Class 4: Mobility Flashcards
abduction
movement of an extremity away from the midline of the body to the torso
adduction
movement of an extremity toward the midline of the body
supination
turn lower arm and hand so that palm is up
flexion
decreasing the angle between two adjoining bones (bending the joint)
activity tolerance
the kind or amount of exercise/activity that the individual is able to perform
bed rest
an intervention that restricts the patients to bed for therapeutic reasons
body alignment
positioning of joints, tendons, ligaments and muscles while standing, sitting and lying
foot drop
inability to dorsiflex and evert foot because of peroneal nerve damage
gait
manner or style of walking/moving the body
contracture
a deformity that is the stiffness or constriction in the connective tissues of your body (muscle cramp)
muscle atrophy
the decrease in the mass of muscle due to the lack of use
passive
the opposite of active
safe patient handling
- clients are never to be lifted manually
- we can transfer or reposition when the client bears part or all of the weight
point of care risk assessment / take 5
take ‘5’ to help reduce injuries
- communicate with your partner
- evaluate and prepare environment and equipment
- evaluate and prepare client
- prepare yourself
- weight shift for power
pre-standing check
- core and hamstrings strength (in bed-to bridge)
- balance (sit upright unsupported)
- leg strength (sitting, extended at knee)
- lower back strength (sitting: lean forward and straighten
- ability to follow direction
independent transfer
let them do it themselves
standby transfer
needs caregiver presence in case of difficulty
minimal assist transfer
assistance can take a variety of forms. example: watching patient, holding hand, little bit more than just verbal queues
assisted transfer and walking
- ability to transfer means client can weight bear. clients are not to be lifted manually.
- care plan will be revealed about client transfers
- must always do a pre-standing check
- communicate with client to achieve a smooth, safe transfer
- must use a transfer belt if staff in physical contact during weight bearing activities
transfer belt
- snug around resident/patient waist
- fingers of caregivers should be able to slide between patient and belt
- light grip on belt used to guide clients mobility
- care providers hands should not pass through the belt loops
- belt must never be worn to lift client
canes while walking on flat ground
- top of cane should reach crease in wrist.
- walking on flat floor
- put cane about 10cm to side of stronger side
- weight on stronger side
- move cane about 10 cm in front strong leg, bringing the weaker leg forward at the same time
- using the cane to help keep weight off weaker leg, move stronger leg ahead
canes while going upstairs
- place strong leg up first
- move cane and weaker leg up
- continue one step at a time
cane going down the stairs
- place cane and affected leg first
- move stronger leg down
- continue one step at a time
crutches
- need lots of upper body strength
- begin in tripod position, keep all weight on weight bearing foot.
- weight bearing foot first
- inch from armpit
- handle at wrist height
walkers
- move forward so legs of walker is even with toes
- step forward with affected leg to middle of walker
- step forward with stronger leg
wheelchair
- go backwards down hill or down a curb
- use legs going uphill/up curb
- go backwards in and out of an elevator
SARA mechanical transfer / SARA steady
must be able to weight bear
must do a pre-standing check
-full movement/ no pain in shoulders
-grasp with at least one hand
-less than 350 lbs
-must always have a second person
-brakes on bed and wheelchair
-dress affected side first and then undress unaffected side first
-adjust bed so Sara fits under bed
-brakes on Sara when attaching and detaching patient
-brakes off when lifting patient and lowering
second person to assist when: patient has poor sitting balance, or wearing slippery clothes or a camosun student
- use a Sarah steady when a person needs less help
-need shoes
SARA
stand assist raise assist
maxi lift
no pre standing check no shoes patient cannot weight bear keep patient at nurse waist height when moving organize equipment and environment communicate with patient brakes on while attaching and detaching brakes off while lifting and lowering recheck!!!!!!!!!! turn patient to face you on - leg straps first then shoulder off - shoulder then legs do not cross straps
overhead lift
cross straps
always hold bar
on - legs first then shoulders
off - shoulders first then legs
what to do before the lift
care plan assess communicate organize environment organize equipment
