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Submitted by:

Escalona, Grace Poliquit, Charife M. Ramirez, Dawn Kris Saavedra, Riza Mae Yee, Eric Henri

Submitted on:
July 26, 2011

Positioning a client in good body alignment and changing the position regularly and systematically are essential aspect of nursing practice. However, people who are weak, frail, in pain, paralyzed, or unconscious rely on nurses to provide or assist with position changes. Frequent change of position helps to prevent muscle discomfort, undue pressure resulting in

pressure ulcers, damaged to superficial nerves and bloodvessels

Description: Client lies face down. Patient lies on abdomen with head turned to one side for comfort. Arms may be above head or alongside body. Indication: Alternate position for immobilized patient. Used to examine spine and back.
Nursing responsibilities:

Cover with sheet or bath blanket. NOTE: An unconscious patient, or one with an abdominal incision or breathing difficulty usually cannot lie in this position.

Description:

Client lies flat on the back


Indication:

Clients on bedrest, post spinal surgery and post anesthesia


Nursing responsibilities:

Not for clients with dyspnea or those at risk for aspiration.

Description:

Client lies on the side with weight on the hip and shoulder, with pillows support legs, arm, head and back.
Indication: A choice position for clients with pressure sore on bony prominence of back and sacrum. Nursing responsibilities: Not for clients with hip replacement and other orthopedic surgery.

Description: In this semi prone position, the client lies on the side weight distributed toward the anterior ileum, humerus, and clavicle with pillows support on flexed arms and legs. Patient is on left side with right knee flexed against abdomen and left knee slightly flexed. Left arm is behind body; right arm is placed comfortably. Indication: Used for rectal examination. Nursing responsibilities: Patient with leg injuries or arthritis usually cannot assume this position.

Description: Sitting position raises clients head 80-90 degree high with pillows support for head, arms and legs. Head rest is adjusted to desired height and bed is raised slightly under patient's knees Indication: Clients with difficulty in breathing. Used to promote drainage or ease breathing. Also for eating, improvement of cardiac output, and watching TV. Nursing responsibilities: Post spine or brain surgery.

Description:

With head elevated of 30-45 degree. Head rest is adjusted to desired height and bed is raised slightly under patient's knees.
Indication:

Clients with difficulty in breathing.


Nursing responsibilities:

Post spine or brain surgery.

Description:

Client lies supine with legs flexed and rotated outward.


Indication:

For vaginal examination


Nursing Responsibilities:

Description:

Lies prone with buttocks elevated and knees drawn to the chest
Indication:

Rectal procedures and examination

Nursing Responsibilities:

Arthritis and other joint deformity

LITOTHOMY POSITION
Description:

Lies supine with hips flexed and calves and heels parallel to the floor using stirrups.
Indications:

For vaginal and rectal examinations and procedures

TRENDELENBURGE POSITION
Description:

Lies supine with head 30-40 degree lower than the feet (shock position is flat with upper and lower extremities elevated by pillows.
Indication:

For postural drainage and promotion of venous return.


Nursing Precaution:

Increase intra-cranial pressure. Hypotension may result from this position,