Chapter 10: Positioning, Transfers, and Ambulation

When using proper body mechanics, you should always begin in a ___ position and lift with your ____

squatting, legs

When using proper body mechanics, you should ___ objects when possible instead of ___ them

push, lifting

When a patient is in a bed, how often should you re-position them?

Every 2 hours

When a patient is in a chair or wheel chai, how often should you re-position them?

Every hour

After re-positioning a patient, you should always ___

document the position and time in which you re-positioned them

When re-positioning the patient, you should always check the skin for….

whiteness, redness, warm spots or different color skin

Supine Position

• resident lays flat on their back

Lateral/side position

• resident is lying on either side

Prone Position

• resident is lying on the stomach, or front side of the body

High-Fowler’s position

the upper body is sitting nearly straight up (60 to 90 degrees)

Semi-Fowler’s Position

• resident is sitting semi-upright in a (30 to 45 degree) angle

Sims’ Position

• resident is laying on it’s left side with the leg drawn up (how I sleep)

What is a Draw Sheet?

an extra sheet placed on top of the bottom sheet to help prevent skin damage caused by shearing

Shearing

rubbing friction that results from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction

Logrolling

moving a resident as a unit, without disturbing their alignment

• keeping the head, back, and legs in a straight line

Dangling

sitting up on the side of the bed with the legs hanging over the side

• helps residents regain balance before standing up, allows blood pressure to stabilize

What does transferring a resident mean?

Moving a resident from one place to another

What is a transfer belt?

a safety device used for weak, unsteady, or uncoordinated residents. Helps them with walking.

What is a slide/transfer board?

used to move residents who are unable to bear weight on their legs

When transferring a resident with one-sided weakness should you move the stronger or weaker side first?

Stronger side

The blades empties more efficiently when a person is able to ___ and why?

use the toilet, due to the person’s position over the toilet

In order for the a resident to empty their bladder efficiently ____

resident must be able to bear some weight on their legs

Ambulation

moving or walking, with or without an assistive device

Ambulatory

one who can get out of bed and move or walk

When walking with an ambulatory belt, if the resident has a weaker side, you should stand on the ___

weaker side

When walking, you should tell the resident to look ___

forward and not down

When walking with a visually impaired person, where should you walk?

Beside and slightly ahead of the resident

Residents using canes should be able to ___

bear weight on both legs

If one leg is weaker, the cane should be held where?

in the hand on the stronger side

What does the C Cane look like?

Has a curved handle

What is a C Cane used for?

used to improve balance

What does a functional grip cane look like?

same as c cane with a straight grip handle

What is a functional grip cane used for?

improving grip control

What does a quad cane look like?

a four rubber-tipped feet and a rectangular base

What is the quad cane used for?

designed to bear more weight than the other canes

What is a walker?

a type of walking aid used when the resident can bear some weight on both legs

What is the order of walking with a walker?

1. walker

2. move the weak leg

3. move the stronger leg