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Moving and lifting the patient

This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.

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OF THE PATIENT www.drjayeshpatidar.blogspot.com
MEANING Moving and lifting of the patients means shift or transfer the patient from one place to another place with use of different types of devices. For example-.Wheel chair,strecher. When the patient is not able to move or lift own self. www.drjayeshpatidar.blogspot.in
DEVICES USED  1]wheel chair.or arm chair.  2]wheel bed.  3] strecher etc. www.drjayeshpatidar.blogspot.in
INDICATIONS {moving the patient from bed to wheelchair and back}  Pre-operative patient.  Anemic patients.  Old-age patients.  To shift the Gyneac patients.  For shifting the patient from ward to the investigation area. www.drjayeshpatidar.blogspot.in
CONTRA INDICATIONS  Critically ill patients.  Spinal injury and fracture patients.  Ceaserian patients.  Head injury patients.  Semi conscious,unconscious and coma patients. www.drjayeshpatidar.blogspot.in
INDICATIONS{moving of the patients from bed to stretcher and back}  Critically ill patients.  Post operative patients cardio vascular, spinal injury and fracture patients.  Ceaserian patients.  Head injury patients.  Semi conscious,unconscious and coma patients. www.drjayeshpatidar.blogspot.in
GENERAL INSTRUCTIONS IN MOVING AND LIFTING OF THE PATIENT  plan the movement of the patient ahead of the time and be sure the path is clear.  Face the direction in which the movement will be made to avoid twisting.  The areas to be supported are. *head, shoulder and chest. *hips. *thighs and ankle. www.drjayeshpatidar.blogspot.in
*Take the help of the worker and co-ordinate the movements. *unless contraindicated, encourage the patient to use his abilities as much as possible. *Observe the patient for orthostatic hypotension. *Don't support the patient under his armpit. *Always lock the wheels of the chair and stretcher. *Avoid jerking and twisting during the lift. www.drjayeshpatidar.blogspot.in
NURSES RESPONSIBILITY.  PRELIMINARY ASSESSMENT— 1. Check the diagnosis of the patient. 2. Check the level of the consciousness and ability to follow instructions. 3. Check the ability of the self care. 4. Check the abilities and limitations such as paralysis,fractures,and splints. 5. Check the presence of the muscle, skin and bone lesions and attachment e.g. catheters and I.V.connections. 6. Check numbers of personnel required. www.drjayeshpatidar.blogspot.in
PREPARATION OF THE PATIENT AND UNIT  Provid the prvicy.  Explain the procedure.  Adjust the bed at working height.  Fanfold the top linen.  Chenge the wet linen.  Offer the bedpan.  Remove all comfort devices.  Clamp the catheter. Attach the i.V pole to the device.  Position foot stool if needed.www.drjayeshpatidar.blogspot.in
ASSISTING THE PATIENT FROM BED TO CHAIR OR STRETCHER  1]Before the procedure. *preparation of the environment. * preparation of the patient. * preparation of the Articles. * preparation of the ownself. 2] During the procedure{ steps of the procedure} 3] After the procedure. www.drjayeshpatidar.blogspot.in
Thank you www.drjayeshpatidar.blogspot.in