Bed Positionsfornursing PDF PDF

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@ShopWithKey on Etsy Patient Type

Position Arm elevated on pillow Turn only to unaffected side and back

Why? Promotes lymphatic fluid drainage from accumulating (decreases lymph edema).

Semi-Fowler’s (HOB usually about 30 -45 degrees); Head midline, no head flexion Do not position client on side where there is a removed bone flap Side-lying

Reduces ICP by allowing venous drainage from head. Head flexion will increase ICP. Lying on side where there is a bone flap will increase ICP. Allows secretions to drain from mouth and prevents aspiration.

COPD/Respiratory Distress

High Fowler’s Elevate HOB 90 degrees Tripod or orthopneic position

Increases maximum lung expansion, allowing for more ventilation and oxygenation.

Enema administration

Left-lateral or Sim’s position

Allows solutions to flow by gravity into the natural direction of the colon.

Leg amputation

Elevate affected limb on pillow x 24 hours only Prone as tolerated, 20-30 mins at a time, at least twice daily

Thyroidectomy

Head midline Semi-Fowler’s to Fowler’s (30 to 45 degrees) Support neck while turning/moving

Reduces edema post-op, however, after 24 hours, DO NOT elevate stump because it can lead to contractures. Prone position will stretch out hip and leg muscles to prevent hip flexion contraction. Reduces swelling and edema in the neck area.

Shock

Modified Trendelenburg

Mastectomy

Head injury/surgery

Immediate post-op/post procedure (in clients who aren’t yet alert)

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This will aid in perfusion of upper body and head without causing pulmonary edema.

@ShopWithKey on Etsy Thoracentesis

Seated upright at side of bed, with an overbed table in front of client.

This will exposure required area for procedure.

Liver biopsy  During  After

During: On the client’s left side to exposure liver area (which is on the right). After: On the client’s right side.

Left side during the procedure will expose the area for biopsy site. Right side after procedure will use gravity to help stop bleeding.

Paracentesis

Seated upright in chair or semi-Fowler’s in bed.

To exposure area for puncture site, as this will assist in insertion of needle.

Nasogastric or gastrostomy tubes  Nasogastric insertion  NG/GT feeding, irrigation

High Fowler’s for NG insertion. HOB at least 30 degrees (semi-Fowler’s) for NG/GT feeding, irrigation.

Laminectomy

Keep client straight Logroll the client

For insertion: It will aid in insertion by closing off the trachea and opening the esophagus. For NG/GT feed and irrigation: To prevent aspiration of gastric contents. To avoid twisting of the spine, as this may cause complications.

CVA  

Ischemic – Usually flat Hemorrhagic – HOB 30 degrees

Ischemia – Head flat to perfuse blood to head. Hemorrhagic – HOB 30 degrees to avoid ICP.

S/P Cardiac catherization

Bedrest x 6 hours Affected extremity straight HOB no more than 30 degrees

This position avoids pressure on the puncture site. Client can turn from side to side, but must avoid pressure on insertion site.

Maternal patient with dizziness

Left lateral

As the uterus enlarges, pressure on the inferior vena cava increases. This pressure compromises venous return and causes blood pressure to drop, which may lead to syncope and accompanying symptoms when the client is supine. Turning the client on her left side relieves pressure on the vena cava, restoring normal venous return and blood pressure.

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Ischemic Hemorrhagic...