CHECKLIST FOR BACK CAR

S.N CONTENT
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1 Arrange the Articles Required-
 Screen, Mackintosh with draw sheet, Fresh bed linen and the patient’s clothes, A
small basin, Sponge cloth-(mitten-2), Soap dish with soap, Spirit/oil, Powder, A
towel, A pair of clean gloves, Pillows or alpha mattress and Kidney tray
3 PREPROCEDURAL STEPS-
 Assess the condition of the patient.back especially on the pressure points
(scapula vertebral spine, sacral area, and coccyx) for any redness and breakdown
in the skin integrity and see for fracture, burns and open wound.
 Explain the procedure to the patient.
 Assemble all equipment required.
 Wash hands.
INTRAPROCEDURAL STEPS-
 Bring the patient close to the edge of the bed to maintain good body mechanics.
 Turn the patient to lateral, prone or side-lying position and sitting position with
the back towards nurse.
 Spread mackintosh and draw sheet under the patient from head to buttocks.
 Drape the patient and provide adequate privacy.
 Apply powder/oil/lotion/cream/spirit according to the skin condition.
 Massage from sacrum to neck by using different seven stroke.
 Stroke of back massage.
Effleurage –This is stroking the back with fingers by long, smooth strokes
upward to downward .
Friction- These movements are in circular nature. It is performed with the
help of the thumb and fingers pads.
Petrissage – This is the process of pressing and rolling of the tissues and is
performed with one or both hands, with thumb and fingers. Tapotement-
This involves hacking, tapping, clapping, beating.
Kneading – kneading is part of the Swedish massage tradition and
involves the grasping and lifting of tissue. It is usually performed with the
palms, first pressing down on muscular tissue and then lifting it with the
fingers in a rhythmic and churning action.
POSTPROCEDURAL STEPS-
 Check the level of patient’s comfort.
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 Change the linen if soiled.
 Replace the articles in utility room after cleaning and washing with water or
disinfectant solution.
 Put the dirty linen in hamper.
 Tidy –up the bedding and the unit.
 Wash hands
 Document the procedure with time, date and remarks if any like condition of
the skin and patient’s response.