Comfort positions for patient
Positions are used to promote comfort of the
client. The comfort position helps patients to relieve pressure sore, ulcers,
discomforts etc.
The major therapeutic positions are
Prone position:
The
main uses of this position are
Ø To
assess the hip joint
Ø To
give better comfort
Ø To
assess the posterior thorax
Ø To
provide comfort to the patient with injuries, burns and surgeries of the back
Ø To
the patients after giving anesthesia to prevent aspiration of saliva, mucus and
blood
The major contraindications
are
Ø The
client with respiratory or spinal surgery
Ø The
client after abdominal surgery
SUPINE/DORSAL/HORIZONTAL
RECUMBENT POSITION
The client lies flat on back with legs extended and knees slightly flexed. Keep pillows under the head, knees and calves to raise heels off the mattress. Aircushion under the buttocks to takeoff the pressure and thereby prevent pressure sore.
The main uses of this position are
Ø To
check the vital signs
Ø To
take head to foot physical examination
Ø For
comfort of the patient
Ø After
surgeries involving the anterior portion of the body
The major contraindications are
Ø client
with aspiration or convulsion
Ø surgeries
on the back
DORSAL
ELEVATED OR SEMI RECUMBENT POSITION
Patient lies in the bed with
two or more pillows which may be arranged in armchair fashion to support the
shoulders, elbows and arms.
Uses of this positions are
Ø Client
in convulsion
Ø Client
with minor respiratory diseases
LEFT LATERAL POSITION
With one pillow under the head, patient is
placed to lie on the left side
The uses of this positions are:
Ø For
giving Enema
Ø For
inserting suppositories
Ø To
take rectal examination
Ø To
take rectal temperature
LATERAL OR SIDE LYING POSITION
The client lies on the side with weight on his
hips and shoulder. Keep pillows under leg arm head and back. The trunk should
be at right angle to the bed.
The major uses of this position are:
Ø To relieve pressure on bony prominences of the
back and sacral region
Contra indications of this
position are
Ø After
hip surgery
Ø After
orthopedic surgery
FOWLER’S
POSITION
Client‘s
head is raised to 80° - 90°. Back rest and additional pillows are necessary to
keep this position more comfortable. An aircushion under the buttocks prevents
the pressure over sacral areas. The knees may be raised over a knee pillow or a
bolster to prevent the client from slipping
The uses of this position are
Ø To
improve cardiac output
Ø To
relieve breathing difficulty
Ø To
relieve tension
Ø To
help in the drainage of the abdominal cavity
Ø To
relax the large muscles of the back and thighs
Contraindication
Ø After
brain surgery and spine surgery
The client is propped-up in a sitting position by means of back rest
and pillows. Place an overbed table in front with a pillow on it. The client
has an aircushion to sit and a small pillow under the knees
Uses of this position are
Ø For
cardiac asthma patient
Ø Cardiac
disease patient who cannot breath easily
in lying down position
POSITION USED FOR PHYSICAL EXAMINATION
STANDING POSITION/ERECT POSITION
The main uses of this position are
Ø To
assess posture, balance and gait
Ø Orthopedic
examination
Ø Assessment
of neurologic disorders
SITTING POSITION
The
client sits on a chair or on the side of the bed or examine table. Keep both
hand aside and chin up and spin straight. The angle between thigh and chest
should be 90 degree angle.
Uses of this positions are
Ø It
allows visualization of the upper body
Ø Facilitates
full lung expansion
Ø To
assess vital signs
Ø It
is used to assess the head, neck, anterior and posterior thorax,
lungs,heart,breast and upper extremities.
DORSAL RECUMBENT POSITION
With
leg separate, client lies on back. Knees flexed and soles of the feet flat on
the bed or table. One pillow should keep under the head for comfort.
The main uses of this dorsal recumbent position
are
Ø Assessment
of head ,neck ,anterior thorax and lungs
Ø Vaginal
and Vulval examination
Ø To
exam rectum
Ø For
urinary catheterization
SIM’S LATERAL /LEFT LATERAL PORN POSITION
Client lies on the left side with one pillow
under the head,and the left cheek resting on it. Keep left arm behind the back
and the right arm may be in a position comfortable
for the client. The right thigh is flexed against the abdomen
The main use of this position is to examination of vagina and rectum
The client lies supine position with his or her
hips flexed and calves and heels parallel to the floor. The buttocks should
place at the edge of the exam table and heels in the stirrups. One pillow is
placed under the head
This position is useful for
Ø Gynecological
examination and treatment
Ø Genitourinary
surgery
Ø Assessment
of genitalia and rectum
Contraindication
of this positions are
Ø Immobilizing
arthiritis
Ø Joint
deformity
KNEECHEST
POSITION
The
client lies prone on the knees and chest. The head is turned to one side with
the cheek on the pillow. The arms are above the head or they may be flexed at
the elbows and rest along the sides of the head. So as to support the
client. The weight of the client should
rest on the chest and knees. The thighs are at the right angles to the
legs
The uses of this position are
Ø To
examine the rectum and vagina
Ø For
sigmoidoscopy
Ø Exercise
for postpartum clients
Contraindiactions of this positions are
Ø Joint
deformity
Ø Arthritis
TRENDLENBURG
POSITION
The
client lies supine with the head 30 to 40 degree lower than the feet or the
foot of the bed may be elevated at 45 degree angle. The operation table can
adjust to this position
The uses of this position are
Ø Examination
of the pelvic organs
Ø Operations
on the pelvic organs
Ø To
treat shock
Ø For
postural drainage
Ø Promote
venous return
Ø To
decrease blood pressure
These are the comfort measures which we are
giving to the patients to get a better therapeutic effects
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