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Bed Positionsfornursing PDF
HESI Saunders (Glendale Career College )
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Position
Arm elevated on pillow
Turn only to unaffected side and back
Why?
Promotes lymphatic fluid drainage from
accumulating (decreases lymph edema).
Semi-Fowler’s (HOB usually about 30-45
degrees); Head midline, no head flexion
Do not position client on side where there is a
removed bone flap
Side-lying
Reduces ICP by allowing venous drainage from
head. Head flexion will increase ICP. Lying on
side where there is a bone flap will increase
ICP.
Allows secretions to drain from mouth and
prevents aspiration.
COPD/Respiratory Distress
High Fowler’s
Elevate HOB 90 degrees
Tripod or orthopneic position
Increases maximum lung expansion, allowing
for more ventilation and oxygenation.
Enema administration
Left-lateral or Sim’s position
Allows solutions to flow by gravity into the
natural direction of the colon.
Leg amputation
Elevate affected limb on pillow x 24 hours only Reduces edema post-op, however, after 24
Prone as tolerated, 20-30 mins at a time, at
hours, DO NOT elevate stump because it can
least twice daily
lead to contractures. Prone position will
stretch out hip and leg muscles to prevent hip
flexion contraction.
Head midline
Reduces swelling and edema in the neck area.
Semi-Fowler’s to Fowler’s (30 to 45 degrees)
Support neck while turning/moving
Mastectomy
Patient Type
Head injury/surgery
Immediate post-op/post procedure (in clients
who aren’t yet alert)
Thyroidectomy
Shock
Modified Trendelenburg
This will aid in perfusion of upper body and
head without causing pulmonary edema.
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Thoracentesis
Seated upright at side of bed, with an overbed table in front of client.
This will exposure required area for
procedure.
Liver biopsy
 During
 After
During: On the client’s left side to exposure
liver area (which is on the right).
After: On the client’s right side.
Left side during the procedure will expose the
area for biopsy site. Right side after procedure
will use gravity to help stop bleeding.
Paracentesis
Seated upright in chair or semi-Fowler’s in
bed.
To exposure area for puncture site, as this will
assist in insertion of needle.
Nasogastric or gastrostomy tubes
 Nasogastric insertion
 NG/GT feeding, irrigation
High Fowler’s for NG insertion.
HOB at least 30 degrees (semi-Fowler’s) for
NG/GT feeding, irrigation.
Laminectomy
Keep client straight
Logroll the client
For insertion: It will aid in insertion by closing
off the trachea and opening the esophagus.
For NG/GT feed and irrigation:
To prevent aspiration of gastric contents.
To avoid twisting of the spine, as this may
cause complications.
CVA


Ischemic – Usually flat
Hemorrhagic – HOB 30 degrees
Ischemia – Head flat to perfuse blood to head.
Hemorrhagic – HOB 30 degrees to avoid ICP.
S/P Cardiac catherization
Bedrest x 6 hours
Affected extremity straight
HOB no more than 30 degrees
This position avoids pressure on the puncture
site. Client can turn from side to side, but
must avoid pressure on insertion site.
Maternal patient with dizziness
Left lateral
As the uterus enlarges, pressure on the inferior vena cava
increases. This pressure compromises venous return and
causes blood pressure to drop, which may lead to syncope
and accompanying symptoms when the client is supine.
Turning the client on her left side relieves pressure on the
vena cava, restoring normal venous return and blood
pressure.
Ischemic
Hemorrhagic
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