Body Mechanics Flashcards
Regulation of Movement
ligaments, cartilage, tendons
Skeletal
posture and movement
smooth
digestive, bladder, blood vessels
cardiac
contract spontaneously (heart)
Flexion
bring arm close to head
Extension
elbow away from body
Hyperextension
elbow away past 90 degrees
Abduction
away from the body
Adduction
towards the body
Rotation
move head from side to side
Circumduction
rotate your arm in a circle from shoulder
Healthcare Injuries
Nursing has the worst rates of overexertion injuries
-75/10,000 full-time hospital workers
-107/10,000 at a facility
- twice the normal average; three times in nursing homes
Risk factors
duration, frequency, intensity
Patient risks
weak, unpredictable, loss of sight/hearing, uncooperative, overweight, pain
Nurse risks
previous injuries, not trained, not compliant, sleep deprivation, poor health
Task risks
loads far from body, heavy, twist and lift, reaching, changes in weight, long duration
Foundation of Picking Up or Moving
face direction of movement
body alignment
center of gravity
balance
base of support
Priniciples of Alignment
arrange for help
flex knees and feet wide
alignment
tightening stomach
close to body
use extremities
BR/CBR
complete bed rest
BR with BRP
bed rest with bathroom privledges
Up ad lib
patient can get up as desired
Up as tolerated
able to tolerate
Dangle
sit on edge
NWB
non weight bearing
TDWB
touch down weight bearing
TTWB
toe touch weight bearing
WBAT
as tolerated weight bearing
FWB
full weight bearing
Fall Bundle Standard
call light
free of clutter
belongings within reach
bed locked and low
non-skid socks
Do not leave the patient unattended in shower
Fall Bundle Moderate
fall magnet
yellow gown/socks
Fall Bundle High
door open
bed and chair alarm
Trendelburg position
head down
Reverse Trendelburg position
feet down
Supine
laying up
Prone
laying on stomach
Lateral
side laying
Lateral Recumbent
Sims position
Orthopneic
catching breath
laying head down but sitting
Lithotomy
laying with legs in stirup
Orthostatic syncopation
change of bp when laying to standing