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    Kristine Custodio
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    1. Stands on the side to which the client is being turned 2. Places one hand behind the client's back and the other under the client's knees 3. Helps roll the client as a unit toward self Procedure: 1. Explain procedure to client 2. Position client on side with top knee flexed for support 3. Place pillows between client's legs and under lower arm 4. Place draw sheet under client's back and draw up on far side 5. Place second draw sheet under client's knees and draw up on far side 6. Nurse stands on side to which client is being turned 7. Nurse and assistant roll client as unit toward assistant 8.

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    BODY MECHANICS

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    1. Stands on the side to which the client is being turned 2. Places one hand behind the client's back and the other under the client's knees 3. Helps roll the client as a unit toward self Procedure: 1. Explain procedure to client 2. Position client on side with top knee flexed for support 3. Place pillows between client's legs and under lower arm 4. Place draw sheet under client's back and draw up on far side 5. Place second draw sheet under client's knees and draw up on far side 6. Nurse stands on side to which client is being turned 7. Nurse and assistant roll client as unit toward assistant 8.

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    39 views7 pages

    Body Mechanics

    Uploaded by

    Kristine Custodio
    1. Stands on the side to which the client is being turned 2. Places one hand behind the client's back and the other under the client's knees 3. Helps roll the client as a unit toward self Procedure: 1. Explain procedure to client 2. Position client on side with top knee flexed for support 3. Place pillows between client's legs and under lower arm 4. Place draw sheet under client's back and draw up on far side 5. Place second draw sheet under client's knees and draw up on far side 6. Nurse stands on side to which client is being turned 7. Nurse and assistant roll client as unit toward assistant 8.

    Copyright:

    © All Rights Reserved
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    of 7

    BODY MECHANICS

    Some of the most common injuries sustained by members of the health care team are severe musculoskeletal strains.
    Many injuries can be avoided by the conscious use of proper body mechanics when performing physical work.

    BODY MECHANICS is the term used to describe the efficient, coordinated, and safe use of the body to move objects and
    carry
    activities of daily living.

    Purposes
    1. To maintain good posture
    2. To promote good physiological functions of the body
    3. To use the body correctly and to maintain its effectiveness
    4. To prevent injury or limitation of movement of the musculoskeletal system

    Procedures
    A. STANDING
    1. Stand erect with head upright, face forward, shoulders squared, back straight, abdominal
    muscles tucked in straight at sides with palms forward.
    2. Keep feet 3-4 inches apart for wide base support. Place equal weight on both legs to
    minimize strain on weight-bearing joints.

    B. SITTING
    1. Position the buttocks against the back of the chair.
    Hips and knees are flexed at right angle to the trunk
    2. Keep trunk and head as in standing position
    3. Place feet flat on the floor at a 90 ̊ angle to the lower legs
    4. If the chair has arms, flex the elbows and place the forearms
    on the armrest to avoid shoulder strain
    D. ASSISTING THE CLIENT TO MOVE UP IN BED (TWO NURSES)

    The nurses will frequently encounter a semi- helpless or immobilized client whose position
    must be changed or who must be moved up in bed. Proper use of body mechanics can
    enable her (and the helper) to move, lift, or transfer such a client safely and at the same
    time avoid musculoskeletal injury.

    Possible Nursing Diagnosis:


    1. Impaired physical mobility related to fatigue or decreased level of
    consciousness
    2. High risk activity intolerance related to fatigue or restricted mobility
    3. High risk for injury related to pathologic fractures
    4. Impaired skin integrity related to restricted mobility or pressure

    PROCEDURE
    Nurses Alert:
    The nurses must avoid dragging the patient up in bed. Dragging against the bed linen causes shearing force. With a
    shearing force the skin adheres to the surface of bed while the layers of subcutaneous tissue and even the bones slide in
    the direction of body movement. The underlying tissues capillaries are compressed and maybe severed by the pressure.
    This can cause bedsores.

    E. TRANSFERRING A CLIENT FROM BED TO CHAIR/WHEELCHAIR


    Transferring a client from bed to chair enables the nurse to change his surroundings as well as his position. If the client is
    able to tolerate transfer to a wheelchair, the nurse can move him out of his room into other surrounding and increase
    his opportunities for socialization. For clients who have been on bed rest, this is one of the first activities to be resumed.

    Possible Nursing Diagnosis:

    1. Impaired physical mobility related to fatigue or decreased level


    of consciousness
    2. High risk for activity intolerance to fatigue or restricted mobility
    3. High risk of injury related to pathologic fractures
    4. Impaired skin integrity related to restricted mobility or pressure
    F. TRANSFERRING CLIENT FROM BED TO STRETCHER
    G. LOGROLLING THE CLIENT

    Purpose:
    Logrolling is used to turn client who has a spinal cord injury, or who has had a
    spinal cord operation (with a prosthesis or pain). Another nurse should assist
    you with this procedure.
    Equipment:
    1. Pillows
    2. Draw sheets
    3. Wedge
    4. Extra linen as needed

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