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Procedure in Turning Client To Side-Lying Position

The document provides instructions for turning a client to their side in bed. It outlines 7 steps: 1) lower the bed, 2) position opposite the client's abdomen, 3) take a broad stance, 4) abduct the client's near arm and flex it over their chest while placing their far leg over the near leg, 5) tense abdominal and pelvic muscles, 6) place one hand on the client's hip and one on their shoulder, 7) roll the client toward you by rocking back and shifting weight while increasing knee flexion. The rationale emphasizes preventing injury to the client and nurse while maintaining stability and using proper form.

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1K views

Procedure in Turning Client To Side-Lying Position

The document provides instructions for turning a client to their side in bed. It outlines 7 steps: 1) lower the bed, 2) position opposite the client's abdomen, 3) take a broad stance, 4) abduct the client's near arm and flex it over their chest while placing their far leg over the near leg, 5) tense abdominal and pelvic muscles, 6) place one hand on the client's hip and one on their shoulder, 7) roll the client toward you by rocking back and shifting weight while increasing knee flexion. The rationale emphasizes preventing injury to the client and nurse while maintaining stability and using proper form.

Uploaded by

crrfrnc
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Procedure in Turning Client to Side-Lying Position

EXPECTED BEHAVIOR RATIONALE


1. Lower the head of the bed completely
or to a position that as low as the
patient can tolerate.
2. Position yourself opposite the patient’s Taking the position opposite the patient’s
abdomen on the side of the bed toward abdomen prevent spinal torsion of the
which the patient will turn. nurse when moving the patient and center
the nurses weight opposite the patient’s
central weight.

3. Assume a broad stance with one foot A broad stance enhances balance.
ahead of the other.
4. Abduct the patient’s arm nearest the Pulling the patient’s arm away from the
nurse. body prevents the patient from rolling onto
his arm.
5. Flex the patient’s arm over the chest;
place the far leg over the near leg.
6. “Put on the internal girdle” and flex. Tensing the abdominal and pelvic muscles
prepare them for use and prevent injury.
Flexing the knees lowers the center of
gravity (increasing stability) and ensures
use of the large muscle groups in the legs
during movement.
7. Place one hand on patient’s hip and
one hand on the patient’s shoulder.
8. Roll the patient toward you by:
• Rocking backward and shifting Rocking backward makes use of nurse’s
the weight to rear foot. body weight in the direction of the
movement.
• Increasing knee flexion and Increased knee flexion lowers the nurse’s
lowering the pelvis. center of gravity enhancing stability.
9. Position pillow to maintain alignment

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