Bed Rest
- Days to weeks of bed rest to heal and recover was fairly common until the 1960s
- Today bed rest is generally used for patients with critically acute medical conditions and high risk pregnancy
- rarely lasts more than several hours to a day or so
Negative effects of Bed Rest
- compromised circulation and risk of DVT
- decreased ventilation and risk of pneumonia
- Decreased bone density and risk of osteoporosis
- slowing of body functions (bowel/bladder)
- loss of flexibility and risk of contractures
- loss of endurance
- loss of muscle strength and muscle mass
- prolonged pressure over bony prominences and risk of pressure ulcers
![card image](../uploads/1060/25/5511629_157153a2a6d__8000_00001051.png)
what position is this?
what are some of the points of pressure related to this position?
what considerations should you have for patients in this position?
![card image](../uploads/1061/26/5511629_157153a2a6d__8000_00001053.jpg)
- Supine-Long Term
- pillow under knees, back of head, cushion under heels, caution of hyperextension of the knees
![card image](../uploads/1062/27/5511629_157153a2a6d__8000_00001061.jpg)
what position is this?
what are some of the points of pressure related to this position?
what considerations should you have for patients in this position?
- Prone
- head support, pillow under hips, support to keep toes elevated,
![card image](../uploads/1064/29/5511629_157153a2a6d__8000_00001063.gif)
what position is this?
what are some of the points of pressure related to this position?
what considerations should you have for patients in this position?
- side lying position
- helps alleviate pressure on anterior and posterior structures.
- pillow or cushion b/w knees, under head, possible wedge behind back to prevent from rolls or falling.
![card image](../uploads/1066/31/5511629_157153a2a6d__8000_00001067.jpg)
WHAT POSITION IS THIS?
This position is halfway between the lateral and prone positions. Reduces pressure of posterior body structures.
![card image](../uploads/1067/32/5511629_157153a2a6d__8000_00001070.jpg)
SIMS' POSITION
![card image](../uploads/1068/33/5511629_157153a2a6d__8000_00001072.jpg)
WHAT POSITION IS THIS?
30-90 degrees; used for general comfort of patient and to improve ventilation. Use with patient's recovering from CV and other types of surgery. Head of bed is elevated 45 degrees
![card image](../uploads/1069/34/5511629_157153a2a6d__8000_00001076.jpg)
Fowlers!
![card image](../uploads/1070/35/5511629_157153a2a6d__8000_00001078.png)
WHAT POSITION IS THIS?
- 30 degrees
- this position is useful for patients with a variety of medical problems including cardiac, respiratory,m or neurological problems. Often a good position for patients who have a nasogastric tube.
SEMI-FOWLERS!
![card image](../uploads/1071/36/5511629_157153a2a6d__8000_00001080.png)
WHAT POSITION IS THIS?
Promotes venous return and is used with
patient's who have hypotension
![card image](../uploads/1072/37/5511629_157153a2a6d__8000_00001082.jpg)
TRENDELENBERG!
![card image](../uploads/1073/38/5511629_157153a2a6d__8000_00001084.jpg)
WHAT POSITION IS THIS?
often used with patients that have GI problems. Helps to reduce or prevent esophageal reflux
![card image](../uploads/1074/39/5511629_157153a2a6d__8000_00001086.jpg)
REVERSE TRENDELENBERG
![card image](../uploads/1075/40/5511629_157153a2a6d__8000_00001088.png)
WHAT POSITION IS THIS?
often used for patients who have difficulty breathing; allows chest to expand fully
Orthopneic Position