positioning

Nursing Fundamentals 7243 2

POSITIONING

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POSITIONING

Purposes:• Assist with examinations• Assist with procedures• Prevent pressure on skin for

prolonged periods of time

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POSITIONSDorsal recumbent position

flat on backknees slightly separated and flexedfeet flat on bed

http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604

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POSITIONS

Horizontal recumbent position – supineflat on backlegs slightly separated and extended


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POSITIONS

Prone positionflat on abdomen with head turned to sidearms at sides or flexed on either side of head


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POSITIONS

Side lying positionpositioned on either sidehead in straight line with spinepillows used to support head, back, arm, and leg


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POSITIONS

Lateral positionpositioned on either sidebottom arm extended behind back, top arm flexed in front of bodytop leg slightly flexed


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POSITIONS

30 Lateral Reclined Positionhips rotated 30 degreespillow between kneespillow under arm for comfort and to relieve pressure on elbowpressure relieved from sacrum and http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604

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POSITIONS

Fowler’s positionsitting position in bed with head elevated at 45-60 degree angle.knees slightly flexedposition causes pressure on sacrum and buttockshttp://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604

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POSITIONS

Sim's positionpositioned on LEFT sideleft arm extended behind bodyright arm flexed in front of bodyright leg flexed toward abdomenused for enema administrationhttp://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604

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POSITIONS

Sim's positionBest position for enemas

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TURNING POSITIONING

LIFTING MOVING

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Moving, Turning, PositioningAnd Lifting

Good body mechanics necessary Prevents injury to resident Protects nurse aide from injury Good body alignment Promotes

comfort for resident

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Safety major considerations Get help if needed Receive directions from

supervisor regarding any restrictions for positioning or movement

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Safety major considerations Protect and secure any special

equipment being used by the resident prior to movement (e.g., drainage tubes).

Elevate bed to comfortable working level

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Safety major considerations Protect and secure any special

equipment being used by the resident prior to movement (e.g., drainage tubes).

Elevate bed to comfortable working level

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Safety major considerationsProtect skin from friction

roll when possible lift with assistance prevent sliding use turning sheet

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Use postural supports as directed: Rolled blankets Pillows Rolled towels Footboards Bed cradles

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Reposition at least every two hours or as directed

Eliminates pressure on bony areas Provides comfort Exercises muscles Moves joints Stimulates circulation

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Coordinate lifting and moving Move on a certain count, usually

count of three Gain cooperation of resident Have residents help themselves as

much as possible

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Coordinate lifting and moving (continued)

Use transfer belt (gait belt) when appropriate

When in doubt, always ask for assistance from co-workers

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Questions for BM two

• Draw a picture of each position and discuss what exam a patient would be having if put in this position.

• Color your bubble maps and write in color.

• Make sure your pictures are colored and take up the entire page.

Documents

positioning