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19 Cards in this Set
- Front
- Back
- 3rd side (hint)
Supine, side-lying, prone |
Positions while in bed |
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Supine |
1)Patient resting on his back 2)Horizontal |
Recommended: After spinal surgery and administration of some types of spinal anesthetics |
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Variations of supine |
1) Fowler: elevating the head of the bed 60 to 90 degrees 2) Semi-fowler: Elevation of 30 to 60 degrees 3) Low fowler: Elevation of 15 to 30 degrees |
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Fowler, semi fowler, low fowler |
1) Improve cardiac output and respiration 2) Promote urinary and bowel elimination 3) Do not place a patient who had abdominal surgery in a fowler position unless ordered |
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Dorsal recumbent |
1)Patients lay on their back with knees flexed and soles of the feet flat 2) When used: Variety of procedures and examinations |
Variation of supine |
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Dorsal lithotomy |
1) Like dorsal recumbent except the feet are usually placed in stirrups and the legs are spread further apart and abducted 2) When used: Examining pelvic organs |
Variation of supine |
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Side-lying or lateral |
Rest on side |
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Sims position |
1) A variation of side lying 2) The weight is distributed over the anterior ileum, humerus, and clavicle |
Variation of side lying |
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Prone |
Lying face down |
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Knee chest |
1) Variation of prone; where the patient is face down on the bed with the head turned to one side 2) The chest, elbows, and knees rest on the bed and the thighs are perpendicular to the bed. The lower legs rest flat |
Variation of prone |
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Rom |
Full range of motion (ROM) exercises should be performed either actively or passively several times a day |
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Active ROM |
Patient can independently perform activities of daily living but for some reason is immobilized or limited in activity, or is unable to move one extremity to injury or surgery |
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Passive ROM |
Exercises are performed on the patient who cannot actively move |
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Suspected deep tissue injury |
1) Localized discolored intact skin that is maroon or purple, or blood filled blister resulting from damage to underlying soft tissue from pressure or shearing |
Painful, firm, mushy, boggy, warmer, or cooler when compared to adjacent tissue |
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Stage 1 |
An area of red, pink, or mottled skin that does not blanch with fingertip pressure No blanching |
Induration: Skin that feels hard |
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Stage 2 |
1) Partial thickness skin loss involving epidermis and or dermis 2) May look like abrasion, a blister, or shallow crater 3)Unblached deep |
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Stage 3 |
1) Full thickness 2) Skin loss looks like a deep crater and may extend to the fascia 3) Subcutaneous tissue is damaged or necrotic 4) May damage surrounding tissue 5)Drainage |
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Stage 4 |
1) Full thickness 2) Skin loss with extensive tissue necrosis or damage to muscle, bone, or supporting structures 3) Sinus tracts may be present 4) Eschar (build up of necrotic tissue) |
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Unstagable |
1) Loss of full thickness of tissue 2) Eschar/slough |
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