PowerPoint Presentation

Bea MercadoSweet cerlyn LazagaMOBILITY AND EXERCISEPOSITIONA bodilypostureorattitude.

SUPPORTING CLIENT IN FOWLERS POSITIONElevation of upper part of the body without knee flexion.It is an intervention used to promote oxygenation via maximum chest expansion and is implemented during events of respiratory distressIn low Fowlers position, head is elevated to 30 degree.In semi Fowlers position, head is elevated up to 45 degree.In high Fowlers position, head is elevated up to 60 to 90 degree.SUPPORTING A CLIENT IN DORSAL RECUMBENT POSITIONThe clients head and shoulders are slightly elevated on a small pillow.PURPOSE : To reposition the client and offset the possibility of skin breakdown.To enhance client comfort.For vaginal inspection and digital examination.SUPPORTING A CLIENT IN PRONE POSITIONThe client lies on the abdomen with the head turned to side. The hips are not flexed.PURPOSE:

To prevent flexion contractures of the knees and hips.To promote drainage from the mouth and bronchioles.To reposition the client and offset the possibility of the skin.To examine the back and for spinal examination and procedures.Improves arterial oxygenation.SUPPORTING A CLIENT IN LATERAL POSITIONIn the lateral or side-lying, the person lies on one side of the body. By having the client flex the top hip and knees and placing this leg in front of the body, a wider, triangular base of support is created and greater stability as achieved. The greater the flexion on the top hip and knee, the greater the stability and balance in this position.

PURPOSE:

SUPPORTING A CLIENT IN SIMS POSITIONThe Sims' position, named after the gynaecologist James Marion Sims, is usually used for rectal examination, treatments and enemas. It is performed by having a patient lie on their left side, left hip and lower extremity straight, and right hip and knee bent. It is also called lateral recumbent position.

MOVING A CLIENT UP IN BEDAssistance to a client to move up toward the head of the bed with less exertion and less discomfort.PURPOSE:

For lesser exertion of effort and discomfort on the part of the patient.MOVING A CLIENT TO THE SIDE OF THE BED IN SEGMENTThis movement is used in preparation for moving the client onto a stretcher, in preparation for turning the client to the lateral position, or when changing the clients bed.PURPOSE:

In preparation for moving the client onto a stretcher.In preparation for turning the client to the lateral position.In changing clients bed.TURNIG A CLIENT TO A LATERAL OR PRONE POSITION IN BEDMovement to a lateral side lying position may be necessary when placing a bedpan beneath the client, when changing clients bed linen, or when repositioning the client.PURPOSE:

Placing a bedpan beneath the client.Changing clients bed linen.Repositioning the client.LOGROLLING A CLIENTis a maneuver used to move a patient without flexing the spinal column. Patient's legs are stretched, the head is held, to immobilize the neck.PURPOSE:

To maintain straight alignment of the spinal cord while moving the patient.To prevent additional injury of the spine for patients who has spinal injuries.MOVING A CLIENT TO A SITTING POSITION ON THE EDGE OF THE BEDSPECIAL CONSIDERATIONS:

Assess the client for orthostatic hypotension before the transfer.Lock the wheels of the bed and the wheelchair before the client transfers in or out of them.Use appropriate assistive devices such as transfer belt or board.Apply a seat belt to a helpless client in a wheelchair.Motion ExerciseMobilityAbility to move freely and purposefully.Essential, in order for people to meet their basic needs, maintain independence, and have a good self-concept.MobilityNormal movement and stability require intact musculoskeletal and nervous system and intact inner ear structures that control equilibrium. BODY MOVEMENT:Posture (Body Alignment)Joint MobilityBalance (Stability)CoordinationACTIVE ROM ExerciseISOTONICClient moves each joint through its complete range of motion.INCREASE muscle strength and endurance.PASSIVE ROM ExercisesMaintain joint flexibility but is of no value in maintaining muscle strength.Should be used only for movements that the client cannot achieve independently.ACTIVE-ASSISTIVE ROM ExercisesThe client moves the joint as much as he or she is able and the nurse then continues the movement passively to its maximal degree.Assisting a Client to WalkThe act of walking:-In a normal walking posture, the head erect, the cervical, thoracic, and lumbar vertebrae are aligned, the hips and knees have appropriate flexion, and the arms swing freely in alternate with the legs.Assisting a Client to use a CaneCanes are Lightweight, easily movable device about waist high, made of wood or metal with rubber tips.TYPES of Canes:Simple straight-legged caneTripod or crab caneQuad caneAssisting a client to use CrutchesCrutches are wooden or metal staff with a handgrip in the form of crossbar and a forearm crutch, often needed t increase mobility.Temporary or permanently needed by the client.