Nursing: Lifting, Transferring And Positioning Of Patients

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Nursing: Lifting, Transferring and Positioning of Patients

ABSTRACT

Lifting, transferring and positioning of patients is frequently undertaken by

nurses on each working day. This is necessary for patient comfort, medical

reasons and completion of self care needs. Lifting can be done in numerous ways.

As well as the nurse physically lifting or moving patients, a number of devices

are also available to assist in the transfer of patients. These range from

straps that are attached to or placed under the patients, to mechanical hoists

and lifters. Any assistance the nurse has is beneficial for both the patient

and the health care worker, as patient's weights are generally heavier than the

nurses physical capabilities. This, combined with incorrect lifting techniques,

can result in muscle strain, or more seriously, spinal injury for the nurse, and

discomfort, muscle strain or further injury for the patient.

INTRODUCTION

When lifting, transferring or positioning patients, the most important

consideration is safety. Any of these procedures need to be undertaken with it

in mind. This safety is inclusive of both the patient and the health care

worker. Communication is an important part of the lifting process as the nurse

should elicit information from the client to find out how and when they prefer

to be moved. This allows the patient to be involved in the decision making

process and be fully aware of what is occurring. By communicating with the

client, the nurse is also aware of whether or not the patient is experiencing

any discomfort during or after the lift.

The actions of lifting, transferring or positioning need to be completed for

numerous reasons, including relief of pressure points. Due to the patient being

in one position continuously, they are prone to the development of pressure

areas. In terms of patient needs, being in the same position constantly is

physically uncomfortable. However, mentally, a change in the immediate

surroundings is also beneficial for the patient. It is also necessary for the

patient to be moved for completion of their self care needs. This includes

their hygiene needs, which include, bathing or showering, elimination, hair,

oral and nail care.

METHOD

When lifting, transferring or positioning patients manually, safety is the most

important factor. This safety is for the nurse thems...

... middle of paper ...

... of using the lifters there may not be as much

manual lifting necessary.

Education about manual handling is also vital to ensure correct lifting

techniques are used. Constant re-evaluation of the staff's abilities and

methods would ensure safety for both parties involved. This would make staff

aware that the least amount of strain placed on the muscles and joints as

possible is beneficial to them.

The re-evaluation is also important in the fact that it allows the health care

worker to be constantly up to date on any new procedures which may be developed.

REFERENCES

Kozier, B., Erb, G., Blais, K., Wilkinson, J.M. 1995, {italics on} Fundamentals

of Nursing {italics off}, 5th Edition, Addison Wesley Publishing Company Inc.,

United States of America.

Love, C. 1995, 'Managing manual handling in clinical situations', {italics on}

Nursing Times {italics off}, vol. 91, no. 26, pp. 38-39.

Scott, A. 1995, 'Improving patient moving and handling skills', {italics on}

Professional Nurse {italics off}, vol. 11, no. 2, pp. 105-110.

Seymour, J. 1995, 'Handling Aids - Lifting and moving patients', {italics on}

Nursing Times {italics off}, vol. 91, no. 27, pp. 48-50.

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