IMPORTANT OF PATIENT POSITIONING (1).pptx

This presentation show importance of changing patients' positions

1. IMPORTANCE OF MANAGING PATIENTS’ POSITIONS STUDENT NURSES GROUP – B 2019 BATCH MNTS - ANURADHAPURA

2. OBJECTIVES Define the positioning. Introduce the types of positions and movements of patients. Describe the importance of proper patient positioning. Describe the bad effects of wrong positions.

3. DEFINITION Positioning is defined as planning the person in a proper body alignment for the purpose of preventive, promotive, curative and rehabilitative aspects of health or placing the patient in good body alignment as needed therapeutically.

4. TYPES OF POSITIONS Figure 1 .(Nurses lab)

5. SUPINE POSITION Figure 2.(Mayo clinic)

6. Lying horizontally with the face and torso facing up. In the supine position occiput of the head rest flat on the bed or pillow. Uses, Cervical or lumbar fraction. Following injury to spine. Procedures of intracranial, cardiac, abdominal, endovascular, laparoscopic, lower extremity procedures, and ENT, neck and face.

7. LATERAL POSITION Figure 3.(Nurses lab 2023)

8. The lateral position is described as side‐lying with pillows strategically placed along the patient's back, and possibly buttocks, and a pillow placed between the patient's flexed legs to prevent adduction and internal rotation of the hip.

9. Uses Rest and sleep. To provide back massage. Some procedures such as back surgeries, lower extremity surgeries, thoracic surgeries, Ear Nose Throat (ENT) surgeries, and kidney surgeries.

10. PRONE POSITION Figure 4.(Nurses lab)

11. Person lies flat with the chest down and the back up. In anatomical terms of location, the dorsal side is up, and the ventral side is down. Uses, Rest and sleep. Relieve skin pressure points. Provide back massage Procedures such as spine and neck surgeries, neurosurgery, colorectal surgeries, vascular surgeries, and tendon repairs.

12. FOWLER’S POSITION Figure 5.(Nurses lab 2023)

13. The client rest on the bed with upper body elevated. Sitting position. 03 Types Low fowler’s – 30 angle. Mid fowler’s – 45 angle. High fowler’s – 90 angle. Uses, Rest, eat and drink. If the patient has breathing difficulties. The patient with heart problems. Procedures such as head, chest, and shoulder surgeries.

14. Figure 6.(Mayo clinic) Figure 7.(Mayo clinic)

15. TRENDELENBURG POSITION Figure 8.(Nurses lab)

16. Surgical position where the individual lies supine, or flat on their back, with their feet raised higher than their head. This called Trendelenburg. Or feet lower than head. This is called reverse Trendelenburg. Uses, To treat hypovolemic shock. Procedures such as lower abdominal surgeries including colorectal, gynecological, and genitourinary procedures as well as central venous catheter placement. Figure 9.(Nurses lab)

17. ORTHOPNEIC POSITION Sitting upright in a chair or in bed supported by pillows behind the back. Used by patient with respiratory difficulties. Helps to expand the chest and lungs to allow more oxygen to enter.

18. MOVING PATIENTS ON BED Some methods are use to move the patient on the bed. Rolling. Turning. Logrolling. Use of bed rails. Utilize assistive devices. Teamwork. Communication.

19. Rolling Roll the patient gently from side to side using a draw sheet or with the help of another caregiver. Make sure to support the patient's head, back, and legs during the roll to prevent injury. Figure 10.(Medscape)

20. 2. Turning When turning the patient, use proper body mechanics to avoid strain. Encourage the patient to bend their knees and cross their arms over their chest. Position yourself on the opposite side of the bed from where you want the patient to turn, and use a controlled motion to turn them. At least turn the patient 2 hourly to prevent bed sores.

21. 3. Logrolling To maintain alignment of the spine while turning and moving the patient who has had spinal surgery or suspected or documented spinal injury. Using a lift sheet or, By minimum of 3 persons. Must do with 3 counts.

22. Figure 11.(Medscape) Figure 12.(Medscape)

23. Figure 13.( Alamy )

24. 4.Use of bed rails If available, raise the bed rails to provide stability and prevent falls while repositioning the patient. Ensure that the bed rails are securely locked in place. Figure 14.(Medscape)

25. 5.Utilize assistive devices Slide sheets or transfer boards can help move patients more easily and with less strain. Air-assisted devices or inflatable mattresses can also aid in repositioning patients by reducing friction. Figure 15.(Nurses lab)

26. 6. Team work If the patient is heavy or unable to assist, involve additional caregivers to ensure safe and comfortable movement. Communicate effectively with your team to coordinate movements and prevent accidents. Figure 16.( Mayoclinic )

27. 7. Communication Always communicate clearly with the patient before and during movement. Explain what you are going to do and ask if they are experiencing any discomfort. Figure 17.(Public med)

28. MOVING PATIENT UP ON THE BED Have some methods, Knee bend method. Using a lift sheet. Using a assistance. Using a trapeze.

29. 1.KNEE BEND METHOD Ask patient to lying flat and knee bend and keep feet flat on mattress. Advise patient to grasp headboard of the bed if can. Place your forearms under his shoulders and knees. Gently move the patient upward. Figure 18.(Nurses lab)

30. 2. USING A LIFT SHEET A lift sheet makes lifting easier. Helps prevent friction against the patient’s skin. Use for person who can not help with the move. Figure 19.( Mayoclinic )

31. 3. USING A ASSISTANCE Placing your hands under patient’s shoulders or around back and gently move upward on bed. Figure 20.( Nurseslab )

32. 4. USING A TRAPEZE If the patient has a trapeze on the bed have the patient grasp the trapeze and bend at the knees. Figure 21.( Pubmed )

33. HOW TO ASSIST TO DANGLE Dangling refers to sitting on the side of the bed with the feet hanging down. Figure 22.( Mayoclinic ) Figure 23.( Mayoclinic )

34. Special considerations… Do not leave the patient alone when dangling. If the patient becomes dizzy lie him down. Check the patient’s pulse and respiration. Figure 24.( Pubmed )

35. IMPORTANCE OF PATIENTS’ POSITION CHANGING To promote comfort and relaxation. To relive from pressure ulcers. To prevent strain. To stimulate circulation. To increase muscle strength ( Range of motion exercises ). To improve GI and Respiratory function.

36. To provide proper body alignment. To perform surgical and medical interventions. To prevent complications caused by immobility. To promote normal physiological functions.

37. BAD EFFECTS OF WRONG POSITIONING OF THE PATIENT Wrong positioning of patients can lead to various adverse effects, Pressure ulcers or bed sores. Musculoskeletal issues – strain muscle, ligaments, joints leading to discomfort and pain. Circulation problems – may be restrict the blood flow can lead to ischemia

38. Respiratory difficulties – can decrease lung expansion and and respiratory complications such s pneumonia and atelectasis. Nerve damage – due to prolong pressure on nerve. Increase risk of fall. Discomfort or pain. Sleep pattern disturbances.