POSITIONING Flashcards
The patient is placed flat on his/her back
FOR THE ASSESSMENT OF:
Head, neck, axillae, anterior thorax, lungs, abdomen, extremities, and peripheral pulses.
*Tolerated poorly by clients with cardiovascular and respiratory problems
SUPINE
The head of the bed is elevated to certain degrees. A pillow is placed under the knees to keep them slightly flexed.
FOWLER’S POSITION
Head is elevated 15 to 30 degrees. Ideal for resting after a procedure, reducing Lower back pain, administering Medication, and preventing aspiration during Tube feeding.
Low Fowler’s Position
Head is elevated 30 to 45 degrees. Ideal for feeding, lung expansion, and decreasing cardiac or respiratory distress.
Semi-Fowler’s Position
Head is elevated 60 to 90 degrees. This position is ideal for breathing, eating, and swallowing.
High Fowler’s Position
The patient lies on the abdomen with their head turned to one side and the hips are not flexed.
FOR THE ASSESSMENT OF:
Posterior thorax, hip joint movement
*Often not tolerate by the elderly people and people with cardiovascular & respiratory problem.
PRONE POSITION
The patient lies on one side of the body with the top leg in front of the bottom leg, the hip and knee flexed.
*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.
SIDE-LYING/ LATERAL POSITION
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.
Prevents aspiration of fluids
Reduces lower body pressure
Perineal area visualization & treatment.
SIMS POSITION
May be used for unconscious clients because it facilitates drainage from the mouth and prevents aspiration of fluids.
Prevents aspiration of fluids (SIMS POSITION)
. It is also used for paralyzed clients because it reduces
pressure over the sacrum and greater trochanter of the hip.
Reduces lower body pressure. (SIMS POSITION)
Used for clients receiving enema and clients undergoing examinations or treatments of the perineal area.
Perineal area visualization & treatment.(SIMS POSITION)
The client lies down on the examination table with the knees bent, the legs separated, and the feet flat on the bed.
FOR THE ASSESSMENT OF:
Head and neck, axillae, anterior thorax, lungs, breast, heart, extremities, peripheral pulses, abdomen, and vagina
DORSAL RECUMBENT
The patient is on their back with hips and knees flexed and thighs apart.
FOR THE ASSESSMENT OF:
Female rectum and vagina.
*May be uncomfortable and tiring for elderly people. Often embarrassing.
LITHOTOMY
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
Promotes venous return.
Hypotensive patients can benefit from this position because it promotes venous return.
TRENDELENBURG
The head of the bed is elevated with the foot of the bed down. It is the opposite of Trendelenburg’s position.
Gastrointestinal problems. _________________ is often used for patients with gastrointestinal problems as it helps minimize esophageal reflux.
REVERSE TRENDELENBURG
The patient kneels on the table and lowers their shoulders onto the table, so their chest and face rest on the table
FOR ASSESSMENT OF:
Rectal area
*for brief period only
KNEE-CHEST/ GENUPECTORAL
Also known as Kraske, 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.
*In surgery. ______________ 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 on the operating table.
JACK KNIFE POSITION
places the patient in a sitting position or on the side of the bed with an overbed table in front to lean on and several pillows on the table to rest on.
- Maximum lung expansion. Patients with difficulty of breathing are often placed in this position because it allows maximum chest expansion.
- Helps in exhaling. Helpful to patients who have problems exhaling because they can press the lower part of the chest against the edge of the overbed table.
Orthopneic or tripod position
