Activity Flashcards
what percent of nursing back injuries are preventable
89%
what are some variables leading to back injury in health care workers
manual lifing
uncoordinated lifts
exceeding recommended lift weight limits
using outdated techniques
transferring/repositioning uncooperative or confused patients
what is the proper body mechanics when lifting
work close to an object
face the direction of movement
slide, roll, push, or pull rater than lift
brand base of support
flex your knees and straight back
strong core
low center of gravity
use the longest and strongest bones for power
use the weight of your body by rocking
what is the recommended weight limit for lifting
35lbs
what position do we not put patients in
trendelenburg
what does no manual lift- safe patient handling laws enforce
hospitals must provide living devices
effects of immobility
increase
cardiac workload
risk for venous thrombosis
urinary stasis
risk for contractures
risk for skin breakdown
sense of powerlessness
bone loss
work of breathing
effects of immobility
decrease
depth of respiration
rate of respiration
bladder muscle tone
muscle size, tone and strength
endurance, stability, coordination
sensory stimulation
patients on bed rest had a higher incidence of
death
AM PAC 6 clicks
1-4 score
turning over in bed
sitting down and standing up from chair with arms
moving from lying on back to sitting on the side of the bed
moving to and from a bed to a chair
need to walk in hospital room
climbing 3-5 steps with railing
what is paired with the AMPAC 6 clicks
John hopkins
what does the John Hopkins determine
based on the score of the AMPAC 6 clicks it tells us what activity the patient should be doing
what is the clinical site progressive exclusion criteria
physiologically unstable patients
hypotensive
new EKG changes
elevated cardiac enzymes
INR >5 PTT >100 (clotting test, these patients are at risk for bleeding)
patient who does not respond to verbal stimuli
suspected spinal trauma
unstable fractures
presence of femoral sheath
thrombolytic administration
what are some nursing interventions to promote safety and activity
ambulating
PROM
AROM
postion changes
trapeze bars
side rails
physical therapy consults
avoid knee catching
log rolling
specialty beds
what does the P in PROM stand for
passive
what does the A in AROM stand for
active
how often do we turn
Q2
fowlers degree
45-60
semi fowlers degree
30
high fowlers degree
90
what is protective positioning
we use things like pillows to protect the bony prominences, this might prevent a pressure injury
what is knee watching
where the knees are bent
orthopneic postion
90 degrees and leaning on a table
prone
on belly and head laying on pillow to the side
what does prone position help with
perfusion
what illness/disease do we use the prone position
COVID
when we use the lateral side lying what is important to add
Protective positioning with a pillow in-between legs to prevent knee on knee and ankle on ankle
malleolus
inner ankle bony prominences
sims postion
laying on stomach to the side a little
face to the side on a pillow
one arm is faced toward the face
other arm is bent behind the back
protective positioning under the knee
lithotomy
lying flat but legs up in air
almost in stirup position when at the OBGYN
trendelenburg
head down
feet up
reverse trendelneburg
head up
feet down
what can we use for protective positioning
pillows
pressure reducing mattress
support boots
hand rolls
trochanter rolls
what do hand rolls do
prevent clinched fist
what do trochanter rolls do
prevent externally rotating hips which lead to a not normal postion
log rolling is used for
patient who need to have head, neck and spine in line the whole time
when we are moving patients what would we tell them to do with their hands
put them on their chest
we can prop patients up with a wedge which could allow what area to not have pressure
sarcum
we use foot boots which look like hightop sneakers to prevent what condition
foot drop
the foot boots that prevent foot drop also help prevent pressure injuries where
on the heel
we would use a bed cradle for patients who have
burns
patients who are able to walk normally
don’t walk on their own accords
when we have a one nurse assist where do we help the patient
on the weak side
walkers are adjusted to the height of the patients
hip
how do we walk with a cane
advance cane
advance weak leg
advance strong leg
what side do patients hold the cane
on the strong side
2 types of crutches
axillary
forearm
