POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS - PowerPoint PPT Presentation

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POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS

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BY NOTING CHANGES IN PULSE RATE YOU CAN DETERMINE HOW WELL PATIENT TOLERATES PROCEDURE ... CHECK STRAPS, CLASPS, AND SLING FOR ANY DEFECTS. USE SMOOTH EVEN ... – PowerPoint PPT presentation

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Title: POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS


1
POSITIONING, TURNING, MOVING,AND TRANSFERING
PATIENTS
2
INTRODUCTION
  • RESPONSIBILITY OF HEALTH CARE WORKER
  • IF PROCEDURES DONE CORRECTLY, PROVIDE PATIENT
    WITH OPTIMUM COMFORT AND CARE
  • ALSO HELP WORKER PREVENT INJURY TO SELF

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

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

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

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

7
  • 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
  • FIRST SIGN IS PALE OR REDDENED AREA ON THE SKIN
  • VESICLE OR BLISTER MAY FORM AT THE SITE
  • 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
  • PROVIDE GOOD SKIN CARE
  • CLEAN URINE AND FECES FROM SKIN PROMPTLY
  • MASSAGE IN A CIRCULAR MOTION AROUND A REDDENED
    AREA

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

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

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

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

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

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

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

21
DANGLING
  • DANGLING MEANS SITTING PATIENT WITH LEGS HANGING
    DOWN OVER THE SIDE OF THE BED
  • 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
  • TAKEN JUST BEFORE PATIENT MOVED TO SERVE AS
    RESTING OR CONTROL RATE
  • TAKEN IMMEDIATELY AFTER POSITIONING PATIENT IN
    DANGLING POSITION
  • TAKEN AFTER PATIENT HAS RETURNED TO LYING POSITION

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

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

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

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

27
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28
IMPLEMENTATION
  • PLACE BED IN LOW POSITION
  • RAISE HEAD OF BED
  • ASSIST PATIENT TO DANGLE

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

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

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