low back epidemiology
DESCRIPTION
Low Back Epidemiology. 1) 5 th most frequent reason for medical consultation. 2) The cost of low back pain is approaching 100 billion dollars/year. 3) 7.5 million people per year will have significant low back pain 4) Low back pain can be avoided. Causes of Low Back Pain. Aging - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/1.jpg)
Low Back EpidemiologyLow Back Epidemiology
1) 5th most frequent reason for medical consultation.
2) The cost of low back pain is approaching 100 billion dollars/year.
3) 7.5 million people per year will have significant low back pain
4) Low back pain can be avoided.
![Page 2: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/2.jpg)
Causes of Low Back PainCauses of Low Back Pain
Aging– Disc and bony changes such as DJD, Stenosis,
osteoporosis– Neuro-muscular changes
![Page 3: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/3.jpg)
Causes of Low Back PainCauses of Low Back Pain
Acute trauma
– Spinal fractures
– Disc herniations
– Soft tissue injuries
![Page 4: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/4.jpg)
Causes of Low Back PainCauses of Low Back Pain
Occupational Stresses
– Incorrect lifting technique
– Asymmetrical posture
– Prolonged sitting
![Page 5: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/5.jpg)
Causes of Low Back PainCauses of Low Back Pain
General health risks factors– Obesity– Cigarette smoking– General deconditioning– Diabetes– Cardiovascular disease
![Page 6: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/6.jpg)
Posture – Good and BadPosture – Good and Bad
• Poor Posture• Forward Bent (Slump Posture)
• Sway Back (Increased Lordosis)
![Page 7: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/7.jpg)
Back – Principles Of CareBack – Principles Of Care
Remain close to the object.Use the largest/strongest muscles.Widen your BOS.Use short lever arms.Avoid twisting when lifting.Maintain COG close to objects COG.When possible: push, pull, or slide.
![Page 8: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/8.jpg)
Lifting – Lordosis ModelLifting – Lordosis Model
Deep SquatGolfer’s LiftPushing, Pulling, and Carrying
![Page 9: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/9.jpg)
Deep SquatsDeep Squats
1) Object close to body 2) Stabilize lumbar spine 3) Lift with legs
![Page 10: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/10.jpg)
Golfer’s LiftGolfer’s Lift
1) To lift small objects
2) Requires balance
3) Maintain stable spine
![Page 11: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/11.jpg)
CarryingCarrying
1) Waist level
2) Hold object close to body
3) Ask for assistance if needed.
![Page 12: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/12.jpg)
Transfer ActivitiesTransfer Activities
Utilizing Draw SheetSupine to sitStand PivotOne person lift
![Page 13: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/13.jpg)
Utilizing Draw SheetUtilizing Draw Sheet
Position bed Lower side rails Grasps sheet at hips and shoulder Count 1, 2, 3 move
![Page 14: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/14.jpg)
Supine to Sit TransferSupine to Sit Transfer
Slide pt to edge of bed Instruct pt Position hands Have pt to assist if possible
![Page 15: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/15.jpg)
Supine to Sit TransfersSupine to Sit Transfers Count 1,2,3 “move”
Lift up on pt’s back
Slide legs off table
Make sure pt is secure
![Page 16: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/16.jpg)
Stand Pivot TransferStand Pivot Transfer
Manage environment Position chair parallel to bed Secure gait belt No skid footwear Instruct pt on what you are doing
![Page 17: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/17.jpg)
Stand Pivot TransferStand Pivot Transfer
Have pt assist if possible
Remember low back mechanics
![Page 18: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/18.jpg)
Fall PreventionFall Prevention
Pt is assessed on admission for risk of fall
Admitting RN assesses each pt
All health care team members participate in fall prevention monitoring
![Page 19: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/19.jpg)
Fall Prevention InterventionFall Prevention Intervention
Bed in low position and locked
Call button within reach
Bed rails raised
![Page 20: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/20.jpg)
Pts with risk of fallsPts with risk of falls
Yellow dot on the chart
Yellow dot on patient’s wrist band
Yellow diamonds beside the door
![Page 21: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/21.jpg)
Falls may be caused by:Falls may be caused by:
Health status
Response to medication
External factors in environment
![Page 22: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/22.jpg)
Definition of a FallDefinition of a Fall
Fall is defined as a patient on the ground secondary to an unplanned occurrence.
![Page 23: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/23.jpg)
All Staff Monitors Pt’s For All Staff Monitors Pt’s For FallsFalls
Reporting to unit nurseAssisting fall risk Pt seen OOBObserve pt in room and look for
– Leg over rails– Sliding down in chair
![Page 24: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/24.jpg)
Fitness CenterFitness Center
![Page 25: Low Back Epidemiology](https://reader035.vdocuments.net/reader035/viewer/2022062520/56815e7a550346895dccfdc0/html5/thumbnails/25.jpg)
Fitness CenterFitness Center