POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS by raz34238

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									POSITIONING, TURNING,
MOVING,AND
TRANSFERING PATIENTS
INTRODUCTION

   RESPONSIBILITY OF HEALTH CARE
    WORKER
   IF PROCEDURES DONE
    CORRECTLY, PROVIDE PATIENT
    WITH OPTIMUM COMFORT AND
    CARE
   ALSO HELP WORKER PREVENT
    INJURY TO SELF
   CORRECT BODY MECHANICS
    ESSENTIAL FOR ANY OF THE
    PROCEDURES
   IF YOU ARE UNABLE TO MOVE OR
    TURN A PATIENT BY YOURSELF,
    ALWAYS GET HELP
ALIGNMENT

   DEFINED AS POSITIONING BODY
    PARTS IN RELATION TO EACH
    OTHER TO MAINTAIN CORRECT
    BODY POSTURE
   DIRECT PATIENT CARE TOWARD
    MAINTAINING NORMAL BODY
    ALIGNMENT
   CORRECT ALIGNMENT HELPS
    PATIENT FEEL MORE
    COMFORTABLE AND PREVENTS
    FATIQUE
   HELPS PREVENT DECUBITIS
    ULCERS
DECUBITUS ULCERS

   ALSO CALLED PRESSURE SORES
    OR BEDSORES
   CAUSED BY PRESSURE ON AN
    AREA THAT INTERFERES WITH
    CIRCULATION
   COMMON IN AREAS WHERE BONES
    ARE CLOSE TO SKIN, SUCH AS
    TAILBONE OR COCCYGEAL AREA,
    HIPS, KNEES, AND ELBOWS
DEVELOPMENT OF
DECUBITIS ULCERS
   FIRST SIGN IS PALE OR REDDENED
    AREA ON THE SKIN
   VESICLE OR BLISTER MAY FORM AT
    THE SITE
   AS CELLS DIE, SKIN BREAKS DOWN
    AND AN ULCER OR OPEN SORE
    DEVELOPS
EASIER TO PREVENT
DECUBITIS ULCERS THAN IT
IS TO TREAT THEM
   PROVIDE GOOD SKIN CARE
   CLEAN URINE AND FECES FROM
    SKIN PROMPTLY
   MASSAGE IN A CIRCULAR MOTION
    AROUND A REDDENED AREA
   APPLY A LIGHT DUSTING OF
    POWDER TO AREAS WHERE SKIN
    TOUCHES SKIN TO AVOID FRICTION
   TURN PATIENT FREQUENTLY TO
    CHANGE POSITION
   POSITION TO AVOID PRESSURE ON
    IRRITATED AREAS
   KEEP LINEN DRY AND FREE FROM
    WRINKLES
   OBSERVE SKIN CAREFULLY
    DURING BATHING AND TURNING
   REPORT PALE OR REDDENED
    AREAS IMMEDIATELY
HELPS PREVENT
CONTRACTURES
   TIGTHENING OR SHORTING OF A
    MUSCLE DUE TO LACK OF
    MOVEMENT OR USAGE OF A
    MUSCLE
   FOOT DROP IS A COMMON
    CONTRACTURE
   PREVENT IN PART BY KEEPING
    FOOT AT RIGHT ANGLES TO THE
    LEG
   USE FOOTBOARDS AND HIGH-TOP
    TENNIS SHOES TO KEEP FOOT IN
    THIS POSITION
   RANGE OF MOTION EXERCISES
    ALSO HELP PREVENT
    CONTRACTURES
   RANGE OF MOTION IS
    ABBREVIATED ROM
MOVES AND TURNS

   PATIENTS WHO ARE CONFINED TO
    BED MUST BE TURNED
    FREQUENTLY
   POSITION SHOULD BE CHANGED AT
    LEAST EVERY TWO HOURS IF
    PERMITTED BY DOCTOR
REASONS FOR TURNING
FREQUENTLY
   PROVIDES EXERCISE FOR
    MUSCLES
   STIMULATES CIRCULATION
   HELPS PREVENT DECUBITIS
    ULCERS AND CONTRACTURES
   PROVIDES COMFORT TO THE
    PATIENT
DANGLING

   DANGLING MEANS SITTING PATIENT
    WITH LEGS HANGING DOWN OVER
    THE SIDE OF THE BED
   PATIENT FREQUENTLY PLACED IN
    THIS POSITION PRIOR TO BEING
    TRANSFERRED FROM BED IF
    CONFINED FOR A PERIOD OF TIME
PULSE IS CHECKED THREE
TIMES DURING PROCEDURE
   TAKEN JUST BEFORE PATIENT
    MOVED TO SERVE AS RESTING OR
    CONTROL RATE
   TAKEN IMMEDIATELY AFTER
    POSITIONING PATIENT IN
    DANGLING POSITION
   TAKEN AFTER PATIENT HAS
    RETURNED TO LYING POSITION
   BY NOTING CHANGES IN PULSE
    RATE YOU CAN DETERMINE HOW
    WELL PATIENT TOLERATES
    PROCEDURE
OTHER OBSERVATIONS TO
BE MADE
   CHECK RESPIRATORY RATE
   CHECK BALANCE AND NOTE
    VERTIGO OR DIZZINESS
   NOTE AMOUNT OF PERSIPRATION
    AND COLOR
RETURN PATIENT
IMMEDIATELY TO SUPINE IF
   EXCESSIVE INCREASE IN PULSE
    RATE OR WEAK PULSE
   SIGNS OF LABORED RESPIRATIONS
   COLOR BECOMES PALE OR
    INCREASED PERSPIRATION NOTED
   PATIENT GETS DIZZY OR WEAK
TRANSFERS

   PATIENTS TRANSFERRED TO
    WHEELCHAIRS, CHAIRS, AND
    STRETCHERS
   CORRECT PROCEDURES MUST BE
    FOLLOWED TO PREVENT INJURY
    TO BOTH PATIENT AND WORKER
IMPLEMENTATION

   PLACE BED IN LOW POSITION
   RAISE HEAD OF BED
   ASSIST PATIENT TO DANGLE
   MANY DIFFERENT MODELS OF
    WHEELCHAIRS AND STRETCHERS
    AVAILABLE
   IF NO INSTRUCTIONS ARE
    AVAILABLE, ASK IMMEDIATE
    SUPERVISOR TO DEMONSTRATE
    CORRECT OPERATION
MECHANICAL LIFTS

   FREQUENTLY USED TO TRANSER
    WEAK OR PARALYZED PATIENTS
   READ INSTRUCTIONS PROVIDED
   CHECK STRAPS, CLASPS, AND
    SLING FOR ANY DEFECTS
   USE SMOOTH EVEN MOVEMENTS
    WHILE OPERATING LIFT
   REASSURE FRIGHTENED PATIENTS
    THAT LIFT IS SAFE
   MOVE UNNECESSARY FURNITURE
    OUT OF THE WAY DURING
    TRANSFERS
   PARTICULARLY INPORTANT IN
    HOME CARE SITUATIONS

								
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