HSA 4502 Lecture Notes - Lecture 8: Hypoesthesia, Subcutaneous Tissue, Knee Replacement
Document Summary
Purpose of changing positions: prevent contractures, relieve pressure to, skin, subcutaneous tissue, organ systems, other body structures, change position every 2 hours when in bed, change position every 15 minutes when in a wheelchair, table 5. 1 (p. 88) High-risk areas: wheelchair, shoulder blades, tailbone, hip. Ischium: heel area, head of bed elevated, back of head, shoulder blades, tailbone. Ischium: heel, reposition every 10-15 minutes while seated. Preventative positioning alternate positions frequently: avoid postural misalignment, avoid positions that compromise functional ability or capacity, know specific positions to avoid according to the patient"s/client"s condition(s), patient should learn to weight shift themselves every 15 minutes. Purpose of changing positions (supine: pillow under head, knees, arms. Purpose of changing positions (prone: pillow for head, lower abdomen, anterior shoulder, anterior portion of ankles. Purpose of changing positions (three-quarters prone: pillow similar to prone position with addition of pillow under knee. Purpose of changing position (three-quarters supine: pillow between knees with elevated heels, holding/hugging pillows.