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Information on various patient bed positions including Fowler's position (high, semi-high, and low), Orthopneic position, Dorsal recumbent position, Prone position, and Lateral position. Each position is described in detail with its purpose and methods for proper alignment and support.
What you will learn
Typology: Exercises
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Semi-Fowler’s position (supported)
ORTHOPNEIC POSITION Sitting upright with head of bed elevated 90 degrees or on the side of the bed with feet flat on the floor, patient leaning slightly forward with arms raised and elbows flexed, supported on an overbed table. Frequently used by patients with respiratory problems Helps expand the chest and lungs to allow more oxygen to enter Purposes: To assist pt in severe respiratory distress, by allowing chest to expand to maximum capacity for moving air in and out of the lungs
• Pillow of suitable thickness under head and shoulders to prevent hyperextension of neck in if thick-chest person. • Roll or small pillow under lumbar curvature to prevent posterior flexion of lumbar curvature. • Roll or sandbag placed laterally to trochanter of femur to prevent external rotation of legs. • Small pillow under thigh to flex knee slightly and prevent hyperextens iOn of knees. • Footboard or rolled pillow to support feet in dorsiflexion and to prevent plantar flexion (foot drop). • Pillow under lower legs to prevent pressure on heels.
Pillow under head and neck to provide good alignment of sterncleidomastoid muscles. Pillow under upper arm to place it in good alignment; owner arm should be flexed comfortably. Avoids internal rotation and adduction of shoulder. Pillow under leg and thigh to place them in good alignment. Check that shoulders and hips are in straight alignment. These measures prevent internal rotation and adduction of femur and twisting of the spine.
Pillow to support head, maintaining it in good alignment unless drainage from the mouth is required. Pillow under upper arm to prevent internal rotation of shoulder and arm. Pillow under upper leg to support it in alignment and ro prevent internal rotation and adduction of hip and Rolled towels to support feet in dorsifiexion to prevent foot drop.