Body Mechanics Flashcards
High Fowler’s Bed Position
head of bed at 90 degrees
Fowler’s Bed position
Head of bed at about 45 degrees
helps patients breathe
Semi Fowler’s bed position
about 30 degrees
Trendelenburg Bed position
the entire bed is tilted with the head of the bed down
helps bring blood pressure up
Reverse Trendelenburg Bed postition
the entire bed is tilted with the foot of the bed down
can help with high blood pressure
Supine
patient is laying flat on back
Prone
patient is laying on stomach
lateral
patient is laying on side
lateral recumbent
patient is on their side leaning forward with the tio leg pulled up and resting on bed
Orthopheic
the bed is placed in high Fowler’s position with pillows stacked in front of patient that they can lean on to help with breathing
Lithotomy
patient position used for gynecological exams
BR/CBR
bed rest/ complete bed rest
BR with BRP
bed rest with bathroom privileges
up ad lib
patient can get up as they want to
up as tolerated
patient can be up as long as they tolerate it
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 (whole foot)
TTWB
toe touch weight-bearing
WBAT
weight bearing as tolerated
FWB
full weight bearing
When is a slide tube or hover mat used?
when a patient cannot even move in bed
What is the difference in when to use a slide tube or hover mat?
Over 250 lbs- must use hover mat
under 250 lbs- can use hover must but must at least use a slide tube
How do you use a slide tub/hover mat?
it is put under the patient the same way as a draw sheet
the bed must be put to the highest level appropriate to protect nurses/aids
When do you use a gait belt?
always look at doctors orders first to make sure a patient can be out of bed
used to help patient ambulate or move to and from chairs/wheelchairs
How do you use a gait belt?
belt goes around a patients waist, right below the belly button and must fit with enough room to fit two fingers flat against the body
rock patient w a count of three into the standing postion
stand on the stronger side of patient with hand under belt at middle of back
if there are neurological issues present, stand on the weaker side of the body instead
Sara Steady
powered: if patient can stand and has arm strength
manual: can stand and balance for at least 10 seconds
Weight limit: 400 lbs
Hydraulic lift
if patient can sit on edge of bed with hands in their lap for 10 seconds they can use the Sara steady instead
patients sits in it like a chair with their hands in their lap to keep them safe
How to size a cane correctly
the elbow must be at about 15 degrees
if the fist is resting at the front and top of their thigh that’s about 15 degrees
How to size crutches properly
if the arm is straight down the hand hold on the crutches should be about even with their wrist (give you about a 15 degree angle in the elbow)
two fingers should also fit between the top of the crutch and the armpit to protect the artery and nerve
