Ch 39 Examination Positions

Dorsal recumbent position

Used for digital vaginal or rectal exams. Gown is opened in the front.

Sims' position

Used for examination and treatment of the rectal area, enemas, rectal temperature and instilling rectal medications.

Jackknife position

Used for examine of the male urethra. Has to be a special table for this position.

Trendelenburg/Shock position

Used for patients with symptoms of syncope, trauma, hemorrhage, and dangerously low blood pressure. Never place an elderly patient in the position.

Anatomical position

Used for posture and movements

Proctologic position

Used for rectal and anal conditions such as thrombosed and internal hemorrhoids.

Knee-chest/Genupectoral position

Used for rectal exams, proctological exams and occasionally a sigmoidoscopy. This position causes the intestinal organs to move toward the chest area. Do not put patient in this position until the Dr. is ready to do the exam. IF the patient is placed on the knee-elbow then it is called GENUPECTORAL POSITION.

High-Fowler's position

Used for respiratory or cardiovascular problems.

Modified Trendelenburg position

Used for syncope, and used with a manual table.

Lithotomy position

Used for vaginal or rectal examinations, catheterizations, and male genital area.

Prone position

Used to examine the spine and structures of the back.

Horizontal recumbent/Supine position

Used to exams of breasts, abdominal organs (the anterior portion of the body)

Semi-Fowler's position

Used with respiratory or cardiovascular problems.