Managing Client Care: Intervention for Incorrect Transfer Technique Ch 1
CENTER OF GR AVITY
●● The center of gravity is the center of a mass.
●● Weight is a quantity of matter on which the force of gravity acts.
●● To lift an object, it is essential to overcome the weight of the obj...
managing client care intervention for incorrect transfer technique ch 1
professional responsibilities treatment decisions ch3
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leadership 2017
Managing Client Care: Intervention for Incorrect Transfer Technique Ch 1 - correct
answer CENTER OF GR AVITY
●● The center of gravity is the center of a mass.
●● Weight is a quantity of matter on which the force of gravity acts.
●● To lift an object, it is essential to overcome the weight of the object and to know the
center of gravity of the object.
●● When the human body is in the upright position, the center of gravity is the pelvis.
●● When an individual moves, the center of gravity shifts.
●● The closer the line of gravity is to the center of the base of support, the more stable
the individual is.
●● To lower the center of gravity, bend the hips and knees.
●● Spread your feet apart to lower your center of gravity and broaden your base of
support. This results in greater stability and balance.
LI FTING
●● Use the major muscle groups to prevent back strain, and tighten the abdominal
muscles to increase support to the back muscles.
●● Distribute your weight between the large muscles of the arms and legs to decrease
the strain on any one muscle group and to avoid strain on smaller muscles.
●● When lifting an object from the floor, flex your hips, knees, and back. Bring the
object to thigh level, bending your knees and keeping your back straight. Stand up while
holding the object as close as possible to your body, bringing the load to the center of
gravity to increase stability and decrease back strain.
●● Use assistive devices whenever possible and seek assistance whenever you need
it.
PUSHING OR PULLING
When pushing or pulling a load:
●● Widen your base of support.
●● When opportunity allows, pull objects toward the center of gravity rather than
pushing them away.
●● If pushing, move your front foot forward and, if pulling, move your rear leg back to
promote stability.
●● Face the direction of movement when moving a client.
●● Use your own body as a counterweight when pushing or pulling to make the
movement easier.
●● Sliding, rolling, and pushing require less energy than lifting and offer less risk for
injury.
●● Avoid twisting your thoracic spine and bending your back while your hips and knees
are straight.
When standing for long periods of time, flex your hips and knees by using a footrest.
When sitting for long periods of time, keep your knees slightly higher thany our hips.
●● Avoid repetitive movements of the hands, wrists, and shoulders. Take a break every
15 to 20 min to flex and stretch joints and muscles.
●● Avoid twisting your spine or bending at the waist (flexion) to minimize the risk for inju
Professional Responsibilities: Treatment Decisions Ch3 - correct answer
,leadership 2017
Coordinating Client Care: Determining Need for Referral to Occupational Therapist Chp.
2 - correct answer Job: assess and plan for the client to regain ADLs, esp motor skills of
the upper extremities; direct care of occupational therapy assistants
Refer to when: ex- client has difficulties using an eating utensil with dominate hand
following a stroke
Prioritizing Postpartum Care for a Group of Clients Chp. 1 - correct answer
Professional Responsibilities: Decision Making in End-of-Life Care Chp. 3 - correct
answer
Respiratory Diagnostic Procedures: Assessing Client's
Chp 17, informed consent - correct answer Informed consent is a legal process by
which a client
has given written permission for a procedure or
treatment to be performed. Consent is considered to be
informed when the client has been provided with and
understands the following.
◯◯ Reason the treatment or procedure is needed
◯◯ How the treatment or procedure will benefit the client
◯◯ Risks involved if the client chooses to receive the
treatment or procedure
◯◯ Other options to treat the problem, including the
option of not treating the problem
◯◯ Risk involved if the client chooses no treatment
●● The nurse's role in the informed consent process is to
witness the client's signature on the informed consent
form and to ensure that informed consent has been
appropriately obtained.
●● The nurse should seek the assistance of an interpreter if
the client does not speak and understand the language
used by the provider.
INFORMED CONSENT GUIDELINES
Consent is required for all care given in a health care
facility. For most aspects of nursing care, implied consent
is adequate. The client provides implied consent when she
complies with the instructions provided by the nurse. For
example, the nurse is preparing to administer a TB skin
test, and the client holds out her arm for the nurse.
●● For an invasive procedure or surgery, the client is
required to provide written consent.
●● State laws regulate who is able to give informed consent.
Laws vary regarding age limitations and emergencies.
Nurses are responsible for knowing the laws in the state
of practice.
,leadership 2017
●● The nurse must verify that consent is informed and
witness the client sign the consent form.
Signing an informed consent form
●● The form for informed consent must be signed by a
competent adult.
◯◯ Emancipated minors (minors who are independent
from their parents, such as a married minor) can
provide informed consent for themselves.
●● The person who signs the form must be capable of
understanding the information provided by the health
care professional who will be providing the service. The
person must be able to fully communicate in return
with the health care professional.
●● When the person giving the informed consent is
unable to communicate due to a language barrier or
hearing impairment, a trained medical interpreter
must be provided. Many health care agencies
contract with professional interpreters who have
additional skills in medical terminology to assist with
providing information.
Individuals authorized to grant
consent for another person
●● Parent of a minor
●● Legal guardian
●● Court-specified representative
●● Client's health care surrogate (individual who has the
client's durable power of attorney for health care/health
care proxy)
●● Spouse or closest available relative (state laws vary)
INFOR MED CONSENT RES PONSIBILITIES
PROVIDER: Obtains informed consent. To do so, the
provider must give the client the following
●● Complete description of the treatment/procedure
●● Description of the professionals who will be performing
and participating in the treatment
●● Description of the potential harm, pain, and/or
discomfort that might occur
●● Options for other treatments
●● The right to refuse treatment
●● Risk involved if the client chooses no treatment
CLIENT: Gives informed consent. To give informed consent,
the client must do the following.
●● Give it voluntarily (no coercion involved).
●● Be competent and of legal age or be an emancipated
minor. (If the client is unable to provide consent, an
authorized person must give consent).
, leadership 2017
●● Receive sufficient information to make a decision based
on an informed understanding of what is expected.
NURSE
●● Witnesses informed consent. The nurse is responsible
for the following.
◯◯ Ensuring that the provider gave the client the
necessary information
◯◯ Ensuring that the client understood the information
and is competent to give informed consent
◯◯ Having the client sign the informed consent
document
◯◯ Notifying the provider if the client has more questions
or does not understand any of the information
provided. (The provider is then responsible for
giving clarification.)
●● The nurse documents the following.
◯◯ Reinforcement of information originally given by
the provider
◯◯ That questions the client had were forwarded to
the provider
◯◯ Use of an interpreter
Professional Responsibilities: Action to Take for a Chemically Impaired Nurse Ch 3 -
correct answer
Understanding of Pulmonary Function Tests Chp 17 - correct answer Pulmonary
function tests (PFTs) determine lung function
and breathing difficulties.
●● PFTs measure lung volumes and capacities, diffusion
capacity, gas exchange, flow rates, and airway
resistance, along with distribution of ventilation.
●● Helpful in identifying clients who have lung disease.
●● Commonly performed for clients who have dyspnea.
●● Can be performed before surgical procedures to identify
clients who have respiratory risks.
●● If client is smoker, instruct client not
to smoke 6 to 8 hr prior to testing.
●● If a client uses inhalers, withhold
4 to 6 hr prior to testing. (This can
vary according to facility policy.)
Pulmonary function tests (PFTs) are the most accurate
tests for diagnosing asthma and its severity.
◯◯ Forced vital capacity (FVC) is the volume of air
exhaled from full inhalation to full exhalation.
◯◯ Forced expiratory volume in the first second (FEV1)
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