1 / 51

Positioning Patients

Positioning Patients. THE IMPORTANCE OF ACTIVITY. INCREASES MUSCLE STRENGTH MAINTAINS BODY FLEXIBILITY IMPROVES RESPIRATORY FUNCTION PREVENTS POOLING OF FLUID IN THE LUNGS IMPROVES CIRCULATION HELPS MAINTAIN HEALTHY SKIN PROMOTES EFFECTIVE ELIMINATION AIDS DIGESTION

korene
Download Presentation

Positioning Patients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Positioning Patients

  2. THE IMPORTANCE OF ACTIVITY • INCREASES MUSCLE STRENGTH • MAINTAINS BODY FLEXIBILITY • IMPROVES RESPIRATORY FUNCTION • PREVENTS POOLING OF FLUID IN THE LUNGS • IMPROVES CIRCULATION • HELPS MAINTAIN HEALTHY SKIN • PROMOTES EFFECTIVE ELIMINATION • AIDS DIGESTION • RELIEVES STRESS

  3. COMPLICATIONS OF BEDREST EVERY BODY SYSTEM IS AFFECTED CONTRACTURE AN ABNORMAL SHORTENING OF THE MUSCLE DUE TO LACK OF USE. THE MUSCLE IS FIXED INTO POSITION, IS DEFORMED, AND CANNOT STRETCH. THE PERSON WITH A CONTRACTURE IS PERMANENTLY DISABLED

  4. ATROPHY ATROPHY – A DECREASE IN SIZE OR A WASTING AWAY OF MUSCLE TISSUE. CAUSED BY LACK OF USE

  5. DECUBITUS ULCER A BREAKDOWN IN SKIN TISSUE THAT OCCURS WHEN BLOODFLOW TO AN AREA IS INTERRUPTED

  6. MORE DECUBITI

  7. BODY ALIGNMENT THE TRUNK OF THE PERSON SHOULD BE IN A STRAIGHT LINE WHEN THE PATIENT IS LYING DOWN

  8. PROPER POSITIONING IN A CHAIR THE PATIENT IN A CHAIR SHOULD SIT UP STRAIGHT THE BACKS OF HIS KNEES SHOULD BE SLIGHTLY AWAY FROM THE SEAT OF THE CHAIR HIS LOWER BACK SHOULD REST AGAINST THE BACK OF THE CHAIR HIS FEET SHOULD EITHER REST ON THE FLOOR OR ON A STOOL

  9. RESTORATIVE EQUIPMENT DESIGNED TO HELP THE PATIENT MAINTAIN CORRECT BODY ALIGNMENT AND PREVENT COMPLICATIONS BED CRADLE KEEPS THE WEIGHT OF THE LINENS FROM PRESSING ON THE PATIENT’S BODY

  10. FOOT BOARD KEEP THE FOOT IN A NATURAL POSITION TO PREVENT FOOT DROP (PLANTER FLEXION)

  11. FOOT DROP BOOT HELPS PREVENT FOOTDROP

  12. HAND ROLL PERMITS THE HAND TO FLEX SLIGHTLY AND PREVENTS CONTRACTURES OF THE FINGERS

  13. ASSISTING IN POSITIONING AND TURNING • IF THE PATIENT IS UNABLE TO CHANGE POSITION INDEPENDENTLY , YOU WILL NEED TO ASSIST . • PATIENTS NEED TO BE TURNED EVERY TWO HOURS.

  14. BASIC BODY POSITIONS Lateral position

  15. Fowler’s position is a semi‑sitting position. • The spine is kept straight. • The head is supported with a small pillow. • The arms are supported with pillows. • The supine (dorsal recumbent) position is the back‑lying position. • The bed is flat. • The head and shoulders are supported on a pillow. • Arms and hands are at the sides.

  16. Prone position • The person lies on the abdomen with the head turned to one side. • The bed is flat. • Small pillows are placed under the head, abdomen, and lower legs. • Arms are flexed at the elbows with the hands near the head. • Lateral position (side-lying) • A pillow is under the head and neck. • The upper leg, ankle, and thigh are supported with pillows. • A pillow is positioned against the person’s back. • A small pillow is under the upper arm and hand.

  17. ORTHOPNEIC POSITION FREQUENTLY USED BY PATIENTS WITH RESPIRATORY PROBLEMS HELPS EXPAND THE CHEST AND LUNGS TO ALLOW MORE OXYGEN TO ENTER

  18. MOVING PERSONS IN BED • Protect the skin when moving the person. • Friction is the rubbing of one surface against another. • Shearing is when the skin sticks to a surface while muscles slide in the direction the body is moving. • To reduce friction and shearing: • Roll the person or use assist devices. • Use a lift sheet (turning sheet), turning pad, large incontinence product, slide board, or slide sheet.

  19. SHEARING THE SKIN STICKS TO THE SURFACE BUT THE INTERNAL STRUCTURES ( BONE AND MUSCLE ) SLIDE IN THE DIRECTION THE BODY IS MOVING OCCURS WHEN THE PATIENT SLIDES DOWN IN BED

  20. RAISING THE PATIENT'S SHOULDERS

  21. RAISING THE SHOULDERS WITH TWO HELPERS

  22. ASSISTING A PATIENT TO MOVE UP IN BED IF THE PATIENT CAN ASSIST: HAVE THE PATIENT GRASP THE HEADBOARD AND BEND HIS KNEES PLACE YOUR FOREARMS UNDER HIS SHOULDERS AND KNEES LIFT AT THE COUNT OF THREE

  23. MOVING UP IN BED IF THE PATIENT HAS A TRAPEZE ON THE BED HAVE THE PATIENT GRASP THE TRAPEZE AND BEND AT THE KNEES

  24. USING A LIFT SHEET A LIFT SHEET MAKES LIFTING EASIER HELPS PREVENT FRICTION AGAINST THE PATIENT’S SKIN TAKES TWO WORKERS TO LIFT IF PATIENT CAN HELP HAVE HIM BEND HIS KNEES USE FOR PERSONS WHO CAN NOT HELP WITH THE MOVE

  25. MOVING A PATIENT TO THE SIDE OF THE BED THE PERSON IS MOVED IN SEGMENTS

  26. TURNING A PATIENT

  27. PROPER POSITIONING FOR LATERAL POSITION

  28. LOGROLLING A PATIENT WHO HAS A SPINAL INJURY OR SPINAL SURGERY MUST BE KEPT IN GOOD BODY ALIGNMENT WHEN TURNING. USING A LIFT SHEET THE PERSON IS TURNED IN ONE MOTION. IT TAKES 2 OR 3 PERSONS TO SAFELY LOGROLL A PATIENT.

  29. ASSISTING TO DANGLE DANGLING REFERS TO SITTING ON THE SIDE OF THE BED WITH THE FEET HANGING DOWN

  30. DO NOT LEAVE THE PATIENT ALONE WHEN DANGLING. HAVE THE PATIENT COUGH, DEEP BREATHE, AND EXERCISE THEIR LEG MUSCLES WHEN DANGLING. IF THE PATIENT BECOMES DIZZY LIE HIM DOWN. CHECK THE PERSON’S PULSE AND RESPIRATIONS

  31. ASSISTING THE PATIENT TO TRANSFER

  32. DO NOT ALLOW THE PERSON TO PUT HIS ARMS AROUND YOUR NECK • MAKE SURE YOU LOCK THE WHEELS ON THE BED AND WHEELCHAIR

  33. RULES FOR GAIT BELT / TRANSFER BELT • APPLY THE BELT AROUND THE PERSON’S WAIST, OVER THE CLOTHING. • TIGHTEN THE BELT SO IT IS SNUG. IT SHOULD NOT CAUSE DISCOMFORT OR IMPAIR BREATHING. YOU SHOULD BE ABLE TO SLIDE YOUR OPEN HAND UNDER THE BELT. • PLACE THE BUCKLE SLIGHTLY OFF CENTER IN THE FRONT. • DO NOT USE WITH PATIENTS WITH FRACTURED RIBS, ABDOMINAL SURGERY, OR HAVING BREATHING DIFFICULTIES

  34. NOTE THE POSITION OF THE CNA’S HANDS ON THE GAIT BELT NOTE HIS USE OF PROPER BODY MECHANICS NOTE THE PLACEMENT OF HIS KNEES AGAINST THE KNEES OF THE PATIENT

  35. MECHANICAL LIFT ALSO CALLED HOYER LIFT USED TO TRANSFER PATIENTS WHO ARE PARALYZED, VERY HEAVY, OR DIFFICULT TO MOVE YOU NEED AT LEAST 2 STAFF MEMBERS TO SAFELY USE A MECHANICAL LIFT

  36. MANY FACILITIES HAVE “NO LIFT” POLICIES. A SPECIAL LIFT IS USED TO STAND AND MOVE RESIDENTS IF YOUR FACILITY HAS THIS RESTRICTION.

  37. PARALYZED PERSONS USE A TRANSFER BOARD FOR TRANSFER FROM WHEELCHAIR TO BED

  38. THE WHEELCHAIR IS PLACED AT A RIGHT ANGLE TO THE TOLIET

  39. TRANSFER FROM BED TO STRETCHER TAKES 4 OR MORE STAFF USE A LIFT SHEET OR SLED TO PULL PATIENT OVER ONTO CART

  40. REPOSITIONING A RESIDENT IN A WHEELCHAIR • LOCK THE WHEELS AND MOVE THE FOOTRESTS OUT OF THE WAY • DO NOT PULL THE RESIDENT UP BY THE ARMS • TO AVOID INJURY TO THE RESIDENT USE TWO STAFF MEMBERS

  41. SAFETY MEASURES WITH WHEELCHAIRS • ALWAYS LOCK THE BRAKES WHEN TRANSFERRING • CLEAN THE WHEELCHAIR ON A REGULAR BASIS • MOVE THE FOOTRESTS OUT OF THE WAY WHEN TRANSFERRING

  42. CARDIAC CHAIR GERI-CHAIR

  43. BACK INTO THE ELEVATOR SO THE PATIENT FACES THE FRONT BACK DOWN A RAMP WITH A WHEELCHAIR

  44. TRANSFER THE PATIENT FEET FIRST DOWN A RAMP ENTER THE ELEVATOR HEAD FIRST

More Related