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What are the key point relating to positioning?

Safety, Comfort, access to bodily regions, prevention of pressure injuries, and facilitate bodily functions


What is safety in positioning?

Safety for yourself and the patient. Make sure the environment is safe


What is comfort in positioning?

Making sure patients are comfortable. The most comfortable position is not always the most safe.


What is access to body regions in positioning?

How does the position grant the PT access to certain body regions that is being worked on


What is prevention of pressure injuries in positioning?

ulcerations that come from sustained pressure on a given body tissue. Can cause detrimental effects


What is facilitate bodily functions in positioning?

Make sure you're aware of the physiological changes a position can cause to the bodily function


What are the principles and concepts around positioning?

Modesty, Base of support, alignment, precautions


What is modesty in positioning?

How we introduce ourselves, how we drape the patient, the reasoning for positioning, & utilization of resources to make the patient comfortable and uphold modesty.


What is base of support in positioning?

Everything should be supported and comfortable as it relates to safety


What is alignment in positioning?

Symmetry of head & trunk, legs, pelvis/hip rotation


What are precautions in positioning?

Taking measures to ensure self and patient safety

Ex: thinking about moving dependent patients every 2 hours


Prolonged positioning can cause...

pressure injuries and or contractures.


When prolonged positioning is being used, check the skin ____ and ____ treatment. it makes us considerate of ....

Before and after.

Documenting what we find


Red, blanched, prolonged tingling is ____ and should be ____

Not appropriate and should be documented for other possible members of the team to see


How long does it take to get a pressure injury?

An hour or less


Risk factors of pressure injuries

- Bony prominence
- Poor sensation
- Moisture
- Heat
- Immobility
- Poor circulation
- Nutrition
- Communication problems


What is body mechanics?

The efficient use of one's body to produce safe motion


Things to do with body mechanics

- Breathe: to avoid valsava: which can put us at risk of passing out or injury

- Stay close to patient: allows for effective lifting strategies. Helps maintain a wide base of support.

- Use large muscle groups to provide & produce safe motion


Why is body mechanics important?

- Allows for more efficient lift and/or transfer

- Decrease threat of potential harm

- Improves safety for practitioner and patient

- Maintain control of transfer


What are the levels of assistance?

- independent
- modified independence
- supervise
- minimal assist
- moderate assist
- maximum assist
- total assist/ dependent


What is independent level of assistance?

Patient is safe to perform activity alone and requires no assist or monitoring


What is modified independence level of assistance?

patient is safe to perform activity alone and requires no assist or monitoring but uses assistive devices 7 extra time


What is supervise level of assistance?

Supervision required for safety, set-up, or cueing- gait belt not required. May need an assistive device. Patient can walk with RN staff. There should be NO touching


What is minimal assist level of assistance?

Patient performs 75-100% of task. Holding gait belt is required. Hands on assist


What is moderate assist level of assistance?

Patient performs 50-74% of task. Holding gait belt is required. Hands on assist.


What is maximum assist level of assistance?

Patient performs 25-49% of tasks. Holding gait belt is required. May use an assistive device


What is total assist level of assistance?

Patient perform 0-24% of tasks. Someone else is providing 75-100%. May use an assistive device


If a patient requires a 2 person assist, it is classified as a ____

Total assist/dependence


What is non-weight bearing status?

The foot does not come in contact with the ground


What is toe- touch weight bearing status?

Normal heel to toe gait pattern, but the affected foot is only used for balance and not to bear weight