University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2023
Views:

318

Pages:

1
Author:

5prinzg1s

ACTIVE L ARNING TEMPLATE: Basic Concept STUDENT NAME _____________________________________ Ergonomics/ Positioning clients CONCEPT ______________________________________________________________________________ Related Content Underlying Principles (E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES) Position clients, especially those who are unable to move themselves, so that they maintain good body alignment. Frequent position changes prevent discomfort, contractures, pressure injury - Use pillows, bath blankets, hand rolls, trochanter rolls, ankle support devices Transfers: - Evaluate each situation and use an algorithm to determine the safest method to transfer or move the client. - Determine the clients ability to help with transfers - Evaluate the need for additional staff or assistive devices - Assess and monitor the use or mobility aids ACTIVE LEARNING TEMPLATES REVIEW MODULE CHAPTER ___________ Nursing Interventions WHO? WHEN? WHY? HOW? Bed and client positions: - Semi-Fowlers, the client lies supine with the head of the bed elevated 15-45 degrees. This position prevents regugitation of enteral feedings and aspiration by clients who have difficulties with swallowing - High-Fowlers, the client lies supine with the head of the bed elevated 60-90 degrees. This position promotes lung expansion by lowering the diaphragm and helps relieve sever dyspnea. - Lateral or side-lying: The client lies on their side with most of the weight on the dependent hip and shoulder and the arms in flexion in front of the body. This is a good sleeping position, but the client needs turning regularly to prevent the development of pressure ulcers on the dependent areas. Preventing Injury: - Know your facilitys policies for lifting and safe client handling - Have one or more staff members assist with positioning clients. Moving them up in bed is a significant cause of back pain and injury - Plan ahead for activities that require lifting, transfer, and ambulation of a client. - Prepare the environment by removing obstacles prior to the procedure - Explain the process to the client and assistants to clarify their roles - Keep your head and neck in a straight line with your pelvis to avoid neck flexion and hunched shoulders, which can cause impingement of nerves in your neck. - When standing for long periods of time, flex your hips and knees by using a footrest. When sitting for long periods of time, keep your knees slightly higher than your hips THERAPEUTIC PROCEDURE A1