Body Positions

Physiological effects: what are the four respiratory effects from the supine position?

1 compromise respiratory function 2 decreased vital capacity 3 decreased in diaphragmatic expansion 4 even distribution of lung ventilation

Physiological effects: what are the four cardiovascular effects from the supine position

1 decreased heart rate 2 increasing cardiac output 3 decrease in systolic pressure 4 venous pooling in lower extremities

Safety: what does the trendelenburg position increase?

Blood flow to the upper body

What is another name for supine position?

Dorsal recumbent

Safety: why should shoulder braces not be used and trendelenburg position?

Due to potential damage of the brachial plexus

What is the trendelenburg position

It's a modification of the supine position procedure table is tilted so that upper torso is lower and feet are raised

Safety: what safety considerations for trendelenburg position of knees

Knees over break in the table allowing flexing of the knee section of the bed

What are the considerations for the trendelenburg position

Patient flat on back with arms on padded arm boards patient's arms may be tucked at sides draw sheet should extend above the elbows and tucked between patient and the procedure bed mattress

Knee-chest/Genupectoral position

Patient kneels so that weight of body is supported by knees and chest, with abdomen raised, head turned to one side, and arms flexed.Rectal exams, proctological exams and occasionally a sigmoidoscopy. Hands folded under head, chest down to the table, knees separated. gown open in the back

What are the uses of trendelenburg position

Procedures on lower abdomen and pelvic organs when there is a need to tilt the viscera away from the pelvic area

What is the Kraske or jackknife position used for?

Rectal procedures and occasionally for a lumbarectomy procedures

Reverse Trendelenburg's position

The head of the bed is raised and the foot of the bed is lowered

dorsal recumbent (supine)

Used for examination of the abdomen, chest and breasts first of the two positions recommended for DRE

Low Fowler's Position

a bed-sitting position in which the head of the bed is elevated between 15 and 45 degrees, with or without knee flexion

When you should not use a Fowler's position:

after an abdominal surgery C/S

lateral recumbent

lying on either the left or right side

Sims position

lying on left side with right knee drawn up and with left arm drawn behind, parallel to the back.

High-Fowler's position is used for what?

orthopnea

The semi-Fowler's position is used for:

patient with difficulty breathing Increase comfort, improve ventilation, and promote relaxation after thoracic surgery or for patients with CV problems,position used to check stomach, heart and legs

what is low fowler for?

people use this position when snoring or sleep apnea is suspected

Semi-Fowler's Position

position is the position of a patient who is lying in bed in a supine position with the head of the bed at approximately 30 degrees.30 to 60 degrees or 45

Proctologic Position

position mainly used in proctocologists office used to examine colon, rectum and lower intestines

Trendelenburg's position

position used for patients that have orthostatic hypotension, trauma or syncope

supine position

position used to check extremities like stomach

prone position

position used to check spine alignment, shoulders, neck and legs

High Fowler's Position

resident sitting up almost straight, at 60 to 90 degrees

Fowler's position

sitting position achieved by elevating the head of bed, particularly useful for promoting respiration by allowing for maximal lung expansion Aids in enhancing respiration, Improves cardiac output, Facilitates diagnostic testing, Facilitates post-operative recovery, Eases eating and communicating, Facilitates elimination position used for posture, vitals, checking spine and reflexes

lithotomy position

the patient is lying on the back, face up, with the feet and legs raised and supported in stirrups. in this position make sure hips are on very edge of exam table, used for gynecological purposes such as pap smear