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POSITIONING CLIENTS Cheat Sheet by

SEMI­-FO­WLE­R'S

DESC­RIP­TION:
Head of bed elevated to 30 degrees
INDI­CAT­IONS:
Gastric feedings
Head injury
Increased intrac­ranial pressure
Postop­erative following cranial surgery or cataract removal
Respir­atory illness

FOWL­ER'S

DESC­RIP­TION:
Head of bed elevated to 45-60 degrees
INDI­CAT­IONS:
Postop­erative following abdominal surgery, thyroi­dec­tomy, or cataract removal
Respir­atory illness or cardiac problems with dyspnea
Bleeding esophageal varies

HIGH­-FO­WLE­R'S

DESC­RIP­TION:
Head of bed elevated to 90 degrees
INDI­CAT­IONS:
Respir­atory illness with dyspnea
Emphysema
Status asthma­ticus
Pneumo­thorax
Cardiac problems with dyspnea
Feeding
During & after meals
Hiatal hernia
Insertion of nasoga­stric tube

SUPINE

DESC­RIP­TION:
Lying on back, head, and shoulders; slightly elevated with a small pillow
INDI­CAT­IONS:
Spinal cord injury (no pillow)
 

PRONE

DESC­RIP­TION:
Lying on abdomen, legs extended, and head turned to the side
INDI­CAT­IONS:
Pt who is immobi­lized or uncons­cious
Postop­erative following lumbar puncture 6 to 12 hr
Following pyelogram 12 to 24 hr (oil-based dye)
Postop­erative following tonsil­lectomy and adenoi­dectomy

LATERAL (SIDE-­LYI­NG)

DESC­RIP­TION:
Lying on side with most of the body weight borne by the lateral aspect of the lower ilium
INDI­CAT­IONS:
Postop­erative following tonsil­lec­tomy, adenoi­dec­tomy, and abdominal surgery
Client who is uncons­cious
Seizures (head to side)
Postop­erative pyloric stenosis of the lower scapula and the lateral (right side)
Postop­erative following liver biopsy (right side)
Rectal irriga­tions

SIMS' (SEMI-­PRO­NE)

DESC­RIP­TION:
Lying on left side with most of the body weight borne by the anterior aspect of the ilium, humerus, and clavicle
INDI­CAT­IONS:
Client who is uncons­cious
Enema admini­str­ation

LITH­OTOMY

DESC­RIP­TION:
Lying on the back with hips and knees flexed at right angles and feet in stirrups
INDI­CAT­IONS:
Perineal, rectal, & vaginal procedures
 

TREN­DEL­ENB­URG

DESC­RIP­TION:
Head and body lowered while feet are elevated
INDI­CAT­IONS:
Some surgeries
During labor if umbilical cord pressure is trying to be relieved

MODIFIED TRENDE­LEN­BURG

DESC­RIP­TION:
Supine with legs elevated
INDI­CAT­IONS:
Shock

REVERSE TRENDE­LEN­BURG

DESC­RIP­TION:
Head elevated while feet are lowered
INDI­CAT­IONS:
Cervical traction
Feeding pts restricted to supine position, such as postop­erative following cardiac cathet­eri­zation

ELEVATE ONE OR MORE EXTREM­ITIES

DESC­RIP­TION:
Elevate legs/feet or arms/hands by adjusting or supporting with pillows
INDI­CAT­IONS:
Thromb­oph­lebitis
Applic­ation of cast
Edema
Postop­erative following procedure on extremity

DORSAL RECUMB­ENT

DESC­RIP­TION:
Supine with knees flexed
INDI­CAT­IONS:
Urinary cathet­eri­zation of female
Urinary cathet­eri­zation of female
Abdominal data collection
Abdominal wound evisce­ration
                       

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