Module I Flashcards

1
Q

Alignment

A

how the head, trunk, arms, and legs are aligned with one
another, when the back is straight

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2
Q

Base of Support

A

foundation that supports an object

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3
Q

Body Mechanics

A

efficient and safe use of the body by the coordination of body
alignment, balance, and movement

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4
Q

Center of Gravity

A

point where most weight is concentrated for an object or body

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5
Q

Fowler’s Position

A

resident reclined in a sitting position, at 45 to 60 degrees

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6
Q

Full-sling Mechanical Lift

A

mechanical device that uses a sling and used to transfer
residents who cannot assist or are too heavy for the staff to transfer themselves

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7
Q

High Fowler’s Position

A

resident sitting up almost straight, at 60 to 90 degrees

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8
Q

Lateral Position

A

resident positioned on right or left

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9
Q

Logrolling

A

turning the resident as a unit, while maintaining the head, back, and legs
in a straight line

. best with 2 people, a draw sheet , and a count of 3

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10
Q

Mechanical Lift

A

mechanical devices used to transfer residents from one area to
another, such as to and from bed, to and from chairs

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11
Q

Prone Position

A

resident positioned on abdomen

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12
Q

Sims Position

A

resident positioned in left side-lying position

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13
Q

Stand-assist lift

A

mechanical device used to transfer residents, who can bear some
weight, follow directions, can sit on the side of the bed, and can bend hips, knees, and
ankles

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14
Q

Supine Position

A

resident positioned flat on back

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15
Q

Body Mechanics – Importance

A

Maximizes strength, minimizes fatigue, avoids muscle
strain and injury, and assures personal and resident
safety

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16
Q

The ABC’s OF GOOD BODY MECHANICS

A

. Alignment
o Base of Support
o Coordination

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17
Q

ALIGNMENT

A

.Also known as posture
* How the head, trunk, arms, and legs are aligned with one
another, when the back is straight

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18
Q

ANATOMIC POSITION

A

When you stand up straight, a line can be drawn straight
down through the center of your body and the two sides
of body are mirror images of each other, with body parts
lined up naturally, arms at the side, palms directed
forward, and feet pointed forward and slightly apart

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19
Q

ALIGNMENT WHEN LIFTING /AN CARRYING AN OBJECT

A

o Keep the object close to the body
o Point feet and body in direction you are moving
o Do not twist at the waist

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20
Q

THE BASE OF SUPPORT

A

. For a person, the feet are the base of support (legs
shoulder-length apart is ideal)

. Wide base of support more stable than narrow base of
support

.Foundation that supports an object

21
Q

CENTER OF GRAVITY

A

Point where most weight is concentrated for an object or
body

22
Q

WHERE IS THE CENTER OF GRAVITY ON A STANDING PERSON

A

THE PELVIS

23
Q

A LOW CENTER OF GRAVITY

A

gives you a more stable base of
support and balance is increased

24
Q

By bending knees to lift an object, instead of at the waist

A

o Center of gravity lowered
o Stability increases
o Less likely to strain muscles

25
CENTER OF GRAVITY WHEN MOVING A PATIENT
center of gravity includes the resident, so resident needs to be close to your body as possible
26
Points to Remember When Lifting
When given a choice, push or slide objects rather than lifting them * Use large muscles of upper arms and thighs to lift * Keep movements smooth when lifting and do not twist or make jerky movements * Face object or person when moving * Use both arms and hands when lifting, pushing or carrying objects
27
Changing Linen
Raise bed to about waist height when changing linen
28
Lifting an Object off the Floor
* Bend hips/knees and get close to object before lifting * Face object * Grip the object firmly with both hands * Move smoothly and not jerky * Lift by pushing up with strong leg muscles . Use wide base of support . Get help when needed
29
A Resident is About to Fall
* Simply control direction of fall by easing resident to floor, protecting head * Keep resident still until nurse can check for injuries * DO NOT try to hold the resident up because it can hurt nurse aide and resident * DO NOT try to hold the resident up because the nurse aide may lose balance and both land on floor
30
ANGLE OF THE BED
1. THE BED FRAME 2. HEAD of the BED determine the angle of the bed
31
the degrees bed angles are measured
0 - 90 degrees
32
0 degrees
flat bed supine ( on back) prone ( on stomach)
33
Fowlers Position
45-60 degrees RECLINED sitting position
34
High Fowler's Position
60-90 degrees SITTING UPRIGHT almost straight
35
As the head of the bed is being RAISED the angle area is
the area between the bottom of the mattress at the head end of the bed and the bed frame As the head of the bed is raised, the angle increases
36
WHEN USING A PROTRACTOR If the head of the bed is facing the right (you’re right)
If the head of the bed is facing the right (you’re right) use the bottom numbers to illustrate angles of bed positions
37
WHEN USING A PROTRACTOR If the head of the bed is facing the left (you’re left)
use the top numbers to illustrate angles of bed positions
38
IMPORTANCE OF REGULAR POSITIONING
. Changes and correct alignment o Promote well-being and comfort o Promote easier breathing o Promote circulation o Prevent pressure ulcers and contractures
39
Reposition in bed or chair at least every
2 HOURS ( OR MORE frequently PER PLAN
40
To create floating (or elevated) heels
place pillow under calves
41
SUPINE
Lies flat on back with arms and hands at the side facing UP (sUPine) Place pillows or a padded board (footboard) against the feet to keep the feet positioned correctly
42
PRONE
Lying on abdomen
43
LATERAL
lying on the right or left side
44
SIMS
LEFT SIDE- LYING POSITION
45
2 types of mechanical Lifts
1. Dedependent residents: FULL- SLING 2. those that have weight bearing capability ( STAND ASSIST LIFT must be 18 years old to use a lift
46
FULL SLING LIFT
Used for residents who o Cannot assist during transfers o Are heavy o Have physical limits which do not allow for other methods of transfer
47
BEFORE USING A FULL SLING A NURSE AIDE MUST KNOW
1. Resident’s level of function or dependency 2. What type and size of sling to use
48
STAND ASSIST LIFT
Used when resident can o Bear some weight on legs, is able to stand, has some arm strength o Can bend hips, knees, and ankles o Can sit on side of bed o Can follow directions