Positions used in nursing
Position is a style some one is put in bed.
The patient has to change position regularly
Important of position in nursing
For comfort
To relief pain
For easy performance of nursing procedures.
It prevents tears during child labour
Prevent complication like pressure sore
Reduce intracranial pressure
Improve on the breathing
For examination
Different position used in nursing
Recumbent position/supine position
Semi recumbent position
Dorsal position
Prone position
Semi prone position/recovery position/sim
position
Lateral position
Trendelenburg position
Sitting up position
Lithotomy
knee-chest position /Genu pectoral position.
Requirement for positioning
These are materials used to position a
patient to provide comfort or support the patient
Requirement are
Pillow
Back rest
Foot rest
Bed cradle
Special tables like theather table
Recumbent position/supine position
This is when the patient lies flat on his
or her back with one pillow
Requirement
Trolly containing
pillows
A small pillow
Apron
Disposable glove
At the bed side
·
A screen for providing privacy
·
Hand washing equipment for
washing hand
Procedure for positioning in recumbent position for non
paralysed patient
·
Explain the procedure to the
patient to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Bring the trolly near the
patient bed side for easy accesses.
·
Put on apron
·
Wash hand and put on glove
·
Turn the patient to lie flat on
the back
·
Place the pillow under the head
and the shoulder
·
Place a small pillow under the
lumber curve to prevent strain in the area
·
Ask the patient if comfortable
·
Thank the patient
·
Clear away
·
Remove glove and wash hand
·
Record the procedure
Procedure for positioning in recumbent position for
paralysed patient
Requirements
Trolly containing
pillows
A small pillow
Foot rest
Apron
Hand roll
Disposable glove
At the bed side
·
A screen for providing privacy
·
Hand washing equipment for
washing hand
Procedure
·
Explain the procedure to the
patient to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Bring the trolly near the
patient bed side for easy accesses.
·
Put on apron
·
Wash hand and put on glove
·
Turn the patient to lie flat on
the back
·
Place the pillow under the head
and the shoulder
·
Place a small pillow to support
the arm
·
Place a special hand splint on
the in case of contracture
·
Place a pillow along the
lateral aspect of the thighs
·
Place the pillow under the
thigh superior to popliteal space
·
Place a foot rest
·
leave the patient comfortably
·
Clear away
·
Remove the glove and Wash hand
·
Record the procedure
Semi recumbent position
This is the
position where a ptient is semi -propped up in bed(half sitting on bed) using
three pillows without back rest
It is used for
patient who are ;
recovering from
illness
for passing
nasogastric tube
wants to read book
in bed
requirements for positioning in semi-recumbent position
Trolly containing
pillows
Apron
Disposable glove
At the bed side
·
A screen for providing privacy
·
Hand washing equipment for
washing hand
Procedure for positioning a patient in semi recumbent
position
·
Explain the procedure to the
patient to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Bring the trolly near the
patient bed side for easy accesses.
·
Put on apron
·
Wash hand and put on glove
·
Support the patient to sit
·
Put the three-pillow at the
back to support the back
·
Put one pillow to support the
foot
·
Ask the patient if comfortable
·
Thank the patient
·
Clear away
·
Remove glove and wash hand
·
Document the procedure
Dorsal position
This is a position where a patient lies
flat on the back with the head and the shoulder slightly raised on one or two
pillows ,thigh, flexed and the knee
abduct.
It is used in
vaginal examination
child birth.
Evacuation
Insertion of intra uterine devise(IUD)
Removing intrauterine devise
Cervical cancer screening
requirements for positioning in dorsal position
Trolly containing
pillows
Apron
Disposable glove
At the bed side
·
A screen for providing privacy
·
Hand washing equipment for
washing hand
Procedure for positioning in dorsal position
·
Explain the procedure to the
patient to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Bring the trolly near the
patient bed side for easy accesses.
·
Put on apron
·
Wash hand and put on glove
·
Turn the patient to lie flat on
the back
·
Place the pillow under the head
and the shoulder
·
Flex the thigh
·
Abduct the knee
·
Ask the patient if comfortable
·
Thank the patient
·
Clear away
·
Remove glove and wash hand
·
Document the procedure
The prone position
This is when the patient lies flat on the
abdomen with the head supported by a pillow
Indication for prone position
To relief pressure from the hip and sacrum
Burn on the Back
Fracture of the supine
Pressure ulcer
For comfort
requirements for positioning in prone position
Trolly containing
pillows
Apron
Disposable glove
At the bed side
·
A screen for providing privacy
·
Hand washing equipment for
washing hand
Procedure for positioning in supine position
·
Explain the procedure to the
patient to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Bring the trolly near the
patient bed side for easy accesses.
·
Put on apron
·
Wash hand and put on glove
·
Turn the patient to lie flat on
the abdomen
·
Place the pillow under the head
to support the head
·
Turn the head on one side
·
Flexed the arms at the side
·
Place one pillow under the diaphragm
·
Place the pillow under the
lower legs
·
Ask the patient if comfortable
·
Thank the patient
·
Clear away
·
Remove glove and wash hand
·
Document the procedure
Lateral position
Is when the patient lies on the side with a
pillow under the head.
Lateral position is used in(where lateral position is use)
Rectal examination
Lumber puncher
Manual extraction of the stool
Giving enema
Relieving pressure from the greater
trochanter preventing pressure sore
For resting and formfort
requirements for positioning in lateral position
Trolly containing
pillows
Apron
Disposable glove
At the bed side
·
A screen for providing privacy
·
Hand washing equipment for
washing hand
Procedure for positioning in lateral position
·
Explain the procedure to the
patient to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Bring the trolly near the
patient bed side for easy accesses.
·
Put on apron
·
Wash hand and put on glove
·
Turn the patient to lie of the
side
·
Place the pillow under the head
to support the head
·
Flex both arm Infront of the
patient’s body
·
Position the upper arm on a
pillow
·
Position the lower arm with the
finger pointing at the head of the bed
·
Flex both leg
·
Flex the upper leg more than
the lower leg
·
Place the pillow in between the
leg
·
Place a pillow behind the
patient back
·
Place the small pillow under
the natural curve of the waist
·
Ask the patient if comfortable
·
Thank the patient
·
Clear away
·
Remove glove and wash hand
·
Document the procedure
Sim-position/recovery position/semi-prone position
This is the position where a patient lies
on the left lateral side with the arm behind without pillow on the head
Use of Sim-position/recovery position/semi-prone position
Unconscious patient
Post operative patient recovery from
anaesthesia
Preventing the tongue from falling backward
Procedure for positioning in dorsal position
·
Explain the procedure to the attendant
to obtain his or her consent and build trust.
·
Screen the bed to provide
privacy
·
Put on apron
·
Wash hand and put on glove
·
Turn the patient to lie on the
side slightly prone
·
Place a small towel to protect
the bed from secretion
·
Place the bottom arm behind the
back
·
Flex the arm on top at the
elbow and shoulder
·
Position the finger pointing at
the head of the bed
·
Flex both leg at the knee and
the hip
·
Flex the upper leg slightly
more than the lower leg
·
Clear away
·
Remove glove and wash hand
·
Document the procedure
Trendelenburg position
This is a position where a patient lies on
the back on the theatre table and the head is tilted down at the angle of 45⁰
In ordinary bed the patient lies flat on
the bed and the foot of the bed is lifted with bd block
Use of Trendelenburg position
Pelvic operation
Gynaecology surgery
In shock
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