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

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?

• Supine-Long Term
• pillow under knees, back of head, cushion under heels, caution of hyperextension of the knees

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,

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.

WHAT POSITION IS THIS?

This position is halfway between the lateral and prone positions. Reduces pressure of posterior body structures.

SIMS' POSITION

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

Fowlers!

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!

WHAT POSITION IS THIS?
Promotes venous return and is used with patient's who have hypotension

TRENDELENBERG!

WHAT POSITION IS THIS?

often used with patients that have GI problems. Helps to reduce or prevent esophageal reflux

REVERSE TRENDELENBERG

WHAT POSITION IS THIS?

often used for patients who have difficulty breathing; allows chest to expand fully

Orthopneic Position