Ch. 8 Patient Reception And Ergonomic Practice Flashcards
Position of Pt
Upright
Semi upright
Supine
Trendelenburg
Upright
Initial to seat patient
Semi Upright
Pts with what conditions are treated in this position?
Reclined at 45 degrees
Pts with cardiovascular or respiratory disease or vertigo are treated in this position.
(Will have to treat pt standing up)
Supine
Flat, brain at same level as heart
Back parallel to floor
Ideal for support of circulation-rare for pt to faint
Most treatment procedures done in this position
Tredelenburg
Tipped back from Supine 10-15 degrees
Brain lower than heart
Primarily for medical emergencies
Only use for short period if needed
Where should pt mouth be at? Arms parallel to ____
Elbow level
Arms parallel to floor
Contraindications for Supine Position
(Review pt history for adaptation)
Congestive heart failure
Vertigo
Cervical spondylosis
Respiratory-emphysema, asthma
Pregnancy 2nd and 3rd trimester
Neutral Seated Position
Back-neutral alignment with spine
Head-slight tilt down 15-20 degrees or less
Eyes-tilted down
Shoulders-relaxed and parallel with hips
Elbows-close to body (no chicken wing)
Forearms-parallel to floor
Wrist-straight line with forearm
Hips-slightly higher than knees (helps sit straight up)
Thighs-full body weight evenly distributed
Knees-slightly apart
Feet-flat on floor
Clinician-Patient Distance
Oral cavity to eyes should be 15-22 inches
-working distance
Light location-Maxillary Arch
Chin up
Light between chest and neck and pointed to upper teeth
Light location-Mandibular Arch
Chin down
Light perpendicular to the floor
Coiled (curly) Cords
Not recommended
Increase strain-ergonomic risk
What nerve plays a big role in musculoskeletal disorders in DH?
Median Nerve
Runs to all fingers but the pinky
