c. To prevent deformities.
(1)
When one lies in bed for long periods of time, muscles become atonic
and atrophy.
(2) Prevention of deformities will allow the patient to ambulate when his
activity level is advanced.
d. To relieve pressure and prevent strain (which lead to the formation of
decubiti).
e. To stimulate circulation.
f. To give treatments (that is), range of motion exercises).
4-10. BASIC PRINCIPLES IN POSITIONING OF PATIENTS
a. Maintain good patient body alignment. Think of the patient in bed as though
he were standing.
b. Maintain the patient's safety.
c. Reassure the patient to promote comfort and cooperation.
d. Properly handle the patient's body to prevent pain or injury.
e. Keep in mind proper body mechanics for the practical nurse.
f. Obtain assistance, if needed, to move heavy or helpless patients.
g. Follow specific physician's orders.
h. A physician's order, such as one of the following, is needed for the patient to
be out of bed.
(1)
"Up ad lib."
(2)
"Up as desired."
(3)
"OOB" (out of bed).
i. Do not use special devices (that is., splints, traction) unless ordered. Ask if
you do not know what is allowed.
MD0905
4-8