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body mech key points

BODY MECHANICS AND PT MOBILITY KEY POINTS

QuestionAnswer
THE MUSCULOSKELETAL SYSTEM MUST BE PROTECTED TO PREVENT INJURY TO BOTH PT AND NURSE LESS EFFORT IS REQUIRED TO CARRY OUT AN ACTIVITY IF THE BASE OF SUPPORT IS WIDENED IN THE DIRECTION OF MOVEMENT
APPROPRIATE BODY MECHS SHOULD BE PRACTICED DAILY MAINTAINING CORRECT BODY ALIGNMENT IS THE KEY TO PROPER BODY MECHS
CORRECT BODY ALIGNMENT PROMOTES BALANCE AND HELPS COORDINATE MOVEMENTS PERMANENT DISABILITY CAN OCCUR FROM INAPPROPRIATE POSITIONING
PROPER POSITIONING PROVIDES ACTIVITY TO ENHANCE COMFORT AND PREPARES PT FOR PROCEDURES IMMOBILITY MAY RESULT FROM ILLNESS OR TRAUMA OR MAY BE PRESCRIBED FOR THERAPEUTIC REASONS. WHATEVER THE REASON, IMMOBILITY MAY HAVE SERIOUS COMPLICATIONS. INTERVENTIONS CAN BE TAKEN TO AVOID THESE COMPLICATIONS
THE NURSE PERFORMS RANGE-OF-MOTIO EXERCISES TO PROMOTE CIRCULATION, PREVENT CONTRACTURES, AND PROVIDE JOINT MOBILITY WHEN TURNING MOVING LIFTING OR CARRYING A PT THE NURSE SECURES ENOUGH ASSISTANCE TO REDUCE STRAIN AND PREVENT INJURY TO BOTH NURSE AND PT OR PERFORMS PROCEDURE SAFETY AND PROPERLY, FACILITATING PT INDEPENDENCE, TEACHING PT AND OTHERS SAFETY IN MOVING
MECHANICAL DEVICES SUCH AS HYDRAULIC LIFT, ROLLER BOARD, AND GURNEY LIFT ARE USED FOR MOVING PT SAFELY THE NURSE USED THE NURSING PROCESS TO PROVIDE CARE FOR PT WHO ARE AT RISK FOR AOR EXPERIENCING ACTIVITY INTOLERANCE EAND IMPAIRED PHYSICAL MOBILITY..
THE NURSE ID AMBULATING MS D, AN 84 YR OLD PT WHO HAS PERIPHERAL VASCULAR DISEASE CAUSING SEVERE STASIS ULCER. MS D BECOMES VERY WEAK, COMPLAINS OF FEELING FAINT, AND BEGINS TO FALL. THE MOST APPROPRIATE ACTION TO PREVENT INJURY TO ME DE WOULD BE TO SUPPORT HER AND ALLOW HER TO SIT ON THE FLOOR
THE PT ACCIDENTALLY KNOCKS THE EMESSI BASIN TO THE FLOOR. WHEN PICKING UP THE EMESIS BASIN, THE PROPER BODY MECHANICS FOR THE NURSE WOULD BE TO LOWER THE BODY BY FLEXING THE KNEES AND BENDING THE HIPS
IT IS THE FIRST NIGHT AFTER AN ABDOMINAL HYSTERECTOMY FOR MS B. SHE HAS NOT VOIDED FOR 9 HRS, AND THE NURSE IS TO INSERT A #16 FOLEY CATHETER INTO HER BLADDER. THE PREFERRED POSITION TO PLACE MS B FOR THE PROCEDURE IS DORSAL RECUMBENT
BACK INJURIES 90 IN 10,000 FOR FULL TIME HEALTH CARE WORKERS AND 70 IN 10,000 FOR CONSTRUCTION WORKERS OSHA STATES THAT ALL HEALTH CARE WORKERS WILL HAVE AT LEAST ONE MUSCLEOSKELETAL INJURY AND MANY WILL BE BACK INJURIES
DEVICES THA HELPS NURSES WITH PT MOBILITY TRAPEZE, GAIT BELT, LIFTS, SLIDERS, TRANSFER CHAIR, AND FRICTION REDUCING PADS
BODY MECHANICS ARE; LIFTING, AMBULATING, TRANSFERRING, POSITIONING AND CARRYING OUT PROCEDURES
ASSISTIVE DEVICES FRONT WHEEL WALKER, CRUTCHES, WHEEL CHAIR, BRACES, TRANSFER BELT, AND ANYTHING THAT AIDS IN PROMOTING PT ACTIVITY
NURSE MUST MAINTAIN WIDE BASE OF SUPPORT STANCE W/ FEET SLIGHTLY APART (THIS HELPS PROVIDE BETTER STABILITY) STABILITY PREVENTS BECOMING OVER BALANCED WHILE CARRYING OUT AN ACTIVITY. (ASSISTING W/ OOB AMBULATING IN ROOM)
BACK CAN BE PROTECTED WHEN NURSE BENDS THE KNEES AND HIPS BEFORE ATTEMPTING VARIOUS ACTIVITIES (ASSISTING OUT OF BED AMBULATING) TO AVOID TWISTING SPINE NURSE STANDS IN FRONT OF THE OBJECT
WHEN STOOPING NURSE FLEXES OR BENDS THE HIPS AND KNEES, MUST MAINTAIN APPROPRIATE BODY ALIGNMENT (KEEP BACK STRAIGHT AVOID BENDING FROM WAIST WILL IN TIME STRAIN THE LOWER BACK.
CARRY OBJECTS CLOSE TO THE MIDLINE OF THE BODY 2HRS OF ACTIVITY FOR PT NOT BED RIDDEN AND TURNED EVERY TWO HOURS FOR PT BED RIDDEN
PARTIALLY IMMOBILE (PARAPLEGIC, QUADRIPLEGIC) THE NURSE WITH A MECHANICAL DEVICE IS NEEDED TO ASSIST THE PT PASSIVE
PT USES THE STRONG ARM TO EXERCISE THE WEAKER OR PARALYZED ARM (NURSE HELPS SOME) ACTIVE ASSISTED
PT CAN MOVE INDEPENDENTLY ACTIVE ROM
Created by: Nicknack10
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