Chapter 10 Quiz & Flashcards: Positioning Transfers & Ambulation

Questions and Answers

_________ the load

assess

Think ahead, _________ and communicate the move

plan

Check your base of __________

support

Be sure you have firm _________

footing Signup and view all the answers

_________ what you are lifting

face Signup and view all the answers

Keep your back _________

straight Signup and view all the answers

Begin in a squatting position and lift with your _________

legs Signup and view all the answers

_________ your stomach muscles when beginning the lift

tighten Signup and view all the answers

Keep the object _________

close Signup and view all the answers

_________ when possible, rather than lifting

push Signup and view all the answers

What does positioning mean?

Helping residents into positions that promote comfort and good health Signup and view all the answers

In which position does a resident lie flat on their back?

supine Signup and view all the answers

Which position involves a resident lying on either side?

lateral Signup and view all the answers

What is the prone position?

Lying on the stomach, or front side of the body Signup and view all the answers

What is Fowler's position?

A semi-sitting position Signup and view all the answers

What is Sims position?

A left side-lying position Signup and view all the answers

What is a draw sheet?

An extra sheet placed on top of the bottom sheet when the bed is made Signup and view all the answers

What does shearing refer to?

Rubbing or friction resulting from the skin moving one way and the bone underneath remaining fixed or moving in the opposite direction Signup and view all the answers

What does logrolling mean?

Moving a resident as a unit, without disturbing the alignment of the body Signup and view all the answers

What does dangle mean in this context?

To sit up on the side of the bed with the legs hanging over the side Signup and view all the answers

Why do residents who spend a lot of time in bed or wheelchairs need to be repositioned often?

They are at risk of skin breakdown and pressure ulcers Signup and view all the answers

What are ergonomics?

The science of designing equipment, areas, and work tasks for safety and to suit the worker's abilities Signup and view all the answers

What is a transfer belt?

A safety device used to transfer residents who are weak, unsteady, or uncoordinated Signup and view all the answers

What is another name for a transfer belt when used to assist residents in walking?

Gait belt Signup and view all the answers

What is a slide board?

Also called a transfer board, used to help transfer residents who are unable to bear weight on their legs Signup and view all the answers

What should the NA check after a transfer in a wheelchair?

The resident's alignment in the chair Signup and view all the answers

What is the weaker side of a resident's body referred to as?

Involved side Signup and view all the answers

Where should an NA place a transfer (gait) belt on a resident?

Over the resident's clothing and around the waist Signup and view all the answers

What is true of mechanical, or hydraulic, lifts?

Lifts help prevent injury to the nursing assistant and the resident Signup and view all the answers

When transferring residents who have one-sided weakness, which side moves first?

Stronger side Signup and view all the answers

What can an NA do if a resident starts to fall?

Bend her knees and lower the resident to the floor Signup and view all the answers

What is the medical term for walking?

Ambulation Signup and view all the answers

What is an ambulatory resident?

A resident who can get out of bed and walk Signup and view all the answers

What can a resident use if they have some difficulty with balance but can bear weight on both legs?

Walker Signup and view all the answers

In addition to a gait belt, what equipment should the nursing assistant have when assisting a resident to ambulate?

Non-skid shoes Signup and view all the answers

What should the NA do if the resident is unable to stand without help?

Brace the resident's lower extremities Signup and view all the answers

What is important when helping a visually-impaired resident walk?

Keep the resident in front of her Signup and view all the answers

Which assistive device for walking has four rubber-tipped feet?

Quad cane Signup and view all the answers

When using a cane, the resident should place it on his _________ side

stronger Signup and view all the answers

Study Notes

Positioning and Transfers

Assess the load before attempting to lift or move an object.
Plan movements carefully; think ahead, strategize, and communicate actions.
Support involves checking your base of stability to ensure safety.
Proper footing is crucial; ensure you have a secure stance.
Always face the object you are lifting to maintain alignment and focus.
Maintain a straight back to prevent injury while lifting.
Use your legs to lift; start in a squatting position.
Tighten your stomach muscles before beginning any lift to provide core support.
Keep the object close to your body to minimize strain.
Push rather than lift when feasible to reduce physical stress.

Resident Positions

Positioning aids residents by promoting comfort and health.
The supine position involves lying flat on the back.
Lateral positioning means lying on either side.
In the prone position, the resident lies face down.
Fowler's position is semi-sitting, often used for comfort.
Sims position involves lying on the left side for specific health needs.

Transfer Aids and Techniques

A draw sheet is an extra sheet to assist in the moving of residents in bed.
Shearing occurs when skin rubs against surfaces, risking injury.
Logrolling is a technique to move residents while keeping body alignment.
Dangle refers to sitting at the edge of the bed to regain balance and stabilize blood pressure.

Importance of Repositioning

Residents who spend extended time in bed or in wheelchairs are at risk for skin breakdown and pressure ulcers, necessitating frequent repositioning.

Ergonomics and Safety Devices

Ergonomics focuses on designing tasks and equipment to ensure safety and accommodate workers’ abilities.
A transfer belt aids in the safe transfer of weak, unsteady, or uncoordinated residents.
A gait belt is specifically used for assisting residents while walking.
A slide board or transfer board is for moving residents who cannot bear weight on their legs.

Wheelchair and Transfer Considerations

After a transfer, the resident's alignment in the wheelchair should be checked.
The weaker side of the body is referred to as the involved side.
A transfer (gait) belt should be placed over the resident's clothing and around the waist for security during movement.
Mechanical lifts are beneficial in preventing injuries to both residents and nursing assistants.

Assisting with Ambulation

The stronger side of the resident typically moves first when there is one-sided weakness.
If a resident starts to fall, bend your knees and lower them safely to the floor.
Ambulation refers to the act of walking, with ambulatory residents able to walk independently.
Assistive devices such as walkers can help those with balance difficulties but who can bear weight.
Non-skid shoes are important for safety while ambulating.
Brace the resident’s lower extremities if they cannot stand unaided.
When assisting visually-impaired residents, keep them walking in front of you.
Quad canes, equipped with four rubber-tipped feet, provide additional stability.
Residents should place canes on their stronger side for optimal support.

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Description

Test your knowledge on key terms related to positioning, transfers, and ambulation from Chapter 10. This quiz focuses on essential vocabulary and concepts necessary for safe patient handling. Enhance your understanding and ensure proper techniques are applied.

Chapter 10: Positioning and Transfers