Positioning - Midterm Flashcards
long term positioning
maintain integrity of bodily systems (primary concern
is pressure ulcers)
2 types (integumentary and musculoskeletal)
integumentary
prevent pressures and sores
what is the primary cause of sores
negligence
what is the braden scale
used to assess the risk for development of pressure sores
what factors affect skin integrity
moisture, sensory perception, nutrition, activity, mobility
when do you reposition
every 2 hours
signs of a pressure sore
excessive erythema
reactive hyperemia
numbness/tingling
edema
blanch test
musculoskeletal
prevent loss of range of motion
the position of comfort is the position of mobility
contractures
shortening of soft tissue = loss of ROM
promoting comfort but preventing loss of ROM is priority to main function
4 types (supine, prone, side lying, sitting)
supine contractures
hip/knee flexors
ankle plantar flexors
shoulder extensors
should abductors
shoulder IRs
prone contractures
ankle plantar flexors
shoulder extensors/abductors/ IRs
cervical rotators
side lying contractures
hip flexors/adductors/ IRs
knee flexors
shoulder adductors/IRs
sitting contractures
hip flexors
knee flexors
shoulder adductors/IRs
neuromuscular system
pressure on peripheral nerves = pain, loss of sensation, loss of mobility
cardiovascular system
impaired circulation
orthostatic hypotension
DVT
breathing patterns
pneumonia
drainage and secretion elimination
