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Chapter 14

Body Mechanics and Safe Resident Handling, Positioning, and Transfers

QuestionAnswer
Body _______________ means using the body in an efficient and careful way. Mechanics
Body ________________ is the way the head, trunk, arms and legs are aligned with one another. Alignment
The base of ______________ is the area on which an object rests. Support
Stand with your feet _____________ for a wider base of support and more balance. Apart
Your _________________ and largest muscles are in your shoulders, upper arms, hips and thighs. Strongest
For good body mechanics you should _____________ your knees and squat to lift a heavy object. Bend
For good body mechanics you should hold items ___________ to your body and base of support. Close
What is the science of designing a job to fit the worker? Ergonomics
Rules for good body mechanics includes keeping your body in good _______________ with a wide base of support. Alignment
Rules for good body mechanics include keeping an __________ working posture. Upright
Rules for good body mechanics includes using the stronger and larger ______________ in your shoulders, upper arms, thighs, and hips. Muscles
Rules for good body mechanics includes keeping items close to your _____________ when you lift, move, or carry them. Body
Rules for good body mechanics includes avoiding unnecessary _______________ and reaching. Bending
Rules for good body mechanics include ______________ the bed so it is close to your waist. Raising
Rules for good body mechanics includes facing your ____________ area. Work
Rules for good body mechanics includes pushing, pulling or sliding heavy objects instead of _____________ them. Lifting
Which is easier, pushing or pulling? Pushing
Use both _______________ and arms when you lift, move, or carry objects. Hands
Rules for good body mechanics includes turning your whole ______________ when changing the direction of your movement. Body
Rules for good body mechanics includes working with smooth, even ________________. Movements
Rules for good body mechanics include not lifting objects higher than _____________ level. Chest
Work related muscular skeletal disorders (MSDs) are ______________ and disorders of the muscles, tendons, ligaments, joints, and cartilage. Injuries
MSDs often affect the arms and _____________. Back
MSDs can develop _____________ over weeks, months and years. Slowly
MSDs can also occur from _________ event. One
According to the U.S. Department of Labor, who is at a great risk for MSDs? Nursing assistants
Always _____________ a work-related injury as soon as possible. Report
Tasks known to be a high risk for MSDs include ______________ to and from beds, chairs, wheelchairs, Geri-chairs, toilets, stretchers, and bathtubs. Transfers
Tasks known to be a high risk for MSDs include trying to stop a person from ______________. Falling
Tasks known to be a high risk for MSDs include ______________ up a person from the floor to the bed. Picking
Tasks known to be a high risk for MSDs include lifting ____________. Alone
Tasks known to be a high risk for MSDs include lifting persons who are __________________ or uncooperative. Confused
Tasks known to be a high risk for MSDs include lifting persons who cannot support their own ___________. Weight
Tasks known to be a high risk for MSDs include lifting _____________ persons. Heavy
Tasks known to be a high risk for MSDs include _____________ a person up in bed. Moving
Tasks known to be a high risk for MSDs include _______________ a person in a bed or in a chair. Re-positioning
Tasks known to be a high risk for MSDs include ____________ an incontinence product. Changing
Tasks known to be a high risk for MSDs include making ____________. Beds
Tasks known to be a high risk for MSDs include _______________ and undressing a person. Dressing
Tasks known to be a high risk for MSDs include _________________ a person in bed. Feeding
Tasks known to be a high risk for MSDs include giving a bed ___________. Bath
Tasks known to be a high risk for MSDs include applying _______________ stockings. Elastic
The risk of MSDs increases if risk factors are _____________. Combined
What is the amount of physical effort needed to perform a task? Force
A repeating ________________ is performing the same motion or series of motions continually or frequently. Action
Awkward ________________ is assuming positions that place stress on the body. Postures
Regular ______________ changes and good alignment promote comfort and well-being. Position
When a person is properly aligned ____________ is easier and circulation is promoted. Breathing
Regular position changes and good alignment help prevent pressure ulcers and __________________. Contractures
A person is re-positioned every ___________ hours whether restrained in a bed or chair. Two
To safely position a person you should use good body ____________. Mechanics
To safely position a person you should ask a ________________ to help you if you need it. Co-worker
To safely position a person you should ________________ the procedure to the person. Explain
To safely position a person you should use ________________ as directed by the nurse for support and alignment. Pillows
To safely position a person you should place the ________ ___________ within reach after positioning. Call light
To safely position a person you should complete a __________ check before leaving the room. Safety
What position is a semi-sitting position in which the head of the bed is raised between 45 and 60 degrees? Fowler's
Persons with heart and respiratory disorders usually ____________ easier in Fowler's position. Breath
What is the back lying position called? Supine
What is another name for the dorsal recumbent position? Supine
In what position does the person lie on their abdomen with the head turned to one side? Prone
Most older persons cannot tolerate the prone position due to limited range of motion in their ___________. Neck
In addition to the prone position, which other position is uncomfortable for most older persons? Sims
In what position does the person lie on one side or the other; also called the side-lying position? Lateral
In which position does the person lie on their left side with the upper leg sharply flexed in front of the the lower leg and the lower arm is behind the person? Sims
Persons who sit in chairs must hold their upper bodies and ___________ erect. Head
For good alignment when sitting in a chair the person's back and buttocks are against the ____________ of the chair. Back
For good alignment when sitting in a chair the person's feet are ____________ on the floor or wheelchair footplates. Flat
For good alignment when sitting in a chair the person's knees and calves are slightly _______________ from the edge of the seat. Away
Some people require ______________ supports if they cannot keep their upper bodies erect. Postural
What is it called when you move a person from one place to another? Transfer
To safely handle, move, and transfer a person, the nurse and the health team determine the person's _______________ level. Dependence
To safely handle, move, and transfer a person, the nurse and the health team determine the amount of _______________ needed. Assistance
To safely handle, move, and transfer a person, the nurse and the health team determine what _______________ to use. Procedure
To safely handle, move, and transfer a person, the nurse and the health team determine what __________________ is needed. Equipment
Many older persons have osteoporosis or _____________ which makes it more difficult to handle, move and transfer the person. Arthritis
Older people may have fragile ______________ and joints. Bones
Friction and shearing can injure the _______________. Skin
What is the rubbing of one surface against another called? Friction
What is it called when the skin sticks to a surface while the muscles slide in the direction the body is moving? Shearing
To reduce friction and shearing when moving a person in bed you should ____________ the person whenever possible. Roll
To reduce friction and shearing when moving a person in bed you should use friction-reducing _______________. Devices
When moving a person in bed, the bed should be ________________. Raised
Before moving a person in bed, you need information from the nurse and care plan about the persons position _____________ and restrictions. Limits
Before moving a person in bed, you need information from the nurse and care plan about how far you can _____________ the head of the bed. Lower
Before moving a person in bed, you need information from the nurse and care plan about any limits in the person's ability to ____________ or be re-positioned. Move
Before moving a person in bed, you need information from the nurse and care plan about what ________________ is needed. Equipment
Before moving a person in bed, you need information from the nurse and care plan about whether the person uses ________ __________. Bed rails
Before moving a person in bed, you need information from the nurse and care plan about how to _______________ the person. Position
Before moving a person in bed, you need information from the nurse and care plan about what ______________ can be removed before moving the person. Pillows
To move a person up in bed you should _____________ the head of the bed to a level appropriate for the person. Lower
To safely move a person up in bed you should always ____________ the bed wheels. Lock
When moving a person up in bed with an assist device the underpad must be strong enough to support the person's ______________. Weight
When moving a person up in bed with an assist device the underpad must extend from under the person's head to above the ____________ or lower. Knees
When moving a person up in bed with an assist device the underpad must be ____________ enough for you and other staff to get a firm grip. Wide
When moving the person to the side of the bed in segments, what part of the body do you move first? Upper
When moving the person to the side of the bed in segments, what part of the body do you move second? Lower
When moving the person to the side of the bed in segments, what part of the body do you move last? Legs
When moving the person to the side of the bed you should first ask them to cross their arms over their ______________. Chest
What is it called when you turn a person as a unit, in alignment, with one motion while keeping the spine straight? Logrolling
Logrolling is used to turn persons with arthritic ___________ or knees. Spines
Logrolling is used to turn persons recovering from ________ fractures. Hip
Logrolling is used to turn persons with ___________ _____________ injuries. Spinal cord
Logrolling is used to turn persons recovering from _____________ surgery. Spinal
Two or three staff members are needed to _____________ a person. Logroll
After spinal cord injury or surgery, the spine must be kept ________________. Straight
A ______________ is normally not used for persons with a spinal cord injury or recovering from spinal surgery. Pillow
What is it called when a resident sits on the side of the bed? Dangling
Dangling is important because many older persons become _________ or faint when getting out of bed too fast. Dizzy
Some persons may need to dangle for one to __________ minutes before walking or transferring. Five
If dizziness or fainting occurs, you should __________ the person down. Lay
Before dangling a person you need certain information from the nurse or the care plan including areas of _____________. Weakness
Before dangling a person you need certain information from the nurse or the care plan including the person's ______________ level. Dependence
Before dangling a person you need certain information from the nurse or the care plan including the amount of ____________ the person needs. Help
Before dangling a person you need certain information from the nurse or the care plan including if you need a ____________ to help you. Co-worker
Before dangling a person you need certain information from the nurse or the care plan including the ______________ of the bed. Position
Before dangling a person you need certain information from the nurse or the care plan including what _____________ the person needs to perform while dangling. Exercises
Before dangling a person you need certain information from the nurse or the care plan including if the person will walk or transfer to a ______________ after dangling. Chair
Problems with sitting and __________ often occur after illness, injury, surgery, and bedrest. Balance
The person wears ____________ footwear for transfers. Non-skid
Before transfers you need to ______________ bed and wheelchair wheels. Lock
When transferring the person must not put his or her arms around your _____________. Neck
If not using a mechanical assist device, using a _________________ belt is the preferred method for transfers. Transfer
When transferring a person out of bed, the person needs to get out of bed on her ____________ side. Strong
When transferring a person, which side of their body moves first? Strong
You can use a stand and pivot transfer if the person's legs are strong enough to bear some or all of his or her ______________. Weight
You can use a stand and pivot transfer if the person is ______________ and can follow directions. Cooperative
You can use a stand and pivot transfer if the person can ____________ with the transfer. Assist
When transferring a person to the wheelchair you should place the wheelchair at the head of the bed on the person's ______________ side. Strong
When transferring a person using a mechanical lift you will use a standard full sling for ________________ transfers. Normal
When transferring a person using a mechanical lift you will use an extended length sling for persons with extra large ___________. Thighs
When transferring a person using a mechanical lift you will use a ______________ sling to transfer the person directly from the bed or chair into a bathtub. Bathing
When using a toileting sling, the bottom of the sling is _____________. Open
For _______________ control, each person should have his or her own toileting sling. Infection
An _______________ sling is used for a person who has had both legs amputated. Amputee
Also follow the _________________ instructions when using a mechanical lift. Manufacturer
Do not use a mechanical lift unless you have been ______________ how to use it. Trained
Before transferring a person to the toilet you need to check the __________ _________ to make sure they are not loose. Grab bars
Stretchers are used to transfer persons who cannot __________ up. Sit
Stretchers are used to transfer persons who must stay in a ____________ position. Lying
Stretchers are used to transfer persons who are seriously ______. Ill
At least two or three staff members are needed for a safe ______________ transfer. Stretcher
If the person cannot __________ with re-positioning then a mechanical lift must be used. Help
Do not ____________ the person from behind the chair of wheelchair when re-positioning. Pull
The person must have the _____________ to help with re-positioning. Strength
To re-positioning a person in a wheelchair you need to ___________ the wheelchair wheels. Lock
To re-positioning a person in a wheelchair you need to remove or swing the _______________ out of the way. Footplates
To re-positioning a person in a wheelchair you need to position the person's feet _____________ on the floor. Flat
To re-positioning a person in a wheelchair you need to apply a transfer ___________. Belt
To re-positioning a person in a wheelchair you need to position the person's ____________ on the armrests. Arms
To re-positioning a person in a wheelchair you need to stand _____ _________ of the person. In front
To re-positioning a person in a wheelchair you need to ____________ the transfer belt on each side while the person leans forward. Grasp
To re-positioning a person in a wheelchair you need to ask the person to push with their feet and arms on the count of ___________. Three
To re-positioning a person in a wheelchair you need to move the person back into the _____________ on the count of three. Chair
Safety straps are applied _____________ the person is transferred to the stretcher. After
The stretcher _______________ ______________ are kept up during the transport. Side rails
The stretcher is moved ______________ first. Feet
Never leave a person on a _______________ alone. Stretcher
Created by: na3