Positioning and draping Flashcards
1
Q
Reasons for positioning
A
- comfort - support - neutral spine - access to body part - prevent pressure sores - decrease edema and contractures
2
Q
Who is at risk?
A
- frail elderly
- patients with: paralysis, decreased sensation, decreased communication, and decreased cognition
3
Q
Neutral spine
A
Normal curves
- cervical: lordosis / concave
- thoracic: kyphosis / convex
- lumbar: lordosis / concave
- pelvic: kyphosis / convex
4
Q
Introductions
A
- State name and title
- Make eye contact
- Ask:
- for consent - how they are - why they are here - pain level
- Explain what and why treatment
- AIDET
5
Q
AIDET
A
Acknowledge Introduce yourself Duration of treatment Explain Thank the pt
6
Q
Standard positions
A
- supine - prone - sitting - side-lying
7
Q
Supine
A
- pillow under head and knees/calves
- arms: elevated if edema, crossed on chest or at sides
8
Q
Side-lying (recovery position)
A
- 1-2 pillows under head
- neutral spine
- flex hips and knees
- pillow between knees
- pillow in front and back of pt
9
Q
Prone
A
- face down (hole, towel roll, head rest
- small towel roll under anterior shoulders
- pillow under abdomen
- bolster or pillow under ankles
10
Q
Sitting
A
- lumbar support (pillow or roll or cushion)
- arms on chair arm rest or pillow in lap
- feet on floor or stool
- seat cushion (for wheelchair)
11
Q
Alternative positions
A
- Fowler’s: long sitting (45-60 degrees)
- semi-Fowler’s (30-45 degrees)
- special procedures (surgery, pelvic exam)
- trendelenberg (supine with feet higher than head)
- reverse trendelenberg
12
Q
Positioning equipment
A
- heel protectors and wedges
- towels and pillows
- bed, plinth, table, and mat
13
Q
Draping
A
- to maintain privacy, dignity, and warmth
- leave room for donning of gown
- expose only the area being treated
- think how YOU feel in the MD exam room
