1. Body Mechanics, Positioning, and Moving Residents Section II, Unit 1

2. Body Mechanics and Body Alignment Definitions *: Use of the body in an efficient way to prevent injury. *: the arrangement of the body and its limbs *: the area beneath and between both feet

3. Body Alignment Transparency 6-3

4. Process for lifting  Bend your * and squat  Hold items close to your body and to your base of support. Body Mechanics and Body Alignment

5. Lifting Heavy Objects from the Floor Transparency 6-4 Back muscles must lift the object and half of the body Legs and thighs do the lifting

6. Ergonomics Definitions  The science of designing the job to fit the worker. The goal is to prevent * (MSDs)

7. Body Mechanics for Nurse Aides (guideline #5) General Guidelines and Precautions for Lifting or Moving 1.Wear loose clothing and low-heeled, comfortable, * shoes to allow good body mechanics. 2.Always get help from co-workers when needed before lifting heavy objects or residents who are unable to stand. a.Follow * or facility policy regarding weight limits. b.Plan the lift ahead of time. c.Lift on * such as "on the count of three."

8. Body Mechanics for Nurse Aides (guideline #5) General Guidelines and Precautions for Lifting or Moving 3.Elevate the bed to comfortable working height when working at the bedside. Remember to return the bed to the lowest horizontal position when finished for resident safety. 4.Maintain good posture and good body alignment while lifting as indicated below: a.Keep your *. b.Keep your knees bent. c.Keep your weight * on both feet. d.Keep your feet at * (about 12 inches apart) to provide a broad base of support.

9. Body Mechanics for Nurse Aides (guideline #5) General Guidelines and Precautions for Lifting or Moving 5.Use the * muscles to do the job. Leg and arm muscles are the strongest. Back and abdominal muscles are the weakest. 6.Bend from the hip and knees--not waist--when lifting objects. 7.Always squat down to lift heavy objects from the floor. 8.Keep objects * when lifting and carrying. 9.Use both hands when lifting or moving heavy objects. 10.Slide, push or pull heavy objects rather than lifting them, when possible.

10. Body Mechanics for Nurse Aides (guideline #5) General Guidelines and Precautions for Lifting or Moving 11.Use the weight of your body to help push or pull objects. 12.Work with smooth, even movements--not quick, jerky motions. 13.Face your work and avoid *. 14.To change the direction of your work, take short steps and turn your whole body without twisting your back and neck. 15.Avoid unnecessary bending and reaching. 16.Do not lift objects *.

11. Positioning Residents in Proper Body Alignment 1.Positioning and protective devices a.* b.Foam wedges - bolster c.Handrolls/trochanter rolls d.Foot cradles/footboards e.* f.Specialized beds and mattresses g.Specialized equipment for heels and feet

12. Positioning Residents in Proper Body Alignment

14. Positioning Residents (Procedural Guideline #42) a.Fowlers b.* c.Semi-supine d.* e.Semi-prone f.Lateral

15. Fowler’s Position A semi-sitting position HOB is between a * degree angle Support the head and arms with a pillow For persons with * and respiratory disorders.

16. Supine Position The bed is * Head and shoulders supported on a pillow Lying on their back looking upward

17. Semi-Supine (Tilt) Position Pillow is * the resident’s back. Push the resident slightly back against the pillow to support the back and relieve pressure on the arm or shoulder. Place another pillow under the resident’s top leg, level with the * Position so both legs are slightly bent, with the top leg a little behind the bottom leg and supported by a pillow Position the resident’s upper arm in a position of comfort with the * resting on the abdomen or pillow.

18. Lying on the abdomen with head to one side and arms are * towards the head Pillows placed under the head, abdomen, and lower legs Prone Position

19. The reverse of the Tilt position It is a comfortable position that * and contractures. Semi-Prone Position

20. Lateral Position * position Pillows are under the head, thigh, upper arm and against the back The upper leg is in front of lower leg

21. Sim’s Position Left side-lying position Upper leg sharply flexed Lower arm * the person Pillows under the head, shoulder, upper leg, and upper arm and hand.

22. Bed Positions Fowlers: HOB raised * degrees Semi-Fowlers: HOB raised * degrees Low-Fowler’s: HOB raised * degrees Trendelenburg’s : HOB is lowered and FOB is raised Reverse Trendelenburg’s: HOB is raised and the FOB is lowered

23. Moving and Lifting Residents/Bed Mobility 1.Guidelines and precautions for all moving and lifting procedures 2.Turning Resident on Side Toward You (Procedural Guideline #43) 3.Moving Resident in Bed (Procedural Guideline #44) 4.Assisting Resident to Sit Up on Side of Bed (Procedural Guideline #45) 5.Assisting Resident to Transfer to Chair or Wheelchair (Procedural Guideline #39) 6.Discuss the use of mechanical lifts if applicable according to facility policy

24. Ambulation and Ambulation Aids Procedural Guideline #40 1.Guidelines and precautions for ambulation 2.Gait Belts 3.Canes 4.Walkers

25. PRACTICE… PRACTICE!!!!