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Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
Positioning And Draping And Bed Mobility Power Point
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Positioning And Draping And Bed Mobility Power Point

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  • 1. October 7, 2005 PTA 110 Positioning Draping Bed Mobility
  • 2. Positioning  Why do we spend time on positioning?  Patient comfort/decrease pain  Support and stability to pt’s trunk & extremities  Prevent development of pressure sores  Prevent joint contractures  To have easier access to area being treated  Decrease edema  Increased function
  • 3. Positioning  The most comfortable for the pt may not be the best for them  May need to be positioned to aid in the treatment of a specific diagnoses or condition  What about restraints?
  • 4. Considerations with positioning  Who is at risk?  Elderly  Those unable to change their own position  Those with decreased sensation  Those who may be unable to communicate their discomfort
  • 5. Pressure Points To Consider
  • 6. When do we change position  Medicare standards = common practice standards  Change every 2 hours  At the conclusion of treatment  Check with nursing on preference
  • 7. What do we use  Pillows  blankets  Heel protectors  Splints, slings & braces  Seat cushions  Wedges  Others??
  • 8. Standard Positions  Supine  Prone  Side- lying  Semi-fowler  Sitting
  • 9. Standard Positions  Supine  Pillow under head to keep c-spine neutral  Small pillow or towel roll for cervical support  Support under popliteal space to ↓ lumbar lordosis  Ankle support to relieve pressure on calcaneus  Support under elbows to relieve pressure on bony prominence
  • 10. Supine Position
  • 11. Standard Positions  Prone  Pillow under head  Pillow under lower abdomen to ↓ lumbar lordosis  Rolled towel under anterior shoulder to adduct (retract) scapula  Towel roll/pillow/bolster under ankles to relieve stress on hamstrings, also allows pelvis and lumbar spine to stay relaxed
  • 12. Prone Position
  • 13. Standard Positions  Sidelying  Pt in center of bed – not near edge  Head, trunk, pelvis in alignment  LE’s are flexed at hip & knee with pillows btwn legs & top Le slightly forward of bottom LE  Pillow at chest &/or back for to prevent pt from rolling  Pillow under top arm to keep chest open
  • 14. Sidelying Position
  • 15. Standard Positions  Semi-fowler  Head of bed is lifted 30° - can use pillow, wedge or bolster as well  Pillow under popliteal space  Used for breathing, eating, visiting  For a Fowler position head of bed is 45°
  • 16. Semi-Fowler Position
  • 17. Standard Positions  Sitting  Variety of seated positions  Straight, recumbent, semi-recumbent  Remember to soften bony prominences  Arms and legs supported (head if necessary)  Elbows at 90°
  • 18. Draping 5 minute Break
  • 19. Draping  Reasons for draping pt’s:  Privacy/modesty/dignity  Warmth  Hygiene How do you feel at the Dr’s office with no clothes on????
  • 20. Draping  If you need pt to change to gown – leave room – knock before re-entering  If pt needs assistance suggest it, ask permission before helping them  Only area being treated is exposed, the rest of the pt is covered  Gown, blanket, sheet, towel  Pt comfort is the key to working on difficult areas
  • 21. Draping  Be sure you keep legal considerations in mind  What is the policy of the facility on door being closed, slightly open? Curtains?  Inappropriate comments or touch mean different things to different people  Protect yourself by being professional at all times
  • 22. Bed Mobility  What are the goals of bed mobility?  How do we define bed mobility?  How will patients benefit from bed mobility prior to a transfer activity?  Why do we teach bed mobility?
  • 23. Most Common Movements Of Bed Mobility:  Turning from supine to sidelying position and returning.  Supine to prone positioning and returning.  Moving in bed-upward, downward, side to side.  Rolling  Bridging exercises  Moving from lying to sitting EOB.
  • 24. How do you actively involve the patient in bed mobility instruction?
  • 25. What are some ways/techniques you can use to reduce the patient’s and your energy expenditure during bed mobility activities?
  • 26. Bed Mobility Exercises  Bed Mobility exercises don’t always have to be done in bed.  A patient can greatly benefit from bed mobility work on a mat table. Why would that be?  Examples of bed mobility exercises we will cover today in lab are on pages 132-140.
  • 27. Modifications to bed mobility  On Wednesday Jamie will cover bed mobility for the orthopedic patient and how precautions alter how bed mobility is instructed for these types of patients.

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