Positioning and Draping

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 1/20

Positioningand

Draping

Presented by: Neil P. Cabilatazan

Section 1 Group 7

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 2/20

Positioning

Why do we spend time on positioning?

Patient comfort/decrease pain

Support and stability to pt’s trunk &extremities

Prevent development of pressure sores

Prevent joint contractures

To have easier access to area being treated Decrease edema

Increased function

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 3/20

Positioning

The most comfortable for the pt may notbe the best for them

May need to be positioned to aid in thetreatment of a specific diagnoses orcondition

What about restraints?

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 4/20

Considerations with positioning

Who is at risk?

Elderly

Those unable to change their own position

Those with decreased sensation

Those who may be unable to communicate

their discomfort

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 5/20

Pressure Points To Consider

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 6/20

When do we change position

Medicare standards = common practicestandards

Change every 2 hours

At the conclusion of treatment

Check with nursing on preference

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 7/20

What do we use

Pillows

blankets

Heel protectors

Splints, slings & braces

Seat cushions

Wedges

Others??

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 8/20

Standard Positions

Supine

ProneSide- lying

Semi-fowler

Sitting

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 9/20

Standard Positions

Supine Pillow under head to keep c-spine neutral

Small pillow or towel roll for cervical support Support under popliteal space to lumbar

lordosis

Ankle support to relieve pressure on

calcaneus Support under elbows to relieve pressure on

bony prominence

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 10/20

Supine Position

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 11/20

Standard Positions

Prone Pillow under head

Pillow under lower abdomen to lumbarlordosis

Rolled towel under anterior shoulder toadduct (retract) scapula

Towel roll/pillow/bolster under ankles torelieve stress on hamstrings, also allowspelvis and lumbar spine to stay relaxed

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 12/20

Prone Position

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 13/20

Standard Positions

Sidelying Pt in center of bed – not near edge

Head, trunk, pelvis in alignment LE’s are flexed at hip & knee with pillows

btwn legs & top Le slightly forward of bottomLE

Pillow at chest &/or back for to prevent pt fromrolling

Pillow under top arm to keep chest open

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 14/20

Sidelying Position

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 15/20

Standard Positions

Semi-fowler

Head of bed is lifted 30° - can use pillow,

wedge or bolster as well Pillow under popliteal space

Used for breathing, eating, visiting

For a Fowler position head of bed is 45° 

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 16/20

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 17/20

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 18/20

Draping

Reasons for draping pt’s: 

Privacy/modesty/dignity

Warmth Hygiene

How do you feel at the Dr’s office with noclothes on????

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 19/20

8/3/2019 Positioning and Draping

http://slidepdf.com/reader/full/positioning-and-draping 20/20

Draping

Be sure you keep legal considerations inmind

What is the policy of the facility on door beingclosed, slightly open? Curtains?

Inappropriate comments or touch meandifferent things to different people

Protect yourself by being professional at alltimes