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Purposes of Prolonged Positioning
comfort safety access to environment -- TV remote, call button, kill switch prevention of deformity and decubiti prevention of soft tissue contracture and joint ankyloses -- fusion of joint due to lack of movement promotes biomechanical alignment TERM 2
Purposes of Short Term Positioning
DEFINITION 2 comfort safety relaxation access to body regions for treatment TERM 3
After changing a patient's position for the first
time, when should you check on them again?
DEFINITION 3 check skin at pressure sites after 5-10 minutes and frequentlythereafter TERM 4
How long should a patient remain in a
position
DEFINITION 4 never for more than 2 hrsalthough there is no empirical evidence to support a specific length of time TERM 5
What should you always check after re-
positioning a patient?
DEFINITION 5 always check skin integrity upon re-positioning
When sitting, how often should pressure
release be done?
pressure release should be done every 10 minutesweight shifting, raising buttocksteach patient techniques TERM 7
When in the supine position, which bony
prominences should be protected?
DEFINITION 7 C7 spinous process spine of scapula olecranon humeral epicondyles PSIS sacrum occiput ischial tuberosity calcaneus TERM 8
When in the prone position, which bony
prominences should be protected?
DEFINITION 8 jaw AC joint clavicle ASIS patella/tibial tubercle spine of tibia dorsum of foot humeral epicondyles styloid processes at wrist TERM 9
When in a sidelying position, which bony
prominences should be protected?
DEFINITION 9 ear jaw acromion process greater trochanter medial femoral condyle of upper leg lateral femoral condyle of lower leg fibular head of lower leg medial malleolus of upper leg lateral malleolus of lower leg TERM 10
When performing positioning and draping,
what materials will you need?
DEFINITION 10 sheets pillows/pillow cases towels/towel rolls bolsters foot board foot stool wedge-shaped pillows
What is the side-lying position used
for?
short or long term for relaxation, sleep or treatment TERM 17
Elements of sidelying positioning
DEFINITION 17 pillow under head pillow between knees pillows front or back for support protection of bony prominences TERM 18
When would a prone-relaxed position be used
long term?
DEFINITION 18 relaxation prevents hip flexion contractures especially if patient is in wheel chair often knee flexion contractures TERM 19
When would a prone-relaxed position be used
short term?
DEFINITION 19 treatment TERM 20
Who is the prone-relaxed position good
for?
DEFINITION 20 patients who spend lots of time in a wheel chair recent amputees who need to elongate knee and hip flexion
Prone relaxed positioning
towel folded under head head turned to side or supported with towel under forehead pillow under abdomen or ASIS as needed pillow under lower legs preferred feet off bed preferred arms at sides or sides of head TERM 22
When would prone-extension be used long
term?
DEFINITION 22 not for more than 2 hrs prevent deformities prevent adaptive shortening of soft tissues to elongate and promote hip extension TERM 23
Prone extension positioning
DEFINITION 23 no pillows specifically feet over edge of bed arms over head as able to elongate protect bony prominences as neccessary TERM 24
Purpose of a sitting position for short term?
DEFINITION 24 treatment relaxation facilitation of breathing TERM 25
Sitting positioning
DEFINITION 25 feet supported by floor or stool arms supported on pillows in lap or on plinth support head forward on plinth with towel folded
A PT drapes to expose
what?
1 UE
1 LE
both UE's -- towel roll along torso both LE's -- diaper drape RE's LE's Upper back Lower back Buttocks Seated -- toga drape
