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Question | Answer |
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Define abduction | movement of an extremity away from the midline of the body. |
define adduction | movement of an extremity toward the midline of the body. |
define alignment | relationship of various body parts to one another. |
define base of support | area on which an object rests; a stance with feet slightly apart. |
how many inches apart should your base of support be? | 16-18 inches |
define body mechanics | physiologic study of the muscular actions and the funciotns of muscles in maintaining posture of the body. |
define contractures | abnormal, usually permanent condition of a joint characterized by flexion and fixation and caused by atrophy. |
define dorsal position (supine) | lying horizontal on the back |
define dorsal recumbent | supine position with patient lying on back, head and shoulders with extremities moderately flexed and legs extended. |
define dorsiflexion | bending or flexing backward, as in upward bending of the fingers, wrists, feet, toes. |
define extension | movement of joint that increases the angle between two adjoining bones. |
define flexion | movement of certain joints that decreases the angle between two adjoining bones |
define fowler's position | a position arranged by elevating the head of the bed 45-60 degrees. |
define high fowler's position | a position arragned by elevating the head of the bed 60-90 degrees. |
define genupectoral (knee to chest) | patient kneels so weight of body is supported by knees and chest |
define hyperextension | extension of a limb or part beyond the normal limit |
define immobility | inability to move around freely, caused by and condition in which movement is impaired or therapeutically restricted. |
define joint | any one of the conections between bones |
define lateral position | when patient is resting on his/her side. |
define lithotomy | patient lying supine with hips and knees flexed and the thighs abducted and rotated externally. |
define logroll | technique used to turn a a patient in bed as a single unit while maintaining straight body alignment. |
define mobility | the ability to move in ones environment with ease and without restriction |
define necrosis | local death of tissue from disease or injury |
define orthopnea | the ability to breathe only in the upright position |
define orthopneic | pertains to the posture assumed by the patient sitting up in bed at a 90 degree angle (or beyond, tripod position) |
define pivot | turn or change of direction with your feet while remaining in a fixed place |
define pressure ulcer | an ulcer that forms from a local interference with circulation |
define pronation | palm of the hand turned down |
define prone position | when the patient is lying face down |
define range of motion | normal movement that any given joint is capable of making. Any body action involving the muscles joint and natural directional movement. |
define semi-fowlers position | position arranged by elevating the head of the bed 30-45 degrees and raising the knees up to 15 degrees. |
define shearing force | an applied force that causes a downward and forward pressure on the tissues beneath the skin (usually causes skin tearing in older patients) |
define sims position | side-lying position in which the weight is distributed over the anterior ilium, humerus and clavicle. (usually on left side for most procedures) |
define supination | the act of turning the palm of the hand forward or upward |
define supine position | resting on back |
define trendelenburg | a position in which the patient is l ying supine with the head lower than the body with the body and legs elevated and on an incline. |
What is the max weight a lpn should lift? | 35 percent |
what are the patient assistance factors in patient movement? | the patients ability to assist, activity level, weight, medical equipment, pain, surgical sites, medical diagnosis, and complications of immobility |
what are the body mechanic principles in patient movement? | maintain alignment, get help if needed, use leg muscles to lift, base of support, smooth coordinated movements, center of gravity, and pull and pivot |
What are some considerations when moving older patients? | Skin, joints, flexibility and joint mobility, weakness and hypotension, altered sensory perception, limitations on positioning |
What are some assistive devices for moving or positioning a patient? | pillows, foot boots, sandbags, hand roll, hand-wrist splint, trapeze bar, side rail, bed board, wedge pillow. |
What is mobility | the ability to move around freely |
what is immobility | unable to move freely, predisposes the patient to develop a wide variety of complications |
What are some improper allignment hazards? | Pressure ulcers, shearing force, contractures, fluid in lungs |
You should teach a patient about these topics for movement and positioning | assist with positioning, assess environment to prevent falls, ROM exercises to prevent immobility problems, avoid prolonged sitting, frequent stretching, rising slowly. |
Nursing interventions for positioning | reposition, fluid intake, diet, rom exercises, careful handling, positioning, ambulation, antiembolism measures. |
What is active ROM | Patient is able to move with no assistance from self or another |
What is active ssisted |