Positioning Fowler ' S Positions

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Positioning

Karen Mayville, RN, PhDc, 2000 - 2006

Fowlers Positions Fowler


High Fowlers: The head of the bed is elevated to 60 degrees. Mid Fowlers: The head of the bed is elevated to 45 degrees.

Descriptions

Low Fowlers: The head of the bed is elevated 30 degrees. The patient/client is placed in these positions by elevating the head of the bed. The gauge under the bed is used to determine the correct angle of head elevation.

Fowlers Positions Fowler

Fowlers Positions in Surgery Fowler

This patient/client is in high Fowlers position.

This patient/client is in low Fowlers position with his body fully supported.

Supine Position

Dorsal Recumbent Position

The head and foot of the bed are flat. The patient/client is laying on his/her back. The head/neck, lower back, and knees are supported by pillows. The arms and feet can also be supported by pillows.

The head and foot of the bed are flat. The patient/client is laying on his her/her back. The body is not supported.

Prone Position

Positioning into Prone

The head and foot of the bed are flat. The patient/client is laying on his/her abdomen with the body supported by pillows.

Modified Prone Positions in Surgery

Lateral (Full Lateral, Lateral Recumbent) Position

The patient/client is on his/her side with or without body support. The spine is straight. The hips are perpendicular to the mattress. The shoulders are aligned with the hips.

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30 Degree Lateral Position

Sims Position Sim

The head and foot of the bed are flat. The patient/client is half on his/her back and half on his/ her side with the body supported. The hips are at 30 degree angle off the mattress. The shoulders are aligned with the hips. The head and foot of the bed are flat. The person is half on his/her side and half on his/her abdomen with or without the body support.

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Orthopneic Position

Williams Position William

The head of the bed is elevated as far as it will go and the patient/clients upper body rests on an overhead table that is positioned over the bed. Modified Position: The patient/client sits at the edge of the bed and his/her upper body rests on the overhead table that is positioned at the side of the bed.

The head of the bed is flat; but the knee gatch is elevated to the degree specified by the physician. The patient/client may have a pillow.

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Lithotomy Position

Modified Lithotomy Position

The patient/client is laying on his/her back with the legs drawn toward the body. The hips are abducted and the knees are hyperflexed.

The patient/client is laying on his/her back with the legs supported in stirrups. The hips are abducted and flexed towards the abdomen with the knees also flexed.

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Shock Position

Trendelenburg Position

The head of the bed is elevated 10 degrees and the foot of the bed is elevated 12 to 18 inches above the heart.

The whole bed is flat and the head of the bed is lowered so the feet are above the head.

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Reverse Trendelenburg Position

Kraske (Jackknife) Position

The whole bed is flat and the foot of the bed is lowered so the head is above the feet. The patient/client is prone and flexed at the waist so the buttock is higher than the head.

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Knee-Chest Position Knee-

Lateral Decubitus Position

The patient/client is face down with the legs tucked under the chest so the buttock is higher than the head. The patient/client is on his/her side with the head, arms, and legs tucked into the chest. Modified Version: The patient/client sits at the edge of the bed and tucks in the head and arms, rounding the back.

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Positions used for Postural Drainage

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