Chapter 6 - Draping for Minimum Exposure and Maximum Dignity PDF

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Summary

Lecture notes from the Physical Therapy Procedures I class on chapter 6 regarding draping patients to maintain minimum exposure and maximum dignity....

Description

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Overview

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Maximizing patient comfort and dignity

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Covering with clinical attire

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Covering with linens

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Position-specific draping

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Appropriate Draping Provides

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Access to areas of the body for examination or treatment

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Protection of patient’s modesty and dignity

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Patient comfort and warmth

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Protection of vulnerable sites

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Protection of patient’s clothing

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Working with Survivors of Abuse or Trauma

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Exposure may trigger intense emotional reactions at any time during patient interactions.

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It is not always possible to know which patients have a history of abuse or trauma.

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For best outcomes, implement: good communication, informed consent, respect for boundaries, active patient involvement, and monitoring for signs of discomfort throughout the session

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Cultural Sensitivity

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When exposure of the body is required for examination or intervention, members of some cultures may 

prefer a same-gender health-care provider.

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be embarrassed when dressed in a hospital gown.

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not want to wear attire previously worn by others.

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have certain items of clothing that are not to be removed.

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Maximizing Comfort and Dignity

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Communicate clearly with the patient.

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Provide privacy for changing into and out of garments.

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Include a chaperone of the same gender as the patient when appropriate.

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Covering the Patient

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Clinical attire

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Gowns 

Typically open in back

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Can sometimes apply second gown opening in front

Pants and tops 

Typically drawstring-tie pants

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Appropriately sized

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Covering the Patient (cont.)

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Linens 

Expose only one area at a time

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Layering linens can help minimize exposure

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Secure edges

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Dispose of soiled linens appropriately

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Covering the Patient (cont.)

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Layering towels

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Exposing one leg at a time

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Covering the Patient (cont.)

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Draping in side lying

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Draping in sitting

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Summary

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Consider patient dignity in addition to access for treatment.

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Employ a confident touch, and secure edges of linens.

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Any patient may be a survivor of trauma or abuse; watch for signs of discomfort.

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Be aware of potential cultural preferences.

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Provide chaperones when appropriate....