Draping

Question 1

Draping for UE

Answer 1

• patient supine
• pillow under head and knees
• roll under achilles to prevent excessive pressure on heels
• sheet on top

Question 2

draping for LE in supine

Answer 2

cover them with LE exposed

Question 3

areas that are subject to the greatest pressure with prolonged time in supine

Answer 3

• external occipital protuberance
• thoracic spine and inferior angle of scapula
• PSIS
• sacrum
• posterior calcanei

Question 4

Possible contracture sites in supine

Answer 4

• knee flexion with extensive use of rolls under knees

- hip external rotation if legs allowed to roll out without support

Question 5

draping in prone

Answer 5

• pillow under pelvis and hips to decrease lumbar stress
• roll under anterior ankles to prevent excessive ankle plantar flexion
• small roll under forehead or head turned to side
• upper quarter exposed

Question 6

areas subject to greatest pressure in prone

Answer 6

• forehead
• anterior humeral head and tip of the acromion process
• especially if patient has forward shoulders
• ASIS
• patella and crest of tibia
• dorsum of foot

Question 7

possible contracture sites in prone

Answer 7

• knee flexion with extensive use of rolls under ankles

- plantar flexion contracture if no rolls placed under the knees

Question 8

positioning and draping in sidelying

Answer 8

• pillow under head to keep C spine in neutral
• pillow between knees and ankles to prevent excessive pressure
• pillow in anterior thorax region to position hand

Question 9

areas subject to greatest pressure with prolonged time in sidelying

Answer 9

• lateral aspect of head
• lateral acromion
• medial or lateral epicondyles of humerus
• greater trochanter of femur
• lateral malleolus

Question 10

possible contracture sites with patient in sidelying

Answer 10

hip adduction contracture if pillow isn’t placed between the knees

Question 11

areas subject to greatest pressure with patient in sitting

Answer 11

• Ischial tuberosity

- posterior thigh