positioning
DESCRIPTION
positioning. positioning. Purposes: Assist with examinations Assist with procedures Prevent pressure on skin for prolonged periods of time. positions. Dorsal recumbent position flat on back knees slightly separated and flexed feet flat on bed - PowerPoint PPT PresentationTRANSCRIPT
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
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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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Moving, Turning, PositioningAnd Lifting
Safety major considerations Get help if needed Receive directions from
supervisor regarding any restrictions for positioning or movement
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Moving, Turning, PositioningAnd Lifting
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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Moving, Turning, PositioningAnd Lifting
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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Moving, Turning, PositioningAnd Lifting
Safety major considerationsProtect skin from friction
roll when possible lift with assistance prevent sliding use turning sheet
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Moving, Turning, PositioningAnd Lifting
Use postural supports as directed: Rolled blankets Pillows Rolled towels Footboards Bed cradles
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Moving, Turning, PositioningAnd Lifting
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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Moving, Turning, PositioningAnd Lifting
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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Moving, Turning, PositioningAnd Lifting
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.