Healthcare Lifting and Positioning Techniques

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Questions and Answers

The NA should ____________ the weight of the load.

assess

The NA should think ahead, ___________, and communicate the move.

plan

The NA should check her base of ___________ and be sure she has firm ____________.

support, footing

The NA should ________ what she is lifting.

<p>face</p> Signup and view all the answers

The NA should keep her back _________.

<p>straight</p> Signup and view all the answers

The NA should begin in a squatting position and lift with her ____________.

<p>legs</p> Signup and view all the answers

The NA should ___________ her stomach muscles when beginning the lift.

<p>tighten</p> Signup and view all the answers

The NA should keep the object ___________ to her body.

<p>close</p> Signup and view all the answers

The NA should __________ when possible rather than lifting.

<p>push</p> Signup and view all the answers

What is the semi-sitting body position called?

<p>Fowler's</p> Signup and view all the answers

What is an extra sheet placed on top of the bottom sheet to help prevent skin damage caused by shearing?

<p>Draw sheet</p> Signup and view all the answers

What is the act of helping residents into positions that promote comfort and health called?

<p>Positioning</p> Signup and view all the answers

What body position involves a resident lying on his abdomen?

<p>Prone</p> Signup and view all the answers

What is the position called when a person is sitting up with their legs hanging over the side of the bed?

<p>Dangling</p> Signup and view all the answers

What body position involves a resident lying on either side?

<p>Lateral</p> Signup and view all the answers

What is the left side-lying body position in which the upper knee is flexed and raised toward the chest called?

<p>Sims'</p> Signup and view all the answers

What is the body position called when a resident is lying flat on his back?

<p>Supine</p> Signup and view all the answers

What term describes rubbing or friction caused by skin moving in one direction and bone in another?

<p>Shearing</p> Signup and view all the answers

What is the method of turning a resident as a unit without disturbing body alignment called?

<p>Logrolling</p> Signup and view all the answers

At a minimum, how often should bedbound residents be repositioned?

<p>At least every two hours</p> Signup and view all the answers

How often should residents in wheelchairs be repositioned?

<p>At least every 15 minutes</p> Signup and view all the answers

What should a NA check a resident's skin for each time a resident is repositioned? (Select all that apply)

<p>Whiteness (A), Warm spots (B), Redness (D)</p> Signup and view all the answers

How should a NA transfer a resident who has a stronger side and a weaker side? (Select the correct answer)

<p>The stronger side moves first (D)</p> Signup and view all the answers

What is the science of designing equipment, areas, and tasks to make them safer for workers called? (Select the correct answer)

<p>Ergonomics (A)</p> Signup and view all the answers

Which of the following is a proper guideline for resident transfers? (Select the correct answer)

<p>It is important for the NA to get help when lifting a resident. (A)</p> Signup and view all the answers

Which of the following is true of transfer belts? (Select the correct answer)

<p>They fit around the resident's waist over clothing. (C)</p> Signup and view all the answers

Slide boards are used for what purpose? (Select the correct answer)

<p>Transferring residents who cannot bear weight. (B)</p> Signup and view all the answers

Which of the following is true of using a wheelchair? (Select the correct answer)

<p>When using an elevator, the NA should turn the chair around. (D)</p> Signup and view all the answers

Which of the following is true of mechanical lifts? (Select the correct answer)

<p>They help protect staff and residents from injury during lifting. (C)</p> Signup and view all the answers

For a resident to use a toilet, he must be able to: (Select the correct answer)

<p>Bear some weight on his legs. (D)</p> Signup and view all the answers

Ambulation is another term for: (Select the correct answer)

<p>Walking (B)</p> Signup and view all the answers

Before assisting a resident to ambulate, her feet should be: (Select the correct answer)

<p>Flat on the floor (D)</p> Signup and view all the answers

When helping a visually-impaired resident walk, the NA should: (Select the correct answer)

<p>Walk slightly in front of the resident. (C)</p> Signup and view all the answers

Flashcards

Assess the Load

Evaluate the load's weight before trying to lift it to prevent injury.

Plan the Move

Think through the steps and communicate your intentions clearly before moving a resident.

Solid Base of Support

Maintain a stable stance with proper footing to avoid slips and falls.

Face the Object

Face the object being lifted to maintain balance and prevent twisting.

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Straight Back

Keep your spine aligned to avoid back injuries when lifting.

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Squat and Lift

Use leg muscles, not back muscles, for lifting by bending at the knees.

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Tighten Stomach Muscles

Engage your core muscles for stability and support during lifting.

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Keep Objects Close

Hold objects as close to your body as possible to decrease strain.

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Push, Don't Pull

Moving object away from you instead of toward you

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Fowler's Position

A semi-sitting position (45-60 degrees) to improve breathing and comfort.

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Draw Sheet

A sheet used to reposition residents in bed to minimize friction and skin damage.

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Positioning Benefits

Properly positioning residents to promote comfort, prevent skin breakdown, and improve circulation.

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Prone Position

Lying on the abdomen with head turned to the side.

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Dangling

Sitting on the edge of the bed before standing to prevent dizziness.

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Lateral Position

Lying on either the left or right side.

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Sims' Position

Lying on the left side with the upper knee flexed towards the chest.

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Supine Position

Lying flat on the back.

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Shearing

Skin damage when layers of skin slide against each causing tissue damage.

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Logrolling

Turning a resident as one unit to maintain spinal alignment.

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Repositioning Frequency

How often should bedbound residents be repositioned?

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Skin Check Areas

Key areas to monitor that are indicators of pressure during repositioning.

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Stronger Side First

Move the stronger side first to ensure safety.

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Ergonomics

Adapting tasks and environments to fit workers, reducing risk.

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Zero-Lift Policy

Policy that eliminates manual lifting of residents.

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Transfer Belts

Belts used to support residents during transfers.

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Slide Boards

Boards that bridge the gap between two surfaces for transfers.

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Wheelchair Positioning

Check positioning for safety and comfort.

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Mechanical Lifts

Devices to assist in transferring residents, protecting staff and residents.

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Weight Bearing

Ability to support some body weight on legs for toileting.

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Ambulation

The ability to walk on you own.

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Study Notes

Positioning, Moving, and Lifting

  • Healthcare workers must assess the weight of a load before attempting to lift.
  • Planning the move involves thinking ahead and communicating intentions clearly.
  • Ensure a solid base of support and familiar footing before moving any load.
  • Always face the object being lifted to maintain balance and stability.
  • Keep the back straight to prevent injury during lifting tasks.
  • Initiate lifting from a squatting position, utilizing the legs for strength.
  • Tightening stomach muscles provides core stability during lifts.
  • Objects should be kept close to the body to minimize strain.
  • Prefer to push rather than lift heavy objects whenever possible.
  • Fowler's position refers to a semi-sitting position at 45 to 60 degrees, promoting comfort.
  • A draw sheet is used to help prevent skin damage caused by shearing effects.
  • Positioning residents effectively enhances comfort and health.
  • The prone position is where the resident lies on their abdomen.
  • Dangling refers to sitting up on the edge of the bed to regain balance.
  • The lateral position involves the resident lying on either side.
  • Sims' position features the upper knee flexed toward the chest while lying on the left side.
  • A resident lying flat on their back is in the supine position.
  • Shearing occurs when skin moves one way while the underlying bone remains fixed.
  • Logrolling is a method to turn a resident as a complete unit, maintaining body alignment.
  • Bedbound residents should be repositioned at least every two hours, while wheelchair users every 15 minutes.
  • Check skin for whiteness, redness, or warm spots around bony areas during repositioning.
  • When transferring a resident with a stronger and weaker side, the stronger side should move first.
  • Ergonomics is the science of designing tasks to suit workers' abilities and enhance safety.
  • A zero-lift policy makes it essential for staff to get help when transferring residents safely.
  • Transfer belts fit around the resident's waist, providing support during transfers.
  • Slide boards assist in transferring residents unable to bear weight from one sitting position to another.
  • When using a wheelchair, the resident should be positioned correctly before transferring to ensure safety.
  • Mechanical lifts are designed to protect both staff and residents from injury during lifting operations.
  • For toileting, a resident must be able to bear some weight on their legs.
  • Ambulation is a term synonymous with walking.
  • Before a resident ambulates, ensure their feet are flat on the floor for balance.
  • For visually impaired residents, the caregiver should walk slightly in front to guide them safely.

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