CH. 6 Positioning Flashcards
1
Q
What is the maximum time for one position in bed?
A
2 hours
2
Q
What is the maximum time sitting?
A
15 minutes
3
Q
5 Steps prior to positioning and bed mobility:
A
- Introduce yourself
- Explain what your goals are for the session
- Demonstrate if needed
- Set up environment
- Make sure to leave patient with a way to communicate
4
Q
How to position Supine?
A
- Center on table
- Straight spine
- Good spinal alignment
- Arms by the sides or on the chest/abdomen with pillows under upper arms
5
Q
How to position Side Lying?
A
- Center on table
- good spinal alignment
- Pillow under head and small roll under waist
- Underside leg straight and top leg flexed
- Pillow between legs
- Underside arm protracted, top arm rest on pillow
6
Q
How to position Prone (w/ typical hip ROM)?
A
- Center on table
- Straight spine
- Good spinal alignment
- Face down if possible, turn on side otherwise
- Arms by the sides or abduction
- Feet off the end of table
- Pillow under lower leg
7
Q
How to position Prone (w/hip flexor contractures)?
A
- Arms by the sides or abduction
- Feet off the end of table
- Pillow under lower legs
- Pillow under abdomen
8
Q
What is the Fowler’s Position?
A
- Semi-reclined position with knee flexed
- HOB elevated to 45 to 60 degrees
- After abdominal surgery
9
Q
What is Trendelenburg Position?
A
- Head lower than foot
- Abdominal and gynecological surgery
10
Q
Special considerations for Total Hip Arthroplasty?
A
- Posterolateral approach
- Avoid hip flexion beyond 60 to 90 degrees
- Avoid hip adduction past 0 degrees
- Avoid hip internal rotation past 0 degrees
11
Q
What is the Tilt Table?
A
- Facilitate weight-bearing
- Increase arousal and awareness
- Improve pulmonary ventilation
- Improve orthostatic hypotension
- Contraindications: Bilateral LE weight-bearing limitations, unstable spinal cord injuries
