Patient positioning involves maintaining proper body alignment to prevent injury and complications. The goals of positioning are to provide comfort and safety, maintain dignity, and allow optimal access during procedures. Common positions include supine, Fowler's, orthopneic, prone, lateral, and Sims' positioning. Each position has specific uses like promoting lung expansion, drainage, or surgical access. Guidelines for safe positioning include using aids, frequent repositioning, and proper body mechanics.
The document discusses various positions for positioning patients in bed, including:
- Supine, prone, lateral, Sims, Fowler's, semi-Fowler's, Trendelenburg, lithotomy, dorsal recumbent, and knee-chest positions.
It describes the purposes and principles of positioning patients, and provides details on each position, such as how the patient is placed and when each position is used, like Fowler's position being used to relieve dyspnea and improve circulation.
The document also includes multiple choice questions to test knowledge of positioning, such as semi-Fowler's being the best position for cardiac patients and lithotomy position being used for baby delivery.
The document discusses various patient positioning techniques used in nursing. It defines positioning as placing a patient in proper body alignment for health purposes. Several positions are described including prone, lateral, supine, lithotomy, Fowler's, Sims, Trendelenburg, and others. The purposes, indications, contraindications and positioning procedures for each are outlined. Positioning aims to promote comfort, circulation and prevent pressure injuries while nurses must follow safety principles and ensure patient comfort.
Range of motion and strengthening exercises are presented. There are two types of range of motion exercises - active done by the patient, and passive done with assistance. Range of motion exercises involve moving each joint through its full range of motion. Muscle strengthening exercises include exercises for the upper and lower limbs like quadriceps setting, gluteal setting, and dangling to prepare patients for ambulation. Exercises are to be done under supervision, with precautions like proper clothing and stopping if the patient experiences discomfort.
The document discusses mobility and immobility in patients, focusing on range of motion (ROM) exercises and their importance in maintaining joint function and flexibility. It provides details on performing different types of ROM exercises for each body part from the head to the toes. The document also discusses nursing measures to maintain or restore mobility through transfers, ambulation with assistive devices, and various therapeutic positions.
1. Positioning patients properly is important for comfort, medical procedures, and preventing complications. It involves assessing the patient's needs and positioning them in alignments that promote circulation, relieve pressure, and allow for interventions.
2. Common positions discussed include supine, prone, lateral, lithotomy, Fowler's position, and Trendelenburg. Each position has specific indications and procedures to ensure patient safety and access for medical needs.
3. Special considerations are needed for obese patients to support their weight and prevent impaired circulation or breathing from positioning. Thorough documentation of assessments and interventions is also important.
This document provides guidance on safely moving, lifting, and transferring patients who require assistance. It outlines the various devices that can be used, such as wheelchairs, stretchers, and beds. The document describes when and how to assess patients, prepare the patient and equipment, and perform different transfers between beds, chairs, and stretchers. The goal is to move patients in a way that promotes comfort and maintains proper body alignment while preventing injury to both the patient and caregivers.
Body mechanics refers to the efficient use of the body as a machine for locomotion and movement. It is related to proper functioning of bones, joints, muscles, nerves, and the brain to maintain posture and balance. Some key principles of good body mechanics include facing the direction of movement to prevent spine twisting, dividing tasks between arms and legs to reduce back injury risk, and using rolling and turning which require less force than lifting. Maintaining proper alignment and mobility is also important for reducing fatigue and injury risk. Factors like age, energy level, lifestyle, fear, pain and disabilities can impact a person's mobility. Prolonged immobility can increase risks of issues like pneumonia, blood clots, pressure sores,
This document describes 10 different patient positioning techniques including:
1. Supine position - lying on the back with head and shoulders slightly elevated. Used as the usual position.
2. Prone position - lying on the abdomen, used post-operatively or for certain exams/procedures.
3. Lateral position - lying on the side, used for periodic position changes or certain exams/procedures.
It provides the indications, contraindications, and procedures for each position. Patient comfort, safety, and proper alignment are emphasized.
The document discusses various positions for positioning patients in bed, including:
- Supine, prone, lateral, Sims, Fowler's, semi-Fowler's, Trendelenburg, lithotomy, dorsal recumbent, and knee-chest positions.
It describes the purposes and principles of positioning patients, and provides details on each position, such as how the patient is placed and when each position is used, like Fowler's position being used to relieve dyspnea and improve circulation.
The document also includes multiple choice questions to test knowledge of positioning, such as semi-Fowler's being the best position for cardiac patients and lithotomy position being used for baby delivery.
The document discusses various patient positioning techniques used in nursing. It defines positioning as placing a patient in proper body alignment for health purposes. Several positions are described including prone, lateral, supine, lithotomy, Fowler's, Sims, Trendelenburg, and others. The purposes, indications, contraindications and positioning procedures for each are outlined. Positioning aims to promote comfort, circulation and prevent pressure injuries while nurses must follow safety principles and ensure patient comfort.
Range of motion and strengthening exercises are presented. There are two types of range of motion exercises - active done by the patient, and passive done with assistance. Range of motion exercises involve moving each joint through its full range of motion. Muscle strengthening exercises include exercises for the upper and lower limbs like quadriceps setting, gluteal setting, and dangling to prepare patients for ambulation. Exercises are to be done under supervision, with precautions like proper clothing and stopping if the patient experiences discomfort.
The document discusses mobility and immobility in patients, focusing on range of motion (ROM) exercises and their importance in maintaining joint function and flexibility. It provides details on performing different types of ROM exercises for each body part from the head to the toes. The document also discusses nursing measures to maintain or restore mobility through transfers, ambulation with assistive devices, and various therapeutic positions.
1. Positioning patients properly is important for comfort, medical procedures, and preventing complications. It involves assessing the patient's needs and positioning them in alignments that promote circulation, relieve pressure, and allow for interventions.
2. Common positions discussed include supine, prone, lateral, lithotomy, Fowler's position, and Trendelenburg. Each position has specific indications and procedures to ensure patient safety and access for medical needs.
3. Special considerations are needed for obese patients to support their weight and prevent impaired circulation or breathing from positioning. Thorough documentation of assessments and interventions is also important.
This document provides guidance on safely moving, lifting, and transferring patients who require assistance. It outlines the various devices that can be used, such as wheelchairs, stretchers, and beds. The document describes when and how to assess patients, prepare the patient and equipment, and perform different transfers between beds, chairs, and stretchers. The goal is to move patients in a way that promotes comfort and maintains proper body alignment while preventing injury to both the patient and caregivers.
Body mechanics refers to the efficient use of the body as a machine for locomotion and movement. It is related to proper functioning of bones, joints, muscles, nerves, and the brain to maintain posture and balance. Some key principles of good body mechanics include facing the direction of movement to prevent spine twisting, dividing tasks between arms and legs to reduce back injury risk, and using rolling and turning which require less force than lifting. Maintaining proper alignment and mobility is also important for reducing fatigue and injury risk. Factors like age, energy level, lifestyle, fear, pain and disabilities can impact a person's mobility. Prolonged immobility can increase risks of issues like pneumonia, blood clots, pressure sores,
This document describes 10 different patient positioning techniques including:
1. Supine position - lying on the back with head and shoulders slightly elevated. Used as the usual position.
2. Prone position - lying on the abdomen, used post-operatively or for certain exams/procedures.
3. Lateral position - lying on the side, used for periodic position changes or certain exams/procedures.
It provides the indications, contraindications, and procedures for each position. Patient comfort, safety, and proper alignment are emphasized.
The document discusses principles of body mechanics. It defines body mechanics as the efficient, coordinated, and safe use of the body to move objects and perform activities of daily living. Maintaining proper body mechanics is important to reduce injuries, fatigue, and strain when performing physical tasks. Key principles include keeping the body stable with a wide base of support and low center of gravity, as well as dividing tasks between the arms and legs and avoiding jerky movements.
This document discusses proper patient positioning and its importance in maintaining body alignment, preventing injury, and providing stimulation. It outlines various positions like supine, lateral, and prone, assessing risk factors. Complications from improper positioning like pressure ulcers and contractures are described. Supportive devices and techniques for safely moving patients are also covered. The goal is to position patients in a way that keeps their body parts correctly aligned and functional while minimizing stress.
Moving ,lifting, and transferring patientsArifa T N
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
The document discusses preoperative and postoperative nursing care for surgical patients. It covers assessing patients preoperatively, preparing them for surgery through education and physical preparation, monitoring them intraoperatively, and caring for them postoperatively by assessing vital signs, dressings, pain, and other factors. The types and purposes of different surgeries are also classified. The nursing process of assessment, planning, implementation and evaluation is applied throughout the preoperative, intraoperative and postoperative phases of surgical care.
This document provides information on oxygen administration including definitions, sources, purposes, indications, precautions, equipment, and methods. It defines oxygen administration as supplementing oxygen at a higher concentration than atmospheric air. Therapeutic oxygen sources are wall outlets and cylinders. Oxygen is administered through masks or nasal cannulas to treat conditions like respiratory distress and hypoxia. Precautions include avoiding sparks and open flames near cylinders. The two main methods described are mask administration and nasal cannula administration, including equipment requirements and step-by-step procedures.
This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.
Introduction, definition, purposes of maintaining proper body mechanics,terminology related to body mechanics, factors influencing body mechanics, principles of body mechanics, procedures for moving lifting and positioning of patients, general instructions of moving and lifting patients, after care of the patient, complications of improper body mechanics, conclusion
Nurse /doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
The document provides guidelines for safely moving, lifting, and transferring patients. It defines these terms and outlines key principles like maintaining a wide base of support and low center of gravity. Steps are described for various procedures like moving a patient within bed, turning them, and transferring to a stretcher or chair. Assessing the patient, preparing equipment, and having enough helpers are emphasized. Body mechanics are important to prevent injury to both the patient and caregiver.
This document discusses body mechanics and its importance in nursing. It covers the skeletal, muscular and nervous systems and how they work together to enable movement. Proper body mechanics is important for preventing injury to both nurses and patients. Maintaining good posture, using leverage techniques for movement rather than lifting when possible, and keeping the back straight are among the principles discussed for safe movement and transferring of patients. Improper body mechanics can lead to issues like pressure sores, contractures and foot drop.
1. A bed bath cleanses the skin and helps keep patients comfortable and free from infection. It is important for personal hygiene and stimulates circulation.
2. Proper bed bath procedure involves explaining the process to the patient, gathering supplies, washing from head to toe using clean water and washing between areas, and ensuring privacy is maintained.
3. A complete bed bath washes the entire body while a partial bed bath focuses on key areas like the face, underarms, and genitals. Proper technique is important for patient comfort and dignity.
This document describes 10 different positions used for patients: supine, prone, lateral, lithotomy, dorsal recumbent, Fowler's, Sims, Trendelenburg, knee-chest, and orthopneic. Each position is defined, with its purposes, indications, and procedures explained in 1-2 sentences. The positions are used for examinations, procedures, postoperative care, and to promote patient comfort and physiological functions. Proper positioning requires explaining the procedure to the patient, ensuring comfort and safety, and placing pillows or other supports as needed.
This document discusses body mechanics and mobility. It defines body mechanics as using correct muscles to safely and efficiently complete tasks without strain. Maintaining proper body alignment and mobility is important to avoid health issues. The document outlines principles of body mechanics for various activities like lifting, pushing, pulling and carrying. It also discusses range of motion exercises and factors that can affect body alignment and mobility such as age, injury and disease.
A catheter is a thin rubber tube inserted into the bladder to drain urine. It is secured with a small balloon and can remain in place for variable lengths of time. The catheter is connected to a bag to collect urine. Regular catheter care is needed to prevent infection, which includes cleaning the catheter area daily and keeping the urine bag below the level of the bladder. Signs of potential issues include a stopped or reduced urine output, wetness, cloudy or bloody urine, or pain and fever, and should be reported to a registered nurse.
Patient positioning involves properly maintaining a patient's neutral body alignment to prevent complications from immobility or injury. There are several positions used in patient care like supine, lateral, prone, and lithotomy positions. Factors like the patient's needs, abilities, disease, and hospital protocols must be considered when positioning. Positioning aims to provide comfort, relieve pressure, improve circulation, prevent deformities, and allow for interventions. Proper techniques and safety measures are followed to position patients in a systematic way.
A sitz bath involves sitting in warm water to cleanse and relieve symptoms in the pelvic and rectal area. It can aid healing after surgery or childbirth and reduce pain, swelling and inflammation from hemorrhoids, painful urination or menstrual cramps. The proper procedure involves filling a tub with 105-110°F water, assisting the patient to sit for 15-30 minutes, then drying the area. Sitz baths promote relaxation, circulation and pain relief in various pelvic conditions.
Range of motion (ROM) exercises help improve joint mobility and flexibility. There are several types of ROM exercises, including active ROM done independently, passive ROM performed by another person, and active-assisted ROM where the patient moves the joint partially with help. ROM exercises have benefits like improving circulation, maintaining joint movement, and preventing stiffness, but should be done carefully without causing pain and with rest periods as needed. Proper techniques include moving each joint through its full range gently until resistance is felt.
Assist patient from the bed to chair or wheelchairNursing Path
1) The document provides instructions for assisting a patient from their bed to a chair or wheelchair. It outlines safety precautions like monitoring the patient's pulse and color during transfers.
2) The procedure involves placing pillows and blankets in the chair or wheelchair, assisting the patient to sit on the edge of the bed, and then standing and turning them to lower into the seated position.
3) Steps are described for returning the patient safely to bed, such as supporting them as they stand, sit on the edge of the bed, and lower back down while maintaining proper body alignment.
This document outlines the procedure for making an occupied bed, where the patient remains in the bed during linen changing. It defines an occupied bed and lists the purpose and necessary equipment. The key steps are to provide privacy, carefully turn the patient to avoid injury, change soiled linens one side at a time to prevent exposure, and ensure tubes and call devices are not tangled. Proper occupied bed making provides clean linens while minimizing disturbance to the confined patient.
This document discusses patient positioning in nursing. It defines patient positioning as properly maintaining a patient's neutral body alignment to prevent complications. The goals of positioning are to safeguard patients from injury, provide comfort and access for procedures, and maintain dignity. Guidelines for positioning include explaining the process, encouraging patient assistance, using proper body mechanics, and changing positions frequently. Common positions discussed are supine, Fowler's, orthopneic, prone, and lateral positions. Each position is defined and its uses and safety considerations explained.
Patient Positionin OT & AT Class a detailed descriptionSoumyajitJana7
The document discusses guidelines for proper patient positioning during surgery. It outlines various surgical positions like supine, prone, lithotomy, and their goals in providing optimal exposure and circulation while preventing injury. Risk factors for complications related to positioning are described. The roles of operative nurses in correctly positioning patients and using devices to support different positions are explained.
The document discusses principles of body mechanics. It defines body mechanics as the efficient, coordinated, and safe use of the body to move objects and perform activities of daily living. Maintaining proper body mechanics is important to reduce injuries, fatigue, and strain when performing physical tasks. Key principles include keeping the body stable with a wide base of support and low center of gravity, as well as dividing tasks between the arms and legs and avoiding jerky movements.
This document discusses proper patient positioning and its importance in maintaining body alignment, preventing injury, and providing stimulation. It outlines various positions like supine, lateral, and prone, assessing risk factors. Complications from improper positioning like pressure ulcers and contractures are described. Supportive devices and techniques for safely moving patients are also covered. The goal is to position patients in a way that keeps their body parts correctly aligned and functional while minimizing stress.
Moving ,lifting, and transferring patientsArifa T N
This document discusses various techniques for moving and transferring patients, including:
1) Moving a patient up in bed can be done by one or two nurses using a slide sheet to promote comfort and proper body alignment.
2) Turning a patient onto their side or prone position ensures comfort, allows changing of linens/bed pans, and offers relief from pressure points.
3) Assisting a patient to sit up enables changes in position without injury and maintains good body mechanics.
4) Transferring a patient from bed to chair or between a bed and stretcher safely transfers patients and maintains proper body alignment, sometimes using mechanical devices.
The document discusses preoperative and postoperative nursing care for surgical patients. It covers assessing patients preoperatively, preparing them for surgery through education and physical preparation, monitoring them intraoperatively, and caring for them postoperatively by assessing vital signs, dressings, pain, and other factors. The types and purposes of different surgeries are also classified. The nursing process of assessment, planning, implementation and evaluation is applied throughout the preoperative, intraoperative and postoperative phases of surgical care.
This document provides information on oxygen administration including definitions, sources, purposes, indications, precautions, equipment, and methods. It defines oxygen administration as supplementing oxygen at a higher concentration than atmospheric air. Therapeutic oxygen sources are wall outlets and cylinders. Oxygen is administered through masks or nasal cannulas to treat conditions like respiratory distress and hypoxia. Precautions include avoiding sparks and open flames near cylinders. The two main methods described are mask administration and nasal cannula administration, including equipment requirements and step-by-step procedures.
This document discusses the moving and lifting of patients, including indications, contraindications, devices used, and the nurse's responsibilities. It describes moving patients from bed to wheelchair and back as well as from bed to stretcher for pre-operative, anemic, elderly, and gynecological patients. Critically ill, spinal injury, head injury, and unconscious patients require movement from bed to stretcher. Proper planning, coordination, and support of the head, shoulders, hips, thighs and ankles are general instructions. A nurse's responsibilities include assessment, preparation of the patient and unit, and assisting the patient during the transfer.
Introduction, definition, purposes of maintaining proper body mechanics,terminology related to body mechanics, factors influencing body mechanics, principles of body mechanics, procedures for moving lifting and positioning of patients, general instructions of moving and lifting patients, after care of the patient, complications of improper body mechanics, conclusion
Nurse /doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
The document provides guidelines for safely moving, lifting, and transferring patients. It defines these terms and outlines key principles like maintaining a wide base of support and low center of gravity. Steps are described for various procedures like moving a patient within bed, turning them, and transferring to a stretcher or chair. Assessing the patient, preparing equipment, and having enough helpers are emphasized. Body mechanics are important to prevent injury to both the patient and caregiver.
This document discusses body mechanics and its importance in nursing. It covers the skeletal, muscular and nervous systems and how they work together to enable movement. Proper body mechanics is important for preventing injury to both nurses and patients. Maintaining good posture, using leverage techniques for movement rather than lifting when possible, and keeping the back straight are among the principles discussed for safe movement and transferring of patients. Improper body mechanics can lead to issues like pressure sores, contractures and foot drop.
1. A bed bath cleanses the skin and helps keep patients comfortable and free from infection. It is important for personal hygiene and stimulates circulation.
2. Proper bed bath procedure involves explaining the process to the patient, gathering supplies, washing from head to toe using clean water and washing between areas, and ensuring privacy is maintained.
3. A complete bed bath washes the entire body while a partial bed bath focuses on key areas like the face, underarms, and genitals. Proper technique is important for patient comfort and dignity.
This document describes 10 different positions used for patients: supine, prone, lateral, lithotomy, dorsal recumbent, Fowler's, Sims, Trendelenburg, knee-chest, and orthopneic. Each position is defined, with its purposes, indications, and procedures explained in 1-2 sentences. The positions are used for examinations, procedures, postoperative care, and to promote patient comfort and physiological functions. Proper positioning requires explaining the procedure to the patient, ensuring comfort and safety, and placing pillows or other supports as needed.
This document discusses body mechanics and mobility. It defines body mechanics as using correct muscles to safely and efficiently complete tasks without strain. Maintaining proper body alignment and mobility is important to avoid health issues. The document outlines principles of body mechanics for various activities like lifting, pushing, pulling and carrying. It also discusses range of motion exercises and factors that can affect body alignment and mobility such as age, injury and disease.
A catheter is a thin rubber tube inserted into the bladder to drain urine. It is secured with a small balloon and can remain in place for variable lengths of time. The catheter is connected to a bag to collect urine. Regular catheter care is needed to prevent infection, which includes cleaning the catheter area daily and keeping the urine bag below the level of the bladder. Signs of potential issues include a stopped or reduced urine output, wetness, cloudy or bloody urine, or pain and fever, and should be reported to a registered nurse.
Patient positioning involves properly maintaining a patient's neutral body alignment to prevent complications from immobility or injury. There are several positions used in patient care like supine, lateral, prone, and lithotomy positions. Factors like the patient's needs, abilities, disease, and hospital protocols must be considered when positioning. Positioning aims to provide comfort, relieve pressure, improve circulation, prevent deformities, and allow for interventions. Proper techniques and safety measures are followed to position patients in a systematic way.
A sitz bath involves sitting in warm water to cleanse and relieve symptoms in the pelvic and rectal area. It can aid healing after surgery or childbirth and reduce pain, swelling and inflammation from hemorrhoids, painful urination or menstrual cramps. The proper procedure involves filling a tub with 105-110°F water, assisting the patient to sit for 15-30 minutes, then drying the area. Sitz baths promote relaxation, circulation and pain relief in various pelvic conditions.
Range of motion (ROM) exercises help improve joint mobility and flexibility. There are several types of ROM exercises, including active ROM done independently, passive ROM performed by another person, and active-assisted ROM where the patient moves the joint partially with help. ROM exercises have benefits like improving circulation, maintaining joint movement, and preventing stiffness, but should be done carefully without causing pain and with rest periods as needed. Proper techniques include moving each joint through its full range gently until resistance is felt.
Assist patient from the bed to chair or wheelchairNursing Path
1) The document provides instructions for assisting a patient from their bed to a chair or wheelchair. It outlines safety precautions like monitoring the patient's pulse and color during transfers.
2) The procedure involves placing pillows and blankets in the chair or wheelchair, assisting the patient to sit on the edge of the bed, and then standing and turning them to lower into the seated position.
3) Steps are described for returning the patient safely to bed, such as supporting them as they stand, sit on the edge of the bed, and lower back down while maintaining proper body alignment.
This document outlines the procedure for making an occupied bed, where the patient remains in the bed during linen changing. It defines an occupied bed and lists the purpose and necessary equipment. The key steps are to provide privacy, carefully turn the patient to avoid injury, change soiled linens one side at a time to prevent exposure, and ensure tubes and call devices are not tangled. Proper occupied bed making provides clean linens while minimizing disturbance to the confined patient.
This document discusses patient positioning in nursing. It defines patient positioning as properly maintaining a patient's neutral body alignment to prevent complications. The goals of positioning are to safeguard patients from injury, provide comfort and access for procedures, and maintain dignity. Guidelines for positioning include explaining the process, encouraging patient assistance, using proper body mechanics, and changing positions frequently. Common positions discussed are supine, Fowler's, orthopneic, prone, and lateral positions. Each position is defined and its uses and safety considerations explained.
Patient Positionin OT & AT Class a detailed descriptionSoumyajitJana7
The document discusses guidelines for proper patient positioning during surgery. It outlines various surgical positions like supine, prone, lithotomy, and their goals in providing optimal exposure and circulation while preventing injury. Risk factors for complications related to positioning are described. The roles of operative nurses in correctly positioning patients and using devices to support different positions are explained.
Therapeutic Positions are used to promote comfort of the patient.
Proper turning and positioning allows the health care provider to make clients, as comfortable as possible, prevent contractures, and pressure sore, and facilitate diagnostic test for surgical intervention.
To relieve pressure to new positions every 2 hours.
Three factors significant in positioning are- Pressure, Friction and Shear
According to Annamma Jacob,
Positioning is defined as placing the patient in good body alignment as needed therapeutically.
According to nurseinfo.in,
Positioning is defined as placing the person in such a way to perform therapeutic interventions to promote the health of an individual
PURPOSE
To promote comfort
To prevent complication
To stimulate circulation
To promote normal physiologic functions.
ARTICLES
Clean, dry, firm bed
Different types of mattress
Bed Boards
Pillows
Footboards/ Foot boot
Sandbags
Hand rolls
Trochanter rolls
Bed blocks
Over bed Table
Additional Sheets
Trapeze bar
PRINCIPLES
Maintain good body mechanics.
Obtain assistance as required.
Ensure that mattress is firm and level of bed is at working height.
Ensure that sheets are clean and dry.
Avoid placing a body part directly over another to prevent pressure.
Plan a regular position change schedule for the patient for 24 hours..
Ensure patient comfort.
Wash hand before and after procedure
TYPES OF POSITIONING
Fowler’s Position
Orthopenic Position
Prone Position
Lateral/ Side Lying Position
Sims’s Position/ Semi- Prone Position
Lithotomy Position
Trendelenburg Position
Reverse Trendelenburg Position
Supine Position
Dorsal Recumbent Position
Knee-chest Position
Rose Position
Other Position
FOWLER’S POSITION
Purpose
To relieve or minimize dyspnea
To relieve tension on abdominal sutures
ORTHOPENIC POSITION
High fowler’s position with over bed table placed in front of the client.
Client to rest with both hands on over the bed table/on pillow placed on it and lean forward. Leaning forward facilitates respiration by allowing maximum chest expansion.
Indications:
Patient with severe dyspnea
Cardiac Patients
Position for thoracentesis
Patient with chest drainage tubes
Relieve Respiratory distress
Pericarditis
ARDS
COPD
Emphysema
Asthma
PRONE POSITION
The client is in flat position only abdomen with head turned to one side. The head rest on a pillow, one or both hands beyond the head or at the sides.
Indication
Patients with pressure sores, burns, injuries, and operations on back
For patients after 24 hours of amputation of lower limbs
Position for renal biopsy
To prevents aspiration
NTD
Recovery positions after anesthesia
LATERAL POSTION
Also known as SIDE LYING POSITION.
Client lies on the side with weight on his hips, shoulder pillow support, and stabilizes. Upper most leg, arm, head and back.
In this position, trunk is right angle to bed.
Indication
To promote lung and cardiac function
During seizure attack and air embolism (Left lateral)
Patient with pyloric stenosis after meals.
The document discusses various patient positioning terms including supine, prone, right and left lateral recumbent, Fowler's position, and Trendelenberg position. It also describes reasons for changing a patient's position such as promoting comfort, restoring body function, preventing deformities, relieving pressure, and stimulating circulation. Basic principles for positioning patients include maintaining good body alignment, safety, reassurance, proper handling, obtaining assistance if needed, and following physician's orders.
This document discusses different therapeutic positions used in healthcare, including their definitions, purposes, principles, types, indications, and procedures. It describes common positions like supine, prone, lateral, lithotomy, Fowler's, Sims, Trendelenberg, and knee-chest positions. Maintaining proper positions is important for patient comfort, preventing injuries, allowing medical interventions, and optimizing the body's alignment for health purposes.
This document describes 10 different patient positioning techniques:
1. Supine position - lying on the back with head and shoulders slightly elevated. Used as the usual position.
2. Prone position - lying on the abdomen with the head turned to relieve pressure and examine the back.
3. Lateral position - lying on the side with pillows supporting the body. Used for periodic position changes and examinations.
It then provides details on each position including indications, procedures, and images.
The document discusses different therapeutic positions used in healthcare. It defines positioning and describes purposes like promoting comfort and relieving pressure. It outlines principles of proper positioning and lists common positions like supine, prone, lateral, and lithotomy. For each position, it provides indications for use and step-by-step procedures for positioning patients therapeutically. The summary reviews key learning around positions and their importance for treatment.
The document discusses proper patient positioning and environment preparation for physical assessments. It describes positioning the patient in a private, comfortable setting and explaining the assessment process to put them at ease. Different positions are outlined for assessing different body areas, with considerations for patient comfort, accessibility, and any physical limitations.
Positioning involves placing a patient in various body alignments to promote comfort, relieve pressure, improve circulation and lung function, and enable medical procedures and examinations. Some key positions include supine, prone, lateral, lithotomy, Fowler's, Sims, Trendelenburg, knee-chest, and erect. Positioning follows principles like maintaining good body mechanics, ensuring patient comfort and safety, and preventing complications like pressure injuries.
This document defines various body positions used for patients and provides the purposes, principles, indications, and procedures for each position. It describes 10 positions: 1) supine, 2) prone, 3) lateral, 4) lithotomy, 5) dorsal recumbent, 6) Fowler's, 7) Sims, 8) Trendelenburg, 9) knee-chest, and 10) orthopneic. Each position is defined and its clinical uses and how to position the patient are explained to properly support the patient's body and enable various medical procedures or examinations.
This document defines 10 different patient positioning techniques and their purposes and indications. The positions discussed include supine, prone, lateral, lithotomy, dorsal recumbent, Fowler's, Sims, Trendelenburg, knee-chest, and orthopneic. Each position is defined and the therapeutic reasons for using each position, such as for examinations, procedures, or to relieve pressure, are provided.
Positioning involves placing a patient in specific body alignments to promote health and allow for medical interventions. Some key reasons for positioning include providing comfort, relieving pressure on body parts, improving circulation, preventing deformities, and enabling examinations and treatments. Common positions include supine, prone, lateral, lithotomy and Fowler's positions, each having distinct uses and safety considerations. Positioning requires ensuring patient comfort and safety by using supportive devices and changing positions regularly.
Positioning involves placing a patient in specific body alignments to promote health and allow for medical interventions. Some key reasons for positioning include providing comfort, relieving pressure on body parts, improving circulation, preventing deformities, and enabling examinations and treatments. Common positions include supine, prone, lateral, lithotomy and Fowler's positions, each having distinct uses and safety considerations. Positioning requires ensuring patient comfort and safety by using supportive devices and regularly adjusting alignment to prevent pressure injuries.
1) The document provides guidance on properly positioning patients in bed to maintain alignment, skin integrity, and comfort while preventing injuries.
2) Key steps include assessing the patient, planning the movement, and using proper body mechanics and assistance when needed to move or turn the patient.
3) Pillows and other supportive devices can be used strategically to maintain proper positioning and alignment of the body.
This document discusses different positions used for patients in bed. It defines positioning as placing a patient in proper body alignment for therapeutic purposes. It describes various positions like supine, prone, lateral, lithotomy, Fowler's and Sims and their indications and procedures. Positions are important to promote comfort, prevent pressure sores, and enable diagnostic tests and interventions. Maintaining proper positioning principles is key to ensuring patient safety and comfort.
Fon body mechanics, positions, rom exerciseP V GREESHMA
Body mechanics involves coordinating muscles, joints, and posture to maintain balance and reduce injury risk. Proper body mechanics principles include maintaining a stable center of gravity over a wide base of support, keeping the back straight, and lifting objects close to the body. Improper body mechanics can lead to muscle strains, injuries to joints or spine, and increased fatigue. Nurses must follow principles of body mechanics when moving or transferring patients to prevent injuries to both patients and staff.
lifing and handling of patients.pptx.pptxChanda453345
This document provides guidelines for safely lifting and transferring patients. It discusses:
1. Preparing for the task by ensuring equipment is ready, the environment is prepared, and explaining the task to the patient and caregivers.
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3. Patient Positioning?
Patient positioning involves properly maintaining a
patient’s neutral body alignment by preventing
hyperextension and extreme lateral rotation to prevent
complications of immobility and injury. Positioning
patients is an essential aspect of nursing practice and a
responsibility of the registered nurse
4. Purpose of position
In surgery, specimen collection, or other treatments,
proper patient positioning provides optimal exposure
of the surgical/treatment site and maintenance of the
patient’s dignity by controlling unnecessary exposure.
In most settings, positioning patients provide airway
management and ventilation, maintaining body
alignment, and provide physiologic safety.
5. Goals of Patient Positioning
The ultimate goal of proper patient positioning is to safeguard the
patient from injury and physiological complications of immobility.
Specifically, patient positioning goals include:
Provide patient comfort and safety. Support the patient’s airway and
maintain the circulation throughout the procedure (e.g., in surgery, in
examination, specimen collection, and treatment). Impaired venous
return to the heart, and ventilation-to-perfusion mismatching are
common complications. Proper positioning promotes comfort by
preventing nerve damage and by preventing unnecessary extension or
rotation of the body.
Maintaining patient dignity and privacy. In surgery, proper
positioning is a way to respect the patient’s dignity by minimizing
exposure of the patient who often feels vulnerable perioperatively.
Allows maximum visibility and access. Proper positioning allows
ease of surgical access as well as for anesthetic administration during
perioperative phase.
6. Guidelines for Patient Positioning
Proper execution is needed during patient positioning to prevent injury for
both the patient and the nurse. Remember these principles and guidelines
when positioning clients:
Explain the procedure. Provide explanation to the client on why his or her
position is being changed and how it will be done. Rapport with the patient
will make them more likely to maintain the new position.
Encourage client to assist as much as possible. Determine if the client can
fully or partially assist. Clients that can assist will save strain on the nurse. It
will also be a form exercise, increase independence, and self-esteem for the
client.
Get adequate help. When planning to move or reposition the client, ask help
from other caregivers. Positioning may not be a one-person task.
Use mechanical aids. Bed boards, slide boards, pillows, patient lifts and slings
can facilitate ease of changing positions.
Raise client’s bed. Adjust or reposition the client’s bed so that the weight is at
the level of the nurse’s center of gravity.
7. Continued
Frequent position changes. Note that any position, correct or
incorrect, can be detrimental to the patient if maintained for a
long period. Repositioning the patient every 2 hours helps
prevent complications like pressure ulcers and skin breakdown.
Avoid friction and shearing. When moving patients, lift rather
than slide to prevent friction that can abrade the skin making it
more prone to skin breakdown.
Proper body mechanics. Observe good body mechanics for
you and your patient’s safety.
Position self close to the client.
Avoid twisting your back, neck, and pelvis by keeping them aligned.
Flex your knees and keep feet wide apart.
Use your arms and legs and not your back.
Tighten abdominal muscles and gluteal muscles in preparation for
the move.
Person with the heaviest load coordinates efforts of the nurse and
initiates the count to 3.
8. Common Patient Positions
The following are the commonly used patient
positions including a description on how they are
performed and the rationale:
10. Supine or Dorsal Recumbent
Position
Supine position, or dorsal recumbent, is wherein the
patient lies flat on the back with head and shoulders
slightly elevated using a pillow unless contraindicated (e.g.,
spinal anesthesia, spinal surgery).
11. Supine position uses
Variation in position. In supine position, legs may be extended or slightly
bent with arms up or down. It provides comfort in general for patients under
recovery after some types of surgery.
Most commonly used position. Supine position is used for general
examination or physical assessment.
Watch out for skin breakdown. Supine position may put patients at risk for
pressure ulcers and nerve damage. Assess for skin breakdown and pad bony
prominences.
Support for supine position. Small pillows may be placed under the head to
and lumbar curvature. Heels must be protected from pressure by using a pillow
or ankle roll. Prevent prolonged plantar flexion and stretch injury of the feet by
placing a padded footboard.
Supine position in surgery. Supine is frequently used on procedures
involving the anterior surface of the body (e.g., abdominal area, cardiac,
thoracic area). A small pillow or donut should be used to stabilize the head, as
extreme rotation of the head during surgery can lead to occlusion of the
vertebral artery.
12. Fowler’s Position
Fowler’s position, also known as semi-sitting position,
is a bed position wherein the head of the bed is elevated 45
to 60 degrees. Variations of Fowler’s position include: low
Fowler’s (15 to 30 degrees), semi-Fowler’s (30 to 45
degrees), and high Fowler’s (nearly vertical).
13. Fowler’s position has different
variations and used
.
Promotes lung expansion. Fowler’s position is used for patients who have
difficulty breathing because in this position, gravity pulls the diaphragm
downward allowing greater chest and lung expansion.
Useful for NGT. Fowler’s position is useful for patients who have cardiac,
respiratory, or neurological problems and is often optimal for patients who
have nasogastric tube in place.
Prepare for walking. Fowler’s is also used to prepare the patient for dangling
or walking. Nurses should watch out for dizziness or faintness during change of
position.
Poor neck alignment. Placing an overly large pillow behind the patient’s head
may promote the development of neck flexion contractures. Encourage patient
to rest without pillows for a few hours each day to extend the neck fully.
Used in some surgeries. Fowler’s position is usually used in surgeries that
involve neurosurgery or the shoulders
Use a footboard. Using a footboard is recommended to keep the patient’s feet
in proper alignment and to help prevent foot drop.
Etymology. Fowler’s position is named after George Ryerson Fowler who saw it
as a way to decrease mortality of peritonitis.
14. Orthopneic or Tripod Position
Orthopneic or tripod position places the patient in a sitting
position or on the side of the bed with an over bed table in front
to lean on and several pillows on the table to rest on.
15. Orthopneic or tripod position is
uses
Orthopneic or tripod position is useful for maximum
lung expansion.
Maximum lung expansion. Patients who are having
difficulty breathing are often placed in this position
because it allows maximum expansion of the chest.
Helps in exhaling. Orthopneic position is
particularly helpful to patients who have problems
exhaling because they can press the lower part of the
chest against the edge of the overbed table.
16. Prone Position
In prone position, the patient lies on the abdomen
with head turned to one side and the hips are not
flexed.
17. Prone position uses
Prone position is comfortable for some patients.
Extension of hips and knee joints. Prone position is the only bed position
that allows full extension of the hip and knee joints. It also helps to prevent
flexion contractures of the hips and knees.
Contraindicated for spine problems. The pull of gravity on the trunk when
the patient lies prone produces marked lordosis or forward curvature of the
spine thus contraindicated for patients with spinal problems. Prone position
should only be used when the client’s back is correctly aligned.
Drainage of secretions. Prone position also promotes drainage from
the mouth and useful for clients who are unconscious or those recover from
surgery of the mouth or throat.
Placing support in prone. To support a patient lying in prone, place a pillow
under the head and a small pillow or a towel roll under the abdomen.
In surgery. Prone position is often used for neurosurgery, in most neck and
spine surgeries.
18. Lateral Position
In lateral or side-lying position, the patient lies on one side of
the body with the top leg in front of the bottom leg and the hip
and knee flexed. Flexing the top hip and knee and placing this
leg in front of the body creates a wider, triangular base of
support and achieves greater stability. Increase in flexion of the
top hip and knee provides greater stability and balance. This
flexion reduces lordosis and promotes good back alignment.
19. Lateral position uses
Relieves pressure on the sacrum and heels. Lateral
position helps relieve pressure on the sacrum and
heels especially for people who sit or are confined to
bed rest in supine or Fowler’s position.
Body weight distribution. In this position, most of
the body weight is distributed to the lateral aspect of
the lower scapula, the lateral aspect of the ilium, and
the greater trochanter of the femur.
Support pillows needed. To correctly position the
patient in lateral position, use of support pillows are
needed.
20. Sims’ Position
Sims’ position or semiprone position is when the patient
assumes a posture halfway between the lateral and the
prone positions. The lower arm is positioned behind the
client, and the upper arm is flexed at the shoulder and the
elbow. The upper leg is more acutely flexed at both the hip
and the knee, than is the lower one.
21. Sims’ position uses
Prevents aspiration of fluids. Sims’ may be used for
unconscious clients because it facilitates drainage from the
mouth and prevents aspiration of fluids.
Reduces lower body pressure. It is also used for paralyzed
clients because it reduces pressure over the sacrum and greater
trochanter of the hip.
Perineal area visualization and treatment. It is often used for
clients receiving enemas and occasionally for clients undergoing
examinations or treatments of the perineal area.
Pregnant women comfort. Pregnant women may find the Sims
position comfortable for sleeping.
Promote body alignment with pillows. Support proper body
alignment in Sims’ position by placing a pillow underneath the
patient’s head and under the upper arm to prevent internal
rotation. Place another pillow between legs.
22. Lithotomy Position
Lithotomy is a patient position in which the patient is
on their back with hips and knees flexed and thighs
apart.
23. Lithotomy position uses
Lithotomy position is commonly used for vaginal examinations and childbirth.
Modifications of the lithotomy position include low, standard, high, hemi, and
exaggerated based on how high the lower body is raised or elevated for the
procedure. Please check with your facility’s guidelines but typically:
Low Lithotomy Position: The patient’s hips are flexed until the angle between
the posterior surface of the patient’s thighs and the O.R. bed surface is 40
degrees to 60 degrees. The patient’s lower legs are parallel with the O.R. bed.2
Standard Lithotomy Position: The patient’s hips are flexed until the angle
between the posterior surface of the patient’s thighs and the O.R. bed surface is
80 degrees to 100 degrees. The patient’s lower legs are parallel with the O.R. bed.
Hemilithotomy Position: The patient’s non-operative leg is positioned in
standard lithotomy. The patient’s operative leg may be placed in traction.
High Lithotomy Position: The patient’s hips are flexed until the angle
between the posterior surface of the patient’s thighs and the O.R. bed surface is
110 degrees to 120 degrees. The patient’s lower legs are flexed.
Exaggerated Lithotomy Position: The patient’s hips are flexed until the angle
between the posterior surface of the patient’s thighs and the O.R. bed surface is
130 degrees to 150 degrees. The patient’s lower legs are almost vertical.
24. Trendelenburg’s Position
Trendelenburg’s position involves lowering the head
of the bed and raising the foot of the bed of the
patient. The patient’s arms should be tucked at their
sides
25. Trendelenburg position use
Promotes venous return. Hypotensive patients can
benefit from this position because it promotes venous
return.
Postural drainage. Trendelenburg’s position is used
to provide postural drainage of the basal lung lobes.
Watch out for dyspnea, some patients may require only
a moderate tilt or a shorter time in this position during
postural drainage. Adjust as tolerated.
26. Reverse Trendelenburg’s Position
Reverse Trendelenburg’s is a patient position
wherein the the head of the bed is elevated with the
foot of the bed down. It is the opposite of
Trendelenburg’s position.
27. Reverse trendelenburg’s position
uses
Gastrointestinal problems. Reverse trendelenburg is
often used for patients with gastrointestinal problems as it
helps minimize esophageal reflux.
Prevent rapid change of position. Patients
with decreased cardiac output may not tolerate rapid
movement or change from a supine to a more erect
position. Watch out for rapid hypotension. It can be
minimized by gradually changing the patient’s position.
Prevent esophageal reflux. Promotes stomach emptying
and prevents reflux for clients with hiatal hernia.
28. Knee-Chest Position
Knee-chest position, can be in lateral or prone position.
In lateral knee-chest position, the patient lies on their side,
torso lies diagonally across the table, hips and knees are flexed.
In prone knee-chest position, the patient kneels on the table
and lower shoulders on to the table so chest and face rests on the
table.
29. Uses of knee chest position
Two ways. Knee-chest position can be lateral or prone.
Sigmoidoscopy. Usual position adopted for
sigmoidoscopy without anesthesia.
Patient dignity. Prone knee-chest position can be
embarrassing for some patients.
Gynecologic and rectal examinations. Knee-chest
position is assumed for a gynecologic or rectal
examination.
30. Jackknife Position
Jackknife position, also known as Kraske, is wherein the
patient’s abdomen lies flat on the bed. The bed is scissored
so the hip is lifted and the legs and head are low.
31. Uses
In surgery. Jackknife position is frequently used for surgeries
involving the anus, rectum, coccyx, certain back surgeries, and
adrenal surgery.
Requires team effort. At least four people are required to
perform the transfer and position the patient in the operating
table.
Cardiovascular effects. In jackknife position, compression of
the inferior vena cava from abdominal compression also occurs,
which decreases venous return to the heart. This could increase
the risk for deep vein thrombosis.
Support paddings. Many pillow sare required on the operating
table to support the body and reduce pressure on the pelvis,
back, and the abdomen. Jackknife position also puts excessive
pressure on the knees. While positioning, surgical staff should
put extra padding for the knee area.
32. Kidney Position
In kidney position, the patient assumes a modified lateral position
wherein the abdomen is placed over a lift in the operating table that
bends the body. Patient is turned on their contralateral side with their
back placed on the edge of the table. Contralateral kidney is placed
over the break in the table or over the kidney body elevator (if
attachment is available). The uppermost arm is placed in a gutter rest
at no more than 90º abduction or flexion.
33. Uses
Access to retroperitoneal area. Kidney positions allows
access and visualization of the retroperitoneal area. A
kidney rest is placed under the patient at the location of
the lift.
Risk for falls. Patient may fall off the table at anytime
until the position is secured.
Padding and stabilization support. Contralateral arm
underneath the body is protected with padding.
Contralateral knee is flexed and the uppermost leg is left
straight to improve stability. A large soft pillow is placed in
between the legs. Kidney strap and tape are placed over the
hip to stabilize the patient.
35. References and Sources
The following are the references and sources for this patient positioning study guide:
Ritchie, I. K. (2003). Positioning Patients for SurgeryBy Chris Servant & Shaun Purkiss
Greenwich Medical Media ISBN 1841100528£ 22.50.
Miranda, A. B., Fogaça, A. R., Rizzetto, M., & Lopes, L. C. C. (2016). Surgical positioning:
nursing care in the transoperative period. Rev SOBECC, 21(1), 52-8. [Link]
Berman, A., Snyder, S. J., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., … & Stanley,
D. (2018). Kozier and Erb’s Fundamentals of Nursing [4th Australian edition].
Rosdahl, C. B., & Kowalski, M. T. (Eds.). (2008). Textbook of basic nursing. Lippincott
Williams & Wilkins.
Park, C. K. (2000). The effect of patient positioning on intraabdominal pressure and
blood loss in spinal surgery. Anesthesia & Analgesia, 91(3), 552-557.
Beckett, A. E. (2010). Are we doing enough to prevent patient injury caused by
positioning for surgery?. Journal of perioperative practice, 20(1), 26-29.
Price, P., Frey, K. B., & Junge, T. L. (2004). Surgical technology for the surgical
technologist: A positive care approach. Taylor & Francis.