procedure on positioning

1. NCM 103RLE
POSITIONING
CIRILO ALBERT B. HICBAN, RN RM LPT

2. LATERAL POSITION
 The client lies on the side with weight on hip and
shoulder or the patient lies on his side with both
arms forward and his knees and hips flexed.
 The upper leg is flexed more than the lower leg.
 The upper knee and hip should be at the same
level.
 A pillow is given under the head, back and front
to support the arms and abdomen.
 A small pillow is given in between the knees

3. LATERAL POSITION
 INDICATIONS
Patients who requires periodic position changes
In immediate post-operative patients
Used for examination of perineum
Inserting suppositories.
For taking rectal temperature.
Giving back care
For giving enema and colonic irrigation

4. LATERAL POSITION
 PROCEDURE
Explain the procedure
Provide privacy
Lower the head of bed as low as patient
can tolerate.
Position the patient to side of bed
Turn the patient to one side

5. LATERAL POSITION
Place the air ring under the hips to reduce pressure
in trochanters and at the hip joints.
Position both arms in flexed position. Upper most
arms are supported by pillow on level with shoulder.
Place pillow under back
Place pillow under semi flexed upper leg at hip, from
groin to foot.
Place sand bag parallel to plantar surface of
dependent foot

6. LITHOTOMY POSITION
 The client lies supine with hips flexed. The legs are separated and
thighs are flexed.
 The patient’s buttocks are kept at the edge of the table and legs are
supported by stirrups

7. LITHOTOMY POSITION
 PROCEDURE
Explain the procedure to the patient
Provide privacy Position the patient to lie on his back with one
pillow under the head
Keep the legs well separated and the thighs well flexed on the
abdomen and the legs on the thighs
Buttocks are kept on the edge of the table and the legs are
supported on stirrups

8. LITHOTOMY POSITION
 INDICATIONS
For delivery of baby
For rectal examination & surgeries
For vaginal examination & hysterectomy

9. SIMS POSITION
 In this position the client lies on either the right or
left side.
 The lower arm behind the body and upper arm is bent
at the shoulder and elbow.
 The knees are both bent, with the upper most leg
more acutely bent.
 These positions similar to the lateral position except
that the patient’s weight is on the anterior aspect of
the patient’s shoulder girdle and hip.

10. SIMS POSITION
 INDICATIONS
Vaginal and rectal examination
Administration of enema and
suppository
Used for relaxation in antenatal
exercises
Position for sigmoidoscopy and
protoscopy

11. SIMS POSITION
 PROCEDURE
Explain the procedure to the patient
Provide privacy Place the patient on the side
Place small pillow under head and neck
Place pillow under flexed upper arm, supporting arm level with
shoulder.
Place pillow under flexed upper leg, supporting leg level with
hip.
Place sand bags parallel to plantar surface of dependent foot

12. TREDLENBERG POSITION
 In this the patient lies on the back with
the head low.
 The foot of the bed is elevated at 45˚
angle. Entire frame of bed is tilted with
head of bed down

13. TREDLENBERG POSITION
 INDICATION
Used in emergency situations like shock,
hemorrhage and hypotension
Postural drainage
Patients with deep vein thrombosis

14. TREDLENBERG POSITION
 PROCEDURE
Explain the procedure to patient
Place the patient in supine position
Lower the head end of the bed or if it is not adjustable
type, use bed block at foot end and tilt entire frame of
bed down. OR elevate the foot end at 45˚angle.
The patient is carefully supported to prevent from
slipping.

16. 1. What type of patient would benefit from
an elevated head of the bed position?*
A. Patient with burns of the face and head
B. Patient with a broken femur
C. Patient who had a hemorroidectomy
D. Patient who had a lumbar puncture

17. 2. A patient is recovering from a mastectomy. Which answer is
incorrect in regards to positioning?*
A. Place the patient in semi-Fowler's position
B. Place the affected arm on a pillow
C. Place the patient in a side-lying position on the
unaffected side to promote lymphatic drainage
D. Every 2 hours turn the patient on the prone position on
the affected side

18. 3. A patient is supine and the head of the bed is
elevated to 45 to 60 degrees. What position is
this called?*
A. Semi-Fowler's Position
B. High Fowler's Position
C. Sim's Position
D. Fowler's Position

19. 4. Administering enemas, perineal examinations, and
for comfort in pregnancy. What position is
appropriate?

20. 5. Your patient has Congestive Heart Failure with
pulmonary edema. The patient states he is tried of
being in bed. What position is best for this patient's
condition?*
A. Tripod position with chin down in a chair
B. Sitting in a chair at 45 degree with legs elevated on
a pillow
C. Upright with legs dangling over the bed
D. Sims Position in the beside chair

21. MATCHING TYPE
6. Knee-Chest. A. On stomach.
7. Semi-Fowlers. B. 30 degrees angle, belly up.
8. Fowlers position. C. semi sitting head raised at 45 - 60 degrees.
9. High Fowlers. D. Legs raised. ...
10. Lithotomy position. E. sitting at an 60- 90 degrees.
11. Trendelenburg. F. Legs elevated, head lowered.
12. Reverse Trendelenburg. G. Head up, feet down.
13. Prone position. H. Butt in air, on knees.

22. 14. It is to treat hypotension, during
gynecological and abdominal hernia
surgeries, and in the placement of central
lines

23. 15 -16 . Identify the PICTURE and give at least 1 indication

24. 17 -18 . Identify the PICTURE and give at least 1 indication

25. 19 -20 . Identify the PICTURE and give at least 1 indication