Body Mechanics Flashcards
Skeletal muscle - what kind of movement?
involuntary and voluntary
- posture & movement
Contraction of skeletal muscles allows people to walk, talk, run, breathe, or physical activity
Smooth Muscle
- digestive tract
- bladder
- blood vessels
Cardiac Muscle
Contracts spontaneously
Flexion
Toward the body
Extension
Away from the body
Hyperextension
Too far away from the body
Abduction
Away from the body
Adduction
Toward the body
Rotation
Moving the head from side to side
Circumduction
move in a circle
Types of soft tissue damage
Muscles, tendons, ligaments, joints, blood vessels, nerves, spinal disks
Patient risk factors
weak unable to help with transfers, vision or hearing loss, overweight, poor communication, unpredictable, uncooperative, experiencing pain
Nurse risk factors
previous injuries, does not follow policies or procedures, sleep deprivation, not trained properly, poor physical health
Task related risk factors
reaching, lifting, twisting while lifting, lifting heavy loads, long durations
Foundation of body mechanics
- face the direction of movement
- body alignment
- center of gravity
- balance
base of support
Activity orders
a doctors order that defines the type and amount of activity a hospitalized patient may have
BR or CBR
bed rest/complete bed rest
BP and BRP
bedrest with bathroom priviliages
Up and lib
as patient want to/desires
Up as tolerated
as patient is able to tolerate
Dangle
Patient may sit and dangle their feet over the edge of the bed
Up in chair with assist
Patient may transfer from bed to chair with help
NWB
non weight bearing
TDWB
touch down weight bearing
TTWB
toe-touch weight bearing
WBAT
weight bearing as tolerated
FWB
full weight bearing
Standard (Fall)
- call light within reach
- room free of clutter
- belongings within reach
- bed locked in lowest position
- non-kid socks
Moderate (fall)
- fall magnet
- yellow socks
- yellow gown
High (fall)
- door opened
- bed alarm/chair alarm
HOB 90 degrees
high fowlers
HOB raised to angle of 45 degrees or more
Fowlers
HOB raised to 30 degrees
semi fowlers
Fowlers position
The HOB is elevated 45 to 60 degrees, and the patients knees are slightly elevated without pressure to restrict circulation in the lower legs
Supine position
patient rest on their backs.
Prone position
pt lies face or chest down
Sims position
pt places the weight on the anterior ileum, humerus, and clavicle
Side-lying position
pt rests on the side with the major portion of the body weight dependent him and shoulder
what four kinds of bones help make up the skeletal system?
Long, Short, Flat, and Irregular
Trendelenburg bed position
entire bed tilted with head of bed down
Reverse Trendelenburg bed position
entire bed tilted with foot of bed down
Flat bed position
entire bed is horizontal to floor
ambulation
the ability to walk
gait
the manner of walking, normal gait places body weight fully on each leg in turn
assisting with ambulation-
Evaluate
evaluate the environment for safety
assisting with ambulation-
Obtain
obtain baseline BP
assisting with ambulation-
dangle
dangle pt if indicated
assisting with ambulation-
Support
Support the pt at their waist
assisting with ambulation-
Return
Return pt to chair/bed of c/o dizziness or experiences syncope episode
assisting with ambulation-
Support
Support pt with hemiplegia or hemiparesis
assisting with ambulation-
Get help
When in doubt, get help
Assistive devices
canes, crutches, and walker
sizing crutches
-2-3 finger width space between axilla and top of crutch, prevents injury to brachial plexus nerves
- wrists should line up with the grab bars when arms are relaxed
- when grasping handgrips, elbow flexion should be 15-30 degrees
Hemiplegia
Complete paralysis
Hemiparesis
Partial weakness