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NURSING ASSISTANT III Unit 2 Chapter 11: Positioning, Lifting, and Transferring Patients and Residents.

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Presentation on theme: "NURSING ASSISTANT III Unit 2 Chapter 11: Positioning, Lifting, and Transferring Patients and Residents."— Presentation transcript:

1 NURSING ASSISTANT III Unit 2 Chapter 11: Positioning, Lifting, and Transferring Patients and Residents

2 POSITIONING PATIENTS AND RESIDENTS  Changing positions frequently helps us stay comfortable  Complications can arise from spending long periods of time in same position  Many reasons why person may not be able to change positions

3 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Integumentary System  Pressure ulcers (decubitus ulcers) (bed sores)  Where bony areas press against mattress  Very difficult to heal  Develop in 4 stages

4 POSITIONING PATIENTS AND RESIDENTS  Serious Complications Stage 1 Ulcer

5 POSITIONING PATIENTS AND RESIDENTS  Serious Complications Stage 2 Ulcer

6 POSITIONING PATIENTS AND RESIDENTS  Serious Complications Stage 3 Ulcer

7 POSITIONING PATIENTS AND RESIDENTS  Serious Complications Stage 4 Ulcer

8 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Musculoskeletal  Contractures  Stiffness  Atrophy  Calcium loss

9 POSITIONING PATIENTS AND RESIDENTS  Serious Complications

10 POSITIONING PATIENTS AND RESIDENTS  Serious Complications

11 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Respiratory system  Prevent lungs from completely filling with air  Atelectasis  Pneumonia

12 POSITIONING PATIENTS AND RESIDENTS  Serious Complications

13 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Cardiovascular System  Venous return  Blood clots  Stasis ulcers

14 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Cardiovascular System

15 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Cardiovascular System

16 POSITIONING PATIENTS AND RESIDENTS  Serious Complications  Cardiovascular System

17 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Proper positioning is necessary for proper body alignment  Spine should not be twisted or crooked  Most comfortable  Relives strain on muscles and spine  Helps prevent pressure ulcers

18 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Supine (Dorsal Recumbent) Position  Lying on the back  Bed is flat  Head supported by a pillow  Subject to pressure ulcers on the heels and sacrum  Sand beds  Heels must be elevated  Place pillow under person’s calves

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20 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Fowler’s Position  Similar to supine position with the head of the bed elevated to 45 and 60 degrees  Semi-Fowlers  Head of bed degrees  High-Fowlers  Head of bed between degrees  Knee-gatch area of bed may be elevated as well  Comfortable for reading, watching TV, talking with visitors, etc.  Good for management of certain diseases

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22 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Lateral Position  Lying on the side  Must document which side person is laying on  Lower leg is straight  Upper leg is bent and supported by a pillow  Upper arm is supported by a pillow  Often used for people with back pain, or in a body cast  Part of the cycle of positions

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24 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Prone Position  Lying on the abdomen with the head turned to the side  Pillow under the head, lower abdomen, and feet  Many people are not comfortable in this position

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26 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Sims’ Position  An extreme side laying position that is almost prone  Head turned to one side with knee bent sharply on that side  Used for receiving enemas, and to relieve pressure on coccyx or greater trochanter

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28 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Sitting Position  Feet should rest flat on the floor  Knees bent approximately 90 degrees  Buttocks and back against backrest  Arms should be supported

29 POSITIONING PATIENTS AND RESIDENTS  Basic Positions  Trendelenburg Position  Supine with feet above the level of the head  Used for patients with low blood pressure  Caution with head injuries  Increases ICP

30 POSITIONING PATIENTS AND RESIDENTS

31  Repositioning a Person  Some people require repositioning as frequently at ever hour  Most people require repositioning every 2 hours  Each time you reposition be observant to complications  People who you are moving are at higher risk for shearing and friction injuries

32 POSITIONING PATIENTS AND RESIDENTS  Repositioning a Person  Shearing  Caused by pulling a person across a sheet or other surface that offers resistance  The skin is dragged, injuring the underlying tissues and muscles  Leads to skin breakdown

33 POSITIONING PATIENTS AND RESIDENTS  Repositioning a Person  Moving person to side of bed  Moving a person up in bed  Raising head and shoulders  Turning person on side  Logrolling  Transferring to a stretcher  Using a mechanical lift


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