Ch. 15 Body Mechanics – Flashcards
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Side-lying position
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Another name for lateral position
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Body alignment
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The way in which the head, trunk, arms, and legs are aligned with one another
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Lateral position
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also called the side-lying position
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Dorsal recumbent-position
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the same as the back-lying or supine position
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Base of support
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the area on which an object rests
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Sim's posiiton
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a left side-lying position in which the upper leg is sharply flexed so that is not on the lower leg and the lower arm is behind the person
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Fowler's position
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a semi-sitting position with the head of the bed elevated 45 to 60 degrees
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Prone position
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lying on the abdomen with the head turned to one side
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Body mechanics
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using the body in an efficient and careful way
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Supine position
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the back-lying or dorsal recumbent position
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Posture
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body alignment is the way in which body parts are aligned with one another
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Ergonomics
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the science of designing the job to fit the worker
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Semi-prone side position
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another name for the Sim's position
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Using good body mechanics will
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reduce the risk of injury
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For a wider base of support
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stand with your feet apart
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When you bend your knees and squat to lift a heavy object, you are
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using good body mechanics
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If you need to move a heavy object
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push slide, or pull the object get help from a co-worker bend your hips and knees to lift from the floor
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Work related musculoskeletal disorders (WMSDs) are a risk
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when force or repeating action is used when moving persons
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If you have pain when standing or rising from a seated position you
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may have a back injury
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According to OSHA, which of these is not a factor that can lead to back disorders?
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getting help when lifting or moving persons
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Which of these activities will help you to prevent back injury?
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have a co-worker help you to move heavy objects
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Regular position changes and good alignment
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promote comfort and well-being
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A resident who depends on the nursing team for position hangs needs to positioned
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at least every 2 hours
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Linens need to be clean, dry, and wrinkle free to help prevent
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pressure ulcers
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Persons with heart and respiratory disorders usually can breathe more easily in the
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Fowler's position
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Most older persons have limited ROM in their necks and do not tolerate the
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sims' position
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When positioning a person in the supine position, the nurse may ask you to place a pillow under the person's lower legs to
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lift the heels off the bed
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A small pillow is positioned against the person's back in the
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Lateral position
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Older persons usually are not comfortable in the
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Sim's position
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In the chair position, a pillow is not used
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behind the back if restraints are used
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Where are strong, large muscles located that are used to lift and move heavy objects?
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shoulders, upper arms, hips, and thighs
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Back injuries are a major risk when lifting. For good body mechanics you should
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bend you knees and squat and lift hold close to your body and base of support
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Describe force for MSDs in nursing centers
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amount of physical effort needed to perform a task
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Describe repeating action for MSDs in nursing centers
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performing motion continuously of frequently
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Describe awkward postures for MSDs in nursing centers
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assuming positions that place stress on the body
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Early signs and symptoms of WMSDs are
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pain, swelling
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What inuring tasks are known to be high risk for WMSDs
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transfers trying to shop a person from falling picking up a person form the floor to the bed lifting alone lifting persons who are confused/uncooperative lifting persons who cannot support their own weight lifting heavy persons weighing a person moving a person up in bed repositioning a person in bed or in a chair changing a incontinence product making beds dressing and undressing a person feeding a person in bed giving a bed bath apply anti-ebolism stockings
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Instructions to reposition a person are received from the
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nurse and the care plan
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If you are delegated the task to position the person, what information do you need?
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position or position limits advised by the doctor how often to turn and reposition the person how many staff members need to help you what assist devices to use what skin care measures to perform what ROM exercises to perform where to place pillows what positioning devices are needed and how to use them what observations to report and record when to report observations what specific patient or resident concerns to report at once
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Good alignment for Fowler's position
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spine is straight head is support with small pillow arms are supported with pillows
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Good alignment for supine position
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bed is flat head and shoulders are support on a pillow arms and hands are at the sides
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Good alignment for prone position
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bed is flat small pillows under head, abdomen and lower legs arms are flexed at elbows with hands near the head
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Good alignment for lateral position
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bed is flat pillow under head and neck upper leg is in front of lower leg ankle, upper leg and thigh are supported with pillows small pillow against back small pillow under upper hand and arm
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Good alignment for Sims' position
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bed is flat pillow under head and shoulder upper leg supported with a pillow pillow is under upper arm and hand
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Good alignment for chair position
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back and butt are against back of chair feet are flat on floor or wheelchair foot plants backs of knees and calves are slightly away from edge of seat
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How you perform your tasks as a nursing assistant affects?
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your patient's comfort and safety and your own well being
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The principles of body mechanics involve
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good posture balance using strongest and largest muscles for work
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Regular position changes and good alignment promote
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comfort, well being, breathing, and circulation
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What does good alignment prevent?
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pressure ulcers and contractures