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Changing Position of A Helpless Patient

This document provides guidelines for changing the position of a helpless patient in bed. It discusses the purposes, which include providing comfort and preventing complications like contractures, thrombophlebitis, and pressure sores. The nursing assessment, equipment needed, complications to watch for, procedure, documentation, and nurse's responsibilities are outlined in detail. Proper positioning helps stimulate circulation and relieves pressure on bony prominences.

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Kartick Dey
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3K views

Changing Position of A Helpless Patient

This document provides guidelines for changing the position of a helpless patient in bed. It discusses the purposes, which include providing comfort and preventing complications like contractures, thrombophlebitis, and pressure sores. The nursing assessment, equipment needed, complications to watch for, procedure, documentation, and nurse's responsibilities are outlined in detail. Proper positioning helps stimulate circulation and relieves pressure on bony prominences.

Uploaded by

Kartick Dey
Copyright
© © All Rights Reserved
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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CHANGING POSITION OF A

HELPLESS PATINET

R,.RENUGA, B.SC (N)


NURSING TUTOR
KVC N
DEFINTION

• Changing the patient of a helpless Patient in


bed.
PURPOSES

1. To provide comfort to the patient.


2. To prevent contracture.
3. To stimulate circulation and to prevent thrombophlebitis, pressure sore and
edema of the extremities.
4. To facilitate activities of living.
5. To relieve pressure.
NURSING ASSESSMENT

• Assess the patients range of motion, body alignment and comfort level.
• Assess for risk factors that contribute to complications of immobility.
• Assess the leve of consciousness.
• Assess the condition of patients skin.
EQUIPMENTS

• Extra pillows
• Comfort devices as needed.
COMPLICATION

• This procedure does not apply to spinal injury cases.


NURSING PROCEDURE
• Check the physicians order.
• Identify the patient.
• Explain the procedure to the patient.
• Allow the patient to ask questions. Encourage him/her to participate in
the procedure as much as possible.
• Ensure patients privacy.
• Wash and dry hands.
• Adjust the height of the bed if possible.
• Move the patient to the side of bed, opposite to which the patient is to
be turned. This can be done with one nurse if the patient has ability to
move or with two nurse in case of helpless patient.
• Flex the nearest arm across the chest and flex the nearby
knees of the leg and place it across the far ankle and
foot.
• Role the patient to the opposite side. If the patient is
heavy or near assistance to turn, one nurse can place
his/her hand below the patients hop and another nurse
can place his/her hand between the patients head and
neck and roll the patient together.
• Raise the side rails and move to the opposite side. Place
one hand under the patients shoulder and the other hand
under the hip. At one time, move the patient upward .
• Place pillow between legs and under the flexed arm. If
additional pillows are needed, place them.
• Rearrange pillow and cover.
• Raise the side rails.
• Wash hands.
• Document the position changed and patient responses.
RECORDING AND REPORTING

1. Record the date, time and the position changed.


2. Specify any abnormalities noted.
3. Report pertinent findings to the nurse in charge..
NURSES RESPONSIBILITY

1. Evaluate the comfort of the patient.


2. Evaluate the patients tolerance to the change in position.
3. Monitor for may adverse effects.
SAMPLE DOCUMENTATION

• 10.04.2021, 12.15pm
• Turned the patient from left lateral to right lateral position. Patient has not
developed bed sores.
BIBLIOGRAPHY

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