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Body Mechanics

Transcript: refers to the way in which the body moves and maintains balance while making the most efficient use of all of its parts. 4 Reasons for Using Good Body Mechanics 1. Muscles work best when used correctly 2. Correct use of muscles makes lifting, pulling, and pushing easier. 3. Correct application of body mechanics prevents unnecessary fatigue and dtrain, and saves energy. 4. Correct application of body mechanics prevents injury to self and others. 8 Basic Rules of Good Body Mechanics: 1. Maintain a broad base of support by keeping the feet 8-10 inches apart, placing one foot slightly forward, balancing weight on both feet, and pointing the toes in the direction of movement. 2. Bend from the hips and knees to get close to an object, and keep your back striaght. DO NOT bend at the waist. 3. Use the strongest muscles to do the job. The larger and stronger muscles are located in the shoulders, upper arms, hips and thighs. Back muscles are weak. 4. use the weight of your body to help push or pull an object. Whenever possible, push, slide, or pull rather than lift. 5. Carry heavy objects close to the body. Also, stand close to any object or person being moved. 6. avoid twisting your body as you work. turn with your feet and entire body when you change direction of movement. 7. avoid bending for long periods of time. 8. If patient is too heavy for you to lift by your self, always get help. Mechanical lifts, transfer belts, wheelchairs and other similar types of equipment are also avaliable to help lift and move patients. Fun Facts Maintain a broad base of support by keeping the feet 8- 10 inches apart. Bend from the hips ans knees to get close to an object. Some health care facilities now require workers to wear back supports while lifting or moving patients. refers to the way in which the body moves and maintains balance while making the most effcient use of all its parts. Body Mechanics

Body Mechanics

Transcript: High amount of dependent patient require assistance dressing, bathing, feeding, toileting. Lack of or improper use of lifting equipment Staff shortage Repetitive motion: Twisting, bending Poor posture Poor physical fitness Educators teaching outdated techniques Repositioning a Patient Brief History Transferring Patient Factors Causing Injuries The U.S. Occupational Safety and Health Administration released federal ergonomic guidelines to prevent musculoskeletal injuries in the workplace. Paterson, Stephanie R. "Back Injuries in Nursing." Back Injuries in Nursing. N.p., n.d. Web. Potter, Patricia, Anne Perry, Patricia Stockert, Amy Hall. Fundamentals of Nursing, 8th Edition. Mosby, 2013. VitalBook file. Body mechanics is the process of using the body safely and efficiently. The "ABC's" of good body mechanics are alignment, balance, and coordinated body movement. "Guidelines for Nursing Homes: Ergonomics for the Prevention of Musculoskeletal Disorders." Guidelines for Nursing Homes: Ergonomics for the Prevention of Musculoskeletal Disorders. OSHA, Mar. 2009. References Coordinated musculoskeletal activity is necessary when positioning and transferring patients. The most common back injury is strain on the lumbar muscle group, which includes the muscles around the lumbar vertebrae. Injury to these areas affects the ability to bend forward, backward, and from side to side. Brief history of body mechanics Define the words body mechanics, alignment, and balance. Describe the "ABC's" of proper body mechanics. Describe and explain how to maintain and use proper body mechanics. Identify factors which may contribute to the development of back injuries in nursing. Body mechanics is the study of proper body movement to prevent and correct posture problems, reduce stress, and enhance physical capabilities. Objectives Alignment refers to the relationship of one body part to another along a horizontal or vertical line. Balance is stability produced by even distribution of weight. Coordinated body movement is a result of weight, center of gravity, and balance. Body Mechanics in Nursing (continued) Body Mechanics Do you need a lift team? Guidelines for Correct Body Mechanics ABC'S of Body Mechanics Body Mechanics in Nursing Body Mechanics The ability to rotate the hips and lower back is also decreased when lumbar muscle group is injured. Body mechanics alone are not sufficient to prevent musculoskeletal injuries when positioning or transferring patients. Keep your back straight and maintain proper posture. Stand with your feet apart and your weight evenly distributed. Face the patient or the object that you are moving. Use the large muscles of your legs to lift. Shift the position of your feet when turning, do not twist. Bend from the knees, not the waist. Use smooth coordinated motions. Let the patient know what you are doing. Encourage the patient to get/ask for help as much as possible.

Body Mechanics

Transcript: By the end of the class you will be able to: Safe lifting of heavy items requires training and practice. The secret lies in taking the proper stance and grip. Use equipment if available Demonstrate 7 out of 9 stretches Perform proper lifting techniques Explain why body positioning is so important Stretching: Proper lifting: Protects against injury. Makes work easier. You need to "think" about what you are going to do before bending to pick up an object. Over time, safe lifting technique should become a habit. Before Work Stretches (con't): Basic Steps of Safe Lifting: Bastable, S. (2008). Nurse as educator. (3rd ed.). Sudbury, Massachusetts: Jones and Bartlett Publishers. "Before Work Stretches." Health Plus. Vanderbilt University, n.d. Web. 15 Oct. 2013. <healthandwellness.vanderbilt.edu/files/hpBeforeWorkStretches.pdf>. "Safe Lifting and Carrying Techniques."Brookhaven National Laboratory. BNL, n.d. Web. 15 Oct. 2013. <http://www.bnl.gov/esh/shsd/pdf/safe20lifting%20and%20carrying%20techniques.pdf>. "Stretching: Focus on flexibility - MayoClinic.com." Mayo Clinic. N.p., 23 Feb. 2011. Web. 15 Oct. 2013. <http://www.mayoclinic.com/health/stretching/HQ01447>. Thompson, W. R., Gordon, N.F., Pescatello, L.S., (Eds.). (2010). ACSM’s guidelines for exercise testing and prescription: eighth edition. Baltimore, MD: Lippincott Williams & Wilkins. Upper Body Stretch Shoulder Shrug Calf Stretch Team Lifting: FONTS Body Mechanics Keep the arms and elbows close to the body while lifting. Carry the load close to the body. Watch where you are going! To lower the object, bend the knees. Don't stoop. Objectives: Safe Manual Lifting and Carrying Overview: Before Work Stretches: Alden Bolanos Vince Pryor Jessica Salas Jacky Solano Quad Stretch Stretching Essentials: Hamstring Stretch Decreasing the risk of activity-based injuries Stretching can help improve flexibility. Stretching also increases blood flow to the muscle. Safe Lifting and Carrying Techniques Ankle Rotations Inner Thigh Stretch Purpose of Safe Lifting Techniques: Ask for help! One individual needs to be responsible for control of the action to ensure proper coordination Walk out of step Achilles Stretch Lifting Heavy Objects: Benefits of Stretching: References: Basic Steps of Safe Lifting (con't): Size up the load and check overall conditions Make certain that your balance is good. Bend Grip the load with the palms of your hands and your fingers. Use your body weight to start the load moving. Lift by pushing up with the legs. Focus on major muscle groups. Don't bounce. Don't aim for pain. Keep up with your stretching. Bring movement into your stretching. Neck Stretch

Body Mechanics

Transcript: Prevent pressure sores In bed... Let's Practice! Flat or no pillow under head Assistive devices Lateral Count to 3 when lifting as a team Increase circulation Benefits Semi-Fowler's 30 Footboard as needed Check for good circulation Prone Keep body in straight line Pressure sores Tighten abdominal muscles Hands slightly elevated Log rolling head Gait belt carpal tunnel syndrome Transfer board Turning Keep clean and dry Exercise Pillows Transfer aids Feet shoulder width apart Positioning Keys Trapeze bar arms Moving in Bed Careful observation Arm behind Joints flexed (bent) Active Moving up in bed head Snug Fowler's 45 strain Only with order Bed to stretcher Safety Extremities slightly elevated Straight body alignment Ambulating Supine Lifting-Moving Pillows Prevention Reposition at least every 2 hours Back supported by chair Fowler's Shearing=Skin tears Use largest muscles Wrists slightly bent Feet supported Away from you back under head Pillows fatigue Use hand rails under top arm Arms supported Transferring arm Frequent repositioning Coordination Crutches Careful of breasts Resident part of team with draw sheet Bed in lowest position when transferring Benefits Support with pillows and rolls On week side Toward you Upper leg bent Cane Get help if needed Bend knees Sheepskin Lock wheels repetitive motion injury Aids digestion Walker Comfort Body aligned Don't twist foot board Slightly behind Bed at working height Assistive Slide board Don't rush Keep back straight Pillows Assisting resident knees elevated Strength Positioning Circulation Body Mechanics Passive Use gait belt injury Correct slumping Team Lifting Hydraulic lift Avoid sudden movements In a chair... between legs Semi-prone knee arms Sims Moving Good nutrition Underhand grip without draw sheet Knees bent Bed to chair Relieve pressure Plan move Poor body mechanics results Special mattresses Hold object close head Gait belt 80% adults will suffer back injury Draw sheet

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