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Indication
1.Thia position is used for unconscious patient.
2.It is used for rectal exemination.
3.Used for vaginal examination.
4.Used for relaxatation in andenatel exercises..
Procedure
1.Explain the procedure to the patient.
2.Collect articles need at the bed side.
3.Provide privacy.
4.Place the patient on the side.
5.One pillow is placed under the head
with the left chest resting on it.
6.The left arm is draw behind the body and right arm may be in any
position comfortable for the patient.
7.The left leg is extended well.
8.Cover the patient with top sheet.
Dorsal Recumbent position
Patient lies on the back ,knees fully flexed ,thigh flexed and externalley
rotated feet on the bed.
Indications
1.It is used for catheterization,vaginal and rectal examination.
2.It is also used for vaginal operation .
3.Patient who are convalescent period.
4.Patient with gastric condition.
5.Patient with abdominal or pelvic operation unless erect setting position
in indicated.
Procedure
1.Place the patient on back in bed with two or more pillows under
the head and one pillow under the knees or maintain his position
by elevating the top of bed on blocks.
2.Place the air rings under the hip and cotton rings or foam pads
under the heels to reduce the pressure.
3.Align the patient body in good condition .
4.Support the body parts in good alignments for comfort when
the patient in paralyzed.
Lithotomy position
The patient lies on her back. The legs
are separated and thighs are flexed
on the abdomen and the legs are on
the thighs. The patient buttocks are
kept at the edge of the table and
legs are supported by stirrups.
𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧
1.𝐓𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐢𝐬 𝐠𝐢𝐯𝐞𝐧 𝐝𝐮𝐫𝐢𝐧𝐠
Gynecological examination ,𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 ,𝐚
𝐧𝐝 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧.
2.𝐅𝐨𝐫 𝐝𝐞𝐥𝐢𝐯𝐞𝐫𝐲 𝐨𝐟 𝐛𝐚𝐛𝐲.
3.𝐅𝐨𝐫 𝐫𝐞𝐜𝐭𝐚𝐥 examination 𝐚𝐧𝐝 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧.
𝐏𝐨𝐜𝐞𝐝𝐮𝐫𝐞
1.𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭.
2.𝐏𝐫𝐨𝐯𝐢𝐝𝐞 𝐩𝐫𝐢𝐯𝐚𝐜𝐲
3.𝐏𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐭𝐨 𝐥𝐢𝐞 𝐨𝐧 𝐡𝐢𝐬 𝐛𝐚𝐜𝐤 𝐰𝐢𝐭𝐡 𝐨𝐧𝐞
𝐩𝐢𝐥𝐥𝐨𝐰 𝐮𝐧𝐝𝐞𝐫 𝐭𝐡𝐞 𝐡𝐞𝐚𝐝.
4.𝐤𝐞𝐞𝐩 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 𝐰𝐞𝐥𝐥 𝐬𝐞𝐩𝐚𝐫𝐚𝐭𝐞𝐝 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐭𝐡𝐢𝐠𝐡𝐬 𝐚𝐫𝐞
𝐰𝐞𝐥𝐥 𝐟𝐥𝐞𝐱𝐞𝐝 𝐨𝐧 𝐭𝐡𝐞 𝐚𝐛𝐝𝐨𝐦𝐞𝐧 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐭𝐡
𝐢𝐠𝐡𝐬.
5.𝐁𝐮𝐭𝐭𝐨𝐜𝐤𝐬 𝐚𝐫𝐞 𝐤𝐞𝐩𝐭 𝐨𝐧 𝐭𝐡𝐞 𝐞𝐝𝐠𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐭𝐚𝐛𝐥𝐞 𝐚𝐧𝐝 𝐭
𝐡𝐞 𝐥𝐞𝐠𝐬 𝐚𝐫𝐞 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐞𝐝 𝐨𝐧 𝐬𝐭𝐢𝐫𝐫𝐮𝐩𝐬.
𝐂𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧
𝐂𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐚𝐫𝐞
𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐰𝐢𝐭𝐡 𝐚𝐫𝐭𝐡𝐫𝐢𝐭𝐢𝐬 𝐨𝐫 𝐣𝐨𝐢𝐧𝐭 𝐝𝐞𝐟𝐨𝐫𝐦𝐢
𝐭𝐲 𝐦𝐚𝐲 𝐛𝐞 𝐮𝐧𝐚𝐛𝐥𝐞 𝐚𝐬𝐬𝐮𝐦𝐞 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨
𝐧.
Knee-chest position
𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐫𝐞𝐬𝐭 𝐨𝐧 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞𝐬 𝐚𝐧𝐝 𝐭𝐡𝐞
𝐜𝐡𝐞𝐬𝐭 .𝐓𝐡𝐞 𝐡𝐞𝐚𝐝 𝐢𝐬 𝐭𝐮𝐫𝐧𝐞𝐝 𝐭𝐨 𝐨𝐧𝐞 𝐬
𝐢𝐝𝐞 𝐰𝐢𝐭𝐡 𝐚 𝐩𝐢𝐥𝐥𝐨𝐰 𝐢𝐬 𝐩𝐥𝐚𝐜𝐞𝐝 𝐮𝐧𝐝𝐞𝐫
𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 . 𝐓𝐡𝐞 𝐰𝐞𝐢𝐠𝐡𝐭 𝐢𝐬 𝐨𝐧 𝐭𝐡𝐞
𝐜𝐡𝐞𝐬𝐭 𝐚𝐧𝐝 𝐤𝐧𝐞𝐞𝐬 ...
𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧
1.𝐓𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐢𝐬 𝐮𝐬𝐞𝐝 𝐟𝐨𝐫 sigmoidoscopy .
2.𝐔𝐬𝐞𝐝 𝐟o𝐫 𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐚𝐧𝐝 𝐫𝐞𝐜𝐭𝐚𝐥 𝐞𝐱𝐚𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧.
3.𝐔𝐬𝐞𝐝 𝐢𝐧 𝐟𝐢𝐫𝐬𝐭 𝐚𝐢𝐝 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐢𝐧 𝐜𝐨𝐫𝐝 𝐩𝐫𝐨𝐥𝐚
𝐩𝐬𝐞.
4.𝐀𝐬 𝐞𝐱𝐞𝐫𝐜𝐢𝐬𝐞 𝐟𝐨𝐫 𝐩𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦 𝐚𝐧𝐝
gynecology 𝐩𝐚𝐭𝐢𝐞𝐧𝐭.
𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞
1.𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭.
2.𝐂𝐨𝐥𝐥𝐞𝐜𝐭 𝐭𝐡𝐞 𝐧𝐞𝐞𝐝𝐞𝐝 𝐚𝐫𝐭𝐢𝐜𝐥𝐞𝐬 𝐚𝐭 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐬𝐢𝐝𝐞 .
3.𝐏𝐫𝐨𝐯𝐢𝐝𝐞 𝐩𝐫𝐢𝐯𝐚𝐜𝐲.
4.𝐌𝐚𝐤𝐞 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐫𝐞𝐬𝐭𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞 𝐚𝐧𝐝 𝐜𝐡𝐞𝐬𝐭 .
5.𝐓𝐡𝐞 𝐡𝐞𝐚𝐝 𝐢𝐬 𝐭𝐮𝐫𝐧𝐞𝐝 𝐭𝐨 𝐨𝐧𝐞 𝐬𝐢𝐝𝐞 𝐰𝐢𝐭𝐡 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 𝐨𝐧 𝐚 𝐩𝐢𝐥𝐥𝐨𝐰.
6.𝐓𝐡𝐞 𝐚𝐫𝐦𝐬 𝐬𝐡𝐨𝐮𝐥𝐝 𝐛𝐞 𝐞𝐱𝐭𝐞𝐧𝐝𝐞𝐝 𝐨𝐧 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐟𝐥𝐞𝐱𝐞𝐝 𝐚𝐭 𝐭𝐡𝐞 𝐞𝐥
𝐛𝐨𝐰𝐬 𝐭𝐨 𝐬𝐮𝐩𝐩𝐨𝐫𝐭 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐩𝐚𝐫𝐭𝐢𝐚𝐥𝐥𝐲.
7.𝐓𝐡𝐞 𝐰𝐞𝐢𝐠𝐡𝐭 𝐬𝐡𝐨𝐮𝐥𝐝 𝐫𝐞𝐬𝐭 𝐨𝐧 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 𝐚𝐧𝐝 𝐤𝐧𝐞𝐞𝐬 𝐰𝐡𝐢𝐜𝐡 𝐚𝐫𝐞
𝐟𝐥𝐞𝐱𝐞𝐝 𝐬𝐨 𝐭𝐡𝐚𝐭 𝐭𝐡𝐞 𝐭𝐡𝐢𝐠𝐡𝐬 𝐚𝐫𝐞 𝐚𝐭 𝐫𝐢𝐠𝐡𝐭 𝐚𝐧𝐠𝐥𝐞𝐬 𝐭𝐨 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬.
𝐂𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧
𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐰𝐢𝐭𝐡 cardiovascular and respiratory
problem𝐬 𝐜𝐚𝐧,𝐭 𝐚𝐬𝐬𝐮𝐦𝐞 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧.
𝐓𝐫𝐞𝐧𝐝𝐞𝐥𝐞𝐧𝐛𝐮𝐫𝐠 𝐩𝐨𝐬𝐢𝐭𝐢𝐨
𝐧
𝐓𝐫𝐞𝐧𝐝𝐞𝐥𝐞𝐧𝐛𝐮𝐫𝐠 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐥𝐢𝐞𝐬 𝐢𝐧 𝐡𝐢𝐬
𝐛𝐚𝐜𝐤 . 𝐓𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐡𝐞𝐚𝐝 𝐢𝐬 𝐥𝐨𝐰 . 𝐓𝐡𝐞 𝐟𝐨𝐨𝐭 𝐨𝐟 𝐭𝐡𝐞
𝐛𝐞𝐝 𝐢𝐬 𝐞𝐥𝐞𝐯𝐚𝐭𝐞𝐝 𝐚𝐭 45• 𝐚𝐧𝐠𝐞𝐥 . 𝐓𝐡𝐞 𝐛𝐨𝐝𝐲 𝐢𝐬 𝐨𝐧 𝐚𝐧
𝐢𝐧𝐜lined 𝐩𝐥𝐚𝐜𝐞 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 upward and head
𝐝𝐨𝐰𝐧𝐰𝐨𝐫𝐝.
𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬
1.𝐔𝐬𝐞𝐝 𝐢𝐧 𝐞𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐬𝐢𝐭𝐮𝐚𝐭𝐢𝐨𝐧 𝐥𝐢𝐤𝐞 𝐬𝐡𝐨𝐜𝐤 𝐚𝐧𝐝
hemorrhage .
2.𝐓𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐢𝐬 𝐮𝐬𝐞𝐝 𝐟𝐨𝐫 𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐬𝐮𝐫𝐠𝐞𝐫𝐢𝐞𝐬 .
3.𝐔𝐬𝐞𝐝 𝐭𝐨 𝐝𝐢𝐬𝐩𝐥𝐚𝐜𝐞 𝐢𝐧𝐭𝐞𝐬𝐭𝐢𝐧𝐞 𝐟𝐨𝐫𝐦 𝐩𝐞𝐥𝐯𝐢𝐜 𝐜𝐚𝐯𝐢𝐭𝐲 𝐢𝐧 𝐭
𝐨 𝐮𝐩𝐩𝐞𝐫 𝐚𝐛𝐝𝐨𝐦𝐞𝐧.
4.𝐔𝐬𝐞𝐝 𝐝𝐮𝐫𝐢𝐧𝐠 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐨𝐧 𝐭𝐡𝐞 𝐩𝐞𝐥𝐯𝐢𝐜 𝐨𝐫𝐠𝐚𝐧𝐬.
5.𝐓𝐨 𝐚𝐫𝐫𝐞𝐬𝐭 𝐛𝐥𝐞𝐞𝐝𝐢𝐧𝐠 𝐟𝐫𝐨𝐦 𝐥𝐨𝐰𝐞𝐫 𝐥𝐢𝐦𝐛.
𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞
1.𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 .
2. 𝐀𝐫𝐫𝐚𝐧𝐠𝐞 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐜𝐥𝐞𝐬 𝐧𝐞𝐞𝐝 𝐚𝐭 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐬𝐢𝐝𝐞.
3. 𝐏𝐫𝐨𝐯𝐢𝐝𝐞 𝐩𝐫𝐢𝐯𝐚𝐜𝐲 (𝐢𝐟 𝐧𝐞𝐞𝐝 ).
4. 𝐏𝐥𝐚𝐜𝐞 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐥𝐢𝐞𝐬 𝐨𝐧 𝐡𝐢𝐬 𝐛𝐚𝐜𝐤.
5. 𝐄𝐥𝐞𝐯𝐚𝐭𝐞 𝐭𝐡𝐞 𝐟𝐨𝐨𝐭 𝐞𝐧𝐝 𝐚𝐭 46* 𝐚𝐧𝐠𝐥𝐞.
6. 𝐓𝐡𝐞 𝐛𝐨𝐝𝐲 𝐢𝐬 𝐨𝐧 𝐢𝐧𝐜𝐡𝐞𝐝 𝐩𝐥𝐚𝐜𝐞 𝐰𝐢𝐭𝐡 𝐡𝐢𝐩 𝐡𝐢𝐠𝐡𝐞𝐫 𝐭𝐡𝐚𝐧 𝐭𝐡𝐞 𝐛𝐞
𝐝.
7. 𝐓𝐡𝐞 𝐤𝐧𝐞𝐞𝐬 𝐚𝐫𝐞 𝐟𝐥𝐞𝐱𝐞𝐝 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 𝐡𝐚𝐧𝐠𝐬 𝐝𝐨𝐰𝐧𝐰𝐚𝐫𝐝 𝐨𝐯𝐞
𝐫 𝐭𝐡𝐞 𝐞𝐧𝐝 𝐨𝐟 𝐭𝐡𝐞 𝐭𝐚𝐛𝐥𝐞.
8. 𝐓𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐢𝐬 𝐜𝐚𝐫𝐞𝐟𝐮𝐥𝐥𝐲 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐞𝐝 𝐭𝐨 𝐩𝐫𝐞𝐯𝐞𝐧𝐭 𝐬𝐥𝐢𝐩𝐩𝐮𝐧𝐠.
9. 𝐃𝐫𝐚𝐩𝐢𝐧𝐠 𝐝𝐨𝐧𝐞 𝐝𝐞𝐩𝐞𝐧𝐝𝐬 𝐮𝐩𝐨𝐧 𝐭𝐡𝐞 𝐤𝐢𝐧𝐝 𝐨𝐟 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐭𝐨 𝐛𝐞
𝐩𝐞𝐫𝐟𝐨𝐫𝐦𝐞𝐝.

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Position used in different surgeries in OT Presented by :- Vivek Chauhan

  • 1.
  • 2.
  • 3. Indication 1.Thia position is used for unconscious patient. 2.It is used for rectal exemination. 3.Used for vaginal examination. 4.Used for relaxatation in andenatel exercises..
  • 4. Procedure 1.Explain the procedure to the patient. 2.Collect articles need at the bed side. 3.Provide privacy. 4.Place the patient on the side. 5.One pillow is placed under the head with the left chest resting on it. 6.The left arm is draw behind the body and right arm may be in any position comfortable for the patient.
  • 5. 7.The left leg is extended well. 8.Cover the patient with top sheet.
  • 6. Dorsal Recumbent position Patient lies on the back ,knees fully flexed ,thigh flexed and externalley rotated feet on the bed. Indications 1.It is used for catheterization,vaginal and rectal examination. 2.It is also used for vaginal operation . 3.Patient who are convalescent period. 4.Patient with gastric condition. 5.Patient with abdominal or pelvic operation unless erect setting position in indicated.
  • 7.
  • 8. Procedure 1.Place the patient on back in bed with two or more pillows under the head and one pillow under the knees or maintain his position by elevating the top of bed on blocks. 2.Place the air rings under the hip and cotton rings or foam pads under the heels to reduce the pressure. 3.Align the patient body in good condition . 4.Support the body parts in good alignments for comfort when the patient in paralyzed.
  • 9. Lithotomy position The patient lies on her back. The legs are separated and thighs are flexed on the abdomen and the legs are on the thighs. The patient buttocks are kept at the edge of the table and legs are supported by stirrups.
  • 10.
  • 11. 𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 1.𝐓𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐢𝐬 𝐠𝐢𝐯𝐞𝐧 𝐝𝐮𝐫𝐢𝐧𝐠 Gynecological examination ,𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 ,𝐚 𝐧𝐝 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧. 2.𝐅𝐨𝐫 𝐝𝐞𝐥𝐢𝐯𝐞𝐫𝐲 𝐨𝐟 𝐛𝐚𝐛𝐲. 3.𝐅𝐨𝐫 𝐫𝐞𝐜𝐭𝐚𝐥 examination 𝐚𝐧𝐝 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧.
  • 12. 𝐏𝐨𝐜𝐞𝐝𝐮𝐫𝐞 1.𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭. 2.𝐏𝐫𝐨𝐯𝐢𝐝𝐞 𝐩𝐫𝐢𝐯𝐚𝐜𝐲 3.𝐏𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐭𝐨 𝐥𝐢𝐞 𝐨𝐧 𝐡𝐢𝐬 𝐛𝐚𝐜𝐤 𝐰𝐢𝐭𝐡 𝐨𝐧𝐞 𝐩𝐢𝐥𝐥𝐨𝐰 𝐮𝐧𝐝𝐞𝐫 𝐭𝐡𝐞 𝐡𝐞𝐚𝐝. 4.𝐤𝐞𝐞𝐩 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 𝐰𝐞𝐥𝐥 𝐬𝐞𝐩𝐚𝐫𝐚𝐭𝐞𝐝 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐭𝐡𝐢𝐠𝐡𝐬 𝐚𝐫𝐞 𝐰𝐞𝐥𝐥 𝐟𝐥𝐞𝐱𝐞𝐝 𝐨𝐧 𝐭𝐡𝐞 𝐚𝐛𝐝𝐨𝐦𝐞𝐧 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐭𝐡 𝐢𝐠𝐡𝐬. 5.𝐁𝐮𝐭𝐭𝐨𝐜𝐤𝐬 𝐚𝐫𝐞 𝐤𝐞𝐩𝐭 𝐨𝐧 𝐭𝐡𝐞 𝐞𝐝𝐠𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐭𝐚𝐛𝐥𝐞 𝐚𝐧𝐝 𝐭 𝐡𝐞 𝐥𝐞𝐠𝐬 𝐚𝐫𝐞 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐞𝐝 𝐨𝐧 𝐬𝐭𝐢𝐫𝐫𝐮𝐩𝐬.
  • 13. 𝐂𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐂𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐚𝐫𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐰𝐢𝐭𝐡 𝐚𝐫𝐭𝐡𝐫𝐢𝐭𝐢𝐬 𝐨𝐫 𝐣𝐨𝐢𝐧𝐭 𝐝𝐞𝐟𝐨𝐫𝐦𝐢 𝐭𝐲 𝐦𝐚𝐲 𝐛𝐞 𝐮𝐧𝐚𝐛𝐥𝐞 𝐚𝐬𝐬𝐮𝐦𝐞 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨 𝐧.
  • 14. Knee-chest position 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐫𝐞𝐬𝐭 𝐨𝐧 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞𝐬 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 .𝐓𝐡𝐞 𝐡𝐞𝐚𝐝 𝐢𝐬 𝐭𝐮𝐫𝐧𝐞𝐝 𝐭𝐨 𝐨𝐧𝐞 𝐬 𝐢𝐝𝐞 𝐰𝐢𝐭𝐡 𝐚 𝐩𝐢𝐥𝐥𝐨𝐰 𝐢𝐬 𝐩𝐥𝐚𝐜𝐞𝐝 𝐮𝐧𝐝𝐞𝐫 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 . 𝐓𝐡𝐞 𝐰𝐞𝐢𝐠𝐡𝐭 𝐢𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 𝐚𝐧𝐝 𝐤𝐧𝐞𝐞𝐬 ...
  • 15.
  • 16. 𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 1.𝐓𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐢𝐬 𝐮𝐬𝐞𝐝 𝐟𝐨𝐫 sigmoidoscopy . 2.𝐔𝐬𝐞𝐝 𝐟o𝐫 𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐚𝐧𝐝 𝐫𝐞𝐜𝐭𝐚𝐥 𝐞𝐱𝐚𝐦𝐢𝐧𝐚𝐭𝐢𝐨𝐧. 3.𝐔𝐬𝐞𝐝 𝐢𝐧 𝐟𝐢𝐫𝐬𝐭 𝐚𝐢𝐝 𝐭𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐢𝐧 𝐜𝐨𝐫𝐝 𝐩𝐫𝐨𝐥𝐚 𝐩𝐬𝐞. 4.𝐀𝐬 𝐞𝐱𝐞𝐫𝐜𝐢𝐬𝐞 𝐟𝐨𝐫 𝐩𝐨𝐬𝐭𝐩𝐚𝐫𝐭𝐮𝐦 𝐚𝐧𝐝 gynecology 𝐩𝐚𝐭𝐢𝐞𝐧𝐭.
  • 17. 𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 1.𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭. 2.𝐂𝐨𝐥𝐥𝐞𝐜𝐭 𝐭𝐡𝐞 𝐧𝐞𝐞𝐝𝐞𝐝 𝐚𝐫𝐭𝐢𝐜𝐥𝐞𝐬 𝐚𝐭 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐬𝐢𝐝𝐞 . 3.𝐏𝐫𝐨𝐯𝐢𝐝𝐞 𝐩𝐫𝐢𝐯𝐚𝐜𝐲. 4.𝐌𝐚𝐤𝐞 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐫𝐞𝐬𝐭𝐬 𝐨𝐧 𝐭𝐡𝐞 𝐤𝐧𝐞𝐞 𝐚𝐧𝐝 𝐜𝐡𝐞𝐬𝐭 . 5.𝐓𝐡𝐞 𝐡𝐞𝐚𝐝 𝐢𝐬 𝐭𝐮𝐫𝐧𝐞𝐝 𝐭𝐨 𝐨𝐧𝐞 𝐬𝐢𝐝𝐞 𝐰𝐢𝐭𝐡 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 𝐨𝐧 𝐚 𝐩𝐢𝐥𝐥𝐨𝐰. 6.𝐓𝐡𝐞 𝐚𝐫𝐦𝐬 𝐬𝐡𝐨𝐮𝐥𝐝 𝐛𝐞 𝐞𝐱𝐭𝐞𝐧𝐝𝐞𝐝 𝐨𝐧 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐟𝐥𝐞𝐱𝐞𝐝 𝐚𝐭 𝐭𝐡𝐞 𝐞𝐥 𝐛𝐨𝐰𝐬 𝐭𝐨 𝐬𝐮𝐩𝐩𝐨𝐫𝐭 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐩𝐚𝐫𝐭𝐢𝐚𝐥𝐥𝐲. 7.𝐓𝐡𝐞 𝐰𝐞𝐢𝐠𝐡𝐭 𝐬𝐡𝐨𝐮𝐥𝐝 𝐫𝐞𝐬𝐭 𝐨𝐧 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 𝐚𝐧𝐝 𝐤𝐧𝐞𝐞𝐬 𝐰𝐡𝐢𝐜𝐡 𝐚𝐫𝐞 𝐟𝐥𝐞𝐱𝐞𝐝 𝐬𝐨 𝐭𝐡𝐚𝐭 𝐭𝐡𝐞 𝐭𝐡𝐢𝐠𝐡𝐬 𝐚𝐫𝐞 𝐚𝐭 𝐫𝐢𝐠𝐡𝐭 𝐚𝐧𝐠𝐥𝐞𝐬 𝐭𝐨 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬.
  • 18. 𝐂𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐰𝐢𝐭𝐡 cardiovascular and respiratory problem𝐬 𝐜𝐚𝐧,𝐭 𝐚𝐬𝐬𝐮𝐦𝐞 𝐭𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧.
  • 19. 𝐓𝐫𝐞𝐧𝐝𝐞𝐥𝐞𝐧𝐛𝐮𝐫𝐠 𝐩𝐨𝐬𝐢𝐭𝐢𝐨 𝐧 𝐓𝐫𝐞𝐧𝐝𝐞𝐥𝐞𝐧𝐛𝐮𝐫𝐠 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐥𝐢𝐞𝐬 𝐢𝐧 𝐡𝐢𝐬 𝐛𝐚𝐜𝐤 . 𝐓𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐡𝐞𝐚𝐝 𝐢𝐬 𝐥𝐨𝐰 . 𝐓𝐡𝐞 𝐟𝐨𝐨𝐭 𝐨𝐟 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐢𝐬 𝐞𝐥𝐞𝐯𝐚𝐭𝐞𝐝 𝐚𝐭 45• 𝐚𝐧𝐠𝐞𝐥 . 𝐓𝐡𝐞 𝐛𝐨𝐝𝐲 𝐢𝐬 𝐨𝐧 𝐚𝐧 𝐢𝐧𝐜lined 𝐩𝐥𝐚𝐜𝐞 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 upward and head 𝐝𝐨𝐰𝐧𝐰𝐨𝐫𝐝.
  • 20.
  • 21. 𝐈𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 1.𝐔𝐬𝐞𝐝 𝐢𝐧 𝐞𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐬𝐢𝐭𝐮𝐚𝐭𝐢𝐨𝐧 𝐥𝐢𝐤𝐞 𝐬𝐡𝐨𝐜𝐤 𝐚𝐧𝐝 hemorrhage . 2.𝐓𝐡𝐢𝐬 𝐩𝐨𝐬𝐢𝐭𝐢𝐨𝐧 𝐢𝐬 𝐮𝐬𝐞𝐝 𝐟𝐨𝐫 𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐬𝐮𝐫𝐠𝐞𝐫𝐢𝐞𝐬 . 3.𝐔𝐬𝐞𝐝 𝐭𝐨 𝐝𝐢𝐬𝐩𝐥𝐚𝐜𝐞 𝐢𝐧𝐭𝐞𝐬𝐭𝐢𝐧𝐞 𝐟𝐨𝐫𝐦 𝐩𝐞𝐥𝐯𝐢𝐜 𝐜𝐚𝐯𝐢𝐭𝐲 𝐢𝐧 𝐭 𝐨 𝐮𝐩𝐩𝐞𝐫 𝐚𝐛𝐝𝐨𝐦𝐞𝐧. 4.𝐔𝐬𝐞𝐝 𝐝𝐮𝐫𝐢𝐧𝐠 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐨𝐧 𝐭𝐡𝐞 𝐩𝐞𝐥𝐯𝐢𝐜 𝐨𝐫𝐠𝐚𝐧𝐬. 5.𝐓𝐨 𝐚𝐫𝐫𝐞𝐬𝐭 𝐛𝐥𝐞𝐞𝐝𝐢𝐧𝐠 𝐟𝐫𝐨𝐦 𝐥𝐨𝐰𝐞𝐫 𝐥𝐢𝐦𝐛.
  • 22. 𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 1.𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 . 2. 𝐀𝐫𝐫𝐚𝐧𝐠𝐞 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐜𝐥𝐞𝐬 𝐧𝐞𝐞𝐝 𝐚𝐭 𝐭𝐡𝐞 𝐛𝐞𝐝 𝐬𝐢𝐝𝐞. 3. 𝐏𝐫𝐨𝐯𝐢𝐝𝐞 𝐩𝐫𝐢𝐯𝐚𝐜𝐲 (𝐢𝐟 𝐧𝐞𝐞𝐝 ). 4. 𝐏𝐥𝐚𝐜𝐞 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐥𝐢𝐞𝐬 𝐨𝐧 𝐡𝐢𝐬 𝐛𝐚𝐜𝐤. 5. 𝐄𝐥𝐞𝐯𝐚𝐭𝐞 𝐭𝐡𝐞 𝐟𝐨𝐨𝐭 𝐞𝐧𝐝 𝐚𝐭 46* 𝐚𝐧𝐠𝐥𝐞. 6. 𝐓𝐡𝐞 𝐛𝐨𝐝𝐲 𝐢𝐬 𝐨𝐧 𝐢𝐧𝐜𝐡𝐞𝐝 𝐩𝐥𝐚𝐜𝐞 𝐰𝐢𝐭𝐡 𝐡𝐢𝐩 𝐡𝐢𝐠𝐡𝐞𝐫 𝐭𝐡𝐚𝐧 𝐭𝐡𝐞 𝐛𝐞 𝐝. 7. 𝐓𝐡𝐞 𝐤𝐧𝐞𝐞𝐬 𝐚𝐫𝐞 𝐟𝐥𝐞𝐱𝐞𝐝 𝐚𝐧𝐝 𝐭𝐡𝐞 𝐥𝐞𝐠𝐬 𝐡𝐚𝐧𝐠𝐬 𝐝𝐨𝐰𝐧𝐰𝐚𝐫𝐝 𝐨𝐯𝐞 𝐫 𝐭𝐡𝐞 𝐞𝐧𝐝 𝐨𝐟 𝐭𝐡𝐞 𝐭𝐚𝐛𝐥𝐞. 8. 𝐓𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐢𝐬 𝐜𝐚𝐫𝐞𝐟𝐮𝐥𝐥𝐲 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐞𝐝 𝐭𝐨 𝐩𝐫𝐞𝐯𝐞𝐧𝐭 𝐬𝐥𝐢𝐩𝐩𝐮𝐧𝐠. 9. 𝐃𝐫𝐚𝐩𝐢𝐧𝐠 𝐝𝐨𝐧𝐞 𝐝𝐞𝐩𝐞𝐧𝐝𝐬 𝐮𝐩𝐨𝐧 𝐭𝐡𝐞 𝐤𝐢𝐧𝐝 𝐨𝐟 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐭𝐨 𝐛𝐞 𝐩𝐞𝐫𝐟𝐨𝐫𝐦𝐞𝐝.