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
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2
Q

Who is at risk?

A
  • frail elderly

- patients with: paralysis, decreased sensation, decreased communication, and decreased cognition

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3
Q

Neutral spine

A

Normal curves

  • cervical: lordosis / concave
  • thoracic: kyphosis / convex
  • lumbar: lordosis / concave
  • pelvic: kyphosis / convex
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4
Q

Introductions

A
  1. State name and title
  2. Make eye contact
  3. Ask:
    • for consent - how they are - why they are here - pain level
  4. Explain what and why treatment
  5. AIDET
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5
Q

AIDET

A
Acknowledge 
Introduce yourself
Duration of treatment
Explain
Thank the pt
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6
Q

Standard positions

A
  • supine - prone - sitting - side-lying
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7
Q

Supine

A
  • pillow under head and knees/calves

- arms: elevated if edema, crossed on chest or at sides

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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
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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
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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)
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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
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12
Q

Positioning equipment

A
  • heel protectors and wedges
  • towels and pillows
  • bed, plinth, table, and mat
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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
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