Appearing each month on, the series will explore each of the major modalities. This article continues our series of white papers on radiologic patient positioning techniques for x-ray examinations. 15-18.Dorsal and lateral decubitus patient positioning for abdominal x-ray exams By Dr. Brno, Czech Republic: Masaryk University, 2013. Ošetřovatelské postupy založené na důkazech.
Ošetřovatelské postupy a intervence: učebnice pro bakalářské a magisterské studium, Praha, Czech Republic: Motol University Hospital, 2012. moving the limbs and head during any interaction with the patient) Use "micro-positioning" (little changes in positions, i.e. change the patient's position every two hours, or every three or four hours during the night (total change of position).
most often used for unconscious patients, partially mobile and immobile patients.Positioning of patients in health care institutions when changing a patient's position, perform a skin assessment (appearance, colour, swelling, pain, other changes).it must provide for the patient's comfort.it must ensure the patient's safety (prevent falls and complications, e.g.the position must fulfil the purpose (examination, therapeutic effect, prevention).recovery – Rautek's position – for unconscious patients.Simson's position (semi-prone) – in plegics, paraplegics and tetraplegics.orthopneic position ( 1, 2, 3 ) – assumed by patients with orthopnoea – relief position for pulmonary and cardiovascular diseases.Fowler's and semi-Fowler's position – for common activities (feeding, reading, hygienic care), used in pulmonary and cardiovascular diseases, after thoracic and abdominal surgery.anti-Trendelenburg position (bed is tilted 15–30º) – supine (horizontal, on the back), the upper half of the body is higher than the lower half.the Trendelenburg position (bed is tilted 15–30º) – supine (horizontal, on the back), the lower half of the body is higher than the upper half (used as an anti-shock position, to improve cerebral blood flow), in gynaecology – in case of imminent abortion, in urological surgery, the position worsens pulmonary ventilation and increases intracranial pressure, attention – during the return back to an upright position there is a risk of orthostatic collapse and headache.dorsal – supine (horizontal, on the back), with head and shoulders slightly elevated by a pillow (rest and sleep), or without head and shoulders elevated, e.g.Genucubital (knee-elbow) position × Therapeutic positions lying in a horizontal position on the belly (prone position).lying in a horizontal position, on the back, with lower extremities extended or flexed (supine position).
short-term position, facilitating access to the examined part of the patient's body:.preventive position (to prevent negative physical and psychological changes).passive (involuntary – medical staff puts the patient into position – mostly with partially mobile, immobile, or unconscious patients).forced – (the patient positions themselves in response to discomfort, they take a position which reduces their pain, or which enables easier breathing or easier digestion).natural – the patient can position themselves in whichever way suits them.active (patient has the ability to change their own position, they can move voluntarily).Positions according to the patient's activity