Turning a Client to a Lateral or Prone

7/28/2019 Turning a Client to a Lateral or Prone

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TURNING A CLIENT TO A LATERAL

OR PRONE POSITION IN BED

Ma. Pia Doromal Mirador, RN

Head Nurse, ER OPD


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Turning a Client to the Lateral or Prone

Position in Bed

PURPOSES:

Movement to the lateral (side lying) position may be

necessary when placing a bedpan beneath the client, when

changing the clients bed linen, or when repositioning theclient.


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Turning a Client to the Lateral orProne Position in Bed

ASSESSMENT:

Before moving a client, assess the following:

The clients physical abilities (musclestrength,presence of paralysis).

Ability to understand instructions.

Degree of comfort or discomfort when moving.

Clients weight.

Your own strength and ability to move the client.


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PREPERATION:

Determine assistive devices that will be required.

Determine the encumbrances to movement such as

an IV or a heavy cast on one leg. Determine the medications the client is receiving

because certain medications may hamper movement or

alertness of the client.

Determine if assistance is required from other health

care personnel.


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IMPLEMENTATION:

Explain to the client what you are going to do, why is it

necessary, and how he or she can cooperate. Listen to

any suggestions made by the client or support people.

Discuss how the results to be used in planning furthercare or treatments.

Wash hands and observe other appropriate infection

control procedures.

Provide for client privacy. Position yourself and the client appropriately before

performing the move.


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IMPLEMENTATION:

Move the client closer to the side of the bed opposite

the side the client will face when turned. This ensures

that the client will be positioned safely in the centre of

the bed after turning. use the pull sheet beneath theclients trunk and thighs to pull the client to the side of

the bed. Roll up the sheet as close as possible to the

clients body and pull the client to the side of the bed.

Adjust the clients head and reposition the legs

appropriately. While standing on the side of bed nearest the client,

place the clients near arm across the chest. Abduct the

clients far shoulder slightly from the side of the body

and externally rotate the shoulder.


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IMPLEMENTATION:

Pulling the other arm away from the body and

externally rotating the shoulder prevents that arm from

being caught beneath the clients body during the roll.

Place the clients near ankle and foot across the farankle and foot. This facilitates the turning motion.

Making these preparations on the side of the bed closes

the client helps prevent unnecessary reaching.

Raise the side rail next to the client before going to the

other side of the bed toward which the client will turn,directly in line with the clients waistline and as close to

the bed as possible.


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IMPLEMENTATION:

Lean your trunk forward from the hips. Flex your hips,

knees, and ankles. Assume a broad stance with one

foot forward and the weight placed on this forward foot.

Pull or roll the client toward you to the lateral position.

Place one hand on the clients far hip and the otherhand on the clients far shoulder. This position of the

hand supports the client at the two heaviest part of the

body, providing greater control in movement during the

roll.

Tighten your gluteal, abdominal, leg, and arm

muscles; rock backward, shifting your weight from the

forward to the backward foot, and roll the client onto the

side of the body to face you.Turning the client toward youpromotes the clients sense of security.


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IMPLEMENTATION:

Position the client on his/her side with arms and legs

positioned and supported properly.


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TURNING THE CLIENT TO A PRONE POSITION:

To turn a client to the prone position, follow the

preceding steps, with two exceptions:

Instead od abducting the far arm, keep the clients arm

alongside the body for the client to roll over. Keeping

the arm alongside the body prevents it from being

pinned under the client when the client is rolled.

Roll the client completely onto the abdomen. It is

essential to move the client as close as possible to theedge of the bed before the turn so that the client will be

lying on the center of the bed after rolling. Never pull a

client across the bed while the client is in the prone

position. Doing so can injure a womans breast or a

mans genitals.


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Thank you!

Documents

Turning a Client to a Lateral or Prone