Lifting, Moving, Positioning ..ch 18

Front 1

alignment

Back 1

act of arranging in a straight line

Front 2

ambulate

Back 2

To walk or move about freely

Front 3

bone

Back 3

Osseous tissue, a specialized form of dense connective tissue consisting of bone cells (osteocytes) embedded in a nonliving matrix.

Bone matrix is made of calcium carbonate, calcium phosphate, and collagen fibers.

Front 4

bursa

Back 4

padlike sac or cavity found in connective tissue usually in the vicinity of joints.

It is lined with synovial membrane and contains a fluid (synovia) that reduces friction between tendon and bone, tendon and ligament, or between other structures where friction is likely to occur.

Front 5

cartliage

Back 5

flexible connective tissue - found in joints between bones, the rib cage, the ear, the nose, the bronchial tubes and the intervertebral discs. It is not as hard and rigid as bone, but it is stiffer and less flexible than muscle. grows and repairs more slowly.

Front 6

contractures

Back 6

Fibrosis of connective tissue in skin, fascia, muscle, or a joint capsule that prevents normal mobility of the related tissue or joint.

Front 7

dangling

Back 7

to hang loosely and usually so as to be able to swing freely .. like feet off a bed

Front 8

fowlers position

Back 8

A semi-sitting position. The head of an adjustable bed can be elevated to the desired height to produce angulation of the body, usually 45° to 60°.

Front 9

gait

Back 9

manner of walking.

Front 10

gait belt

Back 10

device used to transfer people from one position to another, from one thing to another or while ambulating people that have problems with balance.

Front 11

joint

Back 11

place where two or more bones meet. Some are fixed or immobile attachments of bones; other allow the bones to move along each other.

Front 12

kinesiology

Back 12

study of muscles and body movement

Front 13

lateral position

Back 13

lateral recumbent position in which the individual rests on the right or left side, usually with the knees slightly flexed.

may be used in persons with mild forms of sleep apnea, dysphagia, and in pts. predisposed to sacral decubitus ulcers.

Front 14

ligaments

Back 14

band of fibrous connective tissue connecting bones, cartilages, and other structures and serving to support or attach fascia or muscles.

band or sheet of strong fibrous connective tissue connecting the articular ends of bones, binding them together to limit motion

Front 15

logrolling

Back 15

maneuver used to move a patient without flexing the spinal column.

Patient's legs are stretched, the head is held, to immobilize the neck,patient's arms crossed over the chest.After that the patient is carefully rolled in the desired direction without twisting or bending the body.

Front 16

necrosis

Back 16

death of cells, tissues, or organs. may be caused by insufficient blood supply, pathogenic microorganisms, physical agents such as trauma or radiant energy

Front 17

pivot

Back 17

turn or change direction with tour feet while remaining in a fixed place

Front 18

pressure ulcers

Back 18

ulcers that form from ineffective peripheral Tissue Perfusion
may be related to reduced/interrupted blood flow, possibly evidenced by presence of inflamed, necrotic lesion.

Front 19

prone position

Back 19

position in which the patient is lying face downward

Front 20

semi-fowlers position

Back 20

position in which the patient lies on the back with the trunk elevated at approx. 30°.

Front 21

shearing force

Back 21

unaligned forces pushing one part of a body in one direction, and another part of the body in the opposite direction

Front 22

side-lying (lateral) position

Back 22

same as lateral position

Front 23

sims position

Back 23

semiprone position with the patient on the left side, right knee and thigh drawn well up, the left arm along the patient's back, and the chest inclined forward so that the patient rests on it.

position of choice for administering enemas because the sigmoid and descending colon are located on the left side of the body and fluid is readily accepted in this position.

Front 24

skeletal muscles

Back 24

tissue composed of muscle cells (often multinucleated) that contain neatly packed actin and myosin filaments.....

usually attaches at one end to bone.

most common type of muscle in the body plays a major role in normal metabolism

Front 25

supine position

Back 25

Lying on the back with the face upward

Front 26

symmetry

Back 26

Correspondence in shape, size, and relative position of parts on opposite sides of a body

Front 27

tendons

Back 27

Fibrous connective tissue serving for the attachment of muscles to bones and other parts.

Front 28

transfer belt

Back 28

belt used to ambulate weak or unsteady pts.

Front 29

Fowler's semi-Fowlers, and low fowlers are all variations of the -------- position.

Back 29

supine

Front 30

a(n) -------- movement, when moving a patient from bed to chair, will help you prevent twisting of the body and possible injury to the nurse

Back 30

pivot

Front 31

--------- cause a downward and forward pressure on the tissues beneath the skin, and can lead to the development of ulcers.

Back 31

shearing

Front 32

Unrelieved pressure on an area can cause death of a tissue, referred to as ........

Back 32

necrosis

Front 33

The knee-chest position is a variation of the ....... position

Back 33

prone

Front 34

During musculoskeletal assessment, observe for muscle weakness, paralysis, and ....... of the extremeties

Back 34

symmetry

Front 35

when assessing ability to perform adls assess the pts ability to ....... and change position independently

Back 35

ambulate

Front 36

style of walking, called ......... is assessed to see if it is even and unlabored

Back 36

Gait

Front 37

The ......... method is used to turn pts. in bed who have spinal injuries

Back 37

logroll

Front 38

positioning the pt. on the side of the bed with the legs and feet over the side is called ...... the pt.

Back 38

dangling

Front 39

Device that makes ambulating a pt. much safer for the nurse and pt. is.........

Back 39

gait belt

Front 40

If the arm is not placed in the correct alignment and exercised regularly, the complication of elbow ........ may occur

Back 40

contracture

Front 41

Health care agencies are moving toward a "no manual lifting" policy because....

Back 41

lower back injuries are common and most caregivers work alone

Front 42

After positioning a pt. in a wheelchair you should observe for ..... list 4

Back 42

muscle weakness, symmetry, safety, and body alignment

Front 43

keep your feet .....

use smooth ......

keep your elbows......

Back 43

...close to the body

......coordinated movements

.........and work close to your body

Front 44

work at the same.......

pull and .......

face in the direction.....

Back 44

......level or height as object to be moved

..........pivot

....... of object or person to be moved

Front 45

the 3 main hazards of improper alignment and positioning are...

Back 45

1. pressure ulcers

2. muscle cramps ...ie contractures

3. fluid collection mainly in the lungs

Front 46

Pulling is easier then pushing because.....

Back 46

it brings pt. closer to the nurses center of gravity

Front 47

in what instances is the pt. positioned prone.

Back 47

prolonged best rest and immobilized, also used in rectal exams and complications in pregnancy

Front 48

ways to decrease risk of a pt. falling while ambulating

Back 48

make sure pt. has shoes and a gait belt. walk at the patients side

Front 49

when performing passive ROM exercises, all muscles over a joint are......... to achieve or maintain..........

Back 49

maximally stretched... flexibility

Front 50

When performing passive ROM exercises, it is important to support the ........ above and below the joint

Back 50

limb

Front 51

Each set of ROM exercises should be performed a min. of ........ times

Back 51

2 +

Front 52

most common injury to health care workers is ........

Back 52

lower back injury

Front 53

when moving a pt. you should keep your feet a(n) ......... apart.

Back 53

shoulders width

Front 54

in positioning and transferring pts. you want to use the ....... in ..........as much as possible

Back 54

muscles in the thigh arm or leg...not back

Front 55

when assessing the pts. position in bed for correct alignment you should check ......

Back 55

correct body alignment

Front 56

the main or most common nursing diagnosis for pts. who have a problem with paralysis is .......

Back 56

a stroke

Front 57

expected outcome for a stroke diagnosis

Back 57

I very long process to try to recover what ADL's the pt. even can get back

Front 58

When a pt. has hemiplegia, both ...... and ....... ROM should be performed at least 3 times a day

Back 58

active and passive

Front 59

when a pt. has a cervical spine injury ........ technique is used for turning

Back 59

logrolling

Front 60

Evaluation should include your own use of ..........

Back 60

proper body mechanics

Front 61

test

Back 61

test