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POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS.

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Presentation on theme: "POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS."— Presentation transcript:

1 POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS

2 INTRODUCTION n RESPONSIBILITY OF HEALTH CARE WORKER n IF PROCEDURES DONE CORRECTLY, PROVIDE PATIENT WITH OPTIMUM COMFORT AND CARE n ALSO HELP WORKER PREVENT INJURY TO SELF

3 n CORRECT BODY MECHANICS ESSENTIAL FOR ANY OF THE PROCEDURES n IF YOU ARE UNABLE TO MOVE OR TURN A PATIENT BY YOURSELF, ALWAYS GET HELP

4 ALIGNMENT n DEFINED AS POSITIONING BODY PARTS IN RELATION TO EACH OTHER TO MAINTAIN CORRECT BODY POSTURE n DIRECT PATIENT CARE TOWARD MAINTAINING NORMAL BODY ALIGNMENT

5 n CORRECT ALIGNMENT HELPS PATIENT FEEL MORE COMFORTABLE AND PREVENTS FATIQUE n HELPS PREVENT DECUBITIS ULCERS

6 DECUBITUS ULCERS n ALSO CALLED PRESSURE SORES OR BEDSORES n CAUSED BY PRESSURE ON AN AREA THAT INTERFERES WITH CIRCULATION

7 n COMMON IN AREAS WHERE BONES ARE CLOSE TO SKIN, SUCH AS TAILBONE OR COCCYGEAL AREA, HIPS, KNEES, AND ELBOWS

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12 DEVELOPMENT OF DECUBITIS ULCERS n FIRST SIGN IS PALE OR REDDENED AREA ON THE SKIN n VESICLE OR BLISTER MAY FORM AT THE SITE n AS CELLS DIE, SKIN BREAKS DOWN AND AN ULCER OR OPEN SORE DEVELOPS

13 EASIER TO PREVENT DECUBITIS ULCERS THAN IT IS TO TREAT THEM n PROVIDE GOOD SKIN CARE n CLEAN URINE AND FECES FROM SKIN PROMPTLY n MASSAGE IN A CIRCULAR MOTION AROUND A REDDENED AREA

14 n APPLY A LIGHT DUSTING OF POWDER TO AREAS WHERE SKIN TOUCHES SKIN TO AVOID FRICTION n TURN PATIENT FREQUENTLY TO CHANGE POSITION n POSITION TO AVOID PRESSURE ON IRRITATED AREAS

15 n KEEP LINEN DRY AND FREE FROM WRINKLES n OBSERVE SKIN CAREFULLY DURING BATHING AND TURNING n REPORT PALE OR REDDENED AREAS IMMEDIATELY

16 HELPS PREVENT CONTRACTURES n TIGTHENING OR SHORTING OF A MUSCLE DUE TO LACK OF MOVEMENT OR USAGE OF A MUSCLE n FOOT DROP IS A COMMON CONTRACTURE

17 n PREVENT IN PART BY KEEPING FOOT AT RIGHT ANGLES TO THE LEG n USE FOOTBOARDS AND HIGH-TOP TENNIS SHOES TO KEEP FOOT IN THIS POSITION

18 n RANGE OF MOTION EXERCISES ALSO HELP PREVENT CONTRACTURES n RANGE OF MOTION IS ABBREVIATED ROM

19 MOVES AND TURNS n PATIENTS WHO ARE CONFINED TO BED MUST BE TURNED FREQUENTLY n POSITION SHOULD BE CHANGED AT LEAST EVERY TWO HOURS IF PERMITTED BY DOCTOR

20 REASONS FOR TURNING FREQUENTLY n PROVIDES EXERCISE FOR MUSCLES n STIMULATES CIRCULATION n HELPS PREVENT DECUBITIS ULCERS AND CONTRACTURES n PROVIDES COMFORT TO THE PATIENT

21 DANGLING n DANGLING MEANS SITTING PATIENT WITH LEGS HANGING DOWN OVER THE SIDE OF THE BED n PATIENT FREQUENTLY PLACED IN THIS POSITION PRIOR TO BEING TRANSFERRED FROM BED IF CONFINED FOR A PERIOD OF TIME

22 PULSE IS CHECKED THREE TIMES DURING PROCEDURE n TAKEN JUST BEFORE PATIENT MOVED TO SERVE AS RESTING OR CONTROL RATE n TAKEN IMMEDIATELY AFTER POSITIONING PATIENT IN DANGLING POSITION n TAKEN AFTER PATIENT HAS RETURNED TO LYING POSITION

23 n BY NOTING CHANGES IN PULSE RATE YOU CAN DETERMINE HOW WELL PATIENT TOLERATES PROCEDURE

24 OTHER OBSERVATIONS TO BE MADE n CHECK RESPIRATORY RATE n CHECK BALANCE AND NOTE VERTIGO OR DIZZINESS n NOTE AMOUNT OF PERSIPRATION AND COLOR

25 RETURN PATIENT IMMEDIATELY TO SUPINE IF n EXCESSIVE INCREASE IN PULSE RATE OR WEAK PULSE n SIGNS OF LABORED RESPIRATIONS n COLOR BECOMES PALE OR INCREASED PERSPIRATION NOTED n PATIENT GETS DIZZY OR WEAK

26 TRANSFERS n PATIENTS TRANSFERRED TO WHEELCHAIRS, CHAIRS, AND STRETCHERS n CORRECT PROCEDURES MUST BE FOLLOWED TO PREVENT INJURY TO BOTH PATIENT AND WORKER

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28 IMPLEMENTATION n PLACE BED IN LOW POSITION n RAISE HEAD OF BED n ASSIST PATIENT TO DANGLE

29 n MANY DIFFERENT MODELS OF WHEELCHAIRS AND STRETCHERS AVAILABLE n IF NO INSTRUCTIONS ARE AVAILABLE, ASK IMMEDIATE SUPERVISOR TO DEMONSTRATE CORRECT OPERATION

30 MECHANICAL LIFTS n FREQUENTLY USED TO TRANSER WEAK OR PARALYZED PATIENTS n READ INSTRUCTIONS PROVIDED n CHECK STRAPS, CLASPS, AND SLING FOR ANY DEFECTS n USE SMOOTH EVEN MOVEMENTS WHILE OPERATING LIFT

31 n REASSURE FRIGHTENED PATIENTS THAT LIFT IS SAFE n MOVE UNNECESSARY FURNITURE OUT OF THE WAY DURING TRANSFERS n PARTICULARLY INPORTANT IN HOME CARE SITUATIONS


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