Fund 48, 49, 50 Flashcards
Applying the mechanical principles of movement to the human body to promote the safest method of moving and lifting
Body mechanics
Three principles of body mechanics
Center of gravity
Line of gravity
Base of support
Center of gravity is located
Pelvic area
When half of body weight is distributed below the pelvic area and the other above
Center of gravity
The wider the base the more
Stable the support
Where is the base of support located
In your feet
Feet apart
Imaginary vertical line through the top of the head down to the feet, this is the direction of gravitational pull from head to feet
Line of gravity
Instead of lifting heavy objects
Push pull or roll
Avoid reaching or over extending
.
Blood clots , pressure ulcers, constipation , muscle breaking and atrophy , pneumonia, joint deformities, mental disorders , anxiety, confusion, isolation, depression can all happen if a person has no
Mobility
Back lying legs extended or slightly bent. Arms up or down. Maybe uncomfortable for client with back problem
Supine
Laying on abdomen straight Examination of spine back Not good for pregnant women Abnormal Breathing clients Or obese client
Prone position
Side lying
Client positioned for extended lying periods
More comfortable than prone
Lateral position
Side/stomach lying, upper knee flexed ,
Difficulty for clients with arthritis or leg injuries
Sims position
Supine with head raised
Promotes drainage, assists with breathing, prep for dangling or walking. Watch for dizziness or fainting
Fowlers
Sitting at a 30-45 degree angle
Semi Fowlers
Sitting at a 90 degree angle
High Fowlers
High Fowlers but leaning on overbed table ,facilitates breathing with patients with severe cardiac or respiratory disorders
Orthopneic
Client on knees with chest raised and butt raised. Client may become dizzy do not leave them alone. For rectal or vaginal examinations
Knee chest
Genupectoral
Supine with legs separated and feet on stirrups
Dorsal lithotomy
Permanently shortened muscles due to lack of use , tissues becomes tight and lose elasticity making deformities
Contractures
A type of contracture where perioneal nerve is damaged resulting in paralysis and permanent planter flex ion of the foot, cannot put heel on floor to walk
Foot drop
Name three preventative measure for Contractures
Hand tools for hands
Slanted foot board
Trochanter rolls placed on. Each side of legs and hips
Standing with chest head and arms on table usually during prostate examination
Modified standing
Lying on right side with knees up and back exposed. Spinal fluid exam. Spinal anesthesia . Drug administration
Lumbar puncture
Head lower than feet
Promotes venous return
Treatment of shock
Trendelenbergs
Head higher than feet
Facilitates tube feeding
Treatment in severe bleeding or head injury
Reverse trendelenberg
positioning a client you will need first a
Doctors order
These rolls are placed on each side of client to keep legs and feet from rolling out words causing deformities
Trochanter rolls
Dorsal recumbent
Supine
A person wearin heels all the time can develop
Foot drop
ROM
Range of motion
When nurse assists in ROM
Passive ROM
When client performs ROM
Active ROM
When ROM is done mechanically
Continuos passive motion
Decreasing angles between two bones
Flexion
Position that allows digestive and respiratory organs to function
Supine
A method of turning a client that keeps body straight in alignment
Ex: pt with spinal cord injuries and back surgery
Log roll turn
ROM
Prevents immobility
Prevents Contractures
Prevents bed sores
Joint deformities
Bending the leg at the hip
Flex ion
Flex and release of arm
Flexion
Hyper extension
Bending head back to look at ceiling or bending all the way up
Hyper extension
Bending hands down
Flexion
bending a body towards the dorsum (backwards) as in feet
Dorsiflexion
Pointing the toes outward or down
Planter flexion
Moving leg away from midline of body
Abduction