Draping and Positioning Flashcards
What does draping accomplish?
Protects pt’s modesty and dignity, provides warmth and comfort, protection of vulnerable skin, and protections of pt’s clothing.
What can you not use as pt’s drape?
pt’s clothing
What items can be used for positioning?
pillow, towels, bolster, wedges, etc
Positioning is to reduce tension where?
tendon, joints, ligaments, muscles, nerves
Why is positioning important?
Comfort, support, stability, prevent contractures, pressure relief
What is short term positioning for?
for therapy intervention or activities, to provide pt safety, comfort and access
What is long term positioning for?
For pt who are unable to move voluntarily in a way that maintains optimal health, to prevent negative effects
What are some key points of short term positioning?
pt safety, spinal alignment, necessary body area accessible, trunk and extremities support for comfort.
What are some key points of long term positioning?
clear airway, spinal alignment, minimal pressure over bony prominences and gravity shearing forces, cushioned support to minimize pressure, immobile extremities elevated, support and stabilize trunk and extremities, allow pt maximal long term function, optimize interaction with environment, special needs accommodated, prevent contractures.
Common contracture during supine is?
shoulder flexion, elbow flexion, hip flexion, hip adduction, knee flexion, ankle PF
Common contracture during prone is?
Ankle PF, shoulder extension/add/IR/ER, neck rotators to L or R
Common contracture during prone is?
Shoulder flexion/add, Scapular protraction, elbow flexion, hip flexion, knee flexion, ankle PF
Common contracture during sitting is?
Hip and knee flexion, hip add/IR, shoulder add/ext/IR
What are some special considerations for positioning?
decrease/loss of sensation, paralysis, poor nutrition, impaired circulation, conditions that predispose to contracture development, incapable of independent position alteration, unable to express or communicate discomfort.
How long do dependent pt’s last for in supine and sitting inbtwen supervision?
supine: 2 hours
sitting: 15 minutes
When should skin be inspected and where?
over bony prominences, before and immediately after treatment.