Fundamentals of Nursing
A 78-year-old alert and oriented patient is returning from the radiology Department and the nurse is…
A 78-year-old alert and oriented patient is returning from the radiology Department and the nurse is preparing to transfer the patient from the wheelchair back into the bed. The nurse places the belt on the Patient and prepares to lift the patient from the chair. Which body mechanics would be most appropriate?
Explanation
Core Concept: Proper body mechanics are essential to prevent musculoskeletal injuries during patient transfers. Widening the base of support by placing the feet shoulder-width apart (widening leg stance) lowers the center of gravity and provides maximum stability during the lifting or pivoting process.
Clinical Presentation:
- N/A (Ergonomic safety).
- Complications of poor mechanics: Lumbar strain, herniated discs, and patient falls.
Diagnosis:
- First-line/Gold Standard: N/A.
Management:
- Acute: Use proper body mechanics (bend at knees, keep back straight, widen stance, hold load close to body). Use mechanical lift devices for heavy or immobile patients.
- Definitive: Institutional ergonomics training and mandatory use of ceiling hoists or sit-to-stand devices.