FOOT ULCERS n DETERMINE CAUSE – NEUROPATHIC – ISCHEMIC – COMBINATION.

Slides:



Advertisements
Similar presentations
Proper Body Mechanics.
Advertisements

Body Mechanics, Moving, Transferring, Positioning, Ambulation, and ROM
Physical Therapy Skills
Chapter 16 Body Mechanics
Positioning, Turning, Moving, and Transferring patients.
Chapter 16 Body Mechanics Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Therapy and Sports Medicine Chapter
HEALTHCARE PROVIDERS MUST KNOW HOW TO PROPERLY APPLY THE PRINCIPLES OF BODY MECHANICS TO MINIMIZE PERSONAL AND CLIENT INJURY. Body Mechanics and Range.
Body Mechanics and Range of Motion
Health Skills II Unit 202 Range of Motion. Range of Motion (ROM) definition: exercising joints through the available motion to maintain available range.
Nursing assistant III Unit 2 Chapter 11: Positioning, Lifting, and Transferring Patients and Residents.
Activity and Exercise. Key Terms 1. Abduction – Movement away from body. 2.Active Range of Motion – Range of motion exercises completed by the resident.
3.01 Positioning the Patient is a Diagnostic Service
Body Mechanics and Range of Motion
Body Mechanics and Range of Motion II
Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 17 Safe Resident Handling, Moving, and Transfers.
Copyright © 2008 Delmar Learning. All rights reserved. Unit 41 Musculoskeletal System.
Body Mechanics, Positioning, and Moving Residents Section II, Unit 1.
Chapter 16 Body Mechanics
 Mobility is the ability to move freely, easily, and purposefully in the environment.  Individuals must move to protect themselves from trauma and to.
Body Mechanics Definitions Body mechanics: Use of the body in an efficient way to prevent injury. Posture: the arrangement of the body and its limbs Base.
Chapter 15 Body Mechanics Health Tech 1
PATIENT TRANSFERS DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Dr. Kristin Schroeder, PT, DPT.
Chapter 21: Rehabilitation and Restorative care
Range of Motion (ROM) Exercises Upper and Lower Extremities.
Fundamental & Derived Positions
Environmental Safety Body Motions: Lifting, Pushing, and Turning.
Elsevier items and derived items © 2005, 2001 by Elsevier Inc. Principles of Body Movement for Nurses One of the most common injuries in health care workers.
CONCEPT OF NURSING Promoting Healthy Physiologic Responses Body Mechanics Activity and Exercise.
Chapter Body Mechanics Activity and Exercise.  Refers to persons routines of exercise, activity, leisure and recreation needs for rest and mobility.
 Promote and maintain joint mobility  Prevent contractures and shortening of muscles and tendons  Increase circulation to extremities  Decrease vascular.
Body Mechanics, Turning, Positioning and ROM Teresa, V. Hurley, MSN, RN.
Body Mechanics.
RANGE OF MOTION.
MNA Mosby’s Long Term Care Assistant Chapter 16 Body Mechanics
Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 16 Body Mechanics.
USE OF WHEELCHAIR. OBTAIN AUTHORIZATION FROM CHARGE NURSE/ SUPERVISOR/ DOCTOR.
PASSIVE MOVEMENT.
 One of the main functions of CNA  Patients depend on CNA for all aspects of personal care  Need to be sensitive to patient needs and respect right.
Range of Motion Principles of Health Science. Range of Motion: the complete extent of movement of which a joint is capable A. Used when doing routine.
Range of Motion Exercises Passive exercise –carried out by health care worker without patient assistance –purposes to retain as much joint ROM as possible.
Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 15 Body Mechanics.
BODY MECHANIC, POSITIONING, TURNING, MOVING,AND TRANSFERING PATIENTS
Body Mechanics LEQ: How does using proper body mechanics prevent injury in the healthcare setting?
Body Mechanics PHS- Roark Byron Nelson. Movement A. Accomplished by the musculo_____ systems B. The main framework of the body is covered with muscle,
 Types:  Bed Rest  Strict Bed Rest: w/ and w/o BRP  Ordered to:  Reduce physical activity  Reduce pain  Encourage rest  Regain strength  Promote.
Elsevier items and derived items © 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved. Chapter 14 Assisting With Moving and Transfers.
Range of Motion. Definition the extent of movement that a joint is capable of performing Range of motion is used when doing routine activities such as.
Range of Motion. Definition the extent of movement that a joint is capable of performing Range of motion is used when doing routine activities such as.
Terms and Definitions • Abduction – away from the center (midline) of the body • Active-assistive ROM – The nurse assistant assists the resident in performing.
Body Mechanics Activity and Exercise CONCEPT OF NURSING
Chapter 23 Body Mechanics, Positioning, and Moving
Chapter 8 Muscular Fitness
Body Mechanics Definitions
Chapter 16 Body Mechanics.
Chapter 16 Body Mechanics
Chapter 15 Safe Patient Handling.
Range of Motion.
Range of Motion.
Chapter 15 Body Mechanics and Patient Mobility
BODY MECHANICS CHAPTER 23.
Health Science Ms. Thieman Fall 2013
Range of motion.
Range of motion Health Care Science Technology
Chapter 16 Body Mechanics
Lesson Objectives You will be able to identify and assess the purpose of Range of Motion (ROM) exercises. Know difference between Passive and Active ROM.
Presentation transcript:

FOOT ULCERS n DETERMINE CAUSE – NEUROPATHIC – ISCHEMIC – COMBINATION

PREVENTION

n PREVENTION IS THE BEST WAY TO TREAT DECUBITIS ULCERS AND CONTRACTURES

HOW CAN WE PREVENT ULCERS TURN EXERCISE OBSERVATION

CONTRACTURES n TIGHTENING OR SHORTENING OF A MUSCLE DUE TO LACK OF MOVEMENT OR USAGE OF A MUSCLE n FOOT DROP IS A COMMON CONTRACTURE

PREVENTION OF CONTRACTURES n KEEP FOOT AT RIGHT ANGLE TO THE LEG n USE FOOTBOARDS AND HIGH TOP TENNIS SHOES TO KEEP FOOT IN POSTION n RANGE OF MOTION EXERCISES – ROM

WHAT IS RANGE OF MOTION n EXERCISES FOR PATIENTS THAT HAVE LIMITED ABILITY TO MOVE n ROM HELPS KEEP MUSCLES AND JOINTS FUNCTIONING n MAINTAIN THE HEALTH OF THE MUSCULOSKELETAL SYSTEM

THREE MAIN TYPES OF ROM n ACTIVE ROM n PASSIVE ROM n RESISTIVE ROM

ACTIVE ROM n PERFORMED BY THE PATIENT – PT MOVES EACH LIMB WITHOUT ASSISTANCE

PASSIVE ROM n ANOTHER PERSON MOVES EACH JOINT – PATIENT NOT ABLE TO EXERCISE

RESISTIVE ROM n THERAPIST n EXERCISES PERFORMED AGAINST REISTANCE PROVIDED BY THE THERAPIST

PRINCIPLES TO OBSERVE FOR ROM n MOVEMENT SLOW n PROVIDE SUPPORT TO THE PART ABOVE AND BELOW THE JOINT n PAIN MEANS STOP n PERFORM EACH MOVEMENTS 3 TIMES n PATIENT ASSIST WHEN POSSIBLE

BASIC PRICIPLES FOR PERFORMING ROM n AUTHORIZATION n IDENTIFY n BODY MECHANICS & PT SAFETY n POSITION SUPINE POSITION

PERFORM ROM n START AT HEAD & MOVE TO FEET n COMPLETE ONE SIDE OF BODY AND THEN MOVE TO OTHER SIDE n EACH MOVEMENT 3 TIMES n SUPPORT BODY PART ABOVE & BELOW JOINT n PAIN MEANS STOP

MOVES AND TURNS n PATIENTS WHO ARE CONFINED TO BED MUST BE TURNED FREQUENTLY n POSITION SHOULD BE CHANGED AT LEAST EVERY TWO HOURS – PER DR.’S ORDER

??WHY TURN?? n PROVIDES EXERCISE FOR MUSCLE n STIMULATES CIRCULATION n PREVENTS DECUBITIS ULCERS AND CONTRACTURES n PROVIDES COMFORT

DANGLING n SITTING PATIENT WITH LEGS HANGING OVER THE SIDE OF THE BED n PLACE PT IN DANGLING POSTION BEFORE BEING TRANSFERRED FROM BED

PULSE IS CHECKED THREE TIMES DURING PROCEDURE n TAKEN JUST BEFORE PATIENT MOVED TO SERVE AS RESTING OR CONTROL RATE n TAKEN IMMEDIATELY AFTER POSITIONING PATIENT IN DANGLING POSITION n TAKEN AFTER PATIENT HAS RETURNED TO LYING POSITION

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

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

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

IMPLEMENTATION n PLACE BED IN LOW POSITION n RAISE HEAD OF BED n ASSIST PATIENT TO DANGLE

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

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

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

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