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27 Cards in this Set

  • Front
  • Back

Importance of bed positioning

Prevent pressure ulcers (bedsores) and soft tissue contractures

This must always be considered in positioning

patient's comfort

How frequent should you change the patient's position?

at least every 2 hours

These are used in juxtapositioning to prevent deep vein thrombosis

Compression stockings or lower extremity pneumatic devices

Compression stockings and lower extremity pneumatic devices are used to prevent?

Deep vein thrombosis

Where should we put the greatest pressure?

Over the tissues that cover bony prominences

Bony prominences that may cause pressure injuries in the head and trunk area in supine position

Occipital Tuberosity


Spine of Scpaula


Inferior angle of Scapula


Vertebral spinous processes


Posterior Iliac Crest


Sacrum

Bony prominences that may cause pressure injuries in Head and trunk area in Prone position

Forehead


Lateral ear


Tip of Acromion process


Sternum


ASIS

Bony prominences that may cause pressure injuries in head and trunk area in Side-lying position (LE)

Lateral ear


lateral ribs


Lateral acromion process

Bony prominences that may cause pressure injuries in head and trunk area in side-lying position (UE)

N/A

Bony prominences that may cause pressure injuries in head and trunk area in Sitting position

Ischial tuberosities


Scapular and vertebral spinous process (if leaning against chair)


Sacrum (if slouched)

Bony prominences that may cause pressure injuries in UE in Supine position

Medial epicondyle of humerus


Olecranon process

Bony prominences that may cause pressure injuries in UE in prone position

Anterior head of humerus


Clavicle

Bony prominences that may cause pressure injuries in UE Side-lying position (Lowermost Extremity)

Lateral head of humerus


Medial or lateral epicondyle of humerus

Bony prominences that may cause pressure injuries in UE in side-lying position (uppermost extremity)

Medial epicondyle of humerus (if resting on hard surface)

Bony prominences that may cause pressure injuries in UE in sitting position

Medial epicondyle of humerus


Olecranon process (if resting on hard surface)

Bony prominences that may cause pressure injuries in LE in supine position

POsterior calcaneus


Greater trochanter


Head of Fibula


Lateral malleolus (w/ excessive external rotation of hip)

Bony prominences that may cause pressure injuries in LE in prone position

Patella


Ridge of Tibia


Dorsum of foot

Bony prominences that may cause pressure injuries in LE in side-lying position (lowermost extremity)

Greater trochanter


Medial and lateral condyles of femur


Fibular and Tibial malleolus


Fifth metatarsal

Bony prominences that may cause pressure injuries in LE in side-lying position (uppermost extremity)

Medial condyle of femur


Tibial Malleolus

Bony prominences that may cause pressure injuries in LE in sitting position

Greater trochanter


Popliteal fossa


Posterior calcaneus (if resting against hard surface)

This position should not be maintained to prevent contractures or shortening of hip and knee flexors

Bolster under the knees

This should be avoided when placing a bolster under the pt's ankles

Knee hyperextension

Should the hand be placed higher or lower than the elbow to prevent dependent edema in a supine position?

Higher

Where should a wedge towel placed to maintain the hip and neutral position of the hip?

Against the lateral aspect of the soft tissue of the thigh and lower leg

Use of pillow under the anterior portion of the ankles in the prone position relieves but also can shorten?

Knee Flexors

This is done to expose or free an area to be treated while addressing modesty conerns

Draping