Repositioning Frail Clients in Healthcare
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Questions and Answers

What should be assessed before repositioning a frail client?

  • The type of bed used
  • Only the client's pain level
  • Other patients' needs
  • The client's mobility, pain level, skin integrity, and medical conditions (correct)

Which of the following is NOT a required piece of equipment for repositioning a client?

  • Wedges
  • Draw sheet or transfer board
  • Pillows
  • Surgical instruments (correct)

What should be done if a client is in pain before repositioning?

  • Ignore the pain as it will subside
  • Administer pain medication and wait for it to take effect (correct)
  • Use distraction techniques instead of medication
  • Reposition them immediately

How can assistive devices help during the repositioning process?

<p>They minimize friction and shearing forces on the client's skin (B)</p> Signup and view all the answers

What should be ensured about the client's body during repositioning?

<p>Their spine should be straight and limbs in a natural position (A)</p> Signup and view all the answers

What extra precautions should be taken for frail clients during repositioning?

<p>Be extra gentle to avoid skin tears and regularly check skin integrity (A)</p> Signup and view all the answers

What is critical to provide to a client with cognitive impairment during repositioning?

<p>Clear and simple instructions with a calm approach (B)</p> Signup and view all the answers

What post-repositioning care is essential?

<p>Reassessment of the client's comfort, alignment, and skin integrity (A)</p> Signup and view all the answers

Flashcards

Assess Client's Mobility

Before repositioning, evaluate the client's ability to move independently and participate in the process.

Gather Supplies

Assemble necessary equipment like pillows, wedges, and assistive devices before repositioning.

Bed Positioning

Ensure the bed is at a suitable height for safe and comfortable repositioning.

Explain the Procedure

Communicate clearly with the client, explaining the repositioning steps and purpose.

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Pain Management

Administer pain medication as prescribed before repositioning to ensure comfort.

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Use Assistive Devices

Employ draw sheets or transfer boards to minimize friction and shearing forces.

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Proper Alignment

Ensure the client's body is aligned properly with their spine straight, head supported, and limbs in a natural position.

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Pressure Point Protection

Utilize pillows and wedges to support bony prominences like heels, elbows, and sacrum to prevent pressure ulcers.

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Study Notes

Repositioning Frail Clients in Supine Position

  • Initial Assessment: Before repositioning, assess the client's mobility, pain level, skin condition, and any medical conditions impacting their ability to be moved.

  • Gather Supplies: Ensure necessary equipment (pillows, wedges, draw sheets, transfer boards) are readily available.

  • Bed Setup: Adjust the bed to a comfortable working height. Lock the bed wheels for stability.

  • Communication: Explain the procedure clearly to the client, encouraging their participation.

  • Pain Management: Administer pain medication as prescribed, allowing time for it to take effect before repositioning.

Proper Repositioning Technique

  • Assistive Devices: Use draw sheets or transfer boards to minimize friction and shear forces on the skin.

  • Teamwork: If the client needs assistance, obtain help from a colleague; coordinate movements for a smooth and safe transfer.

  • Proper Alignment: Ensure the client's spine is straight, head supported, and limbs in a natural position.

  • Pressure Point Protection: Use pillows and wedges to support bony prominences like heels, elbows, and sacrum, preventing pressure ulcers.

Considerations for Frail Clients

  • Skin Integrity: Handle frail clients with extreme gentleness to avoid skin tears or abrasions. Regularly check for skin breakdown.

  • Osteoporosis: Exercise extra caution to prevent fractures in clients at risk for osteoporosis.

  • Cognitive Impairment: Provide short, simple instructions with a calm and reassuring tone.

  • Comfort and Dignity: Maintain the client's dignity throughout the procedure; keep them covered and respect their privacy.

Post-Repositioning Care

  • Reassessment: After repositioning, reassess the client's comfort, alignment, and skin integrity. Adjust as needed.

  • Documentation: Record the repositioning, including the time, position, assistive devices, and the client's response.

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Description

This quiz focuses on the techniques and assessments involved in safely repositioning frail clients in a supine position. It covers initial assessments, necessary equipment, communication strategies, pain management, and proper techniques for minimizing skin damage. Ideal for healthcare professionals involved in patient care.

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