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Nursing assistant body mechanics 1

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Nursing assistant body mechanics 1

  1. 1. Nursing Assistant- Body Mechanics Module 5
  2. 2. Purpose of body mechanics  To use the body in an efficient & safe way – Practice body mechanics at all times – EVERYONE should use – even residents & families – Protects employee & resident
  3. 3. Basic rules of body mechanics  Assess the “job” to be done  Use wide base of support – feet 12” apart or at shoulder width  Use strong, large muscle groups, not back & arms  Use correct posture & body alignment – back straight, knees bent  Keep heavy objects close to the body
  4. 4. Rules (cont)  Never twist, turn, or pivot feet – face work  Push, slide, or pull heavy objects instead of lifting  Avoid sudden jerky motions  Use both hands when lifting  Team work – one leader who directs the group  Explain procedure to resident
  5. 5. Issues of concern  Legal – Must protect/safeguard resident – Skin abrasions mean citation from state – Abrasion is REPORTABLE!  Total quality improvement – Back issues! – Resident safety!
  6. 6. Comfort measures for lifting & moving residents  Inform resident of what you are doing & why  Provide privacy  Raise bed to proper position  Position resident in good body alignment  Use pillows/foam pads to support & cushion resident & protect bony prominences  Protect ALL tubing  Do not slide or drag – friction, SKIN SHEARING, abrasions, tears
  7. 7. Safety measures for lifting & moving residents  Assess the task – Size up the load – Obtain help if needed  Reposition resident in bed with good body mechanics – Move resident up in bed • Use lift sheet if appropriate • Two people needed to move resident, should stand at HOB • Remove pillow, pad HOB with pillow  Lock bed wheels & w/c wheels before moving  Make sure res has non-skid footwear
  8. 8. Safety measures for lifting & moving residents (cont)  Turn resident on side – Demo move toward NA – Demo move away from NA – Log roll – move as one position like a log, uses 2 CNAs  Reasons for repositioning – Comfort – Prevents skin breakdown – Stimulates body systems – Encourages resident to do ADLs
  9. 9. Positioning  Technique – Do every 2 hours – Use lift-sheet Y move resident to opposite side of the bed you wish to turn resident to (for side-lying) – Turn & position
  10. 10. Basic positions  Supine – back  Prone – abdomen  Lateral – side-lying  Sim’s  Fowler’s – HOB > 45  Semi-Fowler’s – HOB elevated to 45  Trendelenberg  Reverse Trendelenberg
  11. 11. Supportive Devices  Provide comfort & support limbs  Pillows  Foam wedges  Trochanter rolls
  12. 12. Transfers  Bed to chair – Place chair on strong side  Chair to bed  Bed to gurney
  13. 13. Assistive Equipment used to transfer  Mechanical (Hoyer) lift  Trapeze – use arms  Slide board – requires 2 workers to turn sheet to slide resident over  Gait belt (transfer belt) – Apply to waist, over clothing – Check for belt tightness (2 fingers) – Watch for proper placement
  14. 14. Ambulation Procedure  Dangle before ambulation  Ambulate with assistive devices – Walker – advance walker, move weak leg,then strong leg – Cane – hold on strong side, move cane, then weak leg, then strong leg – Gait belt – stand slightly behind resident on the weaker side, grasping belt in midback
  15. 15. Prevention of injury if falls occur  Protection of resident – Guide resident to the floor – Protect resident’s head – Keep firm grip on the gait belt  Protection of self – Keep back straight – Slide resident to floor using upper leg for support

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