Therapeutic Patient Positioning & Uses

Therapeutic Patient Positioning & Uses

November 1, 2019 1 By Jose Scott


Hi, Friends welcome to the channel – The
Nurse. Here we are discussing Therapeutic Patient
Positioning & Uses. If you are not subscribed to our channel,
please subscribe. Therapeutic Patient Positioning:-
Positioning patients correctly is important for a variety of reasons. In surgery, proper positioning provides optimal
exposure of the surgical site and maintenance of the patient’s dignity by controlling
unnecessary exposure. Therapeutic Patient Positioning
Additionally, positioning patients provides airway management and ventilation, maintaining
body alignment, and provide physiologic safety. The common positions include listed here with
an explanation. Therapeutic Patient Positioning
1. Fowler’s Position
2. Orthopneic or Tripod Position
3. Supine Position
4. Dorsal recumbent position
5. Prone position
6. Lateral position
7. Trendelenburg and Reverse Trendelenburg Position
8. Sims position
9. Knee-chest position
10. Lithotomy
position Fowler’s Position:-
In low Fowler’s or Semi-Fowler’s position, the head and trunk are raised to 15 to 45
degrees; in high Fowler’s, the head and trunk are raised 90 degrees
This position is useful for patients who have cardiac, respiratory or neurological problems
and is often optimal for patients who have a nasogastric tube in place Using a footboard is recommended
to keep the patient’s feet in proper alignment and to help prevent foot drop
Orthopneic or Tripod Position:- Orthopneic or Tripod position places the patients
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. Patients who are having difficulty breathing
are often placed in this position since it allows maximum expansion
of the chest. Dorsal Recumbent Position:-
In dorsal recumbent or back-lying position, the client’s head and shoulders are slightly
elevated on a small pillow This position provides comfort and facilitates healing following certain surgeries
and anesthetics This position is used
for abdominal assessment because it promotes the relaxation of abdominal muscles. Supine or Dorsal Position:-
Supine is a back-lying position similar to dorsal recumbent but the head and shoulders
are not elevated Just like a dorsal recumbent, the supine position
provides comfort in general for patients to recover after
some types of surgery This is the most normally relaxed position. It provides an easy assessment of head and
neck, anterior thorax and lungs, breasts, axillae, heart, abdomen, extremities, pulses. Prone Position:-
In the prone position, the patient lies on the abdomen with the head turned to one side;
the hips are not flexed This is the only bed position that allows
full extension of the hip and knee joints
To support a patient lying in prone, place the pillow under the head and a small pillow
or towel roll under the abdomen. The prone position also promotes drainage
from the mouth and useful for clients who are unconscious or those who recover
from surgery of the mouth and throat. Prose position should only be used when the
client’s back is correctly aligned, and only for people with no evidence of spinal
abnormalities. Lateral Position:-
In the lateral or side-lying position, the patient lies on one side of the body with
the top leg in front of the bottom leg and 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 The greater flexion of the top hip and knee,
the greater the stability and balance in this position. This flexion reduces lordosis
and promotes good back alignment. Lateral Position
The lateral position helps relieve pressure on
the sacrum and heels in people who sit for much of the day or confined to bed rest in
Fowler’s or dorsal recumbent. A client with respiratory difficulty do not
tolerate this position In this position, most of the bodyweight is
distributed to the lateral aspect of the lower scapula, the lateral aspect of
the ilium, and the greater Trochanter of the femur
This position aids in detecting cardiac murmurs. Sims Position:-
Sims is a semi-prone position where the patient assumes a posture halfway between the lateral
and prone positions. The lower arm is flexed at the shoulder and
the elbow. Both legs flexed in front of the client. The upper leg is more acutely flexed at both
the hip and the knee than is the lower one This position is used to assess rectum and
vagina Sims may be used for unconscious clients because
it facilitates drainage from the mouth and prevents aspiration of fluids
It is often used for clients receiving enemas
Pregnant women may find the Sims position comfortable for sleeping
Support proper body alignment in the Sims position by placing a pillow underneath the
patient’s head and under the upper arm to prevent rotation. Place another pillow between legs. Trendelenburg’s position:-
This position involves lowering the head of the bed and
raising the foot of the bed of the patient Patients who have hypotension can benefit
from this position because it promotes venous return. Reverse Trendelengburg’s position:- Trendelengburg’s
position Here the head of the bed is elevated with
the foot of bed down This is often a position of choice for patients
with gastrointestinal problems as it can help minimize esophageal reflux. Knee-chest Position:-
The position of a patient in which the weight of the body
is supported on the knees and chest This position provides maximal exposure
of rectal area and also used in gynecological examination
This is also known as the Genupectoral position. Lithotomy position:-
This position used for assessment and surgeries
related to male/female genitalia and genital tract
This position provides maximal exposure of genitalia and facilitates insertion of a vaginal
speculum The video ends here, thank you for watching
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