This video is about the importance of understanding the different positions used in nursing. Knowing what each position promotes or prevents. Hope its helpful.
Which position do you like? Nah I don't
mean it like that! I mean is which
positions for NCLEX and nursing
do you know? When you're thinking about
positioning for NCLEX purposes
you want to think about what it's
promoting and what is preventing. So
always always always when you see it an
NCLEX question or nursing question that
states that they're putting their
patient in a semi Fowler's position or
in the lobotomy position you wanna think
about what is it trying to do for the
patient. What is it trying to
prevent. What is it trying to promote. So keep
that in mind and you'll do fine with
these positioning. So what I'm going to
do is leave a picture of each position
and I'm also going to leave a detailed
explanation of what it does, what it
promotes and what it prevents. I don't
want to mess this up for you guys so I'm
going to keep it right there
and just read it out. Hope you don't
mind that. So let's keep it going!! Flat or Supine.
So the patient is laid flat on the back.
the back is in alignment, avoids hip
flexion, legs are straight out which can
compress arterial flow. While the
patient's in this position, the biggest
risk to this patient are pressure ulcers.
so for this patient you always want to
turn them every two hours especially for
the elderly. Dorsal recumbent: patient
supine with knees flexed and it's very
comfortable
the knees are flexed so be careful with
this because when the knees are flexed
circulation is being cut off and there's
a huge risk for blood clots because it's
not flowing. So have the patient in
position for short periods of time and
this position is used for vaginal and
rectal exams. Lateral Sims: the patient
is laying on their left or right side,
the top of the arm is flexed and the
upper legs are flexed at the knee and
hip. This position allows drainage of
oral secretions which prevent aspiration.
the patient's laying on the left side is
used for enemas. When a patient is
positioned on the right side it is great
for patients who have seizures or is
undergoing a liver biopsy. Again the
patient on the left side, lateral side its
used for fetal maternal distress. Side
with leg bent: Since this is the fetal
position; that's my favorite!
This position allows for drainage of
oral secretions and it decreases
abdominal tension elevation of the
extremities.
it increases venous return. It increases
blood volume to extremity meaning that
there's more circulation. Fowler's: this
when the head is elevated and there's
different degrees. So remember there's
high Fowler's, Fowlers, semi Fowler's, lower
Fowler's. So when your patients in the
Fowler position of any degree this is
great for patients with respiratory or
cardio vascular problems. These
positions increase venous return. It
allows for maximal lung expansion. So it
promotes healthy optimal breathing. it
reduces abdominal discomfort so the
patient's more relaxed. it prevents
aspiration and its used on patients with
automatic dysreflexia, appendicitis, post
mastectomy which promotes drainage.
Lithotomy" the patient is laid flat on
the back with thighs legs. So the legs
are Abducted. Remember Abducted, the knees
that they are away from each other so
the thighs are apart. The knees are
flexed which is a great risk for blood
clots because it is cut off of
circulation. Its
usually used for patients who are pregnant
and increases vaginal opening for the
vaginal examinations.
it's used for exams of the pelvic organs
and vaginal deliveries. Prone or on the
stomach: The patient is laid flat on
the abdomen, the head is turned to one
side, feet over the end of mattress to
support normal flexion. Knees can be
slightly flexed. This position promotes
extension of hip joint. Not well
tolerated by patients with and/or
cardiovascular problems. This position is
an alternative for patients who are
bedwritten.
make sure to rotate positions for low
limp amputee to promote extension of the
stump. Never use the prone position in
patients with difficulty breathing.
patients that are unconscious or
patients who have undergone abdominal
incision.
Reverse Trelendenburg: the body is
positioned flat but head of bed is at a 15
to 30 degree angle higher than the feet.
if used for surgery especially of the
abdomen and GU system. Which
position is your favorite? Thank you guys
so much for watching! Hope this video was
helpful for you and let me know what you
want to see next…
nursing videos and nclex videos let me
know I really would like to push out
more videos for you guys so thank you so
much for watching your the thumbs up if
you liked it and subscribe if you're new
join the FEARLESSRN family and check
me out on social media so we can talk a
little bit more and I'll see you guys
later good luck and bye

Leave A Comment

Your email address will not be published
*