Lower the side rails on the proximal side the distal side rail must be up.Lower head and foot of the bed so it is level or flat.Sim’s position.Īpproach and identify the patient by checking identification band.Įxplain the procedure and gain patient’s cooperation. Lateral (see figure 4-7) and Sim’s (see figure 4-3) Positions. Report significant nursing observations to the Charge Nurse.Position the bedside stand or over-the-bed table within reach so the patient can get drinking water and personal items.Provide for the patient’s comfort and safety.A pillow under the abdomen provides comfort and prevents hyperextension of the lower spine.A small pillow or folded towel under the head may be used to prevent hyperextension and flexion of the neck.Support the patient’s body and keep it in good alignment.Feet are extended over the edge of the mattress to avoid hyperextension of the foot or a pillow is placed under both ankles to prevent plantar flexion (foot drop) as a result of prolonged hyperextension.Arms are parallel to the body in a slightly flexed position or arm on the same side toward which the head is turned can be flexed sharply at the elbow so the hand is near the head.Continue to roll until he is on his stomach.Roll toward you so you can observe him closely.Turn the patient onto his side and then onto his stomach. Remove the footboard if one is present.If there is room between the end of the mattress and the foot of the bed, the patient should be moved down in the bed so that his feet extend over the edge of the mattress.Fold the top bedding down to the level of the patient’s hips, but avoid undue exposure of the patient’s body, which may cause embarrassment.Lower the side rails on the side where you are working.Lower the headrest and knee rest so that the bed is in a flat position.Prone position.Īpproach and identify the patient and explain the procedure. The weight of the body is supported where the hips are flexed in the sitting position.Place the patient in good body alignment. Under the thighs to prevent hyperextension of the knees.Behind the lower back to prevent posterior convexity of the lumbar spine region.Behind the shoulders and head to prevent flexion and hyperextension of the neck.Use a footboard to maintain the feet at right angles to the legs. Raise the knee gatch (knee rest) of the bed approximately 15 degrees unless contraindicated. Elevate 45 to 60 degrees for the semi-Fowler’s position.Elevate 60 to 90 degrees for the Fowler’s position.Provide for privacy throughout the procedure.īe sure the patient is in a supine position with his head near the top of the bed. Semi-Fowler’s position.Īpproach and identify the patient (checking the ID band) and explain the procedure (in simple terms and pointing out benefits). Placing the Adult Patient in the Fowler’s and Semi-Fowler’s Position (see figures 4-5 and 4-6). Report significant nursing observations to the charge nurse. Position the bedside stand or overbed table so that the patient will be within easy reach of drinking water and personal items.Replace the bedding neatly and raise the side rails, if used.Provide for the patient’s comfort and safety. Place a pillow under each forearm so the arm is at least six inches from the body.Make a trochanter roll and arrange it along the right hip and thigh to keep the hip joint from rotating outward.Arrange a sandbag along the outer portion of the right foot to keep the foot upright.Put a footboard at the foot of the bed and place the feet flat against it (at right angles to the legs) to prevent plantar flexion (“foot drop”).Support the small of the back with a folded bath towel or small pillow. Place a pillow under the head and shoulders to prevent strain on neck muscles and hyperextension and flexion of the neck.Support the body parts in good alignment for comfort. Hips, knees, and feet should be in good alignment.Arms are at the patient’s sides (parallel to the body) with hands prone.Head, neck, and spine are in a straight line.With one hand on the patient’s shoulder and one on the hip, roll his body in one piece (like a log) over onto his back.Īlign the patient’s body in good position.Fold top bedding back to the hips, being careful to avoid any undue exposure of the patient’s body.For the patient on his side, remove supportive pillows.Move the patient from a lateral (side) position to a supine position. Lower the side rails on the proximal side (as necessary).Place the bed in a flat or level position at working height, unless contraindicated.Provide privacy throughout the procedure. Placing the Adult Patient in the Supine Position (see figure 4-2).Īpproach and identify the patient (by checking the identification band) and explain the procedure (using simple terms and pointing out the benefits).
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