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19 Cards in this Set

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Supine, side-lying, prone

Positions while in bed

Supine

1)Patient resting on his back


2)Horizontal

Recommended: After spinal surgery and administration of some types of spinal anesthetics

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

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

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

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

Side-lying or lateral

Rest on side

Sims position

1) A variation of side lying


2) The weight is distributed over the anterior ileum, humerus, and clavicle

Variation of side lying

Prone

Lying face down

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

Rom

Full range of motion (ROM) exercises should be performed either actively or passively several times a day

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

Passive ROM

Exercises are performed on the patient who cannot actively move

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

Stage 1

An area of red, pink, or mottled skin that does not blanch with fingertip pressure


No blanching

Induration: Skin that feels hard

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

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

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)

Unstagable

1) Loss of full thickness of tissue


2) Eschar/slough