Nursing Fundamentals 7243 - PowerPoint Presentation

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Nursing Fundamentals 7243

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positioning

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positioning

Purposes:

Assist with examinations

Assist with procedures

Prevent pressure on skin for prolonged periods of time

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positions

Dorsal recumbent position

flat on back

knees slightly separated and flexed

feet flat on

bed

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA16045.02Slide5

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positions

Horizontal recumbent position – supine

flat on back

legs slightly separated and

extended

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604

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positions

Prone position

flat on abdomen with head turned to side

arms at sides or flexed on either side of

head

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604

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positions

Side lying position

positioned on either side

head in straight line with spine

pillows used to support head, back, arm, and

leg

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA16045.02Slide8

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positions

Lateral position

positioned on either side

bottom arm extended behind back, top arm flexed in front of body

top leg slightly

flexed

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA16045.02Slide9

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positions

30



Lateral Reclined Position

hips rotated 30 degrees

pillow between knees

pillow under arm for comfort and to relieve pressure on elbowpressure relieved from sacrum and http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604hip 5.02Slide10

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positions

Fowler’s position

sitting position in bed with head elevated at 45-60 degree angle.

knees slightly flexed

position causes pressure on sacrum and

buttocks

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA16045.02Slide11

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positions

Sim's

position

positioned on

LEFT

sideleft arm extended behind bodyright arm flexed in front of bodyright leg flexed toward abdomenused for enema administrationhttp://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA16045.02Slide12

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positions

Sim's

position

Best position for enemas

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TURNING

POSITIONING

LIFTING

MOVING

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Moving, Turning, Positioning

And Lifting

Good body mechanics necessary

Prevents injury to resident

Protects nurse aide from injury

Good body alignment

Promotes comfort for resident5.02Slide15

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Moving, Turning, Positioning

And Lifting

Safety major

considerations

Get help if needed

Receive directions from supervisor regarding any restrictions for positioning or movement

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Moving, Turning, Positioning

And Lifting

Safety major

considerations

Protect and secure any special equipment being used by the resident prior to movement (e.g., drainage tubes).

Elevate bed to comfortable working level

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Moving, Turning, Positioning

And Lifting

Safety major

considerations

Protect and secure any special equipment being used by the resident prior to movement (e.g., drainage tubes).

Elevate bed to comfortable working level

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Moving, Turning, Positioning

And Lifting

Safety major

considerations

Protect skin from friction

roll when possible

lift with assistanceprevent slidinguse turning sheet5.02Slide19

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Moving, Turning, Positioning

And Lifting

Use postural supports as directed:

Rolled blankets

Pillows

Rolled towels

FootboardsBed cradles

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Moving, Turning, Positioning

And Lifting

Reposition at least every two hours or as directed

Eliminates pressure on bony areas

Provides comfort

Exercises muscles

Moves jointsStimulates circulation5.02Slide21

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Moving, Turning, Positioning

And Lifting

Coordinate lifting and moving

Move on a certain count, usually count of three

Gain cooperation of resident

Have residents help themselves as much as possible

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Moving, Turning, Positioning

And Lifting

Coordinate

lifting and moving

(continued)

Use transfer belt (gait belt) when appropriate

When in doubt, always ask for assistance from co-workers5.02Slide23
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Questions for BM two

Draw a picture of each position and discuss what exam a patient would be having if put in this position.

Color your bubble maps and write in color.

Make sure your pictures are colored and take up the entire page.