教 案
2006 — 2007 学年 Autumn 学期
所在单位 Nursing School
系、教研室 Department of fundamental nursing
课程名称 fundamentals ofnursing
授课对象 Undergraduate student for bachelor
degree in nursing 2004 grade
授课教师 Xiao Canhua （肖灿华)
职 称 Associateprofessor
教材名称 Basic nursing skills（bilingualism)
授课题目 Moving and TurningPosition
南方医科大学教案首页
| 授课题目 | Moving and Turning Clients | 授课形式 | lecture and demonstrate |
| 授课时间 | 2006．9．26 | 授课学时 | 1 |
| 教学目的 与 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 | ||
| 基本内容 | 1. Turning Position 2. Moving Clients | ||
| 重 点 难 点 | 1. Principles of moving and turning positions 2. How to move client with four nurses | ||
| 主要教学 媒 体 | PPT | ||
| 主 要 外 语 词 汇 | Moveing client, Turning position, Gurney, Wheelchair, Transfer client | ||
| 有关本内容的新进展 | Hoyer lift, Mattress, Nylon Mover | ||
| 主要参考资料或相关网站 | 1、Zhou Kexiong. Basic Nursing Skills 2、SABDRA F.SMITH. Clinical Nursing Skills. Prentice Hall Health. | ||
| 系、教研室 审查意见 | 已审合格，同意授课。 | ||
| 课后体会 | 1. 多交流使课堂气氛活跃，学生学习积极性高。 2. 在课堂中部分内容要求学生自己演示，提高学习效果 3. 本节内容相对简单，加之沟通及时，学生基本能听懂和理解。 |
教学过程
| 教学内容 | 时间分配和 媒体选择 | 医学检验网
Chapter 9 Action and TransportationSection 3 Turning and Moving ClientsPrinciples 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 positionTurning to side-lying positionObjectives
To provide increased comfort To prevent complications. Such as press ulcer, joint contractures, pneumonia. To facilitate treatment and nursing ProcedureTurning position with one nurseTurning 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（轮椅) Moving client from bed to stretcher litter（担架) 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? www.med126.com/Article/ | 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 |
