Positioning: Types of Position

types of position in positioning the client
Positioning is putting the client in an appropriate position to prevent the development of a complication and to promote function. The client's position depends on the client's physical condition or surgical operation. Here are the nine types of position in positioning the client:

1. Supine Position

Client lies on the back with/without small pillow under the head and shoulders. This position is commonly use for clients while resting or clients with post lumbar puncture (no pillow).

2. Prone Position

Lying on the abdomen, head turned to either left or right side. Clients with meningocele, post amputation (after the first 24 hours) and post-tonsillectomy should be in a prone position.

3. Side-Lying Position

Client lies on the side, partially on the abdomen. Clients with seizures are placed in side-lying position to prevent aspiration and further injuries. Clients with supine vena cava syndrome and fetal heart rate deceleration are also placed in side-lying position.

4. Sim's Position

Client lies on the side, semi prone with knee flex. Clients with rectal procedures and rectal surgery are placed in this position.

5. Lithotomy Position

Client lies on the back with feet on stirrups. This position is commonly used during delivery; others are perineal, rectal and vaginal procedures.

6. Modified Trendelenburg's Position

Lying on the back with feet elevated. This position is commonly used in clients during shock.

7. Low-Fowler's Position

Head of the bed elevated at 30 degrees. This is use when clients have increased ICP, dyspnea or after a cataract surgery.

8. Semi-Fowler's Position

Head of the bed elevated at 45 degrees. Clients with dyspnea, bleeding esophageal varies or after thyroidectomy are place in this position.

9. High-Fowler's Position

Head of the bed elevated at 90 degrees. Clients with dyspnea, status asthmaticus, pneumothorax, hiatal hernia and gastro esophageal reflux disease are place in this position.

The most comfortable position:

- for the dsypneic client: Fowlers
- for thoracentesis: sitting position
- after liver biopsy: right side lying
- after tonsillectomy and adenoidectomy: prone
- after lumbar puncture: supine without pillows for 8-10 hours

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