Transcript: Body Mechanics, Lifting & Transfers (Tips to avoid injury) TALK TO THE STUDENT - INVOLVE THEM! Max Assist Transfer - 2 person lift Before a transfer Brakes on Area clear Proper attire Position set Helper ready Mod Assist Transfer - Stand Pivot Ready to Move! Use these principles in everything you do! Tips to avoid injury @ home & in the classroom! OR eyes on student! So, what did she say? School Examples assistive device is a part of their body! * tying student's shoe * moving a desk * moving a student in chair * transferring PI student * walking student in walker Use legs, not back Dress appropriately Eyes on the prize Solid stance Clear space Helper Body Mechanics & Lifting 101 1. No BLTs of the spine 2. Bend at hips/knees 3. BOS/COG 4. Push - don't pull 5. Keep object close Min Assist Transfer - helper Promote Student Independence!
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
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.
Transcript: Yoga strap over head BODY MECHANIC Chest stretch --Front chest and shoulder blade -- Strengthening your shoulders & Neck BODY MECHANICS PHYSICAL THERAPY How can we create a body movement workout that is sustainable for a online audience? DRIVING QUESTIION Flexibility IAN THOMAS TIMAYA HEDGEPETH 10TH GRADE
Transcript: Two person transfer Place belt around waist Legs over side of bed Fold patients arms across body place feet shoulder length apart Bent knees lift to wheelchair or other location Lateral Position Most common / least amount of harm Patient of back, legs uncrossed at ankle Arms on boards, Palms up Spinal column aligned Padding under; head, arms, heals, and knees Saftly belt 2 inches above knees Lower leg flexed at hip, Upper leg straight Padding placed from lower leg to ankle Also from foot to upper leg Stabilize patient with strap and tape, Semi-fowler's Safety Considerations for transferring patients Prone Position • Strengthened muscles • Increased joint flexibility • Stimulated circulation • Osteoporosis prevention • Pressure relief for the body and skin • Improved self-esteem and feelings of independence • Additional social activity Prepare for transfer (get wheelchair ready) Shorter person stand on side of patient Bent knees Person being lifted keep elbows next to body lift on 3 1. Adjust bed to lowest setting 2. Position patient (Legs dangling over bed) 3. Apply transfer belt 4. Provide walker or cane 5. Monitor Patient 6. Remove transfer belt Muscle contractions Pressure sores Chest infection Body Mechanics Emma Nawrot Jaide La-Londe Guidelines cont. Why do health care workers need it? Risks of improper positioning Benefits of positioning of patients Lies flat with chest down Wear Shoes Keep feet flat Keep back straight Do not twist at waist Walking from place to place To move Sitting straight up or leaning back legs either straight or slightly bent Exercises designed to improve Posture Coordination Stanima Supine Position So you are not in pain. To prevent Bad posture Sim's Position While patient is lying down, Roll to side Sling should be placed under patient Roll Patient flat on bed under sling Hook sling around patient Begin lifting Fowler's Position Prevents bed sores Strangthenes muscles increases flexibility pressure relief on body When sitting... keep knees and hips at same level Feet Flat on floor When standing Head high, chin in Point feet straight ahead Raising the head 45-60 cm. Knees can be bent or unbent. Mechanical lifts Hurting your back Pulling a muscle Injuring patient Correct instruments / dress code Why ambulation is good Assisting patient with ambulation Guidelines Patients lies on left side Left hip / lower extremity straight Right hip / knee bent Transferring a person using 1 assist Using a mechanical lift Ambulation What is 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
Transcript: 4. Use correct posture and keep body aligned – back straight, knees bent. 5. Keep objects close to body when lifting or carrying 6. Never twist your body, turn on pivot feet – face work. 7. Push, slide, or pull heavy objects instead of lifting – pivot. 8. Avoid sudden jerky motions – smooth movements. 9. Use both hands when lifting. 10. Team work – one leader who communicates/directs the group. 11. Explain procedure to resident. Body Mechanics Basic rules of body mechanics Practice body mechanics at all times. Everyone should use good body mechanics even residents and families. Protects both employee and resident. Proper mechanics Assess the “job” to be done. Use wide base of support – feet – 12 inches apart or shoulder width. Use stronger, larger muscle groups – legs not back and arms. Purpose of body mechanics – using the body in an efficient and safe way.
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