Comfort Position-Types, Uses & Key Points

Comfort Position-Types, Uses & Key Points

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Comfort Position Definition

  • A comfort position is lying down patient on the bed and making yourself comfortable.
  • A comfort position is placing the patient in good body alignment for the purpose of promotive, curative, preventive, and rehabilitative aspects of health.
  • Comfort position is maintaining a patient good posture, in which body function can work properly.
  • Positions are providing according to patient disease condition.

Purpose of Comfort Position

  • To relieve pressure on the affected part.
  • To promote and stimulate the blood circulation.
  • To provide the comfort or wellbeing to the patient.
  • To maintain proper body alignment.
  • To maintain normal physiological function of body.
  • To perform medical and surgical treatment setterly.
  • To carry out nursing treatment easily.
  • To prevent the immobility causing complications.
  • To perform the physical examination.
  • To prevent the bedsores.

Principles of Positioning

  • Maintain the good body mechanism and alignment.
  • Maintain the patient safety.
  • Follow the specific physician order.
  • Ensure the patient comfort.
  • Follow safety measures to prevent injury or accidents.
  • Prevention of deformities.

1. Supine Position

  • Also known horizontal recumbent and back lying position.
  • In supine position, client lies flat on back, a pillow under head.

Uses of Supine Position

  • General head to toe physical examination
  • To assess the vital sign
  • Provide comfort of the patient
  • Abdominal examination and surgery
  • Extremities and head surgery

 

2. Prone Position

  • The patient lies on the abdomen with thread turned to one side.

Uses of Prone Position

  • Renal Biopsy
  • Assess the hip joint
  • Muscle skeletal examination
  • Prevent aspiration of saliva, mucus, and blood
  • Relieve pressure from a pressure sore on the back
  • To relieve abdominal distention
  • Assess the posterior thorax
  • After cleft palate surgery
Contraindications of Prone Position
  • Respiratory distress
  • Any abdominal surgery
  • In catheterization condition
  • After colostomy

3. Dorsal recumbent position

  • Patient lies on the back with full flexed of knee.

 

Uses of Dorsal recumbent position

  • For abdominal examination
  • For female catheterization
  • For perineal care
  • Also used for vaginal operation and examination

4. Trendelenburg Position

  • Patient place in supine position, Bed is modified to a head-down tilt of 30-45’ degree, its means head is lower than pelvis.

 

Uses of Trendelenburg Position

  • To prevent post-partum hemorrhage (PPH)
  • To prevent postural drainage
  • Use in patient with deep vein thrombosis
  • Pelvic organ examination and surgery
  • In case of lord prolapse
  • Spinal anaesthesia
  • In case of CSF leakage
  • Use for laparoscopic cholecystectomy
Contraindication of Trendelenburg Position
  • Increase ICP
  • Breathing problem
  • After cataract surgery
  • Increase IOP
  • Hypervolemic condition

5. Reverse Trendelenburg position

  • Patient place in supine position, bed is modified to a head is higher than the feet

 

Uses of Reverse Trendelenburg position

  • In the head and neck procedure.
  • In gastro oesophageal reflex disease

6. knee-chest position

  • Knee chest position also called pestoral position, it is a alternative position of the prone position.
  • Patient rest on the knees and the chest, and head is turned to one side.
  • A small pillow place under the chest.

 

Uses of knee-chest position 

  • For the examination of rectum
  • For sigmoidoscopy
  • In case of load prolapse
  • Retroversion of the uterus

7. Lateral / side-lying position

  • The patient lies on his side, with body weight pressure on his hips and shoulder.
  • Two positions- Right Lateral Position, Left Lateral Position
  • Right lateral Position used for – use after liver biopsy

Uses of Left lateral position 

  • Rectal examination
  • Forgiving enema
  • To insertion of flatus tube
  • Insertion of suppository
  • For taking rectal temp

uses of General lateral position

  • Oval care in unconscious patient
  • During vomiting
  • Relieve pressure in pressure point
  • After the tonsillectomy surgery

8. Lithotomy position

  • The patient lie on supine position with hips flexed
  • The patient legs are separate and thight are flexed
  • The patient’s buttocks are little elevated

Uses of Lithotomy position

  • For vaginal and pelvic examination
  • For rectal examination and bowel or bladder irrigation
  • Commonly used for normal delivery
  • For genitourinary surgeries
  • For hysterectomy

9. Flower’s Position

  • A client is sitting position in which patient head is elevated at 45 degree to 60 degree.
  • Back rest and pillows are used to maintain fowler position.

Types of fowler position

  • High fowler position – Bed head elevated at 90 degrees.
  • Fowler position – Bed head end elevated 45 degrees – 60 degrees.
  • Semi-fowler position – Bed head end elevated 30 degree

Uses of Fowler Position

  • To relieve respiratory distress or dyspnoea
  • To improve blood circulation
  • Water seal drainage system
  • To relieve tension or abdominal
  • For ending and reading

10. orthopneic Position

  • Patient on bed in high fowler position with rest on both hands on over bed table. (maintain head down on bed table)
  • Pillow apply under head

Uses of Orthopneic Position

  • Use for COPD patient
  • Cardiac patient
  • Commonly use in thoracentesis
  • Patient on chest drainage tube

11. Jack knife position

  • Also known Kraske and Bozeman position, use for the surgical purpose
  • Patient lies on bed in prone position, and bed is inverted in “V” shape position
  • Bed make the opposite “V” shape position

Uses of Jack Knife Position

  • For the rectal and coclyx surgery
  • For anorectal procedure and examination

12. Watchers position

  • Walchers position is an alternative position of the lithotomy
  • Patient lie in a supine position, and both legs are hanging from the edge of the bed

Use of Walchers Position

  • To allow contraction to engage the body
  • Use in breech presentation
  • Use in forceps delivery
  • Use to relaxes the perineum muscles
  • Used to encourage the pelvis to open a fraction wider

13. Standing Position

  • Standing position maintain erect body posture

Uses of Standing Position

  • For the physical examination
  • Examine of the hernia

14. Tripod Position

  • In tripod position, patient leaving forward with their hands on their knee

Uses of Tripod Position

  • In severe respiratory distress
  • Severe asthmatic attack
  • Severe coughing

Position QnA:-

  1. Position use, during liver biopsy – Supine
  2. Position use, after the liver biopsy – Right lateral position
  3. Position use to reading of jugular vein distension – Semi-fowler position
  4. Position use during NU tube feeding – High fowler position
  5. Position use for pelvic surgery – Trendelenburg
  6. Knee chest position also known as – Genupectorial position
  7. Position use for ET tube insertion – Rose position
  8. Position use for vaginal delivery – Lithotomy position
  9. Position suitable for anaphylactic shock – Trendelenburg position
  10. To maintain normal breathing pattern is – Fowler position
  11. Enema given position is – Sims lateral position
  12. Which position helpful to decrease ICP – Fowler position
  13. Position use in case of – GERD – Reverse Trendelenburg
  14. Common position for COPD patient – Orthopneic position
  15. Position use for flatus tube insertion – Left lateral position
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