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24 Cards in this Set
- Front
- Back
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Spiral bandage technique is applied to... |
fingers head amputee |
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Figure 8 technique is applied to... |
all joints knee ankle elbow wrist BKA amputee |
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reverse spiral is applied to... |
up and down alternating inserting finger and fold technique |
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Learn proper positioning to.... |
1. avoid pressure areas 2. provide comfort 3. prevent contractures - shortening of the muscles |
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purpose of draping |
to ensure modesty warmth hygiene |
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Positioning is important.... |
1. patient comfort/decrease pain 2. support and stability to pt's trunk & extremities 3. prevent development of pressure sores 4. prevent joint contractures 5. to have easier access to area being treated 6. decrease edema 7. increased function |
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Reasons why worry about positioning |
decreased sensation decreased strength decreased circulation decreased body awareness contractures skin breakdown comfort safety ease transfer diabetics paralysis thin patients |
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Positioning, who is at risk? |
1. elderly 2. person who is unable to communicate his/ her discomfort 3. person is unable to change their own position 4. person with decreased sensation |
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Medicare standards for changing position |
every 2 hours |
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Things used when changing position |
pillows, wedge, blanket, seat cushions, heel protectors, splints, slings and brace |
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Standard positions |
supine prone side lying semi fowler sitting |
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benefits of supine |
good posture |
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benefits of prone |
strengthen the extensors ( pillow under lower abdomen to decrease lumbar lordosis) |
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benefits of side-lying |
helps back pain good for pregnancy good for people with colonoscopy bag ( pt., in center of the bed, pillow at chest/ back to prevent pt. from rolling. pillow under top arm to keep chest open) |
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benefits for semi-fowler |
not a good position but it is used for eating, breathing, visiting 30 -30 degree hip and knee flexion |
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benefits for sitting |
core benefits watch for soften bony prominence elbow at 90 degree |
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Purpose of restraints |
1. protection of patients or others 2. used only when less restrictive interventions do not work ex. belts, straps, body garment, bed rails 3. physical and drug-induced restraints must be ordered by a physician responsible for care of the pt. |
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how position can impair patient's mobility? |
1. recliner chairs limit ability to stand or walk 2. pillows can prevent or impede movement 3. side rails prevent voluntary movement ( make sure to leave call bells when exiting the room- document) 4 bed rails at one time = restraints |
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what to remember about restraints? |
1. must be trained for restraints 2. must have doctor's order 3. must follow rules, regulations and guidelines 4. " Patients have a right to be free from the use of seclusion or restraints" |
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Common movements of bed mobility |
1. turning from supine to sidelying position 2. supine to prone 3. moving in bed upward, downward and lateral 4. rolling 5. bridging exercises 6. moving from lying to sitting EOB |
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prone to sit vs. supine to sit |
prone to sit= all extensor supine to sit= all flexor |
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ischemia leads to .... |
necrosis |
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What not to do when using doing bed mobility? |
1. do not use extra padding on bony areas it can cause extra pressure use a donut instead 2. do not allow friction- it leads to shearing 3. do not prolonged positions- make sure to reposition the patients every 2 hours/ teach pressure relief techniques. |
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Common pressure sources |
1. improper positioning 2. bedrails 3. blankets tucked under over feet tightly 4. foot plate of inpatient bed 5. cords- call button, catheter line, phone |
