Flex tape meme child11/21/2023 Supine or dorsal recumbent is used for general examination or physical assessment. It provides comfort in general for patients under recovery after some type of surgery. In supine position, legs may be extended or slightly bent with arms up or down. Supine position, or dorsal recumbent, is wherein the patient lies flat on the back with head and shoulders slightly elevated using a pillow unless contraindicated (e.g., spinal anesthesia, spinal surgery). The following are the commonly used patient positions, including a description of how they are performed and the rationale: Supine or Dorsal Recumbent Position A person with the heaviest load coordinates the efforts of the nurse and initiates the count to 3.Tighten abdominal muscles and gluteal muscles in preparation for the move.Use your arms and legs and not your back.Flex your knees and keep your feet wide apart.Avoid twisting your back, neck, and pelvis by keeping them aligned.Observe good body mechanics for your and your patient’s safety. When moving patients, lift rather than slide to prevent friction that can abrade the skin making it more prone to skin breakdown. Repositioning the patient every two hours helps prevent complications like pressure ulcers and skin breakdown. Note that any correct or incorrect position can be detrimental to the patient if maintained for a long time. Adjust or reposition the client’s bed so that the weight is at the nurse’s center of gravity level. Bed boards, slide boards, pillows, patient lifts, and slings can facilitate the ease of changing positions. Positioning may not be a one-person task. When planning to move or reposition the client, ask for help from other caregivers. It will also be a form of exercise, increasing the client’s independence and self-esteem. Clients that can assist will save strain on the nurse. Determine if the client can fully or partially assist. Encourage the client to assist as much as possible.Rapport with the patient will make them more likely to maintain the new position. Explain to the client why their position is being changed and how it will be done. Remember these principles and guidelines when positioning clients: Proper execution is needed during patient positioning to prevent injury for both the patient and the nurse. Proper positioning allows ease of surgical access as well as for anesthetic administration during the perioperative phase. In surgery, proper positioning is a way to respect the patient’s dignity by minimizing exposure of the patient, who often feels vulnerable perioperatively.
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