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positioning

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

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positioning

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  1. positioning Nursing Fundamentals 7243

  2. positioning • Purposes: • Assist with examinations • Assist with procedures • Prevent pressure on skin for prolonged periods of time Nursing Fundamentals 7243

  3. positions • Dorsal recumbent position • flat on back • knees slightly separated and flexed • feet flat on bed • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  4. positions • Horizontal recumbent position – supine • flat on back • legs slightly separated and extended • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  5. positions • Prone position • flat on abdomen with head turned to side • arms at sides or flexed on either side of head • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  6. positions • Side lying position • positioned on either side • head in straight line with spine • pillows used to support head, back, arm, and leg • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  7. positions • Lateral position • positioned on either side • bottom arm extended behind back, top arm flexed in front of body • top leg slightly flexed • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  8. positions • 30 Lateral Reclined Position • hips rotated 30 degrees • pillow between knees • pillow under arm for comfort and to relieve pressure on elbow • pressure relieved from sacrum and http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 • hip Nursing Fundamentals 7243

  9. positions • Fowler’s position • sitting position in bed with head elevated at 45-60 degree angle. • knees slightly flexed • position causes pressure on sacrum and buttocks • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  10. positions • Sim's position • positioned on LEFTside • left arm extended behind body • right arm flexed in front of body • right leg flexed toward abdomen • used for enema administration • http://www.wisc-online.com/objects/ViewObject.aspx?ID=MEA1604 Nursing Fundamentals 7243

  11. positions Sim'sposition Best position for enemas Nursing Fundamentals 7243

  12. TURNING POSITIONING LIFTING MOVING Nursing Fundamentals 7243

  13. Moving, Turning, PositioningAnd Lifting • Good body mechanics necessary • Prevents injury to resident • Protects nurse aide from injury • Good body alignment Promotes comfort for resident Nursing Fundamentals 7243

  14. Moving, Turning, PositioningAnd Lifting • Safety major considerations • Get help if needed • Receive directions from supervisor regarding any restrictions for positioning or movement Nursing Fundamentals 7243

  15. 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 Nursing Fundamentals 7243

  16. 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 Nursing Fundamentals 7243

  17. Moving, Turning, PositioningAnd Lifting Safety major considerations • Protect skin from friction • roll when possible • lift with assistance • prevent sliding • use turning sheet Nursing Fundamentals 7243

  18. Moving, Turning, PositioningAnd Lifting • Use postural supports as directed: • Rolled blankets • Pillows • Rolled towels • Footboards • Bed cradles Nursing Fundamentals 7243

  19. 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 Nursing Fundamentals 7243

  20. 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 Nursing Fundamentals 7243

  21. 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 Nursing Fundamentals 7243

  22. 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.

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