Body Mechanic Work Sheet Answer all the Questions Below Using proper body mechanics to prevent a back injury requires the following: Awareness of the weight of what is to be lifted Having a plan for the lift Remembering to bend at the hips and knees when lifting Keeping your feet spread apart Holding what is to be lifted close Avoiding twisting while lifting Tightening or flexing stomach muscles; and Lifting with your legs Using improper body mechanics may result in the following: Increased and even excessive pressure on your spine, which can lead to the degeneration of discs, back pain, and serious spinal problems 1 Proper body mechanics, on the other hand, are beneficial for several reasons, including: Preserving back and spine strength and flexibility. Preventing pain, stiffness and more serious back and spinal problems. Helping to speed up recovery. Below are questions in relation to proper body mechanics and patient safety. Make sure to answer each question in detail providing a paragraph for the answer for each question asked. 1. A client who is partially immobile following surgery for abdominal hernia is provided home care. The home care nurse observes that the client has developed bed sores. The client also complains that he is depressed and tired of being confined to bed and requests permission to ambulate. But the physician’s order states that the client should not be allowed out of bed for another week. a. Should the nurse allow the client to ambulate? As the nurse you can always reassure to the patient that the will be back walking in no time but as for now you have no choice but to follow the orders from the doctor. You can help the patient come up with things he could do in bed instead of focusing on trying to get up. As a nurse I would not give the patient permission to ambulate a few turns to get off the bed sore, but I would not allow him to ambulate. b. How should the nurse assist the patient, if he is allowed out of bed? When the patient is allowed out of bed the nurse should assist him in his everyday walking needs as well as observe his actions. The nurse should also assure him that he should take breaks as needed and not to walk to far. They should ask him his pain tolerance to make sure his healing processes is progressing. c. How should the nurse prevent further skin breakdown in the client? As a nurse I would make for sure the client stayed off that area until it heals. Reposition him every 2 hours or as needed make sure he’s in a comfortable position so prevent him from trying to get back to where the bed sore is. I would patch it up and put cream on it as needed. 2 2. An 84-year-old client is to move from the bed to the chair and then ambulate in the hallway at least twice a day. The patient is reluctant to do this because he is feels extremely weak and unsteady on his feet. a. What devices might be appropriate to assist the client with these activities? I would use a gait belt along with a walker to assist this client. I would make sure the client has on proper walking shoes and proper clothing. b. What are some simple actions a nurse can take to provide increase safety for the patient to prevent falls? One thing the nurse can do to insure the patient safety is walk behind the patient instead of in front or on the side of the patient. Another thing would be to have another nurse or aid to follow me with a wheelchair and to assure the client that if he needs to sit down and take a rest the chair is right behind him. c. List some items or actions that should be used to provide safety when transferring the patient from the bed to the chair? A few items or even actions the should be used to provide safety when transferring the patient from the bed to the chair would be a gait belt, shoes, moving the chair closer to the patient and guiding the patient to the chair. 3