授課題目

Moving and Turning Clients

授課形式

lecture and demonstrate

授課時間

2006．9．26

授課學時

1

教學目的

與 要 求

1.   To expound the principles of moving and turning positions

2.   To put all kinds of methods about moving clients in practice rightly

3.   To demonstrate the key points about using gurney and wheelchair

4.    To provide comfort and safety to the clients during the process

基本內(nèi)容

1.  Turning Position

2.  Moving Clients

重 點

難 點

1.  Principles of moving and turning positions

2.  How to move client with four nurses

主要教學

媒 體

PPT

主 要 外

語 詞 匯

Moveing client, Turning position, Gurney, Wheelchair, Transfer client

有關本內(nèi)容的新進展

Hoyer lift, Mattress, Nylon Mover

主要參考資料或相關網(wǎng)站

1、Zhou Kexiong. Basic Nursing Skills

2、SABDRA F.SMITH. Clinical Nursing Skills. Prentice Hall Health.

系、教研室

審查意見

已審合格，同意授課。

課后體會

1.  多交流使課堂氣氛活躍，學生學習積極性高。

2.  在課堂中部分內(nèi)容要求學生自己演示，提高學習效果

3.  本節(jié)內(nèi)容相對簡單，加之溝通及時，學生基本能聽懂和理解。

教學內(nèi)容

時間分配和

媒體選擇

Chapter 9  Action and Transportation

Section 3  Turning and Moving Clients

Principles of moving and turning clients

①   Before you lift or move a client, determine the causes and consequences of the client’s illness.

②   Evaluate the client’s weight and the extent he can move himself in order to decide how much person you need to move the client.

③   Before you begin, thoroughly explain the procedures you will be completing so that you obtain the client’s cooperation.

④   Positions in which clients are placed, methods of moving, and turning should all be based on the principles of maintaining the musculoskeletal system in proper alignment.

⑤   When moving a client you should lift him or her up from bed, in case of rubbing the skin off.

Turning position

Turning to side-lying position

Objectives

To provide increased comfort

To prevent complications. Such as press ulcer, joint contractures, pneumonia.

To facilitate treatment and nursing

Procedure

Turning position with one nurse

Turning position with two nurses

Moving the client up in bed

Objectives

To provide comfort

To move the client up in bed who can’t move himself

Procedure

Moving up with one nurse

Moving up with two nurse

1~5 are the same as before.

①  Position with two nurses or staff members.

①  First position:

②  Alternative position:

① Coordinate the movements of all nurses.

② Nurses place weight on back foot and shift weight to front foot with the move, lifting client toward head of bed.

③ Place client in a comfortable position.

Transferring Client

Transferring Client From Bed To Gurney

Objectives

To transporting client who can’t move himself to receive some examinations or treatments, etc. 

Equipment

Gurney with sheet, pillow, quilt

Board on the gurney if the client is fracture

Procedure

Choosing methods according to the client’s illness and weight.

Transferring by himself

For the client who can cooperate with you

Transferring with one nurse

For the client who’s state of illness is not so bad and who’s weight is light

Transferring with two and three nurses

For the client who’s illness is worse than before and who is heavy.

Transferring with four nurses

This method is used to move client whose vertebras are broken or the state of illness is critical.

How to move the gurney

① Pay attention to the client’s state of illness in case anything happens.

② The speed you move the gurney should not be too quick.

③ When up or down a slope, the head of client should be at the upper position.

④ If there are big wheels and small wheels, the head of client should be put on the part of big wheels.

⑤ If there is a door, you should open the door first, and then pull the gurney in.

Moving client from bed to wheelchair（輪椅)

Moving client from bed to stretcher litter（擔架)

Summary

Turning Position

Moving Clients

Question

1.   What’s the principles of moving and turning positions?

2.   How to move the client whose spinal was broken?

2’

Give examples to introduce the main content

Picture

8’

Picture

Picture

Picture

10’

Picture

Picture

Teacher show turning position with one nurse, and then students complete with two nurses

5’

Picture show why client need moving up

Picture show the main steps about moving up, and students observe picture and speak out the main steps themselves. Finally,  teacher correct them

12’

Picture

Picture

Picture

Picture

Picture

Picture

Picture

Students show it

Picture

Picture

Students show it

Picture

Students show it

Learn by themselves

3’

Summary

Question