Moving,_lifting_&_transferring_the_patients.pptx

Moving, lifting, transferring of the patient
MOBILIZATION
FUNDAMENTAL OF NURSING
UNIT XII
DEFINITION: Moving and lifting the patient means transferring the patient from one place to another (or) changing the position of the patient.
PURPOSE: To prevent bed sores
Maintain good body mechanism
Perform procedures such as back care

1. Moving, lifting & transferring the patients Abirami. k, b.sc(n) Tutor Srmtcon trichy

2. INTRODUCTION Although healthy people usually take for granted that they can change body position and go from one place to another with little effort, ill people may have difficulty moving even in bed. The amount of assistance required by the patient depends on his own ability to move and health status. Nurses should be sensitive to both the need of people to function independently and their need for assistance to move.

3. DEFINITION Moving and lifting the patient means transferring the patient from one place to another (or) changing the position of the patient.

4. PURPOSES To prevent bed sores Maintain good body mechanism Perform procedures such as back care

5. PROCEDURE PRELIMINARY ASSESSMENT: Check the diagnosis and specific precautions regarding the movement of patients. Check the level of consciousness and the ability to follow instructions. Check the ability for self care Check for the presence of muscles, skin, and bone lesions and attachment. E.g. catheter & IV poles, clamps, drainage bags, etc. Provide privacy to the patient Explain procedure to the patient and seek his (or) her participation Change wet (or) soiled linen

6. Moving patient to one side of bed Intra procedure: Stand facing the patient at the side of the bed in which he is to be moved, stand with a wide base of support with knees and hips flexed to bring your arms to the level of the bed. Wide base provides a stable base. Flexed knees, bring the nurses arms to the bed level and place. Place the arm of the patient on his/her chest. Place one arm under the shoulders and neck of the patient’s back. This will help prevent an injury and will not hinder movement. Helps to move the patient’s body in unison.

7. Shift own body weight from your front foot to your back foot as you rock backward, bringing the patient towards you to the side of the bed. Avoids strain on the patient’s as well as the nurses muscles. Move the middle part of the patient in the same manner by placing one arm under the back and one arm under his thighs. Then move the feet and lower legs with the same motion Smooth, continuous and rhythmic movements at normal speed are easier and safer and requires less energy.

8. https ://youtu.be/RwGB2X1ePjQ

9. Turning a patient to the lateral position in bed Purposes: Moving a patient to the lateral (side-lying) position may be necessary when placing a bedpan beneath the patient, when changing the patient’s bed linen, (or) when repositioning the patient.

10. procedure Pre procedure: Prior to performing the procedure, introduce self and verify the patient’s identity using agency protocol Position yourself and the patient appropriately before performing the move . Intra procedure: Move the patient closer to the side of the bed opposite the side , the patient will face when turned. While standing on the side of the bed nearest the patient, place the patient’s near arm across the chest. Abduct the patient’s far shoulder slightly from the side of the body and externally rotate the shoulder.

11. Raise the side rail next to the patient before going to the other side of the bed. Lean your trunk forward from the hips. Flex your hips, knees and ankles. Assume a broad stance with one foot forward and the weight placed on this forward foot. Pull (or) roll the patient toward you to the lateral position. Place one hand on the patient’s far hip and the other hand on the patient’s far shoulder. Tighten your gluteal, abdominal, leg and arm muscles rock backward, shifting your weight from the forward to the backward foot and roll the patient onto the side of the body to face you. Realign and position patient as required.

12. Moving a helpless patient up in bed Pre procedure: Perform hand hygiene and observe other appropriate infection control procedures. Position yourself and the patient appropriately before performing the move . Intra procedure: Stand at the side of the patient’s bed and face the foot end of the bed. Stand with a broad stance placing one foot behind the other. Flex your knees to bring your arms at bed level. Put your arms under the patient.

13. https://youtu.be/vMNTNsRiUqM

14. Place one arm under patient’s head and shoulders and one arm under his back. Move forward & shift your weight from forward foot to her backward foot with hips flexed. Instruct patient to push with heels and elevate trunk if possible, thus moving toward head end of bed, to the count of 3. On count of 3 shift your weight from front foot to back foot, and at the same time shifting patient to the top of bed. Tighten your gluteal, abdominal, leg & arm muscles. Realign & position patient as required.

15. Assisting the patient to sit on the side of the bed Pre procedure: Explain to the patient what you are going to do, why it is necessary, and how he/she can cooperate. Discuss how the results will be used in planning further care (or) treatments. Perform hand hygiene & observe o ther appropriate infection control procedures. Position yourself & the patient appropriately before performing the move. Intra procedure: Assist the patient to move toward the edge of the bed on the right side. The nurse stands at the side of the bed at the level of the patient’s waist.

16. https://youtu.be/q9IZ9u_a9WQ

17. Help the patient to turn to the right side of the bed. The right hand is kept along the side of the head (or) face. The left hand is brought over the chest & the left leg flexed over the right. Ask the patient to slide his heels off the edge of the mattress, at the same time to raise his head & trunk by pushing the mattress with the fist of the left hand & grasping the edge of the mattress with the right hand. Then roll upward on elbow till he reaches a sitting position. In sitting position, ask the patient to keep both arms extended backwards with palms supporting on the mattress. Tell the patient to place both feet flat on the floor.

18. transferring Transferring a patient between a bed and a wheelchair Definition: A ssisting the patient to shift from bed to a wheel chair. Purposes: To transfer the patient from one area to another as per the necessity without any injury. articles: W heelchair Gait belt if needed

19. procedure NURSING ACTION RATIONALE Explain the procedure to the patient. Assist the patient to sitting position on the side of the bed. Place the wheelchair in such a way that the back of the wheelchair is parallel to the foot of the bed and facing the head end of the bed. If needed, place an extra pillow on the wheelchair and lock the wheels. Reduces anxiety & promotes patient’s participation. To reduce orthostatic hypotension. For easy access to wheelchair. For support, locking the wheelchair prevents slipping & injury.

20. NURSING ACTION RATIONALE Place one hand under the patient’s axilla and place the other hand on the scapula and assist the patient to a standing position with his/her back toward the wheelchair. Instruct the patient to flex his/her knees and lower the body to be seated on the chair. Anchor chair with foot (or) have someone hold it on. Fasten the seat belt across the patient. Position him/her comfortably. Adjust the pillow and cover the patient with a sheet if needed. Be near the patient (or) shift the patient as needed. Wash hands Document the procedure. To support To avoid injury. To promote the sense of well being. To reduce the risk of fall injury. To prevent cross- infection Serves as a legal document.

21. https://youtu.be/CSxT88saN94

22. Transferring a patient between a bed and a stretcher Definition: S hifting a helpless patient from bed to stretcher (or) from stretcher to bed. Purposes: To transfer patient safety To maintain proper body alignment Articles: stretcher roller bar (optional).

23. procedure NURSING ACTION RATIONALE Explain procedure to patient and how he has to cooperate Adjust the patient’s bed in preparation for the transfer. Adjust the bed to be in flat position. Raise the bed/ stretcher, from where the patient is to be transferred to a slightly higher level. Ensure that the wheel of the bed and stretcher are locked. Untuck the draw sheet out from both sides of the bed. Move patient to the edge of the bed and position the stretcher. Roll draw sheet to the patient’s side. Helps in obtaining patient’s participation. Facilitates easy transfer placing patient in flat position facilitates easy transfer. Facilitates easy transfer of patient by pulling downward with less force. Avoids accidental moving of bed (or) stretcher during procedure.

24. NURSING ACTION RATIONALE Position the patient to the edge of the bed and cover patient with a sheet. Place the stretcher parallel to the bed next to the patient, and lock its wheels. Position yourself for the transfer. The first nurse should kneel on the bed on the side away from the stretcher. The other two nurses should reach over the stretcher holding the draw sheet, one nurse at the head and chest areas of the patient, supporting head and neck and the other nurse supporting at the waist and thigh area. Transfer the patient securely to the stretcher. In unison with the other staff members, press your body tightly against the stretcher. Prevents the stretcher from moving.

25. NURSING ACTION RATIONALE Roll the pull sheet tightly against the patient. Instruct the patient to flex his neck and head during the move if possible. Place his arms across the chest. Flex your hips, and pull the patient on the pull sheet in unison directly towards and on to the stretcher. Make the patient comfortable unlock the stretcher away from the bed. Raise the stretcher side rails and/or fasten the safety straps across the patient. Achieves better control over patient movement prevents injury to his body parts. Avoids danger of patient falling out of stretcher.

26. https://youtu.be/G1EOqEUyDEk

27. https://youtu.be/d-SGsAN22lU