Proper Patient Positioning Guidelines

مشاركات: 11504
اشترك في: الخميس إبريل 04, 2013 10:28 pm

Proper Patient Positioning Guidelines

مشاركةبواسطة دكتور كمال سيد » الجمعة نوفمبر 23, 2018 7:22 pm

Proper Patient Positioning Guidelines : Fowler's Position ... ning-blog/

The sitting position is a common surgical position, also known as the Fowler's position, and was named for George Ryerson Fowler. While used during some ear and nose procedures it is primarily used for shoulder surgery. A beach-chair table attachment is often used that allows for half of the backrest to be removed for improved access to the surgical site. Although the sitting position has been used for some craniotomies and cervical laminectomies; however, this is rare because negative venous pressure in the head and neck places patients at risk for potentially fatal air embolism.

The patient is initially positioned supine with the head supported with a secure headrest. The patient’s head, neck, and torso elevated 20 degrees to 90 degrees. The feet are supported on a padded foot rest and the foot of the table is slowly lowered, flexing the hips to 45 degrees to 60 degrees and the knees to 30 degrees.1 The upper portion of the table is then raised to become the backrest until the patient’s torso reaches an upright position. The patient’s arms can be at rest on a pillow on their lap or on an adjustable padded platform like the Versa-Board in front of them but never left to hang at their sides. Pressure points are similar to the supine position; and the AliGel Head Donut can be used to support the back of the head, however, the OR table should have well-constructed pressure-reducing pads like AliMed’s Deluxe Support Surface designed to give a higher degree of pressure redistribution, because the weight of the patient’s body rests on the ischial tuberosities and sacral nerve.

The supine position means lying horizontally with the face and torso facing up, as opposed to the prone position, which is face down. When used in surgical procedures, it allows access to the peritoneal, thoracic and pericardial regions; as well as the head, neck and extremities.

The Sims' position, named after the gynaecologist James Marion Sims, is usually used for rectal examination, treatments and enemas. It is performed by having a patient lie on their left side, left hip and lower extremity straight, and right hip and knee bent. It is also called lateral recumbent position.


Fowler's position is a standard patient position in which the patient is seated in a semi-upright sitting position (45-60 degrees) and may have knees either bent or straight . It is an intervention used to promote oxygenation via maximum chest expansion and is implemented during events of respiratory distress. Fowler's position facilitates the relaxing of tension of the abdominal muscles, allowing for improved breathing.
In immobile patients and infants, the Fowler's position alleviates compression of the chest that occurs due to gravity.
Fowler's position increases comfort during eating and other activities, is used in postpartum women to improve uterine drainage, and in infants when signs of respiratory distress present.
Fowler's position is also used when oral or nasal gastric feeding tubes have been implemented as it minimizes the risk of aspiration.
Peristalsis and swallowing are aided by the effect of gravitational pull.

There are several types of Fowler's positions : Low, Semi, Standard, and High Fowler's.
Low Fowler's position is when the head of bed is elevated 15-30 degrees, Semi-Fowler's position is 30-45 degrees, Standard Fowler's is 45-60 degrees, and High Fowler's position is 60-90 degrees.

It is named for George Ryerson Fowler, who saw it as a way to decrease the mortality of peritonitis : Accumulation of purulent material under the diaphragm led to rapid systemic sepsis and septic shock, whereas pelvic abscesses could be drained through the rectum.



Home Healthcare (10)
Hospital (22)
Imaging Centers (8)
Long Term Care (17)
Orthopedic (5)
Podiatry (6)
Rehabilitation (1)
Workplace Ergonomics (9)

Recent Topics

Ergonomic Safety (8)
Fall Prevention (6)
Health Conditions (6)
Infection Control (9)
Medical Imaging (2)
Orthopedics (6)
Patient Positioning (29)
Patient Transfer (5)
Pressure Sores (8)
Pressure Ulcers (6)
Radiation Protection (6)
Splints and Braces (6)
Surgical Supplies (2)
Thyroid Shields (1) ... ning-blog/

مشاركات: 2436
اشترك في: الأربعاء أغسطس 04, 2021 11:44 pm
مكان: Canada

Finest Greatest Blockchain Wallet Info Awesome Privacy App T

مشاركةبواسطة FrankJScott » الخميس أغسطس 12, 2021 9:46 pm

For the guy asking about end to end encryption web app, what is end to end encrypted messaging, uni coin price, casht uni, I highly suggest this recommended AI and blockchain matching. details not to mention unibot telegram, unimeal reviews, Human Rights issues, blockchain wallet login, trust, AI and blockchain matching., end-to-end encryption app download, Fully encrypted messaging App., look at this finest uniworld ecosystem advice on top of unwittingly, unimet, trust wallet review,, check in, best secure messaging app quora, trust wallet.apk, privacy protection password mi, try this coolest Crypto wallet Chat app tips for human rights protection association, data privacy issues ., end to end encryption apps, www.nwu.login, data privacy issues in information security management, peak defi wallet app, ubibot,, See More Recommended Custom Packaging Boxes Blog 742089f

مشاركات: 2436
اشترك في: الأربعاء أغسطس 04, 2021 11:44 pm
مكان: Canada

Cool Barn Light Info

مشاركةبواسطة FrankJScott » الأحد يناير 23, 2022 11:50 pm

For the man talking about techlighting, tech lighting pendant parts, slamp lighting clizia, slamp lighting website, I highly recommend this best steel ceiling light link not to mention lighting stores hamilton ontario canada, alora lighting globo, exterior light junction box home depot, outdoor lighting solar batteries, nemo lighting crown plana major, look at this new Steel Lighting Co details as well as slamp lighting toronto, tech lighting revit download, tech lighting replacement parts, lzf lighting swirl, karman lighting, try this useful farmhouse lighting tips for tech lighting nyra 28, tech lighting element 3 led, modern lighting canada online, artemide tolomeo lamp bulb, karman lighting canada, See More Top Farmhouse Lighting Forum d15_8ec

مشاركات: 2436
اشترك في: الأربعاء أغسطس 04, 2021 11:44 pm
مكان: Canada

Top Window Well Repair Details

مشاركةبواسطة FrankJScott » السبت فبراير 12, 2022 6:04 pm

To the man talking about sealing new concrete basement floor, what is the best paint for basement floor, how much does it cost to level a basement concrete floor, how to fix cracks in concrete floor basement, basement concrete floor cleaner, I highly suggest this useful sump-pump toronto site or sump pump toronto, what is the best covering for a concrete floor, basement concrete floor paint colors, how much does it cost to pour concrete garage floor, who do i call to fix sump pump, on top of this new window well repair site not to mention how to underpin a basement uk, basement concrete floor sealer, how much does it cost to do heated concrete floors, how to clean concrete basement floor before staining, how to seal cracks in concrete basement walls, as well as this high rated basement lowering Toronto url which is also great. Also have a look at this great basement lowering Toronto forum as well as how to fill in basement window well, concrete basement floor cleaning machine, underpin basement toronto, how long should my sump pump last, how much to underpin a basement in toronto, alongside all this top basement lowering Toronto link on top of is a sump pump required by code, pegasus underpinning toronto, underpinning toronto homestars, how deep should a sump pump discharge line be in michigan, how to fix cracks in concrete floor basement, not to mention top rated wet basement Toronto advice which is also worth a look. I also recommend this updated sump-pump toronto link not to mention how to fix cracks in concrete floor basement, how much does it cost to stain concrete floors, basement concrete floor stain ideas, how to stain concrete basement floor, how to fix foundation cracks in basement floor, alongside all this excellent sump-pump toronto details not to mention how to repair a crumbling concrete floor, wet basement waterproofing toronto, basement waterproofing toronto cost, basement concrete floor coatings, penetrating basement concrete floor sealer, on top of excellent wet basement Toronto forum which is also great. Finally, have a look at this recommended concrete floor toronto url for good measure. Check more New Business Massage Site 7eb0369

العودة إلى nursing

الموجودون الآن

المستخدمون المتصفحون لهذا المنتدى: لا يوجد أعضاء مسجلين متصلين و 1 زائر