Positioning ppt

Nurse /doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.

1. POSITIONS PRESENTED BY Ashmeen Akhtar B.Sc N 4 th year

2. Introduction Definition Pupose Principle Types of position Indication Procedures Summary Conclusion Bibliography OBJECTIVES

3. Therapeutic postions are used to promote comfort of the client. Proper turning and positioning allows the health care provider to make clients as comfortable as possible, prevent contractures and pressure sores. Proper position help in diagnostic tests or surgical intervention and procedure and allow clients greater access to their environment. INTRODUCTION

4. 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.  

5. PURPOSES To promote comfort to the patient To relieve pressure on various parts To stimulate circulation To carry out nursing intervention To perform surgical and medical interventions

6. PRINCIPLES Maintain good body mechanics Wash hands before and after procedure Ensure patient’s comfort Obtain assistance as required Follow safety measures to prevent accidents Follow the systematic and orderly way of doing Use right technique at right time. 

7. Supine position Prone position Lateral position Lithotomy position Fowler’s position Semi Fowler’s position Sim’s position T redlenberg Position Knee chest position TYPES OF POSITION

8. SUPINE POSITION The patient lies on his back with his head and shoulders are slightly elevated Indication Usual position Examination of the chest and abdomen .

9. PROCEDURE Place the patient on back with one pillow under the head, arms and hands at the sides,knees flexed and separated. Place the air ring under the hips and cotton or foam pads under the heels to reduce the pressure. If the patient is a paralyzed, place hand role in. hand. Align the patient’s body in good position.

10. PRONE POSITION Position in which the patient lies on the abdomen with the head turned to one side with one small pillow under the ankle.

11. INDICATION   Renal biopsy. Examine the back For patients after 24 hours of amputation of lower limbs

12. PROCEDURE Explain the procedure Provide privacy Place the patient flat on abdomen with one pillow under the head Turn patients head to one side and align the patient in good position Place both arms at the side of the head and support arm in flexed position at level of shoulder. Support lower legs with pillows to elevate toes.

13. LATERAL POSITION The client lies on the side with weight on hip and shoulder or the patient lies on his side with both arms forward and his knees and hips flexed. The upper leg is flexed more than the lower leg. The upper knee and hip should be at the same level. A pillow is given under the head, back and front to support the arms and abdomen. A small pillow is given in between the knees.

14. INDICATIONS Used for examination of perineum . Inserting suppositories. Giving back care . For giving enema and colonic irrigation.

15. PROCEDURE Explain the procedure Provide privacy Lower the head of bed as low as patient can tolerate. Position the patient to side of bed Turn the patient to one side Place the air ring under the hips to reduce pressure in trochanters and at the hip joints.

16. CONTD… Position both arms in flexed position. Upper most arms are supported by pillow on level with shoulder. Place pillow under back Place pillow under semi flexed upper leg at hip, from groin to foot. Place sand bag parallel to plantar surface of dependent foot.

17. LITHOTOMY POSITION The client lies supine with hips flexed. The legs are separated and thighs are flexed. The patient’s buttocks are kept at the edge of the table and legs are supported by stirrups. INDICATIONS For delivery of baby For rectal examination & surgeries For vaginal examination & hysterectomy

18. PROCEDURE Explain the procedure to the patient Provide privacy Position the patient to lie on his back with one pillow under the head Keep the legs well separated and the thighs well flexed on the abdomen and the legs on the thighs Buttocks are kept on the edge of the table and the legs are supported on stirrups

19. FOWLER’S POSITION It is a sitting position in which the head is elevated at 45˚ to 60˚, and the client knees are slightly elevated, avoiding pressure on the popliteal vessels. Backrest and two pillows are used for the back and head. Pillows can be used to maintain natural alignment of the hands wrist and forearms.

20. INDICATIONS To relieve dyspnea To improve circulation To relax the muscles of the abdomen, back and thighs. To relieve tension on abdominal stature.

21. PROCEDURE Explain the procedure Elevate the head of the bed Rest the head against mattress or small pillow. Use pillow to support arm. Place a small pillow at lower back. Place foot board at bottom of patient’s feet. Place the patient in sitting position with arms at sides and knees raised with pillow.

22. SIMS POSITION In this position the client lies on either the right or left side. The lower arm behind the body and upper arm is bent at the shoulder and elbow. The knees are both bent, with the upper most leg more acutely bent. These positions similar to the lateral position except that the patient’s weight is on the anterior aspect of the patient’s shoulder girdle and hip.

23. INDICATIONS Vaginal and rectal examination Administration of enema and suppository Used for relaxation in antenatal exercises Position for sigmoidoscopy and protoscopy PROCEDURE Explain the procedure to the patient

24. CONTD… Provide privacy Place the patient on the side Place small pillow under head and neck Place pillow under flexed upper arm, supporting arm level with shoulder. Place pillow under flexed upper leg, supporting leg level with hip. Place sand bags parallel to plantar surface of dependent foot.

25. TREDLENBERG POSITION In this the patient lies on the back with the head low. The foot of the bed is elevated at 45˚ angle. Entire frame of bed is tilted with head of bed down. INDICATION Used in emergency situations like shock, hemorrhage and hypotension Postural drainage Patients with deep vein thrombosis

26. PROCEDURE Explain the procedure to patient Place the patient in supine position Lower the head end of the bed or if it is not adjustable type, use bed block at foot end and tilt entire frame of bed down. OR elevate the foot end at 45˚angle. The patient is carefully supported to prevent from slipping.

27. KNEE CHEST POSITION The patient rests on the knees and the chest. The body is at 90˚ angle to the hips with back straight, the arm above the head, and the head turned to one side. The abdomen remains unsupported. INDICATION Used for vaginal and rectal examination Used in first aid treatment in cord prolapse or retroverted uterus As exercise for postpartum and gynecology patients.

28. PROCEDURE Explain the procedure to the patient Make the patient rest on the knees and chest The head is turned to one side with the cheek on a pillow. The arm should be extended on the bed and flexed at the elbows to support the patient partially.

29. SU M MARY In this presentation I have discussed about the Introduction of position, definition, purpose, Principles, types of position and there procedure and indication .

30. COCLUSION As per my presentation is done on positions in this topic I gain knowledge about the positions and its procedure and learn about how position is important for the therapeutic treatment.

31. ESSENTIAL OF DC DUTTA A “TEXT BOOK OF OBSTETRICS” 9 EDITION PUBLISHED BY JAYPEE BROTHERS THE NURSES ASSOCIATION OF INDIA “TEXTBOOK OF FUNDAMENTALS OF NURSING” SR.NANCY.PRINCIPLE AND PRACTICE OF NURSING 6 EDITION N.R BROTHERS BIBLIOGRAPHY

32. BASAVANTHAPPA. FUNDAMENTAL OF NURSING 2nd EDITION PUBLISHED BY JAYPEE BROTHERS POTTER AND PERRY FUNDAMENTAL OF NURSING,MOS BY PUBLICATION, 4 th EDITION https||www web. Com https||www Mobile slide share . Cont…