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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
Process for lifting Bend your * and squat Hold items close to your body and to your
base of support.
Body Mechanics and Body Alignment
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
Ergonomics
Definitions The science of designing the job to fit the worker.
The goal is to prevent * (MSDs)
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."
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:
5.Keep your *.
6.Keep your knees bent.
7.Keep your weight * on both feet.
8.Keep your feet at * (about 12 inches apart) to provide a broad base of support.
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.
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 *.
Positioning Residents in Proper Body Alignment1. 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
Positioning Residents in Proper Body Alignment
Positioning Residents (Procedural Guideline #42)
a.Fowlers
b.*
c.Semi-supine
d.*
e.Semi-prone
f.Lateral
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.
Supine Position
The bed is * Head and shoulders supported on a pillow Lying on their back looking upward
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.
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
The reverse of the Tilt position
It is a comfortable position that * and contractures.
Semi-Prone Position
Lateral Position
* position Pillows are under the head, thigh, upper arm
and against the back The upper leg is in front of lower leg
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.
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
Moving and Lifting Residents/Bed Mobility1. 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
Ambulation and Ambulation AidsProcedural Guideline #40
1.Guidelines and precautions for ambulation
2.Gait Belts
3.Canes
4.Walkers