chapter 16

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Questions and Answers

What is the primary purpose of maintaining good body mechanics when positioning patients?

  • To elevate the bed to a comfortable working height
  • To support limbs and areas of the body not in contact with the bed
  • To ensure position changes at least every 2 hours
  • To prevent injury to the patient and staff (correct)

What is essential for safe patient handling when positioning patients?

  • Changing the patient's position every 2 hours
  • Elevating the bed to a comfortable working height
  • Using pillows and other positioning devices
  • Locking the wheels of the equipment (correct)

How often do patients who need assistance with positioning typically require position changes?

  • Every 6 hours
  • Every hour
  • Every 4 hours
  • Every 2 hours (correct)

What is the purpose of using pillows and other positioning devices when positioning patients?

<p>To support limbs and areas of the body not in contact with the bed (C)</p> Signup and view all the answers

Why is it important to support limbs and areas of the body not in contact with the bed when positioning patients?

<p>To prevent injury to the patient and staff (B)</p> Signup and view all the answers

What is the result of not maintaining proper flexion of the ankle in an immobile patient?

<p>Permanent plantar flexion of the foot (A)</p> Signup and view all the answers

What is the main cause of contractures in an immobile patient?

<p>Disuse of the muscles (B)</p> Signup and view all the answers

What is a potential complication of immobility related to the circulatory system?

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

What is the term for the condition that results from loss of bone minerals, leading to an increased risk of skeletal fractures?

<p>Osteoporosis (C)</p> Signup and view all the answers

What is a complication that can occur if the toes are allowed to fall toward the foot of the bed?

<p>Footdrop (C)</p> Signup and view all the answers

Why is it important to maintain proper positioning of the patient in bed?

<p>To prevent footdrop and promote proper ankle flexion (D)</p> Signup and view all the answers

What is a common musculoskeletal complication of immobility?

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

What is a type of venous thromboembolism that develops in the deep veins of the legs?

<p>Deep vein thrombosis (A)</p> Signup and view all the answers

What is a result of immobility that increases the risk of skeletal fractures?

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

What is a potential complication of prolonged bed rest?

<p>All of the above (D)</p> Signup and view all the answers

What is crucial for safe logrolling of a patient?

<p>Turning the patient in unison with other staff members (D)</p> Signup and view all the answers

What is the primary responsibility of the nurse at the head of the bed during logrolling?

<p>Providing directions for the logrolling procedure (A)</p> Signup and view all the answers

Why is it essential to ensure all staff members turn the patient simultaneously during logrolling?

<p>To prevent damage to the patient's spine, which could result in paralysis (D)</p> Signup and view all the answers

What is critical during the logrolling procedure?

<p>Maintaining body alignment during the procedure (C)</p> Signup and view all the answers

What is the role of the nurse at the head of the bed during logrolling?

<p>Providing directions for the logrolling procedure (C)</p> Signup and view all the answers

What is an important aspect of proper body mechanics when transferring patients?

<p>Using a wide base of support and standing close to the object (D)</p> Signup and view all the answers

Why is it important to assist a patient to dangle prior to transfer or ambulation?

<p>To reduce the risk of injury to the healthcare provider (C)</p> Signup and view all the answers

What is a key principle of safe patient transfer?

<p>Keeping the back straight and using leg muscles to lift (D)</p> Signup and view all the answers

What is a benefit of using proper body mechanics during patient transfer?

<p>Reducing the risk of injury to the healthcare provider (A)</p> Signup and view all the answers

What is an important consideration when positioning patients?

<p>Using a wide base of support to prevent falls (C)</p> Signup and view all the answers

Flashcards

Good Body Mechanics Purpose

To prevent injury to the patient and staff during movement and positioning.

Safe Patient Handling

Locking the wheels ensures that the equipment won't move unexpectedly during the positioning process.

Position Change Frequency

Patients needing assistance typically need position changes every 2 hours to prevent pressure ulcers and other complications.

Purpose of Positioning Devices

Pillows and other devices support limbs and areas, preventing pressure injuries and promoting comfort.

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Importance of Body Support

Supporting limbs and areas reduces strain and prevents pressure ulcers.

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Ankle Flexion Importance

Not maintaining proper flexion leads to permanent plantar flexion of the foot.

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Cause of Contractures

Disuse of muscles is the main cause of contractures, leading to stiffness and decreased range of motion.

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Immobility Circulatory Risk

Venous thromboembolism (VTE) is a potential circulatory complication due to reduced blood flow.

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Osteoporosis Definition

Osteoporosis is the loss of bone minerals, increasing the risk of fractures.

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Footdrop Complication

Footdrop occurs if the toes fall towards the foot of the bed, affecting ankle flexion.

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Bed Positioning Importance

Proper positioning in bed helps prevent footdrop and promote proper ankle flexion.

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Immobility Musculoskeletal Risk

Contracture is a common musculoskeletal complication from lack of movement.

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Deep Vein Thrombosis (DVT)

Deep vein thrombosis (DVT) is a type of VTE in the deep veins of the legs.

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Immobility Fracture Risk

Immobility increases the risk of osteoporosis and skeletal fractures.

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Bed Rest Complications

Pressure ulcers, DVT, and pneumonia are potential complications of prolonged bed rest.

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Safe Logrolling

Turning the patient in unison with other staff members to maintain spinal alignment.

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Nurse Role in Logrolling

The nurse at the head of the bed provides directions for the logrolling procedure.

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Importance of Simultaneous Turning

Simultaneous turning prevents spinal damage and potential paralysis.

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Logrolling Body Alignment

Maintaining body alignment during the procedure prevents spinal injuries.

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Nurse's Role in Logrolling

The nurse at the head of the bed provides directions for the logrolling procedure.

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Body Mechanics for Transfers

Using a wide base of support and standing close to the object maintains balance and reduces strain.

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Dangling Importance

Dangling reduces orthostatic hypotension and prevents dizziness or fainting.

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Safe Patient Transfer

Keeping the back straight and using leg muscles to lift protects the spine and reduces strain.

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Benefit of Body Mechanics

Proper body mechanics reduces strain and prevents injuries to the healthcare provider.

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Positioning Considerations

Using a wide base of support prevents falls by improving balance.

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Study Notes

Patient Positioning and Body Mechanics

  • Proper body mechanics are essential in patient positioning to prevent injuries to both patients and caregivers.
  • Always lock the wheels of any equipment before positioning patients to ensure safety.
  • Elevate the bed to a comfortable working height to maintain effective body mechanics during patient care.
  • Patients on bedrest require position changes approximately every 2 hours to avoid complications.
  • Support limbs and body areas not in contact with the bed using pillows and positioning devices.

Effects of Immobility

  • Footdrop can occur if toes fall toward the foot of the bed, resulting in loss of proper ankle flexion.
  • Contractures due to disuse lead to muscle shortening and tightening.
  • Osteoporosis, characterized by loss of bone minerals, increases the risk of skeletal fractures.
  • Immobile patients are at risk of developing venous thromboembolism (VTE), specifically deep vein thrombosis, which involves blood clots in deep veins of the legs.

Safety Protocols in Patient Transfers

  • Avoid twisting the torso when moving patients and maintain a wide base of support.
  • Stand close to the object being moved and keep the back straight during transfers for optimal body mechanics.
  • Nurses must work cohesively, especially during logrolling procedures, to prevent spinal damage, which can lead to paralysis.

Importance of Patient Dangle

  • Assisting a patient to dangle their legs over the side of the bed before transferring helps assess their stability and readiness for ambulation.
  • Logrolling: A technique used for moving patients while maintaining spinal alignment to prevent injury.
  • Footdrop: A condition resulting from improper positioning, leading to permanent plantar flexion of the foot.
  • Contractures: Shortening of muscles due to prolonged disuse or immobility, affecting mobility and comfort.

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