DESCRIPTION:
Modification of the bedridden patient’s posture is practiced regularly and periodically.
OBJECTIVE:
• Prevent pressure ulcers.
• Improve the circulation of the contact areas.
• Provide comfort to the patient.
HUMAN RESOURCES:
• Personal drive
RESOURCE MATERIALS:
• Pillows
• Sheets
• Railing
• Handle.
TECHNICAL IMPLEMENTATION:
• Inform the patient about the technique to perform.
• Protect your privacy.
• Stop the wheels of the bed.
• Place the bed in a horizontal position.
• Will place on both sides of the bed.
• (Depending on the patient’s weight, need 1 or 2 people on each side and one that is responsible for holding the patient’s head).
• Once have determined the new position (supine, lateral decubitus RHS. And Left are the most used):
Acting in unison, pulling the sheet up to place the patient in the desired position, avoiding jerks and sudden movements.
• In the event that the position taken by the patient is side lying, a pillow will help to place them under the back to prevent the patient involuntarily adopts the supine position.
• Likewise, place a pillow between your legs, which must be bent to avoid the friction between them.
• Will ensure that the sheet is taut and there are no wrinkles.
• Put safety rails. Incorporate the bed.
COMMENTS:
• Conform to the schedule change of position (usually every 4 / 6 h) respecting the hours of sleep.
• Maintain roads with extreme caution, cannulas, polls and oxygen therapy in the event that had it, to avoid strains and avulsions.
• Comply with the technique of execution.
• Consider diagnosis and pathology of the patient to avoid positions that might be harmful.
• In some cases, the change can facilitate postural drainage of respiratory secretions.
• Staff operating the postural change, must acquire a sound position to avoid back injuries, flexing your knees apart, keeping your back as straight as possible and the body as close as possible to bed to make the slightest exertion.
RECORDS:
• Record on the sheet of nursing time of change and the position taken in the same.
• Note if there has been any incident or has any red area appeared capable of UPP
