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hospital bed positions
Terms in this set (8)
The head of the bed is elevated with the foot of the bed down. A position of comfort for patients with gastrointestinal problems, and it can help prevent or minimize esophageal reflux.
The head of the bed is lowered and the foot of the bed is raised. Patients who have hypotension can benefit from this position because it promotes venous return.
The head of the bed is elevated 30 degrees. This position is useful for patients who have cardiac, respiratory, or neurological problems and is often optimal for patients who have a nasogastric tube in place.
The head of the bed is elevated 45 degrees. The patient's hips may or may not be flexed. You'll place pillows behind the patient's head and lower back and underneath the forearms, thighs, and ankles for support. You might also use a footboard to keep the patient's feet in proper alignment and to help prevent footdrop. Patients are often placed in this position to increase comfort, improve ventilation, and promote relaxation after thoracic surgery or for patients with cardiovascular problems.
Patient is halfway between the lateral and the prone positions. The upper arm is flexed at the shoulder and elbow, and the lower arm is positioned behind the patient. Both legs are in a flexed position in front of the patient, with the upper leg more flexed than the lower one. This position is most often used when patients are receiving an enema or for an examination of the perineal area. To keep the body in proper alignment in this position, place a pillow underneath the patient's head and under the upper arm to prevent internal rotation. Place another pillow between the legs.
The patient lies on one side of the body with the top leg in front of the bottom leg and the hip and knee flexed. This position helps relieve pressure on the sacrum and is especially useful for patients who are on bed rest and spend a lot of time supine or in Fowler's position. To maintain proper body alignment in this position, place a pillow under the patient's head and neck, another under the upper arm (with the lower arm flexed), and another between the legs to keep the hips properly aligned.
The patient lies on the abdomen with the head turned to one side. The hips are not flexed. Sometimes, one or both arms are flexed on each side of the patient's head. Because this position can cause hyperextension of the lower back, difficulty breathing due to pressure on the chest, and foot drop, it is not a position you'll use often. If a patient does lie prone, place a pillow under the patient's head and a small pillow or towel roll under the abdomen just below the diaphragm. Also, place a pillow under the lower legs to keep the toes from touching the bed.
Provides comfort in general and specifically for patients recovering from some types of surgery. To provide support and maintain body alignment in this position, place a pillow under the patient's head and shoulders and a towel roll or small pillow under the small of the back and under the thighs to keep the patient's knees slightly flexed. You can also elevate the patient's forearms on pillows placed at the patient's sides.
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