11. Positioning, Moving, & Lifting

Question 1

Name 2 benefits of body alignment

Answer 1

• allows the body to function at its highest level

- prevents complications of immobility

Question 2

Which is a better movement: pushing an object or lifting an object?

Answer 2

pushing an object (only need to overcome friction rather than gravity)

Question 3

too much pressure on one area for too long can cause a decrease in circulation which can lead to what 2 complications?

Answer 3

• pressure ulcers

- muscle contractures

Question 4

How often should bed bound residents and wheelchair bound residents be repositioned?

Answer 4

• bed bound: at least every 2 hours

- wheelchair bound: every 15 minutes

Question 5

What should you check for every time you reposition a resident?

Answer 5

skin problems such as whiteness, redness, or warm spots

Question 6

position where resident lies flat on their back

Answer 6

Supine

Question 7

T/F - when the resident is in the supine position, a pillow should be placed under the calves so the heals are floating and don’t touch the bed

Answer 7

True

Question 8

position where resident is lying on either side and ideally, the knee on the upper side of the body is flexed

Answer 8

Lateral

Question 9

What does placing a pillow between the 2 legs and ankles do to a resident in the lateral position?

Answer 9

helps relieve pressure and avoid skin breakdown

Question 10

position where resident is lying on their abdomen

Answer 10

Prone

Question 11

semi-sitting body position in which a person’s head and shoulders are elevated 45 to 60 degrees

Answer 11

Fowler’s

Question 12

Difference between a high-Fowler’s position and semi-Fowler’s position

Answer 12

• high-Fowler’s: upper body is sitting nearly straight up (60-90 degrees)
• semi-Fowler’s: upper body is not raised as high (30 to 45 degrees)

Question 13

left side-lying position; lower arm is behind the back and the upper knee is flexed and raised toward the chest (using a pillow as support)

Answer 13

Sims’

Question 14

rubbing or friction resulting from skin moving in one way and the bone underneath it remains fixed or moving in the opposite direction

Answer 14

shearing

Question 15

Draw sheet is an extra sheet placed on top of the bed to help with transfer when the resident can’t help; it helps prevent what?

Answer 15

shearing

Question 16

T/F - A CNA should always get help if she feels it’s not safe to move a resident by herself

Answer 16

True

Question 17

movement that allows a resident to be turned as a unit without distributing the alignment of the body

Answer 17

logrolling

Question 18

When should logrolling be used?

Answer 18

in cases of neck or back problems, head or spinal cord injuries, or after neck, back, or hip surgeries

Question 19

to sit up on the side of the bed with legs hanging over the side

Answer 19

dangle

Question 20

What does dangling do for a resident?

Answer 20

• helps them regain balance before standing up
• equalizes blood flow in the body
• allows blood pressure to stabilize
• helps prevent dizziness/lightheadedness that can cause fainting

Question 21

T/F - If a resident has a weaker or affected side, that side should be transferred first (before the stronger side)

Answer 21

False - transfer the stronger side first and the weaker side follows

Question 22

science of designing equipment areas, and work tasks to make them safer and to suit the worker’s abilities; goal is to reduces stress on the body to avoid potential injury

Answer 22

ergonomics

Question 23

safety device used to transfer residents who are weak, unsteady, or uncoordinated

Answer 23

transfer belt

Question 24

What is a transfer belt called when it is used to help residents walk?

Answer 24

gait belt

Question 25

T/F - Transfer belts cannot be used if a resident has fragile bones, fractures, or has had recent ABD, chest, or back surgery

Answer 25

True

Question 26

device used to help transfer residents who have weak legs or are unable to bear any weight on their legs

Answer 26

slide/transfer board

Question 27

Which way should a resident in a wheelchair be facing when going down a ramp?

Answer 27

should be facing backwards (towards the top of the ramp)

Question 28

device used to transfer residents who cannot walk or sit in a wheelchair but need to be transported somewhere

Answer 28

stretcher

Question 29

How many people are necessary to safely transfer a resident to a stretcher?

Answer 29

at least 3 people

Question 30

type of equipment that is used to lift/move residents while preventing injury to staff and residents

Answer 30

mechanical lifts

Question 31

device used when a person can bear some weight on their legs, but has poor leg strength and/or balance

Answer 31

stand-up/standing lift

Question 32

What must a resident be able to do to use the toilet?

Answer 32

bear some weight on their legs

Question 33

Name 7 things improved by regular ambulation and exercise

Answer 33

- quality and health of skin - circulation - strength - sleep and relaxation - appetite - elimination - oxygen level

Question 34

T/F - When helping a visually impaired resident walk, the CNA should let the person walk in front of her as they rest a hand on the CNA's elbow

Answer 34

False - the resident should walk beside and slightly behind the CNA with a hand rested on the CNA's elbow