components of a safety check?
-make sure the patient is aligned
-if the bed is raised up, lower it back down
-make sure the bed brake is on
-if a rail needs to be put on one side only, do so
-make sure the patient has the signal light button
-make sure drinks (water, pitcher, etc.) are close to patient
Semi-sitting position (45-60 degrees)
Semi-sitting position (30 degrees)
High Fowler's position
Sitting position (90 degrees)
Lying on the back
Lying on the abdomen
Side lying position
Sims' position (left side lying position, semi-prone position)
Lying with the right upper leg flexed and left arm lying flat, stomach slightly on bed
What is Sims' position used for?
Unable to breathe lying flat (must sit up to breathe)
-upper head + body erect
-backs of knees/calves slightly away from the back of the chair
How a person moves to and from a lying position, turns from side to side, and re-positions in a bed or other furniture
The person's ability to perform ADL required to meet basic needs and required for health/well-being
Level 0: Independent
The person can move without help
Level 1: Supervision
Staff look after, encourage, or cue but the patient moves by themselves
Level 2: Limited Assistance
-staff guide, but do not lift
-the person moves alone
-some encouragement may be needed.
Level 3: Extensive Assistance
-the person needs help moving
-2 or more staff provide weight-bearing help
-uses mechanical lifting device/friction reducing device
Level 4: Total Dependence
-person unable to move without help
-2 or more staff provide weight-bearing help
-needs mechanical lifting device/friction reducing device
If a person is less than 200 lbs, they need...
2-3 staff members + friction reducing device
If a person is more than 200 lbs, they need...
At least 3 staff members + friction reducing device
The rubbing of one surface against another
When the skin sticks to a surface while muscles slide in the direction the body is moving
Turning the person in alignment in 1 motion
How do you move someone in segments?
Move them towards you, moving their upper body/head first, then lower body, then legs/feet
Sitting the person on the side of the bed
Logrolling is used for people who... (4 answers)
-have arthritic spines/knees
-are recovering from spinal surgery
-have spinal cord injuries
-have hip fractures
What does the patient do while they're dangling?
Cough/take deep breaths + move legs back and forth in circles
When transferring a person, the _____ side moves first
Stand + pivot transfers are used if... (3 answers)
-the person can assist with the transfer
-the person is cooperative + can follow directions
-the person's legs are strong enough to bear some or all of their weight
Before using a mechanical lift...
-you must be trained in its use
-it must work + be charged
-the sling strap and hooks must be in good repair
-the person's weight must not exceed the lift capacity
-at least 2 staff members are needed
-follow manufacturer's instructions
Stretchers/gurneys are used to transport people who...
-are serious ill
-cannot sit up
-must stay in a lying position
Stretchers are move ____ first
When transferring a person to/from the toilet, a sliding board may be used if...
-the wheelchair armrests can be removed
-the person has good upper body strength
-the person has good sitting balance
-there's enough room to position the wheelchair next to the toilet
Safety straps are used when...
A person is on a stretcher
If a person is less than 100 lbs, OSHA recommends using...
Lateral sliding aid + 2 staff members
If a person is 100-200 lbs, OSHA recommends using...
Lateral sliding aid or friction reducing decide + 2 staff members
If a person is more than 200 lbs, OSHA recommends using... (3 answers)
-lateral sliding aid + 3 staff members
-friction reducing device or lateral transfer device + 2 staff members
-mechanical lateral transfer device w/ built in slide board
To raise a person's head...
Lock arms with the person (do NOT pull their arm or shoulder)
You can move lightweight adults up in bed using a ______
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