Positioning, Transfers, and Ambulation CNA Review:
Dangling is _____
a way to help residents regain balance before standing up
What does ambulation mean?
ambulation is walking
What should you do if a resident starts to fall during a transfer or while walking?
bring the resident's body close to you to break the fall. Bend your knees and support the resident as you lower ger to the floor.
Quad cane
four rubber-tipp
If the resident is unable to stand without help, the nursing assistant should
hold the resident close to the NA's center of gravity *brace the resident's lower extremities
A resident in the Fowler's position is
in a semi-sitting position
Some residents have a side of the body that is weaker than the other one. The weaker side of the body should be referred to as the
involved side
What is a transfer belt?
is a safety device used to transfer residents who are weak, unsteady or uncoordinated (gait belt)
What is a Draw sheet?
is an extra sheet placed on top of the bottom sheet when the bed is made
What is shearing?
is rubbing or friction that results from the skin moving one way and the bone underneath it remaining fixed or moving in the opposite direction
In this position the resident is lying on either side.
lateral
When helping a visually-impaired resident walk, it is important for the nursing assistant to
let the resident walk beside and slightly behind her
Which of the following statements is true of mechanical or hydraulic lifts
lifts help prevent injury to the nursing assistant and the resident
Lateral Position
lying on either side, pillow can support the arm and leg on the upper side, the back and the head, knee on upper side of the body should be flexed
What is logrolling?
means moving a resident as a unit, without disturbing the alignment of the body.
in addition to a gait belt, what equipment should the nursing assistant have when assisting a resident to ambulate?
non-skid shoes
Supine Position
on back, pillow on head, arms and leg
when applying a transfer (gait) belt, the nursing assistant should place it
over the resident's clothing and around the waist
In this position, the resident is lying on his stomach
prone
which of the following assistive devices for walking has four rubber tipped feet
quad cane
A draw sheet is used to _______
reposition residents without causing shearing
Prone Position
resident is on their stomach, pillow at ankles
Fowler's position
semi-sitting position, head and shoulders should be elevated, knees may be flexed and elevated using a pillow/rolled blanket
The following piece of equipment may be used to help transfer residents who are unable to bear weight on their legs
slide or transfer board
When using a cane, the resident should place it on his _____ side
stronger
when transferring residents who have one sided weakness, which side moves first
stronger side
Which of the following statements is true of wheelchairs?
the NA should check the resident's alignment in the chair after a transfer is complete
Why do residents who spend a lot of time in bed or wheelchairs need to be repositioned often?
they are at risk of skin breakdown and pressure ulcers.
What does dangle mean?
to sit up on the side of the bed with the legs hanging over the side.
What is a slide board/transfer board?
used to help transfer residents who are unable to bear weight on their legs.
a resident who has some difficulty with balance but can bear weight on both legs should use a
walker