Therapeutic Positioning

• PATIENT POSITIONING


  Involves properly maintaining a patient’s neutral body alignment by preventing hyperextension and extreme lateral rotation to prevent complications of immobility and injury.
• PATIENT POSITIONING


  is an essential aspect of nursing practice and a responsibility of the registered nurse.
• PATIENT POSITIONING


  provide airway management and ventilation, maintaining body alignment, and provide physiologic safety
• PURPOSES OF PATIENT POSITIONING

  • To maintain body alignment
  • To preserve skin integrity
  • To prevent injury to and deformities of the musculo-skeletal system
  • To promotes comfort
  • To promote optimal lung expansion
  • To allow the client to be positioned for a variety of clinical procedures
• GOALS OF PATIENT POSITIONING


  safeguard the patient from injury and physiological complications of immobility.
• GOALS OF PATIENT POSITIONING


  1. PROVIDE PATIENT COMFORT AND SAFETY
  2. MAINTAINING PATIENT DIGNITY AND PRIVACY
  3. ALLOWS MAXIMUM VISIBILITY AND ACCESS
• PROVIDE PATIENT COMFORT AND SAFETY


  Support the patient’s airway and maintain the circulation throughout the procedure (e.g., in surgery, in examination, specimen collection, and treatment). Impaired venous return to the heart, and ventilation-to-perfusion mismatching are common complications. Proper positioning promotes comfort by preventing nerve damage and by preventing unnecessary extension or rotation of the body.
• MAINTAINING PATIENT DIGNITY AND PRIVACY


  In surgery, proper positioning is a way to respect the patient’s dignity by minimizing exposure of the patient who often feels vulnerable perioperatively.
• ALLOWS MAXIMUM VISIBILITY AND ACCESS


  Proper positioning allows ease of surgical access as well as for anesthetic administration during perioperative phase.
• SUPINE OR DORSAL RECUMBENT POSITION


  wherein the patient lies flat on the back with head and shoulders slightly elevated using a pill

  
• SUPINE OR DORSAL RECUMBENT POSITION


  wherein the patient lies flat on the back with head and shoulders slightly elevated using a pill
• FOWLER’S POSITION


  also known as semi-sitting position, is a bed position wherein the head of the bed is elevated 45 to 60 degrees

  
• FOWLER’S POSITION


  also known as semi-sitting position, is a bed position wherein the head of the bed is elevated 45 to 60 degrees
• Low Fowler’s

  15-30 degrees
• Semi-Fowler’s

  30-45 degrees
• High Fowler’s

  Nearly vertical
• SUPINE OR DORSAL RECUMBENT POSITION


  Most commonly used position.
• SUPINE OR DORSAL RECUMBENT POSITION


  Watch out for skin breakdown.
• FOWLER’S POSITION


  Promotes lung expansion.
• FOWLER’S POSITION


  Useful for Nasogastric Tube.
• FOWLER’S POSITION


  Prepare for walking.
• FOWLER’S POSITION


  Poor neck alignment.
• FOWLER’S POSITION


  Used in some surgeries.
• FOWLER’S POSITION


  Use a footboard.
• FOWLER’S POSITION


  Named after George Ryerson Fowler who saw it as a way to decrease mortality of peritonitis
• ORTHOPNEIC OR TRIPOD POSITION


  tripod position places the patient in a sitting position or on the side of the bed with an overbed table in front to lean on and several pillows on the table to rest on.

  
• ORTHOPNEIC OR TRIPOD POSITION


  tripod position places the patient in a sitting position or on the side of the bed with an overbed table in front to lean on and several pillows on the table to rest on.
• ORTHOPNEIC OR TRIPOD POSITION


  Maximum lung expansion.
• ORTHOPNEIC OR TRIPOD POSITION


  Helps in exhaling
• PRONE POSITION


  the patient lies on the abdomen with head turned to one side and the hips are not flexed.

  
• PRONE POSITION


  the patient lies on the abdomen with head turned to one side and the hips are not flexed.
• PRONE POSITION


  Contraindicated for spine problems.
• PRONE POSITION


  Drainage of secretions.
• LATERAL POSITION


  side-lying position, the patient lies on one side of the body with the top leg in front of the bottom leg and the hip and knee flexed. Flexing the top hip and knee and placing this leg in front of the body creates a wider, triangular base of support and achieves greater stability. Increase in flexion of the top hip and knee provides greater stability and balance. This flexion reduces lordosis and promotes good back alignment.

  
• LATERAL POSITION


  side-lying position, the patient lies on one side of the body with the top leg in front of the bottom leg and the hip and knee flexed. Flexing the top hip and knee and placing this leg in front of the body creates a wider, triangular base of support and achieves greater stability. Increase in flexion of the top hip and knee provides greater stability and balance. This flexion reduces lordosis and promotes good back alignment.
• LATERAL POSITION


  Relieves pressure on the sacrum and heels.
• LATERAL POSITION


  Body weight distribution.
• LATERAL POSITION


  Support pillows needed.
• SIM’S POSITION


  semiprone position is when the patient assumes a posture halfway between the lateral and the prone positions. The lower arm is positioned behind the client, and the upper arm is flexed at the shoulder and the elbow. The upper leg is more acutely flexed at both the hip and the knee, than is the lower one

  
• SIM’S POSITION


  semiprone position is when the patient assumes a posture halfway between the lateral and the prone positions. The lower arm is positioned behind the client, and the upper arm is flexed at the shoulder and the elbow. The upper leg is more acutely flexed at both the hip and the knee, than is the lower one