positioning and draping
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Positioningand
Draping
Presented by: Neil P. Cabilatazan
Section 1 Group 7
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Positioning
Why do we spend time on positioning?
Patient comfort/decrease pain
Support and stability to pt’s trunk &extremities
Prevent development of pressure sores
Prevent joint contractures
To have easier access to area being treated Decrease edema
Increased function
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Positioning
The most comfortable for the pt may notbe the best for them
May need to be positioned to aid in thetreatment of a specific diagnoses orcondition
What about restraints?
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Considerations with positioning
Who is at risk?
Elderly
Those unable to change their own position
Those with decreased sensation
Those who may be unable to communicate
their discomfort
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Pressure Points To Consider
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When do we change position
Medicare standards = common practicestandards
Change every 2 hours
At the conclusion of treatment
Check with nursing on preference
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What do we use
Pillows
blankets
Heel protectors
Splints, slings & braces
Seat cushions
Wedges
Others??
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Standard Positions
Supine
ProneSide- lying
Semi-fowler
Sitting
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Standard Positions
Supine Pillow under head to keep c-spine neutral
Small pillow or towel roll for cervical support Support under popliteal space to lumbar
lordosis
Ankle support to relieve pressure on
calcaneus Support under elbows to relieve pressure on
bony prominence
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Supine Position
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Standard Positions
Prone Pillow under head
Pillow under lower abdomen to lumbarlordosis
Rolled towel under anterior shoulder toadduct (retract) scapula
Towel roll/pillow/bolster under ankles torelieve stress on hamstrings, also allowspelvis and lumbar spine to stay relaxed
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Prone Position
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Standard Positions
Sidelying Pt in center of bed – not near edge
Head, trunk, pelvis in alignment LE’s are flexed at hip & knee with pillows
btwn legs & top Le slightly forward of bottomLE
Pillow at chest &/or back for to prevent pt fromrolling
Pillow under top arm to keep chest open
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Sidelying Position
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Standard Positions
Semi-fowler
Head of bed is lifted 30° - can use pillow,
wedge or bolster as well Pillow under popliteal space
Used for breathing, eating, visiting
For a Fowler position head of bed is 45°
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Draping
Reasons for draping pt’s:
Privacy/modesty/dignity
Warmth Hygiene
How do you feel at the Dr’s office with noclothes on????
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Draping
Be sure you keep legal considerations inmind
What is the policy of the facility on door beingclosed, slightly open? Curtains?
Inappropriate comments or touch meandifferent things to different people
Protect yourself by being professional at alltimes