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VNSG 1323 Exam 2

Chapters 18, 19, and 39

the way in which we hold the body Posture
Keep the feet parallel, about four to eight inches apart, bend the knees slightly, hold head up with face forward Standing Posture
sitting the buttocks and upper thighs are the base of support Sitting Posture
the efficient use of the body Body Mechanics
an inactive patient should be changed positions how often at least every two hours
if proper alignment and positioning for their body isn't achieved such as Contractures, pressure sores, and fluid in the lungs
in this position the patient is lying on their back Supine/Dorsal
when in the supine position the pt should have the feet in what position to prevent foot drop Dorsiflexion
In this position the patient is lying on their back, extremities slightly flexed with feet flat on bed. Dorsal Recumbent
This position is when the pt is lying on their side Lateral Oblique
Position where the individual lies on their abdomen with a small pillow below the diaphragm and the head turned to one side Prone position
In this position the patient is in a position that is halfway between lateral and the prone position...also prevents aspiration of fluids Sim's Position
In this position the head of the bed is elevated, there are different levels in this position Fowler's Position
Head of the bed is elevated 60-90 degrees High Fowlers
head of the bed is elevated 30-60 degrees Mid or Semi Fowlers
head of the bed is elevated 15-30 degrees Low Fowlers
This is where the patients head, chest, arms, knees and lower legs have contact with the bed Knee Chest (Genupectoral) Position
The patient is in the sitting position and resting forward usually over the bedside table, facilitates maximum chest expansion Orthopneic Position
Is when the patient is lying on their back with their hips and knees flexed, thighs abducted and feet are placed in stirrups Lithotomy Position
when the patient’s head is placed lower than the body, feet/legs are elevated (NEVER use in pt with a head injury) Trendelenburg Position
These are devices that help preserve the ability to grasp and pick up objects Hand Rolls
This is a triangular piece of metal hung by a chair over the head of the bed Trapeze bar
can be used for a patient with paralysis on one side to help maintain proper alignment and position Sandbags
the force exerted against the surface and layers of skin as tissues slide in opposite but parallel directions Shearing
This kind of exercise is done alone by the patient Active Exercise
this kind of exercise is done with the assistance of another person Passive Exercise
exercises that refer to stationary exercises that tend to be performed against a resistive force Isometric Exercise
refers to having the patient sit on the edge of the bed Dangling
the observation of health rules and methods or means of preserving health Hygiene
During a sitz bath you must assess you patient frequently for what Faintness/weakness (syncope), Dizziness (vertigo), pressure to the back of the legs, increase pulse, and chilling
Venous stasis, increased cardiac workload, blood pressure alterations effects of immobilization in cardiovascular system
Stasis of secretions, decreased elastic recoil, decreased vital capacity effects of immobilization in respiratory system
Anorexia, metabolic change to catabolism and negative nitrogen balance, decreased peristalsis effects of immobilization in GI tract
Decreased muscle mass and muscle tension, shortening of muscle, loss of calcium from the bone matrix, decrease in bone weight effects of immobilization in musculoskeletal system
Stasis of urine, urinary tract infection, renal stones effects of immobilization in urinary system
Decreased circulation from pressure, ischemia, and necrosis of tissue effects of immobilization in skin
Decreased mental activity, decreased sensory input, decreased socialization, decreased independence effects of immobilization in the brain
increase fluid intake, adequate nutrition and increase fiber in diet to prevent complications of immobilization
Protect injured parts by immobilizing them Splints
A pulling force used to maintain body alignment, maintain fracture alignment, and relieve pain and muscle spasm Traction
Uses Velcro boots, belts, halters, and slings..applied snugly to the skin Skin traction
Requires surgical placement of pins, tongs, screws, or wires anchored to the bone skeletal traction
Used to immobilize an extremity following a fracture or orthopedic procedure Cast
Pins, screws, or tongs inserted through one or more bones to stabilize fragments during healing External fixators
Tiny silicone beads contained within the bed under a flexible, air-permeable filter sheet Air-fluidized beds
Achieved by distributing air through multiple cushions connected in a series Low air loss bed
Bed turns in an arc up to 80 degrees and can be set to pause on either side for up to 30 minutes continual lateral rotation bed
Can move in a 360-degree arc, allowing a change of position for the patient circoelectric bed
Foam and gel pads, Sheepskin pads, Heel and elbow protectors, Pulsating air pads, Water mattresses that lie on top of the regular mattress Pressure relief devices
A variation of the figure-of-8 bandage used to support the thumb in neutral position following a sprain or other injury A thumb spica
Holds extremity in an elevated position to avoid edema of the hand, pain and discomfort, and fatigue Sling
Frequently the first mechanical aid used when training an individual to walk following a loss of function Walker
May follow the use of a walker or be the first aid to ambulation Crutches
Used for patients who are not able to ambulate either independently or with aids Wheelchairs
Created by: nursekk