Week Two Flashcards
What are the most common safety hazards occurring through the life cycle?
age and development, lifestyle, mobility and health status, sensory perceptual alterations, cognitive awareness, emotional state, ability to communicate, safety awareness, environmental factors
What is the purpose of the NAtional Patient Safety Goals?
System wide solutions. bar coding medication patient identification, number of times you ask about surgery
Bioterrorism
intentional attack using weapons of viruses, bacteria, and other germs
What is an adult home hazard appraisal?
Assessing the home for potential causes of falls, fires, poisoning, suffocation, and other accidents
Four specific phases of disaster planning
mitigation, preparedness, response, recovery
RACE
Remove clients from danger, activate fire alarm, contain the fire, extinguish the fire when confinable and evacuate the area as directed
Hendrich Assessment
get up and go test - fall assessment
Safety Monitoring Device
Leg Band Alarm, Bed Exit Monitoring Alarm. side rails do not protect all clients from falls
Restraints
protective devices used to limit the physical activity of the client or a part of the body
Physical Restraint
any manual method or physical or mechanical device, material, or equipment attached to the client’s body. They cannot be moved easily and they restrict the client’s movement
Chemical Restraint
Medication
Reasons for restraint use acceptable
to avoid and/or prevent purposeful or accidental harm to the client, to do what is required to provide medically necessary treatment that could not be provided by any other means
How long after applying restraints must the RN have to practitioner see the client face-to-face?
1 hour for evaluation
How long is a written restraint order valid for?
4 hours
Surgical Care- How long after applying restraints must the RN recieve the primary care’s written order?
12 hours
Surgical Care - How often must the restraint order be renewed?
daily
What do both standard of restraints require?
reason, time frame, type of restraint, continual monitoring, RN documentation that the need for the restraint was made clear both to client and support person, clients have a right to be free from restraints that are not medically necessary, restraints cannot be used for staff convenience or client punishment, restraints use only after every possible means of ensuring safety are unsuccessful and documented
Alternatives to restraints
buddy systems take turns staying with and observing client, place unstable client sin an area that is constantly or closely supervised, prepare clients before a move to limit relocation shock and confusion, stay with client using a bedside commode or bathroom if client is confused or sedated or has a fait disturbance or a high risk score for falling, monitor meds, lowest position beds, use 1/2-3/4 rather than full length side rails, removable lap table, wedge pillows or pads against the sides of wheelchairs, relaxation techniques, personal items, ongoing assessment
Jacket (vest)
safety of confused or sedated clients
Extremity Restraint
immobilize limb for therapeutic reasons
Waist/Belt Restraint
used when moved on stretcher or wheelchair
Elbow Restraints
used to prevent infants and small children from flexing elbow
Mitt Restraint
prevent confused client from using hands or fingers to scratch or injure themselves or pulling medical equipment out
Four basic elements for body alignment and mobility
alignment and posture, joint mobility, balance, coordinated movement
Alignment and Posture
bring body parts into position in a manner that promotes optimal balance and max body function whether the individual is standing, sitting, or lying down
Three important principles of alignment and posture
center of gravity, line of gravity, base of support
Center of Gravity
point at which all of the body’s mass is centered
Line of Gravity
imaginary line drawn through the body’s center of gravity
Posture
position of the body in relationship to the surrounding space.
Base of Support
foundation on which the body rests, the broader the base of support and the lower the center of gravity, the greater the stability and balance
Joint Mobility
functional unit of the musculoskeletal system
ROM
maximum movement that is possible for a joint
Pronation
moving the bones of the forearm so that the palm of the hand faces downward when held in front of the body
Eversion
turning the sole of the foot outward by moving the ankle joint
Extension
increasing the angle at the joint
supination
moving the bones of the forearm so the the palm of the hand faces upward when held in front of the body
Internal Rotation
inward movement of the bone around it’s central axis
Abduction
movement of the bone away from the midline of the body
Adduction
movement of the bone toward the midline of the body
Flexion
Decreasing the angle of the joint
Dorsi-flexion
point the toes of each foot upward
inversion
turning the sole of the foot inward by moving ankle joint
hyperextension
further extension or straightening of the joint
plantar flexion
point the toes of each foot downward
external rotation
external movement of the bone around its central axis
Balance
mechanisms involved in maintaing balance and posture.
Balance body parts
labyrinth (inner ear), vision, stretch receptors of muscles and tendons
Proprioception
awareness of posture, movement, changes in equilibrium, knowledge of position, weight, resistance of objects in relation to body
Coordinated Movement
balanced, smooth, purposeful movement is the result of proper functioning of cerebral cortex, cerebellum
Cerebral Cortex
initiates voluntary motor activity
Cerebellum
coordinates the muscles involved in voluntary movement
Isometric Exercise
muscle contraction without moving the joint (no change is muscle length), exerting pressure against a solid object, mild increase in HR and cardiac output, no apparent increase in blood flow to other parts of the body, strengthening abdominals, gluteal, and quads, maintaining strength in immobilized muscles in casts or traction, endurance training
Isotonic Exercise
Muscle shortening to produce muscle contraction and active movement, HR and cardiac output increase to increase blood flow to all parts of the boy, useful for increasing muscle tone, mass, and strength, running, walking, swimming, cycling
Isokinetic Exercise
resistive exercise, an increase in BP and blood flow to muscle occurs, muscle contraction or tension against resistance, used in physical conditioning and build up certain muscle groups, lifting weights
Example Isokinetic
weight lifting
Example Isotonic
swimming, walking, running, cycling
Example Isometric
quad sets
Aerobic Exercise
activity during which the amount of oxygen taken in the body is greater than that used to perform the activity. use large muscle groups that move repetitively, improve cardiovascular conditioning and physical fitness
Anaerobic Exercise
involved activity in which muscles cannot draw out enough oxygen from the blood stream and anaerobic pathways are used to provide additional energy for a short time. endurance training, weight lifting, sprinting
Preambulatory exercises
strengthen muscles for walking for clients who have been immobilized for a prolonged period. Quad drills or sets
Passive ROM
another person moves each of a client’s joints through complete range of movement as ordered while awake to maintain joint flexibility
Active ROM
isotonic exercises in which the client moves each joint in the body through its complete range of motion to maintain or increase muscle strength and endurance, help to maintain cardiorespiratory function in immobilized client, prevent deterioration at joint capsules and contractures
Active Assistive ROM
client uses stronger opposite arm or leg to move each joint of a limb incapable of active motion and continues movement passively to its max degree to learn to support and move the weak arm or leg and increase active movement on the strong side and maintain joint flexibility on the weak side
stance phase
hell of one foot strikes the ground, body weight is spread over that foot while the other heel pushes off and leaves the ground
swing phase
leg from behind moves in front of the body
friction
a force acting parallel to the skin surface
how much are we allowed to lift
35 pounds
bad things body mechanics
twisting, stooping