396 Unit 4 Healthcare Skills Copyright Goodheart-Willcox Co., Inc. Positioning a Patient in Bed Some doctors may prescribe a specifi c schedule to make sure patients are placed in different positions, particularly when they are confi ned to a bed, or bedridden. Whether or not there is a doctor's order, patients should be moved every two hours. At minimum, they should be rotated through at least four body positions, unless a particular position is contraindicated, or harmful. Position changes and the types used should be recorded to make sure the schedule is maintained. Fowler’s Position • The patient is seated in bed and the head of the bed is raised to a 45° angle (Figure 13.31). • The patient’s knees may be elevated by placing a pillow under the knees. Semi-Fowler’s Position • The patient is seated in bed and the head of the bed is raised to a 30° angle (Figure 13.32). • Support the patient’s head with a pillow. • The patient’s knees may be elevated by placing a pillow under the knees. • Use a foot support such as a foot board to prevent foot drop, if prescribed by the appropriate provider. Supine Position • The patient is lying face up, fl at on her back (Figure 13.33). • The bed is fl at and both of the patient’s arms and legs are extended. • Support the patient’s head with a pillow. • Support the patient’s arms and hands with pillows, if necessary. • Support the small of the patient’s back with a small rolled towel or blanket. You may also place a small folded towel under the knees to relieve strain on the back. • If prescribed by the appropriate provider, a foot board may be used to prevent foot drop. • A trochanter roll may be used to prevent the patient’s hips from rotating outward. • Use padding to protect pressure points on the patient’s elbows, knees, and the tailbone. contraindicated term that describes any situation or condition that causes a particular type of treatment to be improper or undesirable 45° ©Body Scientific International Figure 13.31 Fowler’s position 30° ©Body Scientific International Figure 13.32 Semi-Fowler’s position ©Body Scientific International Figure 13.33 Supine position
Health Science: Concepts and Applications, 1st Edition Page 396 (420 of 672)
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396 Unit 4 Healthcare Skills Copyright Goodheart-Willcox Co., Inc. Positioning a Patient in Bed Some doctors may prescribe a specifi c schedule to make sure patients are placed in different positions, particularly when they are confi ned to a bed, or bedridden. Whether or not there is a doctor's order, patients should be moved every two hours. At minimum, they should be rotated through at least four body positions, unless a particular position is contraindicated, or harmful. Position changes and the types used should be recorded to make sure the schedule is maintained. Fowler’s Position • The patient is seated in bed and the head of the bed is raised to a 45° angle (Figure 13.31). • The patient’s knees may be elevated by placing a pillow under the knees. Semi-Fowler’s Position • The patient is seated in bed and the head of the bed is raised to a 30° angle (Figure 13.32). • Support the patient’s head with a pillow. • The patient’s knees may be elevated by placing a pillow under the knees. • Use a foot support such as a foot board to prevent foot drop, if prescribed by the appropriate provider. Supine Position • The patient is lying face up, fl at on her back (Figure 13.33). • The bed is fl at and both of the patient’s arms and legs are extended. • Support the patient’s head with a pillow. • Support the patient’s arms and hands with pillows, if necessary. • Support the small of the patient’s back with a small rolled towel or blanket. You may also place a small folded towel under the knees to relieve strain on the back. • If prescribed by the appropriate provider, a foot board may be used to prevent foot drop. • A trochanter roll may be used to prevent the patient’s hips from rotating outward. • Use padding to protect pressure points on the patient’s elbows, knees, and the tailbone. contraindicated term that describes any situation or condition that causes a particular type of treatment to be improper or undesirable 45° ©Body Scientific International Figure 13.31 Fowler’s position 30° ©Body Scientific International Figure 13.32 Semi-Fowler’s position ©Body Scientific International Figure 13.33 Supine position
