CH 13 Safe patient movement and handling techniques.

Question 1

what are good body mechanics?

Answer 1

Use: good posture
Keep: alwyas keep your bodys line of balance close to your center of gravity. (below waistline)
Hold: objects close to body
Bend: bend at your knees.
Dont twist: dont twist your trunk
Push: push rather than pull

Question 2

what are the 4 proper patient handlining requirements.

Answer 2

1. good base of support
2. awareness of ones center of gravity
3. use of correct muscles for mobility
4. use of muscles to maintain stability

Question 3

_____ is essentail for stability.
Wide base is the area _______.

Answer 3

A wide base.
between feet while standing.

Question 4

the base of support is the foundation in which _______.

Answer 4

the body rests.

Question 5

A hypothetical area pf the bidy where the mass of the body is concentrated; grvaity works from this area.

Answer 5

center of gravity.

Question 6

where is the “level” of the center of gravity?

Answer 6

secound sacral segment.

Question 7

holding heavy objects _____ to the center of gravity permits?

Answer 7

easier and safer transfer.

Question 8

what are extremity muscles classified as?

Answer 8

mobility muscles.

Question 9

what are muscles of the torso considered?

Answer 9

stability muscles.

Question 10

for effective patient transfers and handlining technologists should use _____ for lifting and stability and ________ for support.

Answer 10

mobility muscles
postural muscles.

Question 11

lifting should be done by _____ and _____ the knees.
the back should be _____ or in a position of slightly increased lumbar lordosis.

Answer 11

bending and straightining.
kept straight.

Question 12

before executing the transfer check the __________ and check wether they have_______.
patients with dementia (mental imparements) may ________ and require transfer assistance.

Answer 12

patients chart, restricted weight baring status.
overestimate their transfer abilites.

Question 13

the patients _____ should be held close to the movers ______.

Answer 13

center of gravity, center of gravity.

Question 14

when lifing patients keep the back _______ and let the ____ do all of the work.

Answer 14

stationary, legs.

Question 15

what is a sudden drop of blood pressure caused by change in body postition?

Answer 15

orthostatic hypotension.

Question 16

othrostatic hypertension is more prononced in patients who have been __________.

Answer 16

bedridden for extended periods.

Question 17

what are sympotms of orthostatic hypertension?

Answer 17

dizziness, fainting, blurred vision, and slurred speech.

Question 18

what should we encourage pateints to do dureing transfers to help minimize symptoms of orthostatic hypertension?

Answer 18

encourage the patient to talk/ hold a conversation. if the patient is still symptomatic do not allow them to leave you.

Question 19

what are some of the important transfer techniques?

Answer 19

1. someone needs to take charge pf the transfer.
   2.(person in charge) calls transfer “play” and controls timing.
   3.(person in charge) synchronizes transfer events.
   4.(person in charge) reviews procedures with the team.

Question 20

always transfer patient so that they transfer toward their _______.

Answer 20

strong side.

Question 21

how many types of wheelchair transfers are there and what are they?

Answer 21

4 types.
standby assist-transfer: patients have the ability to transfer on their own
Assisted Standing Pivot Transfer: A transfer belt is used, with help from both the patient and transferee.
Two-person lift: one person takes over the area of toros (stronger person) another person cradles thighs in one hand and claves in another. The person taking charge goes from behind and lifts they also call commands and directions to patients and helper.
Hydraulic Lifts: used when the patient is too heavy. Contains a valve mechanism and an adjustable base for support. Has a lift and transfer string. Operators must be familiar with the equipment.

Question 22

what are the hydraulic lift techniques?

Answer 22

patients need to be seated or recumbent on a lift string before use.
sanding the patient back to the ward to return sitting on a sling is better than risking injury for the patient or mover. Communication is critical.

Question 23

what are the characteristics of a cart-to-table-transfer?

Answer 23

typically uses a transfer assist device. Roll the patient away from the table. Position the device under the patient and draw sheet. Roll the patient back and ensure they are on the device and draw sheet. Gently pull draw sheet and patient onto the table.

Question 24

skin damage from transfers:
can occur in as little as ______.
may occur from going to ________.
caused by several________.
_______ are particularly vulnerable to skin damage.

Answer 24

1-2 hours
different surfaces
mechanical factors
elderly patients.

Question 25

what are the common recumbent patient positions?

Answer 25

supine, prone, lateral, sima, and fowler.