Safe Patient Handling & Fall Risk Assessment Flashcards
3 assessment for safe patient handling
assess the room for fall risk
assess the patient’s ability to assist with moving
establish weight-bearing status
3 common symptoms during transfer out of bed
Weakness
Dizziness
Low blood pressure
4 assistive devices
Crutches
Walker
Wheelchair
Scooter
a transfer equipment for patients who cannot bear weight or who is uncooperative
Mechanical lift
a transfer equipment that has frictionless slide across bed to stretcher; can use a pull sheet
transfer board
a transfer equipment that maintains stability of patient during transfer; movement of patient at centre of gravity
Transfer Belt (Gait)
Ability to move at the joint.
Range of motion
Importance of movement for Cardiovascular system
Increased Cardiac Output
Decreased resting heart rate
Increased perfusion to the rest of the body
Importance of movement for metabolic and musculoskeletal system
Increases range of motion
Increased basal metabolic rate
Increases gastric mobility
Increased production of body heat
Increased muscle tone
Increased joint mobility
Reduced bone loss with increase in muscle mass
Importance of movement for pulmonary system.
Increase oxygen demand
Increased alveolar ventilation
Alveolar strength and flexibility
Decreas risk of atelectsis
Nursing Intervention for deconditioning syndrome via circulatory
6 P’s
Compression stockings
Passive range of motion
CSM
Nursing Intervention for deconditioning syndrome via musculoskeletal
Isotonic/isometric exercises,
passive ROM
Nursing Intervention for deconditioning syndrome via neurological
GCS
MSE
AxO x3
Nursing Interventions for deconditioning syndrome via Gastrointestinal
IPAPS
Frequent abdominal assessment
Intake and output assessment
Bristol Stool Chart
Nursing Interventions for deconditioning syndrome via integumentary
Braden Scale
Frequent assessment of posterior skin surfaces
Skin integrity
Repositioning every 2-3 hours
Frequent assessment of incontinence
Nursing interventions for deconditioning syndrome via respiratory
Incentive spirometry and deep breathing and coughing exercises
Tripod positioning, high fowlers
Daily ambulation
Respiratory system
Occurs when certain muscles and joints are not utilized for a long period of time
Deconditioning syndrome
Refers to the relationship of one body part to another along a horizontal or vertical axis.
Body alignment
The awareness of the position of the body and its parts.
Proprioception
The measurement for crutches height
2-3 finger widths between the top of the crutch and axilla
What contributes to the risk of falls in the hospital?
Bed rails not raised by 2
Bed not in lowered position
Call bell not within reach
Whats the goal for Acute Phase of Care (Hospitalization)
Maintain joint mobility, prevent complications of immobility, and increase activity tolerance.
Whats the Goal for Restorative Phase of Care (Chronic Illness)
Regain mobility, restore and promote optimal functioning
Where weight is equally distributed/dispersed to maintain stability?
Centre of Gravity
