Body Mechanics

Body Mechanics - Assisting the Inactive Client Michele D....

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1 Assisting the Inactive Client Michele D. George, RN, BSN Timby Chapter 23
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2 IMMOBILITY Leads to health deterioration Disuse syndrome Group of signs and symptoms that result  from inactivity Complications of Table 23.1
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3 Mobility vs. Immobility   A decline in the patient mobility status results  from many types of health problems Broken hip stroke Interventions to prevent complications of  immobility Position Moving Range of motion exercises
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4 Nurses… Can perform these interventions and  many do not require a doctor’s order  Can become injured if they fail to use  good posture and body mechanics while  performing these activities.
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5 POSTURE Definition  Standing  Sitting Lying  Figure 23-1 Result of poor posture Muscle spasms
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6 STANDING Keep the feet side by side 4-8 in apart Distribute weight evenly Bend knees slightly Chest up shoulders back Head up
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7 SITTING Buttocks and upper thighs become the  base of support Both feet rest on the floor Keep knees free from edge of chair
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8 BODY MECHANICS Efficient use of the musculoskeletal  system or the use of proper body  mechanics Reduces fatigue Increases muscle effectiveness Avoids repetitive strain injuries Nursing guideline 23-1
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9 The nurses uses body mechanics daily  when: Making the bed Assisting the patient to walk Carrying supplies and equipment Lifting Providing care Carrying out procedures
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10 Positioning  Enhance comfort and prepares patient for  procedures The nurse performs range of motion  exercises to promote circulation, prevent  contractures and provide joint mobility Various assistive devices are used to  maintain correct body position and to help  prevent complications
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11 Why Position Clients Change the inactive client’s position  every 2 hours Enlist help Raise the bed to an appropriate height Remove pillows and positioning devices Unfasten drainage tubes from bed linen
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12 Turn the client as a complete unit to  avoid twisting the spine Place the client good alignment, with  joints slightly flexed Replace pillows and positioning devices
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13 Support limbs in a functional position Use elevation to relieve swelling or  promote comfort Provide skin care after repositioning
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14 COMMON POSITIONS Supine position Lateral position Lateral oblique position Prone position Sims’ position Fowler’s position Book p. 611
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15 POSITIONING DEVICES
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Body Mechanics - Assisting the Inactive Client Michele D....

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