Positioning and Alignment

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CNA positioning and alignment

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Positioning and Alignment:

Positioning and Alignment Fowler’s, Lateral/side, Supine, Prone, and Sims’

Fowler’s Position:

Fowler’s Position Knock before entering the room. Identify and greet resident. Explain procedure. Wash hands. Provide privacy. Keep the spine straight. Raise the head of the bed to a 45-60 degree angle. Support the head with a pillow. Support the arms with pillows. Attach signal light within the resident’s reach. Wash hands and report & record observations.

Fowler’s Position:

Fowler’s Position Fowler’s Position is a semi-sitting position. The head of the bed is raised between 45 and 60 degrees. The knees may be slightly elevated. For good alignment: The spine is straight. The head is supported with a small pillow. The arms are supported with pillows. The nurse may ask you to place small pillows under the lower back, thighs, and ankles. Persons with heart and respiratory disorders usually breathe easier in Fowler’s position

Lateral/Side Position:

Lateral/Side Position Knock before entering the room. Identify and greet resident. Explain procedure. Wash your hands. Provide privacy. Raise bed rails. Raise the bed to best level for good body mechanics. Lower rail on side where you are working. Place a pillow under the resident’s head and neck Roll resident to side away from you. Place the upper leg in front of the lower leg. Support the upper leg and thigh with pillows. Place a pillow against the resident’s back. Place a small pillow under the upper hand and arm. Raise side rail. Lower bed. Lower side rail. Attach signal light within resident’s reach. Wash hands and report & record observations.

Lateral/side Position:

Lateral/side Position A person in the Lateral/side-lying position lies on one side or the other. For good alignment: The bed is flat. A pillow is under the head and neck. The upper leg is in front of the lower leg. ( The nurse may ask you to position the upper leg behind the lower leg, not on top of it.) The ankle, upper leg, and thigh are supported with pillows. A small pillow is positioned against the person’s back. The person rolls back against the pillow so that his or her back is at a 45-degree angle with the mattress. A small pillow is under the upper hand and arm.

Supine Position:

Supine Position Knock before entering the room. Identify and greet resident. Explain procedure. Wash your hands. Provide for privacy. Raise bed rails. Raise the bed to best level for good body mechanics. Lower rail on side where you are working. Place a pillow under the resident’s head and shoulders. Roll resident into supine position. Positon arms comfortably at each side. Raise side rail. Lower bed. Lower side rail. Attach signal light within resident’s reach. Wash hands and report & record observations

Supine Position:

Supine Position The Supine position (dorsal recumbent positon) is the back lying position. For good alignment: The bed is flat. The head and shoulders are supported on a pillow. Arms and hands are at the sides. You can support the arms with regular pillows. Or you can support the hands on small pillows with the palms down. The nurse may ask you to place a folded or rolled towel under the lower back and a small pillow under the thighs. A pillow under the lower legs lifts the heel off the bed. This prevents them from rubbing on the sheets.

Prone Position:

Prone Position A person in the Prone position lies on the abdomen with the head turned to one side. For good alignment: The bed is flat. Small pillows are placed under the head, abdomen, and lower legs. Arms are flexed at the elbows with the hands near the head. You also can position a person with the feet hanging over the end of the mattress. A pillow is not needed under the feet. Most older persons do not tolerate the prone position. They have limited range of motion in their necks. The upper leg is supported with a pillow A pillow is under the upper arm and hand

Sims’ Position:

Sims’ Position The Sims’ position (Semi-prone side position) is a left side-lying position. The upper leg (right leg) is sharply flexed so it is not on the lower leg (left leg). The lower arm (left arm) is behind the person. For good alignment: The bed is flat. A pillow is under the person’s head and shoulder. The sims’ position is also not tolerated by most older persons. The upper leg is supported with a pillow A pillow is under the upper arm and hand

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MADE BY: ANDREA SHELTON 5/28/17

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