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Techniques 1 > mobility 2 > Flashcards

mobility 2 Flashcards

1
Q

can rrc students operate a mechanical lift?

A

no

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2
Q

what are the steps in moving a Pt using a lift?

A
  • explain the procedure
  • provide prompts throughout
  • encourage independence
  • remove reading glasses from Pt
  • position Pt in centre of sling
  • lift Pt up gradually… lower into chair
  • once in chair:
    - ensure comfort/safety
    - unhook sling
    - check body alignment
    - apply seatbelt if needed
    - remove sling from under Pt
  • 4 P’s
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3
Q

when/how frequently are mobile floor based lifts used?

A

used often, super ideal because they are easy to transport from room to room

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4
Q

when do mobile flood based lifts require 2 HCW’s?

A

when Pt is unable to
- weight bear
- maintain upright posture
- uncooperative
- above certain weight level

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5
Q

what is a sit to stand lift and what does it do?

A

a power standing aid that helps the Pt stand up

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6
Q

How many HCW’s does a sit to stand lift require?

A

2 HCW’s

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7
Q

when using the sit to stand what must the Pt be able to do?

A
  • weight bear on at least 1 foot
  • pull up with at least 1 arm
  • have trunk control
  • be able to follow instructions
  • be cooperative
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8
Q

when can you not use a sit to stand lift?

A
  • someone with abdominal wounds
  • an ostomy
  • tubes attached
  • fragile skin
  • high risk of fracture
  • unstable spine
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9
Q

what are ceiling mounted lifts?

A

powered lifts that moves Pt along a track from one surface to another

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10
Q

when are ceiling mounted lifts used?

A

when Pts cant weight bear or when Pts are being uncooperative

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11
Q

what are limitations to ceiling mounted lifts?

A

they are confined to 1 track

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12
Q

what are tub chair lifts and what do they do?

A

move Pt in and out of the bath, Pt sits in the lift in the tub

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13
Q

what must Pt be able to do when using tub chair lifts?

A
  • trunk control
  • lift legs
  • cooperate
  • follow instructions
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14
Q

when doing a safety assessment for mechanical lifts, what is important to note?

A
  • lifts working properly
  • lifts fully charged
  • operator knows how to use emergency controls and weight limit
  • Pt is cooperative
  • sling is clean and right size
  • environment is free of clutter
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15
Q

what do ROM assessments consist of?

A

examining the joints… noting any
- stiffness
- swelling
- pain
- limited movement
- unequal movement

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16
Q

when do you not perform ROM exercises?

A

on joints that are…
- swollen
- painful
- inflamed

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17
Q

what are the 3 types of compression garments used to increase venous return and prevent venous stasis?

A
  • compression stockings (Sigvaris stockings)
  • anti-embolism stockings (TED [thromboembolic devicevary] hose)
  • sequential compression devices
18
Q

what are compression stockings? what is the medical name for them?

A

Sigvaris stockings
- used to treat venous and lymphatic disorders by putting pressure on the skin to increase venous return

19
Q

what are anti-embolism or TED hose? what is the medical term for them?

A

Thromboembolic deviceary hose
- meant to maintain normal venous return in a bed ridden Pt
- must be prescribed

20
Q

what are sequential compression devices (SCD)?

A
  • device used to promote venous return in Pts who are immobile, undergoing surgery, or in the ICU
  • cannot be used by all client
21
Q

when must sequential compression devices be removed?

A

when walking

22
Q

what is important when wearing sequential compression devices to prevent blood clotting?

A

foot exercises:
- extending and flexing the feet (10x)
- repeating hourly
- walking 6x per day if approved by Dr.

23
Q

what are restraints?

A

devices used to limit the physical activity or a body part of a Pt

24
Q

when are restraints used?

A

as a last resort… preventing harm of the Pt, HCW, or environment

25
Q

what are the 3 forms of restraints?

A

physical restraint, chemical restraint, environmental restraint

26
Q

what are physical restraints?

A

a manual or physical device stopping the individual from moving, limits their freedom of movement

27
Q

what are chemical restraints?

A
  • a pharmaceutical agent to control agressive or agitated behaviour that is placing the Pt or HCW at risk
  • medication given for the sole purpose of inhibiting behaviour or movement
28
Q

what are environmental restraints?

A

barriers to prevent free personal movement which confines Pt to specific area

29
Q

when are physical restraints used?

A

only in emergent situations

30
Q

what are some examples of physical restraints?

A

hand mitts, soft ties, mobility restricting chairs, side rails up, mummy restraints, human restraint

31
Q

what are some examples of chemical restraints?

A

phenobarbital - anti-seizure medication, makes Pt stop moving around

32
Q

what are some examples of environmental restraints?

A
  • removing mobility aids (can cause risk of falls)
  • isolation (confining Pt to their room, can’t go out to Tims, bc they have to stay in their room)
  • seclusion (room locked from outside)
33
Q

what are some situations where things would not be considered restraints?

A
  • side rails: being up is required for moving beds with Pt in them
  • front closing seat belt: the client can remove
  • isolation: infection control
  • mobility restricting chairs if used for keeping individual in proper alignment
  • client wandering devices: bed or room alarms used for the Pts safety (dementia Pts)
  • shackles and handcuffs: applied by the police
34
Q

what needs to be exhausted before applying any sort of restraints?

A
  • attempting to eliminate the cause of the behaviour (psychosis, anxiety, depression, ect)
  • need to ask before:
    - is the restraint being used to prevent Pt from harming themselves or others?
    - is the restraint medically necessary to perform treatment
35
Q

when does a nurse have to have the physicians order by after restraining a Pt? can nurses prescribe chemical restraints?

A

24 hrs
no

35
Q

what are some alternatives to restraints?

A
  • frequent orientation
  • frequent opportunity to use the washroom, walk around, food, and drink
  • objects to manipulate (keep busy)
  • have personal items near
  • use of wandering devices
  • re-evaluating of treatment plan
  • constant care
36
Q

what does the nurse need to use restraints (3 things)?

A
  1. prescribed order
  2. consent
  3. documentation of the reason (necessary bc of why)
37
Q

as a nurse what must you be monitoring q2h?

A
  • safety
  • resp status
  • hydration status
  • LOC
  • emotional status
  • skin integrity
  • integrity of the restraint
  • colour, warmth, circulation, movement, sensation
38
Q

what are the adverse effects of restraints?

A
  • improper application and hazards of immobility
  • cause of psychological harm
  • improper use of restraints and lack of monitoring
39
Q

examples of improper applications of restraints (adverse effect)?

A
  • muscle atrophy
  • bone loss
  • pressure ulcers
  • contracture
  • constipation
  • decreased appetite
40
Q

examples of psychological harm that restraints cause (adverse effects)?

A
  • confusion (dementia)
  • bordem
  • loneliness
  • depression
  • loss of dignity
41
Q

examples of improper use of restraints due to lack of monitoring (adverse effects)?

A
  • injury or death (by strangulation suffocation, broken neck, burns, pneumonia, sepsis
  • psychological harm

Techniques 1 (8 decks)

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