Different Positions Used by Nurses When Nursing Their Patients

POSITIONS USED BY NURSES IN NURSING OF PATIENTS

The different positions are used in nursing of clients so as to create appropriate body posture in caring for the patient. In some positions there might be need for supportive aid in order to maintain correct alignment and ensure comfort.

 SUPINE POSITIONS

The back of the head rests flat on the bed or on a pillow.

  1. DORSAL RECUMBENT POSITION

The head and the shoulders are slightly elevated with a pillow. The legs lay flat against the bed. The hips and knees may be flexed.

USES:

  1. To maintain cervical or lumbar fraction in cases where straight alignment of the spine is required.
  2. Following injury or surgery of the spine.
  3. Following a lumbar puncture or spinal anesthesia, in order that the head will remain at the same level as body to prevent post puncture headache.

PRONE POSITION:

The body rests on a flat bed with the anterior of the body on the bed surface. The face points towards the bed with the head resting on the ear.

USES

  1. During convalescence or sleeping.
  2. For a change of position to relieve skin pressure.
  3. To prevent flexion contrition of the legs.
  4. While receiving a back message.

LATERAL POSITION

The body rests on the arm closet to the bed and flexed. The hips and legs are also flexed, to provide a broader base of support for the body stability.

USES:

  1. For patient’s comfort during rest.
  2. To relieve pressure when a change of position necessary.
  3. When a patient is unable to remain in the prone position for back massage.

 

  1. FOWLERS POSITION

It is a sitting position. The client rests on the bed with the upper body elevated. The patient sits at an angle of 90°. The height of the head varies depending on the client’s physical need.

USES:

  1. In cases of dyspnoea (shortness of breath or difficulty in breathing).
  2. During resting, eating or drinking.
  3. While communicating with visitors.
  4. In a relaxing mood (watching television or reading books).
  5. In a relaxing respiratory distress as it aids in expansion of thoracic cavity.

SIMS POSITION

It is semi-prone with the client on the side with arm knee and thigh of the opposite side flexed and resting on the bed.

USES OFSIMS POSITION:

  1. For client’s comfort.
  2. To relieve the pressure against the skin of the clients back.
  3. For the unconscious client, to allow for easy oral secretion or swallowing.
  4. It prevents aspiration of secretion into the lungs.
  5. For administration of enema.
  6. For the examination of the vagina and rectum.

TRENDELENBERG POSITION

Client lies flat in either prone or supine alignment on an inclined surface with the feet elevated above the level of the head. The bed is positioned mechanically so that the mattress remains flat but the head of the bed is inclined lower than the foot of the bed.

USES OF TRENDELENBERG POSITION:

  1. For postural drainage-as the clients thoracic cave must be lower than the abdomen to drain secretions from the lungs.

REVERSE TRENDELENBURG

Some like the Trendelenburg except for the feet being lower that the head.

USES OF REVERSE TRENDELENBURG:

  1. In cases of esophageal reflux casual by hiatus hernia.
  2. In peripheral vascular disease to keep the legs lower than the body trunk as to increase the amount of blood flowing through the arteries.
  3. DANGLING POSTION

The client sits on the side of the bed with the feet dangling over its edge. Often this clients needs support to remain sitting upright by leaning against an over bed table (Cardiac table).

USES OF DANGLING POSTION : When a client had laid on a horizontal place for some time vertigo may result. Hence, he dangles at the bedside for some time before getting out of bed or walking.

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