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Nursing ProcedurePATIENT POSITIONING - LITHOTOMY & PRONE POSITION

PATIENT POSITIONING – LITHOTOMY & PRONE POSITION

LITHOTOMY POSITION

The patient lies on her back. The legs are separated and thighs are flexed on the abdomen and the legs are on the thighs. The patient’s buttocks are kept the edge of the table and legs are supported by stirrups.

Indications

  • This position is given during gynecological examinations, treatments, and operations on genitourinary system
  • For delivery of baby
  • For rectal examinations and operations

Procedure

  • Explain the procedure to the patient
  • Provide privacy
  • Position the patient to lie on his back with one pillow under the head
  • Keep the legs well separated and the thighs are well flexed on the abdomen and the legs on the thighs
  • Buttocks are kept on the edge of the table and the legs are supported on stirrups

Contraindications

Contraindications of this position are, patients with arthritis or joint deformity may be unable assume this position

PRONE POSITION

A patient lies flat on abdomen. Head turned to sideways. One soft pillow is given under head. An extra pillow is given under the ankles to keep toes from touching the bed.

Indications

  • This position used postoperatively to prevent aspiration of saliva and mucus
  • Used in postoperative cases, tonsils, vesicovaginal fistula and spinal cases
  • To prevent bed sores
  • To relieve abdominal distention
  • Used for patients having injuries and burns on back

Procedure

  • Explain the procedure to the patient
  • Provide privacy
  • Place the patient flat on abdomen with one pillow under the head
  • Turn patients head to one side and align the patient in good position
  • Support the body parts in good alignment for comfort
  • Place both arms lies at the sides of the heads

Contraindications

This position is not well tolerated by the elderly or patient with cardiovascular or respiratory problems

SUPINE & DORMANT  RECUMBENT

LATERAL & SIM’S

KNEE-CHEST/GENUPECTORAL & TRENDELENBURG’S

FOWLER’S & C-SHAPED

ROSE & RECOVERY

PATIENT POSITIONING

PATIENT POSITIONING – LITHOTOMY & PRONE POSITION - Purpose, Principles, Factors Involved, Types, General Instructions, Preliminary Assessment, Equipment and Procedure
PATIENT POSITIONING – LITHOTOMY & PRONE POSITION – Purpose, Principles, Factors Involved, Types, General Instructions, Preliminary Assessment, Equipment and Procedure

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