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    Patient Positioning

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    HERRERA, ANGELA
    1. The document describes various patient positioning techniques used in medical settings, including standing, sitting, supine, prone, Sims, lithotomy, knee-chest, Trendelenburg, orthopneic, Fowler's, and lateral positions. 2. The positions are defined and their purposes and indications are provided, such as to promote comfort, relieve pressure, stimulate circulation, provide proper body alignment, and perform medical interventions. 3. Contraindications for certain positions are also noted for patients who may have difficulty assuming the positions, such as the elderly, weak, or those with respiratory or cardiac problems.

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    Patient Positioning

    Uploaded by

    HERRERA, ANGELA
    64 views2 pages
    1. The document describes various patient positioning techniques used in medical settings, including standing, sitting, supine, prone, Sims, lithotomy, knee-chest, Trendelenburg, orthopneic, Fowler's, and lateral positions. 2. The positions are defined and their purposes and indications are provided, such as to promote comfort, relieve pressure, stimulate circulation, provide proper body alignment, and perform medical interventions. 3. Contraindications for certain positions are also noted for patients who may have difficulty assuming the positions, such as the elderly, weak, or those with respiratory or cardiac problems.

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    PATIENT POSITIONING

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    1. The document describes various patient positioning techniques used in medical settings, including standing, sitting, supine, prone, Sims, lithotomy, knee-chest, Trendelenburg, orthopneic, Fowler's, and lateral positions. 2. The positions are defined and their purposes and indications are provided, such as to promote comfort, relieve pressure, stimulate circulation, provide proper body alignment, and perform medical interventions. 3. Contraindications for certain positions are also noted for patients who may have difficulty assuming the positions, such as the elderly, weak, or those with respiratory or cardiac problems.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    64 views2 pages

    Patient Positioning

    Uploaded by

    HERRERA, ANGELA
    1. The document describes various patient positioning techniques used in medical settings, including standing, sitting, supine, prone, Sims, lithotomy, knee-chest, Trendelenburg, orthopneic, Fowler's, and lateral positions. 2. The positions are defined and their purposes and indications are provided, such as to promote comfort, relieve pressure, stimulate circulation, provide proper body alignment, and perform medical interventions. 3. Contraindications for certain positions are also noted for patients who may have difficulty assuming the positions, such as the elderly, weak, or those with respiratory or cardiac problems.

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    PATIENT POSITIONING FOR: Head, neck, axillae, anterior thorax, lungs, breasts, heart,

    extremities, peripheral pulses, and vagina

    DEFINITION 5. PRONE POSITION

    • Positioning is defined as planning the person in a proper


    body alignment for the purpose of preventive,
    promotive, curative and rehabilitative aspects of health
    • or placing the patient in good body alignment as needed
    therapeutically
    (The client lies down on the abdomen with the head to
    PURPOSES:
    the side.)
    • To promote comfort for the patient
    • To relieve pressure on various parts FOR: Posterior thorax, hip joint movement
    • To stimulate circulation
    CONTRAINDICATION: Often not tolerated by the elderly
    • To provide proper body alignment
    and people with cardiac and respiratory problem
    • To carry out nursing intervention
    • To perform surgical and medical intervention
    6. SIM’S POSITION
    • To prevent complications caused by immobility

    1. STANDING
    (The client stands still in a normal,
    comfortable, resting posture)
    (The client lies on the right or left side with the lower
    FOR: assessment of posture, gait &
    arm placed behind the body and the upper arm flexed at
    balance. - Used for examining the
    the shoulder and elbow. The lower leg is slightly flexed
    male genitalia
    at the knee while the upper leg is flexed at a sharper
    angle and pulled forward.)
    CONTRAINDICATION: Patients who
    are weak, disabled, or paralyzed who
    FOR: assessment of rectum and vagina
    needs assistance or may not be able
    to assume this position
    CONTRAINDICATION: Difficult for elderly and people
    with limited joint movement
    2. SITTING
    (The client should sit upright on the side of the 7. LITHOTOMY POSITION
    examination table)

    FOR: Head, neck, lungs, chest, back, breasts,


    axillae, heart, upper extremities and vital signs.

    CONTRAINDICATION: Elderly and weak clients may


    require support

    (The client lies on the back with the hips at the edge of
    3. SUPINE the examination table and the feet supported by
    stirrups)

    FOR: assessment of female rectum and vagina.


    FOR: Head, Neck, chest, breasts, axillae, abdomen,
    CONTRAINDICATION: May be uncomfortable and tiring
    heart, lungs, and all extremities
    for elderly people

    *poorly tolerated by clients with cardiac and respiratory


    8. KNEE CHEST POSITION
    problems 9.
    10.
    11.
    12.
    13.
    14.

    15.
    16.
    17.
    18.
    19.

    4. DORSAL RECUMBENT

    20.
    21.
    22.
    23.
    24.

    (The client lies down on the examination table or bed with the 25. (The client kneels on the examination table with the
    knees bent, the legs separated, and the feet flat on the table or weight of the body supported by the chest and knees. A
    bed) 90-degree angle should exist between the body and the
    hips. The arms are placed above the head, with the head
    turned to one side)
    26.
    27.
    28.
    29.
    30.
    31.
    32.

    33.

    34.
    FOR: assessment of rectal area (for brief period only)
    35.
    36.
    37.
    38.
    39.
    40.
    41.

    42. CONTRAINDICATION: Difficult for elderly and people.


    Clients with respiratory and cardiac problem

    9. TRENDELENBERG POSITION

    * In this, the patient lies on the back with the head low

    * The foot of the bed is elevated at 45 degree angle. Entire frame


    of the bed is tilted with head of the bed down

    * INDICATIONS:

    - Used in emergency situations like shock, hemorrhage and SEMI-FOWLER’S POSITION- 30-40N degrees
    hypotension
    HIGH-FOWLER’S POSITION- 90 degrees

    - Postural drainage 12. LATERAL POSITION


    - Patient's with deep vein thrombosis

    10. ORTHOPNEIC POSITION

    • The client lies on the side with weight on hip and shoulder or
    the patient lies on his side with both arms forward and his
    knees and hips flexed.
    • The upper leg is flexed more than the lower leg
    • The upper knee and hip should be at the same level
    • A pillow is given under the head, back and front to support
    • High fowler's position with over bed table to be placed
    the arms and abdomen
    across the front of the patient
    • A small pillow is given in between the knees
    • Patient to rest both hands on over bed table/on pillow
    placed in it and leans forward 13. SIMS POSITION
    • Leaning forward facilitates respiration by allowing
    maximum chest expansion by reducing pressure of
    abdominal organs on diaphragm

    11. FOWLER'S POSITION

    • It is a sitting position in which the head is elevated at 45


    to 60 degree angle, and the client knees are slightly
    elevated, avoiding pressure on the popliteal vessels
    • Back rest and two pillows are used for the back and
    head. Pillows can be used to maintain natural alignment • In this position, the client lies on either the right or left side
    of the hands and wrist and forearms • The lower arm behind the body and upper arm is bent at the
    shoulder and elbow
    INDICATIONS: • The knees are both bent, with the upper most leg more acutely
    bent
    ✓ To relieve dyspnea
    • These positions similar to lateral position except the patient's
    ✓ To improve circulation
    weight is on the anterior aspect of the patient's shoulder girdle
    ✓ To relax the muscles of the abdomen, back
    and hip
    and thighs
    • INDICATIONS:
    ✓ To relieve tension on abdominal stature
    • Vaginal and rectal examination
    • Administration of enema and suppository
    • Use of relaxation in antenatal exercise
    • Position for sigmoidoscopy and proctoscopy

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