PATIENT POSITIONING – KNEE-CHEST/GENUPECTORAL & TRENDELENBURG’S POSITION

KNEE-CHEST/GENUPECTORAL POSITION

Patient is rest on the knees and the chest. The head is turned to one side with the cheek on a pillow. A pillow is placed under the chest. The weight is on the chest and knees.

Indications

  • This position is used for sigmoidoscopy
  • Used for vaginal and rectal examination
  • Used in first aid treatment in cord prolapse or retroverted uterus
  • As exercise for postpartum and gynecology patients

Procedure

  • Explain the procedure to the patient
  • Collect the needed articles at the bed side
  • Provide privacy
  • Make the patient rests on the knees and chest
  • The head is turned to one side with the cheek on a pillow
  • The arms should be extended on the bed and flexed at the elbows to support the patient partially
  • The weight should rest on the chest and knees which are flexed so that the thighs are at right angles to the legs

Contraindications

  • Patients with cardiovascular and respiratory problems cannot assume this position

TRENDELENBURG’S POSITION

In Trendelenburg’s position, the patient lies on his back. The patient’s head is low. The foot of the bed is elevated at 45 degree angle. The body is on an inclined place and the legs hang downward over the end of the table

Indications

  • Used in emergency situations like shock and hemorrhage
  • This position is used for vaginal surgeries
  • Used to displace intestines from pelvic cavity into upper abdomen
  • Used during operations on the pelvic organs
  • To arrest bleeding from lower limb

Procedure

  • Explain the procedure to the patient
  • Arrange the article need at the bed side
  • Provide privacy (if needed)
  • Place the patient lied on his back
  • Elevate the foot end at 45 degree angle
  • The body is on an inclined place with hips higher than the bed
  • The knees are flexed
  • The patient is carefully supported to prevent slipping
  • Draping done depends upon the kind of operation to be performed

SUPINE & DORMANT  RECUMBENT

LITHOTOMY & PRONE

LATERAL & SIM’S

FOWLER’S & C-SHAPED

ROSE & RECOVERY

PATIENT POSITIONING

PATIENT POSITIONING – KNEE-CHEST/GENUPECTORAL & TRENDELENBURG'S POSITION - Purpose, Principles, Factors Involved, Types, General Instructions, Preliminary Assessment, Equipment and Procedure
PATIENT POSITIONING – KNEE-CHEST/GENUPECTORAL & TRENDELENBURG’S POSITION – Purpose, Principles, Factors Involved, Types, General Instructions, Preliminary Assessment, Equipment and Procedure

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