Clients who have undergone spinal surgeries are turned in the bed using?

AIIMS Raipur NO - 2019 (Shift-2)

Medical Surgical Nursing

Easy

Appeared in: AIIMS Raipur NO - 2019 (Shift-2)

Explanation

The logroll turn is the standard, evidence-based technique for repositioning patients with actual or suspected spinal injuries, or those who have undergone spinal surgery.
Its primary goal is to maintain the spine in a straight, neutral alignment, preventing any twisting, flexion, or extension that could cause further injury.
The technique involves moving the patient's entire body—head, shoulders, spine, and hips—as a single, simultaneous unit, like a log.
Using this method minimizes the risk of secondary injury to the spinal cord, reduces pain, and promotes a stable environment for healing.

Option B: A cane is an ambulatory aid used to provide support and stability while walking. It is not designed or used for repositioning a patient who is lying in bed.
Option C: This is not a recognized or standard term for any patient turning or mobility technique in a healthcare setting. It serves only as a distractor.
Option D: A transfer belt, also known as a gait belt, is a safety device used to assist a patient with standing, walking (ambulation), or transferring from one surface to another (e.g., bed to chair). It is not used for turning a patient within the bed.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Safe patient handling and mobility for postoperative spinal surgery patients as background academic context rather than a clinical decision trigger.
Properly performing a logroll is a critical nursing skill to prevent devastating secondary neurological injury in patients with unstable spines.
Patient safety is paramount. Always ensure enough staff (typically 3-4 people) are available before attempting a logroll. One person must be dedicated solely to stabilizing the head and neck.
What if? If a patient with a spinal injury complains of new numbness, tingling, or loss of movement during a turn, the procedure must be stopped immediately, the patient returned to a neutral position, and the surgeon notified urgently.

How to Approach the Question

First, identify the key elements of the question: the patient has had 'spinal surgery' and needs to be 'turned in bed'.
Recognize that any procedure involving the spine requires maintaining strict spinal alignment to prevent neurological injury.
Evaluate each option based on this primary goal of maintaining alignment.
Option A, 'Logroll turn,' is a specific technique designed for this exact purpose.
Options B ('Cane') and D ('Transfer belt') are aids for walking and transferring out of bed, respectively, not for in-bed turning.
Option C ('Criss') is not a standard medical term. By eliminating the distractors based on their function, you can identify the correct technique.

Concept Tested & Keywords

Concept Tested: Safe patient handling and mobility for postoperative spinal surgery patients.
Stem keywords: spinal surgeries, turned in bed
Lead-in keywords: using