balance and equilibrium

1. NURSES TRANSFER
TRAINING.

2. INTRODUCTION.
• In NKF rate of patient fall is
getting higher as evidenced by
incidence report in 2015 was
40 and it was raised to 56 in
2016
• So we choose this topic to
improve awareness about fall
prevention and safety of staff
and patient, during patient
transfers in dialysis centre.

3. 1. BODY MECHANICS
2. COMMUNICATION
3. SAFE TRANSFER
AND MOBILITY
TECHNIQUES

4. DEFINITION
Body mechanics the term used to describe the efficient,
coordinated, and safe use of the body to move
objects and carry out the Activities of Daily Living
(ADL’s).

5. PURPOSE
To maintain good balance.
To reduce the energy required.
To avoid excessive fatigue.
To avoid muscle strains or tears.
To avoid skeletal injuries.
To avoid injury to the patient.
To avoid injury to assisting staff
members

6. PRINCIPLES OF BODY MECHANICS
 The wider the base of support, the
greater the stability.
The lower the centre of gravity, the
greater the stability.
The equilibrium of an object is
maintained as long as the line of gravity
passes through its base of support.

8. LIMITS OF STABILITY

9. LINE OF GRAVITY
BASE OF SUPPORT
CENTRE OF GRAVITY

10. Use the arm and leg muscles as much as possible, the back
muscles as little as possible.
Dividing balanced activity between arms and legs reduces
the risk of back injury

11. •It is easier to pull, push, or roll an object than it is to lift it .
•Movements should be smooth and coordinated rather than jerky

12. •Facing the direction of movement prevents
abnormal twisting of the spine.

13. Keep the work as close as possible to your body. It puts
less of a strain on your back, legs, and arms
Keep the work at a comfortable height to avoid
excessive bending at the waist.

14. Keep your body in good physical condition to reduce the
chance of injury.
Rest between periods of work promotes work endurance

15. COMMUNICATION
 Why it is necessary during transfer of
patient ?

16. VISUAL
VESTIBULAR
PROPRIOCEPTIVE
CNS
BALANCE

19. LEVEL OF TRANSFER
 Standby aka supervision – just supervise the patient
 Contact guard – maintains contact with patient to provide immediate
assistance
 Minimum assist – patient performs atleast 75 % of the activity
 Moderate assist – patient performs < 50% of the activity
 Maximum assist – patient performs < 25% of the activity