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30 Cards in this Set

  • Front
  • Back
Friction
The rubbing of one surface against the other
Shearing
When the skin sticks to a surface and the bones move forward or backward with in the skin
Log rolling
Moving the body as a unit, with out twisting or bending
General Rules of Body Mechanics
1. Good alignment and wide base of support
2. use larger muscles - shoulders, upper arms, thighs, hips and abs.
3. Keep objects close to your body
4. Avoid bending and reaching
5. Avoid twisting, face the area you are moving in
6. Push, slide, or pull rather then lift
7. Use both hands and arms when lifting
8. turn you whole body when changing directions
9. work with smooth and even movements
10. get help with heavy objects or residents
11. squat to lift heavy objects
General Rules of Using Mechanical Lifts
1. Lifts are used to transfer helpless and very heavy residents
2. Check to see that the lift is working
3. Two workers are needed (caregiver/spotter)
4. Follow facility problems
Moving the resident to a wheel chair or geri-chair
1. use transfer belt or gait
2. use a pad for comfort
3. ask for assistance
4. move the body as a unit
Positioning
Fowler's Position: HOB elevated to 35 degrees
Supine Position
Prone Position
Lateral Position
Chair position
Sims Position - used to administer an enima
Range of Motion (ROM)
the movement of a joint to the extent possible with out pain
Muscle Atrophy
a decrease in size or wasting away of tissue
Contracture
the abnormal shortening of a muscle
Plantar flexion
the foot is pointed downward
Foot Drop
Permanent Plantar Flexion
Active ROM (AROM)
The resident performs range of motion independently
Active Assistive ROM (AAROM)
Resident does exercise with help from staff
Passive ROM (PROM)
Staff member does exercises for resident (support at joints)
Pros and Cons of Bed Rest
Pros: reduces pain and promotes healing
Cons: promotes lack of exercise and serious complications, pressure sores, constipation, fecal impaction, blood clots, UTI, URI, Muscle Atrophy
Positioning aids
Trocanter Roll: rolled to the hip to prevent abduction
hand roll
finger cushion
plam cone
Range of Motion (ROM)
1. Purpose: Promotes restoration, prevention, maintenance
2. Factors that Affect ROM: arthritis/bursitis, pain, contractures, swelling
Ambulation
walking
a falling resident should be eased to the floor
Walking Aids
1. crutches
2. Canes
3. Walkers
4. Braces
5. AFO (Ankle Foot Orthotics)
Activities of Daily Living (ADL)
self-care activities a person performs daily to remain independent and to function in society
Prothesis
an artificial replacement for a missing body part
Orthotics
appliances for othopedic use
Rehabilitation
the process of restoring a person to the highest possible functioning level (done by therapies)
Restorative Nursing
Care that helps person regain their health, strength, and independent, completed by nursing
Physical considerations and aspects of rehabilitation
Prosthesis and orthotics,
contractures,
pressure sores,
Bowel and Bladder (B/B) training,
ADL's, special devices to assist with eating, dressing, holding, walking, etc.
Physical and Social Considerations
Self Esteem and relationships with others are affected
changes in body appearance
may expect therapy to work with disability
may become depressed, andry, and hostile
Responsibilities of the Nursing Assistant for Rehab
1. follow the instructions given to you carefully
2. report early S/S of complications - decubs, contractures, and B/B problems
3. Keep the person in good alignment at all times
4. practice measures to prevent decubs - turn q 2 hours
5. tun and reposition as directed
6. Encourage the person to do ADLs as much as possible
7. Give praise and emotional support
8. know how to apply self0care devices
9. Do not pity the person, convey hopefulness
10. Practice the task the person must perform
Eye Glasses
1. Clean daily with hot water, wipe with cloth
2. Store in case in drawer
3. Do not lie glasses on their lens
Hearing Aids
1. Clean with soap and water only the piece that goes in the ear
2. check for working battery
3. know how to insert specific advice
4. store in a drawer or give to the nurse at bed time