1. Or how to keep your pay check coming Chapter 11

2. What is body mechanics? Body mechanics is the way the parts of the body work together when person moves. Good body mechanics is the correct positioning of the body for a given task, such as lifting a heavy object. Following the rules of good body mechanics helps save energy and prevents injury and muscle strain.( And keeps your pay check coming) Alignment (comes from word “line”)is proper positioning of the parts of the body the way it is symmetrical and properly supported.

3. A little bit of anatomy. Let’s start with bones Top ones – cervical (neck) http://www.youtube.com/watch ?v=aDvbAvBLQuM&feature=rel ated http://www.youtube.com/watch ?v=aDvbAvBLQuM&feature=rel ated Bottom ones – lumbar (lower back) http://www.youtube.com/watch ?v=xMnkDHqEFNU http://www.youtube.com/watch ?v=xMnkDHqEFNU

4. Which muscles keep us straight?

5. Are they strong? Can you use it for lifting heavy objects?

6. How hard is for the disc to keep the weight? http://www.youtube.co m/watch?v=_T- eQJnZRRk http://www.youtube.co m/watch?v=_T- eQJnZRRk Disc protrusion (herniated disc) http://www.youtube.co m/watch?v=Bn9mcDOJ VpI http://www.youtube.co m/watch?v=Bn9mcDOJ VpI

7. Risk factors which increase the likelihood of injury Poor posture Poor body mechanics Low level of fitness Obesity Stress, both mechanical and psychological

8. Best preventive practices

9. Use good posture during all activities

11. If you think that you don’t have enough time, here is an easy solution: http://www.wimp.com/mcintyrewalking/

12. Stay trim by eating correctly

13. Reduce mental stress through good lifestyle habits http://www.wimp.co m/problemsrap/

14. Maintain flexibility with stretching exercises

15. Sleep well and enough (at home, not in class ) How many hours? http://www.youtube.com/watch?v=alUUaO IDQL0&feature=related

16. Visit chiropractor and massage therapist if you feel strain in your back http://www.wimp.com/massagekitty/

17. And, of course, use a good body mechanics !

18. Principles of Good Body Mechanics Assess the load and get help if needed Have a wide base support – keep your feet apart Keep your back straight Face what you are lifting, don’t twist your back with turns Begin with squatting position and lift load using your legs Keep the object close to your body

19. So how do we learn to keep your body in good alignment and use proper body mechanics? We need to start with ballet http://www.youtube.co m/watch?v=nBbuzVyQx t4 http://www.youtube.co m/watch?v=nBbuzVyQx t4

20. Rather Push than pull Push than lift

21. Think before the task Plan ahead the best way to transfer, lift, and use good body mechanics Call for help if you need it Use lifting machines to prevent injury http://www.wimp.com/babys tairs/ http://www.wimp.com/babys tairs/

22. Positions of the body: prone and supine

23. Lateral position – position on a side

24. Fowler’s - 45 degrees

25. High Fowler’s – 60 - 90 degrees

26. Lower Fowler's (Semi-Fowlers) – 30degrees – tube feeding position

27. To summarize Fowler’s positions:

28. Tube feeding

29. Sim’s position – recovery after CPR, position for enema

30. Reposition your patient every 2 hours or more often and check their skin!

31. Skin break prevention Check patient’s skin every time you reposition a patient Use draw sheet moving patient up in bed to prevent shearing ( rubbing against the sheets)

32. Trendelenburg position - syncope

33. Dangling

34. Bariatric patients - BMI above 30 BMI Ranges Underweight = 18.5 or less Normal weight = 18.5- 24.9 Overweight = 25-29.9 Obesity = 30 or greater http://stanfordhospital.org/cl inicsmedServices/COE/surgic alServices/generalSurgery/ba riatricsurgery/resources/bmi _calculator.html?utm_source =google&utm_medium=cpc& utm_term=body%20mass%2 0index&utm_content=%21ac q%21v2%21s-b-12998342264- 2121250904&utm_campaign= Grant%3A+Bariatrics&gclid= CJCd7KfZ4KsCFRM6gwodTz kmTw http://stanfordhospital.org/cl inicsmedServices/COE/surgic alServices/generalSurgery/ba riatricsurgery/resources/bmi _calculator.html?utm_source =google&utm_medium=cpc& utm_term=body%20mass%2 0index&utm_content=%21ac q%21v2%21s-b-12998342264- 2121250904&utm_campaign= Grant%3A+Bariatrics&gclid= CJCd7KfZ4KsCFRM6gwodTz kmTw

35. Exceptions: tons of muscles Sylvester Stallone: 5'9": 228 lbs: 34 Mike Tyson: 5'11 ½": fighting weight between 218-235: 30-32

36. Bariatric patient Use lifting machines or a lot of help lifting bariatric patient Hoyer lift

37. Safe use of a wheelchair When using an elevator, turn the chair around, so the resident faces the door in the elevator

38. Face chair backwards when go down the ramp

39. Make sure patient’s hips are at the very back of the chair to prevent sliding forward and fall

40. Geriatric (reclining) chair Is used for patients who are unable to maintain sitting position to avoid staying in bed all day

41. Patient with weak side Plan the move the way patient can use their strong side first

42. Activity ROM for knee and ankle Transferring to a bedside commode stand-and- pivet and sit-to-stand. Hoyer check off

43. Plan for the day: 1.Repositioning patient in a wheelchair 2. Positioning on a side 3. Changing an occupied bed 4. Transferring from the bed to the wheelchair 5. Transferring to the bedside commode http://www.wimp.com/h anddancing/ http://www.wimp.com/h anddancing/