The document provides instructions for various skills related to caring for residents, including preventing pressure ulcers, positioning a foley catheter, oxygen care, changing a draw sheet, applying a cold compress, measuring fluid output, obtaining weight and height, passive range of motion exercises, assisting with ambulation, pivot transfers, feeding a dependent resident, denture care, back rubs, and more. The skills are presented in steps with descriptions of the proper techniques to demonstrate competence in tasks.
The document provides guidelines for proper lifting techniques to avoid injury. It describes 6 different lifts (basic, power, tripod, partial squat, golfer's, straight leg) and how to perform each one safely by keeping your back straight, butt out, and lifting with your legs. A pivot technique is also described for safely turning with a lifted object. The document concludes with information on avoiding injury from whole-body or hand vibration.
This document provides information on assessing and training balance and respiratory systems for Parkinson's disease. It includes scales and tests for evaluating static and dynamic balance, as well as environmental assessments. Balance training exercises are outlined, such as single limb stance, eye tracking, and body circles. Respiratory assessments and treatments are described, including breathing exercises, positioning, and techniques to improve coughing.
5th year practical revision fetal presentationsMohamed Wahab
The document describes various fetal presentations and postures that may occur during the second trimester of pregnancy in cattle. It provides descriptions of normal anterior and posterior longitudinal presentations as well as both normal and abnormal variations in fetal posture, including carpal, elbow, shoulder, and hip flexions and deviations of the head. It also covers breech presentations and transverse, twin, and unusual presentations like foot-nape. The document is intended as a study guide for veterinary students to learn to identify different fetal presentations and postures that may be observed during a bovine pregnancy exam.
This document discusses measuring and recording fluid intake and output. It is important to accurately measure intake and output to monitor a resident's medical condition. Intake includes liquids and foods that are liquid at body temperature. Output includes urine and emesis. Proper techniques are outlined for collecting urine and assisting with elimination to ensure accuracy and prevent infection.
This document provides guidance on safely lifting and moving patients to prevent back injuries. It describes proper body mechanics for lifting, such as keeping the back straight, lifting with legs, and avoiding twisting. Different grips for lifting are explained as well as techniques for moving patients up and down stairs, carrying on a litter, and transferring to different surfaces. Emergency moves are described for unsafe situations as well as special considerations for elderly and obese patients.
The document describes various techniques for evacuating injured casualties from an emergency scene, including carries, drags, and makeshift stretchers. It emphasizes the importance of carefully handling casualties to prevent further injury, choosing the least stressful technique based on the situation, and moving deliberately to avoid harming the rescuer or victim. Various carries and drags are outlined, such as the one-person arm carry, two-person drag, chair carry, ankle pull, and improvised stretchers using clothing, blankets, or rope.
5th year practical revision fetal presentationsMohamed Wahab
The document provides descriptions of various fetal presentations and postures that may be observed during pregnancy in veterinary medicine. It lists both normal and abnormal presentations, positions, and postures for anterior and posterior longitudinal presentations as well as transverse presentations. Abnormal postures described include various limb and head flexions or deviations. Breech and twin presentations are also included.
http://bit.ly/Yoga-for-Better-Sex - We have heard the all the obvious benefits to yoga that it can give you greater flexibility, better muscle tone, increased weight loss, stress relief, and maybe even enlightenment. However, you may not know that it has been proven to enhance your sex life. Yoga offers countless physical and emotional benefits that can heat up your bedroom experience. Check out this Better Sex Yoga Workout for poses specifically designed to enhance you sex life.
The document provides guidelines for proper lifting techniques to avoid injury. It describes 6 different lifts (basic, power, tripod, partial squat, golfer's, straight leg) and how to perform each one safely by keeping your back straight, butt out, and lifting with your legs. A pivot technique is also described for safely turning with a lifted object. The document concludes with information on avoiding injury from whole-body or hand vibration.
This document provides information on assessing and training balance and respiratory systems for Parkinson's disease. It includes scales and tests for evaluating static and dynamic balance, as well as environmental assessments. Balance training exercises are outlined, such as single limb stance, eye tracking, and body circles. Respiratory assessments and treatments are described, including breathing exercises, positioning, and techniques to improve coughing.
5th year practical revision fetal presentationsMohamed Wahab
The document describes various fetal presentations and postures that may occur during the second trimester of pregnancy in cattle. It provides descriptions of normal anterior and posterior longitudinal presentations as well as both normal and abnormal variations in fetal posture, including carpal, elbow, shoulder, and hip flexions and deviations of the head. It also covers breech presentations and transverse, twin, and unusual presentations like foot-nape. The document is intended as a study guide for veterinary students to learn to identify different fetal presentations and postures that may be observed during a bovine pregnancy exam.
This document discusses measuring and recording fluid intake and output. It is important to accurately measure intake and output to monitor a resident's medical condition. Intake includes liquids and foods that are liquid at body temperature. Output includes urine and emesis. Proper techniques are outlined for collecting urine and assisting with elimination to ensure accuracy and prevent infection.
This document provides guidance on safely lifting and moving patients to prevent back injuries. It describes proper body mechanics for lifting, such as keeping the back straight, lifting with legs, and avoiding twisting. Different grips for lifting are explained as well as techniques for moving patients up and down stairs, carrying on a litter, and transferring to different surfaces. Emergency moves are described for unsafe situations as well as special considerations for elderly and obese patients.
The document describes various techniques for evacuating injured casualties from an emergency scene, including carries, drags, and makeshift stretchers. It emphasizes the importance of carefully handling casualties to prevent further injury, choosing the least stressful technique based on the situation, and moving deliberately to avoid harming the rescuer or victim. Various carries and drags are outlined, such as the one-person arm carry, two-person drag, chair carry, ankle pull, and improvised stretchers using clothing, blankets, or rope.
5th year practical revision fetal presentationsMohamed Wahab
The document provides descriptions of various fetal presentations and postures that may be observed during pregnancy in veterinary medicine. It lists both normal and abnormal presentations, positions, and postures for anterior and posterior longitudinal presentations as well as transverse presentations. Abnormal postures described include various limb and head flexions or deviations. Breech and twin presentations are also included.
http://bit.ly/Yoga-for-Better-Sex - We have heard the all the obvious benefits to yoga that it can give you greater flexibility, better muscle tone, increased weight loss, stress relief, and maybe even enlightenment. However, you may not know that it has been proven to enhance your sex life. Yoga offers countless physical and emotional benefits that can heat up your bedroom experience. Check out this Better Sex Yoga Workout for poses specifically designed to enhance you sex life.
This document provides instructions for orally feeding a helpless patient. It outlines preparing the patient and unit by creating a pleasant environment, positioning the patient properly, and ensuring they are clean and dressed. The necessary articles like trays, cups, and towels are also listed. The procedure involves washing hands, sitting by the patient, feeding them slowly while talking, and stopping when they have eaten enough. Aftercare includes helping the patient clean up, tidying the area, cleaning all articles used, and documenting the feeding in the patient's record.
This document provides guidance on proper techniques for transferring aging patients to prevent injuries. It outlines steps to ensure the caregiver, environment, and patient are prepared for safe transfers. Key points include wearing supportive shoes and using a transfer belt for the patient. Caregivers should communicate their plan, support the patient's weight gradually, and use mechanical lifts as needed for heavy patients or those prone to resistance. When walking a patient, the belt should be applied around the hips and held to provide back support as the caregiver walks slightly behind and to the side of the patient.
1) Using a walker or cane improperly can lead to physical issues like back pain and muscle soreness. It is important to maintain good posture by looking forward, keeping shoulders back, and keeping the back straight.
2) When using a walker, one should not rush or push the walker too far in front, and should keep their back leg even with their toes to maintain balance. Leaning over the walker can cause falls.
3) A cane should be the proper length so the elbow is bent 15-20 degrees when holding it. It should be held on the same side as the weaker leg to provide support when stepping with that leg. Proper use helps absorb strain rather than putting more on the weaker
This document discusses mobility and proper body mechanics for caring for residents. It covers topics like transferring residents, ambulation with walkers or wheelchairs, and using mechanical lifts safely. The main points are proper posture and form to prevent injury, encouraging resident participation in mobility activities, and understanding a resident's care plan for mobility goals and abilities. Safety is emphasized throughout for both residents and caregivers.
This document provides instructions for several stretching exercises. It describes how to properly stretch the neck, wrists, hamstrings, ankles and do pushups. The neck should be stretched in straight lines by tilting the head side to side and front to back. Wrists should be stretched with small circular motions. Hamstrings are stretched by bending at the waist to touch the floor. Ankles are stretched by rotating the foot while balancing on one leg. Pushups are to be done with straight back, hips and legs in line while pushing up with arms.
Roller bandages are used to cover dressings, provide support, restrict movement, and control bleeding. There are several types of roller bandage applications including simple spiral, reverse spiral, figure eight, and spica. Specific bandaging techniques are described for areas like the shoulder, hip, foot, finger, and breast. Triangle bandages can be used in various ways depending on the size needed. It is important to safely transport injured people without worsening their condition, such as using carries, human crutches, or fireman's lifts depending on the severity of injury and available assistance.
Positioning involves placing patients in alignments that promote health and prevent complications. Some key positions include supine, lateral, lithotomy and knee-chest. Proper positioning provides comfort, relieves pressure, aids circulation and enables medical procedures. Patient safety and comfort should be ensured when positioning.
The document discusses various walking aids including canes, crutches, and walkers. It describes how to properly measure, fit, and use each aid to assist with mobility. Precautions for each aid are also outlined to help ensure safe ambulation. Two research articles are summarized that examine determinants of walking aid use in Parkinson's disease patients and analyze crutch position during single-crutch walking to estimate stability. The conclusion emphasizes the importance of using properly fitted walking aids and learning correct techniques to prevent injuries and support independent mobility.
Postural drainage involves positioning patients to drain mucus from their lungs using gravity. It combines chest percussion using cupped hands over lung segments with vibration from flat hands. This helps loosen and drain mucus into larger airways to be coughed up. Specific positions are used to target different lung lobes and segments, holding each position for 3-5 minutes while the patient takes deep breaths and coughs. Postural drainage aims to clear excess mucus from conditions like cystic fibrosis or pneumonia.
check list Demonstration On Range Of Motion Exercises and Moving, Lifting and...Mathew Varghese V
Lesson plan on
Interventions for Impaired Body Alignment
&
Immobility
Demonstration On
Range Of Motion Exercises and Moving, Lifting and
Transferring Of Casualty and In-Patient
The document defines key terms related to body mechanics, positioning, transfers, and ambulation. It provides guidelines for proper body mechanics and detailed procedures for safely positioning, moving, turning, and assisting residents. This includes using principles of alignment, base of support and leverage to prevent injury to both caregiver and resident.
The document provides guidance on safely transferring patients from one surface to another. It describes different types of transfers that vary based on a patient's abilities and needs. Key points include:
1) Assessing a patient's physical, cognitive, and medical status is important for determining the best transfer method.
2) Common transfer techniques include dependent, assisted, and independent transfers using devices like draw sheets, sliders, and boards.
3) Proper body mechanics and communication are essential to avoid injury for both the patient and caregiver. Bend knees, keep back straight, and get help for heavy transfers.
This document provides guidelines for safely lifting, moving, and transporting patients. It discusses:
1) Proper lifting techniques like maintaining an upright back position, bending at the knees, and keeping weight close to the body.
2) Methods for carrying patients on stretchers or backboards and using additional rescuers when possible.
3) Principles for safe reaching, pulling, and dragging patients in emergency situations while avoiding back injuries.
4) Techniques for urgently moving patients in vehicles through rapid extrication while continuously supporting the head, neck, and spine.
The document discusses perineal care which involves cleansing the external genitalia and surrounding area, noting it may be an embarrassing procedure for both clients and nurses, especially those of the opposite sex, and outlines the proper procedure and equipment used to perform perineal care for both male and female clients in a private and professional manner.
lifing and handling of patients.pptx.pptxChanda453345
This document provides guidelines for safely lifting and transferring patients. It discusses:
1. Preparing for the task by ensuring equipment is ready, the environment is prepared, and explaining the task to the patient and caregivers.
2. Using proper biomechanics like keeping the load close, bending knees not back, and pivoting feet instead of twisting.
3. Specific techniques for standing, sitting, and rolling patients on beds, as well as transferring patients to and from wheelchairs.
4. Tips for lifting objects like getting help for heavy loads, pushing instead of pulling, and using lifting aids for large items.
moving and lifting of patient-converted.pdfPooja Rani
This document provides guidelines for moving and lifting patients, including indications, contraindications, instructions, and nursing responsibilities. It describes how to transfer patients from bed to wheelchair or stretcher safely with assistance. Key points include planning the movement, supporting the head/shoulders/hips/legs, using lifting devices like gait belts, and positioning patients with pillows when rolling or logrolling them. Nursing assessments and preparations are outlined to ensure transfers are performed correctly.
This document provides information on urinary catheterization, including:
- Catheterization involves inserting a hollow tube through the urethra into the bladder to drain urine and is done aseptically using sterile equipment.
- Catheters come in different sizes depending on whether they are for children, females, or males. Larger catheters are used for males.
- There are different types of catheters including intermittent, indwelling/retention, and supra pubic catheters.
- Proper preparation, positioning, insertion and securing techniques are described to ensure safe and sterile catheterization for both male and female patients.
This document provides information on various chest physiotherapy techniques used to remove respiratory tract secretions. It describes postural drainage positioning which uses gravity to drain secretions from 18 segments of the lungs. It also details procedures for percussion, vibration, diaphragmatic breathing and coughing exercises which help loosen and clear secretions from the lungs. Precise positioning and techniques are outlined to target drainage of each lung segment toward larger airways.
1) The document provides guidance on properly positioning patients in bed to maintain alignment, skin integrity, and comfort while preventing injuries.
2) Key steps include assessing the patient, planning the movement, and using proper body mechanics and assistance when needed to move or turn the patient.
3) Pillows and other supportive devices can be used strategically to maintain proper positioning and alignment of the body.
After a total knee replacement, patients are encouraged to mobilize with the help of physiotherapists. Some targets for the immediate postoperative period include being able to walk with a walker or crutches on the first day, go to the toilet with a walker, and bend the knees to 60-90 degrees within the first week. Exercises like heel slides, quad sets, and straight leg raises can help strengthen muscles before surgery. The document provides guidance on various activities like showering, dressing, using stairs, and sitting following knee replacement surgery.
This document provides instructions for orally feeding a helpless patient. It outlines preparing the patient and unit by creating a pleasant environment, positioning the patient properly, and ensuring they are clean and dressed. The necessary articles like trays, cups, and towels are also listed. The procedure involves washing hands, sitting by the patient, feeding them slowly while talking, and stopping when they have eaten enough. Aftercare includes helping the patient clean up, tidying the area, cleaning all articles used, and documenting the feeding in the patient's record.
This document provides guidance on proper techniques for transferring aging patients to prevent injuries. It outlines steps to ensure the caregiver, environment, and patient are prepared for safe transfers. Key points include wearing supportive shoes and using a transfer belt for the patient. Caregivers should communicate their plan, support the patient's weight gradually, and use mechanical lifts as needed for heavy patients or those prone to resistance. When walking a patient, the belt should be applied around the hips and held to provide back support as the caregiver walks slightly behind and to the side of the patient.
1) Using a walker or cane improperly can lead to physical issues like back pain and muscle soreness. It is important to maintain good posture by looking forward, keeping shoulders back, and keeping the back straight.
2) When using a walker, one should not rush or push the walker too far in front, and should keep their back leg even with their toes to maintain balance. Leaning over the walker can cause falls.
3) A cane should be the proper length so the elbow is bent 15-20 degrees when holding it. It should be held on the same side as the weaker leg to provide support when stepping with that leg. Proper use helps absorb strain rather than putting more on the weaker
This document discusses mobility and proper body mechanics for caring for residents. It covers topics like transferring residents, ambulation with walkers or wheelchairs, and using mechanical lifts safely. The main points are proper posture and form to prevent injury, encouraging resident participation in mobility activities, and understanding a resident's care plan for mobility goals and abilities. Safety is emphasized throughout for both residents and caregivers.
This document provides instructions for several stretching exercises. It describes how to properly stretch the neck, wrists, hamstrings, ankles and do pushups. The neck should be stretched in straight lines by tilting the head side to side and front to back. Wrists should be stretched with small circular motions. Hamstrings are stretched by bending at the waist to touch the floor. Ankles are stretched by rotating the foot while balancing on one leg. Pushups are to be done with straight back, hips and legs in line while pushing up with arms.
Roller bandages are used to cover dressings, provide support, restrict movement, and control bleeding. There are several types of roller bandage applications including simple spiral, reverse spiral, figure eight, and spica. Specific bandaging techniques are described for areas like the shoulder, hip, foot, finger, and breast. Triangle bandages can be used in various ways depending on the size needed. It is important to safely transport injured people without worsening their condition, such as using carries, human crutches, or fireman's lifts depending on the severity of injury and available assistance.
Positioning involves placing patients in alignments that promote health and prevent complications. Some key positions include supine, lateral, lithotomy and knee-chest. Proper positioning provides comfort, relieves pressure, aids circulation and enables medical procedures. Patient safety and comfort should be ensured when positioning.
The document discusses various walking aids including canes, crutches, and walkers. It describes how to properly measure, fit, and use each aid to assist with mobility. Precautions for each aid are also outlined to help ensure safe ambulation. Two research articles are summarized that examine determinants of walking aid use in Parkinson's disease patients and analyze crutch position during single-crutch walking to estimate stability. The conclusion emphasizes the importance of using properly fitted walking aids and learning correct techniques to prevent injuries and support independent mobility.
Postural drainage involves positioning patients to drain mucus from their lungs using gravity. It combines chest percussion using cupped hands over lung segments with vibration from flat hands. This helps loosen and drain mucus into larger airways to be coughed up. Specific positions are used to target different lung lobes and segments, holding each position for 3-5 minutes while the patient takes deep breaths and coughs. Postural drainage aims to clear excess mucus from conditions like cystic fibrosis or pneumonia.
check list Demonstration On Range Of Motion Exercises and Moving, Lifting and...Mathew Varghese V
Lesson plan on
Interventions for Impaired Body Alignment
&
Immobility
Demonstration On
Range Of Motion Exercises and Moving, Lifting and
Transferring Of Casualty and In-Patient
The document defines key terms related to body mechanics, positioning, transfers, and ambulation. It provides guidelines for proper body mechanics and detailed procedures for safely positioning, moving, turning, and assisting residents. This includes using principles of alignment, base of support and leverage to prevent injury to both caregiver and resident.
The document provides guidance on safely transferring patients from one surface to another. It describes different types of transfers that vary based on a patient's abilities and needs. Key points include:
1) Assessing a patient's physical, cognitive, and medical status is important for determining the best transfer method.
2) Common transfer techniques include dependent, assisted, and independent transfers using devices like draw sheets, sliders, and boards.
3) Proper body mechanics and communication are essential to avoid injury for both the patient and caregiver. Bend knees, keep back straight, and get help for heavy transfers.
This document provides guidelines for safely lifting, moving, and transporting patients. It discusses:
1) Proper lifting techniques like maintaining an upright back position, bending at the knees, and keeping weight close to the body.
2) Methods for carrying patients on stretchers or backboards and using additional rescuers when possible.
3) Principles for safe reaching, pulling, and dragging patients in emergency situations while avoiding back injuries.
4) Techniques for urgently moving patients in vehicles through rapid extrication while continuously supporting the head, neck, and spine.
The document discusses perineal care which involves cleansing the external genitalia and surrounding area, noting it may be an embarrassing procedure for both clients and nurses, especially those of the opposite sex, and outlines the proper procedure and equipment used to perform perineal care for both male and female clients in a private and professional manner.
lifing and handling of patients.pptx.pptxChanda453345
This document provides guidelines for safely lifting and transferring patients. It discusses:
1. Preparing for the task by ensuring equipment is ready, the environment is prepared, and explaining the task to the patient and caregivers.
2. Using proper biomechanics like keeping the load close, bending knees not back, and pivoting feet instead of twisting.
3. Specific techniques for standing, sitting, and rolling patients on beds, as well as transferring patients to and from wheelchairs.
4. Tips for lifting objects like getting help for heavy loads, pushing instead of pulling, and using lifting aids for large items.
moving and lifting of patient-converted.pdfPooja Rani
This document provides guidelines for moving and lifting patients, including indications, contraindications, instructions, and nursing responsibilities. It describes how to transfer patients from bed to wheelchair or stretcher safely with assistance. Key points include planning the movement, supporting the head/shoulders/hips/legs, using lifting devices like gait belts, and positioning patients with pillows when rolling or logrolling them. Nursing assessments and preparations are outlined to ensure transfers are performed correctly.
This document provides information on urinary catheterization, including:
- Catheterization involves inserting a hollow tube through the urethra into the bladder to drain urine and is done aseptically using sterile equipment.
- Catheters come in different sizes depending on whether they are for children, females, or males. Larger catheters are used for males.
- There are different types of catheters including intermittent, indwelling/retention, and supra pubic catheters.
- Proper preparation, positioning, insertion and securing techniques are described to ensure safe and sterile catheterization for both male and female patients.
This document provides information on various chest physiotherapy techniques used to remove respiratory tract secretions. It describes postural drainage positioning which uses gravity to drain secretions from 18 segments of the lungs. It also details procedures for percussion, vibration, diaphragmatic breathing and coughing exercises which help loosen and clear secretions from the lungs. Precise positioning and techniques are outlined to target drainage of each lung segment toward larger airways.
1) The document provides guidance on properly positioning patients in bed to maintain alignment, skin integrity, and comfort while preventing injuries.
2) Key steps include assessing the patient, planning the movement, and using proper body mechanics and assistance when needed to move or turn the patient.
3) Pillows and other supportive devices can be used strategically to maintain proper positioning and alignment of the body.
After a total knee replacement, patients are encouraged to mobilize with the help of physiotherapists. Some targets for the immediate postoperative period include being able to walk with a walker or crutches on the first day, go to the toilet with a walker, and bend the knees to 60-90 degrees within the first week. Exercises like heel slides, quad sets, and straight leg raises can help strengthen muscles before surgery. The document provides guidance on various activities like showering, dressing, using stairs, and sitting following knee replacement surgery.
Urinary catheterization is the insertion of a hollow tube through the urethra into the bladder to drain urine and is done for various purposes such as relieving urinary retention, obtaining sterile urine samples, and emptying the bladder before, during, or after surgery. The procedure involves cleaning and lubricating the catheter, inserting it into the urethra and advancing it into the bladder, inflating the balloon, securing it, and connecting it to a drainage system. Catheter size depends on factors like patient gender and age. Indwelling catheters require ongoing care and maintenance to prevent infection, and are removed by deflating the balloon and gently pulling the catheter.
This document describes 10 different patient positioning techniques:
1. Supine position - lying on the back with head and shoulders slightly elevated. Used as the usual position.
2. Prone position - lying on the abdomen with the head turned to relieve pressure and examine the back.
3. Lateral position - lying on the side with pillows supporting the body. Used for periodic position changes and examinations.
It then provides details on each position including indications, procedures, and images.
The document provides guidance on restraining various farm and domestic animals for examination or treatment. It discusses casting large animals onto their side by using ropes and sufficient labor. It also describes leg raising methods for restraining horses and basic knots. For smaller animals, it recommends reclining, stretching, or hugging restraints while immobilizing the injured area. The goal is to minimize stress on the animal while safely exposing areas needing attention.
Here are the answers to the multiple choice and matching questions:
1. D
2. D
3. A
4. Sims Position
5. B
6. H
7. C
8. D
9. B
10. E
11. G
12. F
13. A
14. Trendelenburg position
15. Lithotomy position - vaginal exams, childbirth
16. Sims position - vaginal exams, administering enemas or suppositories
17. Fowler's position - respiratory conditions, post-op abdominal surgeries
18. Semi-Fowler's position - respiratory conditions, post-op abdominal surgeries
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptxCapitolTechU
Slides from a Capitol Technology University webinar held June 20, 2024. The webinar featured Dr. Donovan Wright, presenting on the Department of Defense Digital Transformation.
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
A Free 200-Page eBook ~ Brain and Mind Exercise.pptxOH TEIK BIN
(A Free eBook comprising 3 Sets of Presentation of a selection of Puzzles, Brain Teasers and Thinking Problems to exercise both the mind and the Right and Left Brain. To help keep the mind and brain fit and healthy. Good for both the young and old alike.
Answers are given for all the puzzles and problems.)
With Metta,
Bro. Oh Teik Bin 🙏🤓🤔🥰
5. Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to Prevent Pressure Ulcers.
a. Proper Use of a Bed Cradle
b. Elbow/Heel Protectors.
6. Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to prevent Pressure Ulcers:
a. Proper Use of a Bed Cradle
b. Elbow/Heel Protectors.
2. Explain 2 other ways to prevent Pressure Ulcers:
7. Alligators – Pressure Ulcer Prevention
1. Demonstrate 2 ways to prevent Pressure Ulcers:
a. Proper Use of a Bed Cradle
b. Elbow/Heel Protectors.
2. Explain 2 other ways to prevent Pressure Ulcers:
a. Changing Position Frequently.
b. Good Nutrition and Hydration.
10. Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
11. Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
12. Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
• C. Position tubing to facilitate gravitational
flow w/ no kinks.
13. Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
• C. Position tubing to facilitate gravitational
flow w/ no kinks.
• D. Attach to bed from (not over or on side
railing) always below level of the bladder.
14. Bears – Positioning Foley
Catheter/Bag/Tubing
• Position Foley Catheter /Bagtubing
• A. Secure tubing to resident’s inner thigh or
abdomen.
• B. Place tubing over leg.
• C. Position tubing to facilitate gravitational
flow w/ no kinks.
• D. Attach to bed from (not over or on side
railing) always below level of the bladder.
• Keep catheter bag from touching the floor.
15. Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Fill basin with warm water. Put on Gloves.
Form a mitt.
16. Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Fill basin with warm water. Put on Gloves.
Form a mitt.
• If the person is a woman then separate the
labia, start @ vulva and stroke downwards
towards the anus. Repeat, using a separate
part of the wash cloth.
17. Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Fill basin with warm water. Put on Gloves.
Form a mitt.
• If the person is a man, place your washclothcovered hand at the tip of the penis and wash
in a circular motion, downward the base of
the penis. Repeat, suing a separate part of the
washcloth. Make sure to clean under foreskin
if the man is uncircumcised and return
foreskin to the proper position when finished.
18. Bears – Positioning Foley
Catheter/Bag/Tubing
• To provide care:
• Then, using a clean portion of the washcloth,
clean the catheter tubing, starting at the body
and moving outward about four inches. Hold
the catheter near the opening of the urethra.
This will help to prevent tugging at the site
tension as you clean.
20. Cougars – Oxygen Care
Demonstrate correct placement of 02 tubing.
Cannula inside nose (snake bite up), around ears
and under chin.
21. Cougars – Oxygen Care
Demonstrate correct placement of 02 tubing.
Cannula inside nose (snake bite up), around ears
and under chin.
When asked by a nurse, demonstrate how to
properly check 02 levels and then explain that
you would report abnormalities to the nurse.
22. Cougars – Oxygen Care
Verbalize 3 Oxygen Use Guidelines.
a. Avoid lighting matches or smoking around
equipment.
b. Ensure that all electrical equipment is in
good repair.
c. No Kinks in Tubing.
d. Make sure that air is flowing.
24. Dingoes – Occupied Draw Sheet
Change
• A. Place clean draw sheet within reach on
clean surface.
25. Dingoes – Occupied Draw Sheet
Change
• A. Place clean draw sheet within reach on
clean surface.
• B Provide Privacy Through Procedure.
• C. Lower head of bed to a supine position.
• D. After raising side rail, assist resident to
turn to one side, moving toward raised side
rail.
26. Dingoes – Occupied Draw Sheet
Change
• E Loosen draw sheet toward resident.
• F. Place and tuck in clean draw sheet on the
working side (this must be done before turning
resident.
• Raise side rail and assist resident to turn onto
clean draw sheet.
• H. Remove soiled linens/draw sheet, avoiding
contact with clothes, and place in appropriate
location within room – never on floor.
27. Dingoes – Occupied Draw Sheet
Change
• I. Pull and tuck in clean draw sheet, finishing
with sheet free of wrinkles.
29. Elephant – Apply Cold Compress
• A. Cover cold compress with towel or other
protective cover. (never on bare skin.)
• B. Properly place on correct site as directed by
skills examiner.
• C. When asked length of time that the cold
compress should remain on patient Explain
Checked every five minutes, removed no longer
than 20 mins.
• Assess for redness, swelling, irritation and or
pain. Report pain to nurse asap.
31. Frogs – Measure and Record Fluid
Outtake
• A. Place container on flat surface, measure
accurately in mL’s
• B Dispose of properly in toilet
• C. Rinse and dry container
• D. Remove gloves, wash hands.
• E. Record output accurately within +/- 25
mL’s of nurses reading.
36. Hippos – Measure/Record Urine
Output
• A. Calculate intake in mL’s
• B. Measure on a flat, level surface
• Record intake accurately within +/- 30 mL’s = 1
oz.
38. Ibex – Conscious Choking
• A. Candidate is able to identify symptoms of
choking, asks resident “Are you choking?”
• B. Call for help.
• C. Stand behind resident and wraps arms
around resident’s waist.
• D. Places the thumb side of fist against the
resident’s abdomen.
•
39. Ibex – Conscious Choking
• E. Positions fist slightly above the navel.
• F. Grasp fist with other hand, press fist and
hand into the resident’s abdomen with an
inward, upward thrust.
• G. Candidate should indicate that they would
repeat this procedure until it is successful or
until the victim loses consciousness.
41. Jaguar –
Obtain and Record Weight and Height
• Weight
• A. Move weights to zero before assisting
resident on to scale.
• B. Assist resident to stand on scale.
• C. Ensure resident is balanced and centered
on the scale with arms at side.
• D. Accurately record weight within +/- .25 lbs.
of nurse’s measurement.
42. Jaguar –
Obtain and Record Weight and Height
• Height
• A. Assist resident to stand on scales
• B. Resident is balanced and centered on the
scale with arms at side.
• C. Raise folded measuring bar above
resident’s head, open and lower gently until
bar rests on the top of the head (nor hair).
44. Kangaroo – Application of TED Hose
• A. Explain what position resident should be in
when applying stocking – apply while resident
is in bed or with feet elevated.
• B. Hold foot and heel of stocking and gather
stocking inside out down to the heel, aids in
application.
45. Kangaroo – Application of TED Hose
• C. Smooth up and over leg so hose is even,
snug and not twisted or wrinkled.
• D. Heel and Toe in proper location.
• E. The toe hole may be on the top or bottom
of the toes, depending on the manufacturer's
design.
47. Lions – Passive range of motion
• A. Exercise passively 2 joints
• B. When asked by an examiner, explain or
demonstrate that you understand to never
exercise beyond the point of pain.
• C. Provide support for joint.
• D. Avoid fast and jerky movements.
48. Lions – Passive range of motion
• Demonstrate Flexion, Extension, Adduction,
Abduction and Rotation if applicable.
• E. Repeat exercise at least three times.
50. Moose – Moving and Positioning
Residents –
• With each of the above positions your
demonstrate:
• Raise side rail while turning patient except on
the side you are working on.
• Demonstrate proper body mechanics.
• Maintain Residents proper alignment at all
times for all positions.
51. Moose – Moving and Positioning
Residents –
• A. Draw Sheet – Move using a draw sheet (2
Persons): Provide support for the resident’s
head. Grasp rolled draw sheet near the
resident’s shoulders and hips.
• B. Fowler’s – Position the Resident in
Fowler’s (high Fowler’s is 60-90 degrees) and
(Semi-fowler’s is 30-45 degrees) knees may be
elevated approximately 15 degrees.
52. Moose – Moving and Positioning
Residents –
• C. Supine – Position in supine, in proper
anatomical alignment.
• D. Chair/Wheelchair – Position WC near bed:
Provide good alignment – upper body and
head erect, back and buttocks against back of
chair, feet flat in floor or in W/C footrests.
53. Moose – Moving and Positioning
Residents –
• E. Sims – Semi-prone – Position Sims prone on
the correct side as directed by the resident as
directed by the examiner. Left: resident left
side lying, right leg flexed, lower arm behind
resident. Right: Resident right side, left leg
flexed, lower arm behind resident Provide
good alignment. Place a pillow under the
head, upper arm and flexed leg.
54. Moose – Moving and Positioning
Residents –
• F. Lateral (Right or Left): Position Lateral/sidelying on the correct side as directed by the
examiner. Provide good alignment. Place a
pillow between legs, behind back and under
arm.
56. Narwhal – Assisting to Ambulate
• Use Gait Belt:
• A: Resident should have footwear with nonskid soles.
• B: Sit resident up and allow to dangle.
• C: Apply gait belt properly around resident’s
waist; avoid restricting circulation or
breathing, or injuring skin.
57. Narwhal – Assisting to Ambulate
• D. Assist resident to stand while hold gait
belt. Grasp each side, not the front. Do not
allow resident to hold around your neck
while transferring.
• E. Maintain own body mechanics while
assisting resident to stand.
58. Narwhal – Assisting to Ambulate
• F. Walk at resident’s side or slightly behind
(on weak side).
• G. Demonstrate proper use of assistive
devices (walker or cane should be placed on
resident’s strong side.)
60. Orca’s – Pivot Transfer
• A. Unlock W/C wheels.
• B. Resident should have footwear with nonskid soles.
• C. Position W/C close to the bed on resident’s
strong side.
• D. Move or remove foot rests from W/C.
• E. Move Footrests.
61. Orca’s – Pivot Transfer
• F. Lower bed and rails.
• G. Sit resident up and allow to dangle.
• H. Apply gait belt properly around resident’s
waist; avoid restricting circulation or
breathing, or injury to skin.
• I. Assist resident to stand while holding gait
belt. Grasp on sides, not front. Do not allow
resident to hold on to neck.
62. Orca’s – Pivot Transfer
• J. Maintain own good body mechanics while
assisting resident to stand.
• K. Transfer to the strong side by pivoting to
the strong side towards the wheelchair, using
proper technique.
• L. Position resident properly in W/C, with
residents hips against back seat
63. Orca’s – Pivot Transfer
• M. Remove gait belt without harming
resident.
• N. Place foot rests under residents’ feet.
65. Pandas – Feeding the Dependent
Resident
• A. Check the name and diet on the meal tray
matches to the name of resident receiving it.
• B. Position the resident in an upright
position. Minimum 60 degrees.
• C. Wash and dry resident’s hands before
feeding.
• D. If resident wears dentures, check to make
sure dentures are in.
66. Pandas – Feeding the Dependent
Resident
• E. Protect clothing form soiling by using
napkin, clothing protector or towel.
• F. Describes the foods being offered to the
resident and maintain eye level contact while
feeding resident.
• G. Offer resident fluids frequently.
• H. When asked by examiner, explain the pace
and amount when feeding (Offer food in small
amounts, allow resident to chew and swallow.
67. Pandas – Feeding the Dependent
Resident
• I. Wipe resident’s hands and face during mea
as needed.
• J. When asked by examiner, verbalize need
to stop feeding when complications occur and
report to nurse.
• K. Leave resident clean and in a position of
comfort.
69. Quail – Denture Care
• A. Before handling dentures, protect
dentures from possible damage (line the
bottom of sink with a towel/washcloth or fill
with water).
• B. When asked by examiner, explain that
water for cleaning dentures should be
lukewarm.
70. Quail – Denture Care
• C. Brush dentures under running water with
brush and paste provided.
• D. Place dentures in denture cap with water,
adding cleaning tablet (if available) and cover
with lid and allow to soak.
• E. Perform mouth care while dentures are
out of the mouth.
72. Rabbit – Log Rolling a Resident with
Hip Fractures Precautions
•
•
•
•
A. Use @ least 2 people.
B. Lower head of bed as flat as possible.
C. Do not roll resident onto injured side.
D. Place abduction splint or pillows between
legs to support hip.
• E. On the count of three, roll person in a
single movement, being sure to keep the
person’s head, spine and legs aligned.
74. Snake – Oral Care for an Unconscious
Resident
• A. Verbalize that oral care should be done
every 2 hours.
• B. Place towel or drape under the resident’s
head.
• C. Positions resident (as resident’s medical
condition indicates.) to prevent choking or
HOB raised and head turned to side.
75. Snake – Oral Care for an Unconscious
Resident
• D. Insert swab/sponge tip gently into resident’s
mouth.
• E. Do not use toothpaste/toothbrush unless
approved by nurse.
• F. Rotate against all tooth surfaces, mucous
membranes and tongue.
• G. Clean resident’s lips.
• H. Moisturize lips.
• I. Report abnormalities such as bleeding gums.
77. Tiger – Back Rub/Massage
• A. Place resident in a sitting or lateral
position.
• B. Pour small amount of lotion into the palm
of your hands and rub lotion warm.
• C. Apply with gently pressure, using both
hands from the buttocks to back of neck
without pulling skin, using long firm strokes.
• D. Use short circular strokes across the
shoulders using both hands.
78. Tiger – Back Rub/Massage
• E. Perform backrub for 3-5 minutes or as
ordered.
• F. Assess skin condition.
• G. Remove excess lotion.
• I. When asked by examiner, verbalize actions
needed if redness or skin breakdown are
noticed. Do not rub reddened area and report
redness to nurse.
80. Unicorn – Foot and Nail Care
• A. inspect for cracked, broken nails/skin and
between toes
• B. Do not clip toenails!
• C. Soak feet in warm water.
• D. Dry feet completely including between toes.
• E. Apply lotion if desired but not between toes.
• F. Apply socks/Shoes.
• G Report Abnormalities.
82. Viper – Dressing/Undressing Resident
• A. Demonstrate hoe to dress/undress
resident with hemiplegia.
• B. Provide privacy during entire procedure.
• C. Dress weak side first.
• D. Undress weak side last.
84. Worm – Shaving with Razor Blade
• A. Place towel to protect resident’s clothing.
• B. Soften beard with warm washcloth and
apply shaving cream.
• C. Gently pull skin taut.
• D. Use short strokes of razor in the direction
the hair is growing.
• E. Rinse Razor often.
85. Worm – Shaving with Razor Blade
• F. Rinse and dry resident’s face
• G. Apply after shave if desired.
• H. Dispose blade in sharps container.
87. Xenosaur! – Provide Peri-Care
• Female
• A. Assist resident in removing clothing, only
as necessary, exposing only area being
washed. Providing privacy (remembering
dignity.
• B. Obtain basin with water of a safe and
comfortable temperature.
• C. Apply appropriate cleanser preferred by
resident to wash cloth.
88. Xenosaur! – Provide Peri-Care
• Female
• D. Separate the Labia, clean inside the labia
downward from front to back (clean to dirty).
Then wash the outside of the labia from the
front to the back. Starting outside the labia
and then going to the inside of the thigh.
Repeat until clean, using a different part of the
was cloth every stroke.
89. Xenosaur! – Provide Peri-Care
• Female
• E. Rinse and gently dry each area thoroughly
after washing.
• F. Turn the resident on their side.
• G. Clean the anal area from front to back.
• H. Rinse and gently dry each area thoroughly
after washing.
• I. Redress resident.
90. Xenosaur! – Provide Peri-Care
• Male
• A. Assist resident in removing clothing, only
as necessary, exposing only area being
washed. Providing privacy (remembering
dignity.
• B. Obtain basin with water of a safe and
comfortable temperature.
91. Xenosaur! – Provide Peri-Care
• Male
• C. Apply appropriate cleanser preferred by
resident to wash cloth. Cleanse the penis from
tip to base (clean to dirty). Repeat until the
area is clean, using a different part of the
washcloth for each stroke.
– If a resident is uncircumcised, retract foreskin by
gently pushing the skin toward the base of the
penis and clean as directed above, then replace
foreskin.
92. Xenosaur! – Provide Peri-Care
• Male
• D. Rinse and gently dry each area thoroughly
after washing.
• E. Turn the resident on their side.
• F. Clean the anal area from front to back.
• G. Rinse and gently dry each area thoroughly
after washing.
• H. Redress resident.
94. Yak – Assisting with a Bedpan or
Fracture Pan
• A. Position the bedpan/fracture pan under
the resident correctly (if using a fracture pan,
the flat side should be towards the back of
the resident.
• B. Raises head of bed to a comfortable level
• C. Place tissue within reach of resident.
• D. Position call light within reach.
• E. Provide privacy.
95. Yak – Assisting with a Bedpan or
Fracture Pan
•
•
•
•
F. Gently remove bedpan.
G. Provide Peri-Care as need.
H. Empty bedpan in toilet.
I. Rinse, dry and store bedpan in proper
location.
• J. Washes/assists with resident to wash and
dry hands.
• K. Record results accurately.
96. Zebra
• A. Properly fill out label given and place it on
the specimen container.
• B. Using a tongue depressor take a sample of
feces from the bedpan or specimen container
device.
• C. Note color, amount and quality of feces.
• D. Dispose of tongue depressor in a
disposable.
97. Zebra
• E. Empty remaining contents of bedpan or
specimen container device into toilet.
• F. Put lid tightly onto the specimen cup.
• G. Place specimen cup into transport bag.
• Wash Hands!
• Take specimen cup to the designated location.