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49 Cards in this Set
- Front
- Back
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Objectives of maintaining a therapeutic environment |
Safety Calm Independence |
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Total of all external conditions and influences affecting an individual in the illness situation Essential for health promotion and recovery of health |
Therapeutic environment |
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Microorganisms are transfered through |
Air current |
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Why is it important to maintain a safety healthy environment |
Clean air and water, sanitation and green spaces, safe workplaces can enchance people's quality of life |
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Role of nurses |
Establish, provide and maintain a therapeutically safe and support environment |
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How to create, maintain a therapeutic environment |
Beddings, cleanliness of the environment, ensuring good lighting, supply of clean and safe water |
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Broad term used to denote and Coordinated by the muscles, bones and nervous system |
Body mechanics |
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Refers to the Positioning of joints, ligaments, fragments and muscles |
Body alignment |
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An essential aspect of nursing practice and a responsibility of the registered nurse |
Positioning patients |
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Goal of proper patient positioning |
Provide patient comfort and safety
Maintaining patient dignity and privacy
Allows maximum visibility and access
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Procedure in patient positioning |
Explain the procedure Encourage the client to assist as much as possible Get adequate help Use mechanical aids Raise the client's bed Frequent position changes Avoid friction and shearing |
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Patient lies flat on the back with head and shoulders slightly elevated |
Supine or dorsal recumbent position |
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Supine used for |
Used for general examination or physical assessment Assessment of the Anterior surface of the vody |
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Bed position where the head of the bed is elevated 45 to 60 degrees |
Fowler's position or semi sitting position |
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Low fowler |
15 to 30 degrees |
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Semi-fowler's |
30 to 45 degrees |
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High Fowler's |
Nearly vertical |
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Fowler position used for |
Greater chest and lung expansion Optimal for patients with nasogastrix tube |
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Etymology of Fowler's position |
George Ryerson Fowler - a way to decrease mortality of peritonitis |
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Places patient in a sitting position or on the side of the bed with an overbed table in front to lean on |
Orthopneic or tripod position |
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Orthopneic position used for |
Maximum chest expansion Patients who have problems exhaling |
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Patient lies on the abdomen with their head turned to one side |
Prone position |
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Prone position used for |
Extension of hips and knee joints Promotes drainage of mouth Used for neurosurgery on neck and spine surgeries |
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Patient lies on one side of the body with the top leg in front of the bottom leg and the hip and knee flexed |
Lateral or side lying position |
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Lateral position used for |
Relieve pressure on the sacrum and heels |
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A posture between the lateral and prone positions |
Sim's position or semi prone position |
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Sims' used for |
Prevent aspiration of fluids
Reduces pressure over the sacrum and greater trochanter
Used for clients receiving enema or treatments of the perineal area |
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Patient is on their back with hips and knees flexed and thigh apart |
Lithotomy position |
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Lithotomy used for |
Vaginal examinations and childbirth |
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Low lithotomy |
40 to 60 degrees Patients lower legs are parallel with the OR bed |
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Standard lithotomy |
80 to 100 degrees Patients lower legs are parallel with the OR bed |
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Hemilithotomy position |
Patient's non operative leg is position in standard lithotomy. The patients operating leg may be placed in traction |
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High lithotomy position |
OR bed surface is 110 to 120 degrees Patient's lower legs are flexed |
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Exaggerated lithotomy position |
130 to 150 degrees Patient's lower legs are almost vertical |
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Involves lowering the head of the bed and raising the foot of the bed of the patient |
Trendelenburg's position |
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Trendelenburg's used for |
For hypotensive patients Provide postural drainage of the basal lung lobes |
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The head of the bed is elevated with the foot of the bed down |
Reverse Trendelenburg's position |
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Reverse Trendelenburg's position used for |
Gastrointestinal problems Promotes stomach emptying and prevents reflux |
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Can be in lateral or prone position
Kneels on the table and lowers their shoulders unto the tabel |
Knee-chest position |
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Knee-chest used for |
For sigmoidoscopy
For gynecologic or rectal examination |
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Patient's abdomen lies flat on the bed. The bed is scissored so the hip is lifted and the legs and head are low |
Jackknife position or kraske |
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Jackknife used for |
Surgeries involving the anus, rectum, coccyx, back and adrenal surgeries Decreases venous return to the heart |
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Abdomen is placed over a lift in the operating table that bends the body |
Kidney position |
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Kidney position used for |
Access and visualization of the retroperitoneal area |
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Documentating patients position |
Date and time Explanation of the procedure Notation of the position Pertinent teaching is given Patient's response to the procedure |
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Basic principles of safe patient lifting and transferring |
Maximize patient independence Work close to the patients body Minimize forward and lateral movements and twisting Push/pull rather lift Use bed mechanics Use patients body movement Use weight transfer techniques |
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Use of assistive devices |
Draw sheets Trapezes Slide boards Transfer belts Mechanical lifts |
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Moving of the patients with special needs |
Frail Obese Paralyzed Tubes Casts Traction |
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Support devices for patient transferring |
Foot boots Hand tools Hand wrist splint Pillows Sandbags Side rails Bed boards Side boards Trochanter |
