![]() If you look at the back, you will notice that there are a lot of red words on here, which means that there is some really important stuff for you to know on this card. So if you have these, and you are following along with me, I'm starting on card number 30.Īll right. I'm going to be following along with our Fundamentals of Nursing flashcards, which are available on our website,. I'm Meris, and in this video, we are going to be talking about patient positions. This is what you would see for a patient who is having a gynecologic, rectal, or urological procedure. Lithotomy position is when your patient is lying supine, but their legs are flexed and abducted. In this position, gravity helps lower the risk of gastroesophageal reflux. In the reverse Trendelenburg position, the bed is flat, but tilted forward, so the head of the bed is higher than the foot of the bed. However, Trendelenburg position should not be used for a long time, because it can increase the intracranial pressure due to the blood rushing back to the head.Ĭheck out our Lab Values Flashcards for Nursing Students to learn more about expected intracranial pressure levels. Trendelenburg position is ideal for patients with hypotension, especially if they have shock. In the Trendelenburg position, the bed is flat, but tilted back, so the head of the bed is lower than the foot of the bed. Nurses are advocates, so if you are interested in making this change in your facility, we encourage you to advocate for a new name for the position. Your facility may still use the term Sims' position. Exaggerated runner's position is useful because it reflects how the position actually looks, like someone running in bed. In your clinical practice, exaggerated runner's position is a good term to use because it does not have an offensive and upsetting history, unlike the Sims' position. It is important when you provide culturally competent care, to think about how history impacts how we know medicine, how we practice medicine, and how we interact with our patients. Marion Sims, who was a surgeon in the 1800s who became known as "the father of modern gynecology." However, Sims only knew what he knew about gynecology by experimenting on enslaved women, without their consent, and without anesthesia, using experimental methods. This position is ideal for enema administration. The patient is lying on their left side, their leg is extended, their right leg is flexed at the hip. Exaggerated runner's position / Sims' positionĮxaggerated runner's position / Sims' position is a mix of lateral and prone position. Lateral position is your patient lying on their left or right side, with their weight on their hip and shoulder. This is one of the easiest interventions you can give to a patient who is having respiratory distress, and it is very noninvasive and safe. This is the ideal position to help with difficulty breathing. In high Fowler's position, your patient is sitting straight up with the head of the bed between 60 to 90 degrees. Sitting his patients up allowed gravity to assist with safer drainage. Fowler performed many abdominal surgeries, and noticed that accumulated drainage under the diaphragm was causing sepsis in patients who were lying down. Who was Fowler? Fowler's position is named for George Ryerson Fowler, a turn-of-the-century American surgeon. In Fowler's position, your patient is sitting up with the head of the bed between 45 and 60 degrees. So 45 degrees is about halfway between that. Semi-Fowler's is when your patient is sitting up, but they are at an angle between 30 and 45 degrees.Ī little geometry reminder: 0 degrees is flat (which would be supine), and 90 degrees is straight up (e.g., sitting up in a chair). Prone position helps prevent hip flexion contractures in patients who have had lower extremity amputations, and improves oxygenation in respiratory distress. Their head will usually be to one side or the other, but there are special pillows or shelves available so that patients can have a truly neutral neck and upper spine (i.e., be "facedown") if that is required. Prone position is your patient lying on their stomach in a neutral position. Neutral back means that the neck, pelvis, or otherwise are not twisted in any direction or hyperextended. Supine position is your patient lying on their back in a neutral back. But as you will learn, there is a science to positioning patients optimally depending on circumstances, conditions, and medical procedures. Can open heart surgery be performed while someone is lying on their front? Probably not. Patient positioning is assisting patients to move their bodies into specific positions that maintain a safe and healthy body alignment, provide optimal exposure to treatment sites, and/or prevent complications from immobility.īefore you learn about patient positioning, it might seem like one of those obvious things you never really think about. ![]()
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