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Patient Positions (Sims Position …
Patient Positions
Sims Position
Similar to side-lying position, but differs in the distribution of the patient's weight. Sims' position has the weight placed on the anterior ilium, humerus & clavicle
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Prone Position
The patient is lying chest down. Often the head is turned to the side. If a pillow is under the head, it should be thin enough to prevent cervical flexion or extension and maintain alignment of the lumbar spine
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Use/Rationale
Used for assessing the skin, buttocks & extension of the hip joint
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Side-lying/Lateral Recumbent Position
Patient is resting on the side w/ the major portion of bodyweight on the dependent hip & shoulder; trunk alignment should be the same as in standing
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Supine Position
A back-lying position. The relationship of the body parts is essentially the same as in good standing alignment except that the body is in the horizontal plane
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Limitations/Difficulties
If patient becomes short of breath easily, head of the bed must be raised
Areas Assessed
-Head & neck
-Anterior thorax & lungs
-Breasts
-Axillae
-Heart
-Abdomen
-Extremities
-Pulses
Supported Fowler's Position
Head of the bed is elevated 45 - 60 degrees & patient's knees are slightly elevated w/o pressure; the patient is sitting up
30 - Semi Fowler's
45 - Mid Fowler's
90 - High Fowler's
Use/Rationale
-Is preferred while patient eats
-Is used during NGT insertion
-Promotes lung expansion
-Reduces regurgitation & risk of aspiration
Limitations/Difficulties
-Excessive cervical flexion due to pillow at the head thrusting head forward
-Hyperextension of the knees, allowing the patient to slide to the foot of the bed
-Pressure on the posterior aspect of the knees, decreasing circulation to the feet
-External rotation of the hips
-Arms hanging unsupported at patient's sides
-Unsupported feet/pressure on the heels
-Unprotected pressure points at the sacrum & heels