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    Different of Position For Medical Examination

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    Queeny Anne Apil
    The nurse plays an important role in physical examinations by helping to minimize patient embarrassment and making them feel relaxed. The nurse explains the examination process, assists the physician, and prepares the patient and equipment. Proper positioning is important for examinations and procedures, with positions including supine, side-lying, lithotomy, and others to best expose areas while promoting patient comfort and clinical needs.

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    Different of Position For Medical Examination

    Uploaded by

    Queeny Anne Apil
    624 views19 pages
    The nurse plays an important role in physical examinations by helping to minimize patient embarrassment and making them feel relaxed. The nurse explains the examination process, assists the physician, and prepares the patient and equipment. Proper positioning is important for examinations and procedures, with positions including supine, side-lying, lithotomy, and others to best expose areas while promoting patient comfort and clinical needs.

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    Different of Position for Medical Examination

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    Different of Position for Medical Examination

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    The nurse plays an important role in physical examinations by helping to minimize patient embarrassment and making them feel relaxed. The nurse explains the examination process, assists the physician, and prepares the patient and equipment. Proper positioning is important for examinations and procedures, with positions including supine, side-lying, lithotomy, and others to best expose areas while promoting patient comfort and clinical needs.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    624 views19 pages

    Different of Position For Medical Examination

    Uploaded by

    Queeny Anne Apil
    The nurse plays an important role in physical examinations by helping to minimize patient embarrassment and making them feel relaxed. The nurse explains the examination process, assists the physician, and prepares the patient and equipment. Proper positioning is important for examinations and procedures, with positions including supine, side-lying, lithotomy, and others to best expose areas while promoting patient comfort and clinical needs.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 19

    Role the Nurse in

    Physical
    Examination

    1. Nurse plays an important role in the


    program of prevention of disease not only by
    encouraging the individual to have such as
    examination but also by her tact and a kill in
    assisting in such a way as to minimize
    embarrassment to the patient.
    2. Explanation as to what is to be done and
    why usually facilitate the procedure both for
    the doctor and the patient and will make the
    patient more relaxed and more cooperative.

    3. Nurse can render invaluable assistance in

    expanding the examiners work and in


    conserving the patients strength. Most
    thorough examination is lengthy and tiring.
    4. When patient is a woman, the presence of
    nurse prevents embarrassment to the patient
    and it protects the physician from any court
    action in case patient complains.
    5. Nurse is held responsible in having all
    equipment and articles ready for the
    examination, preparing the patient
    accordingly, anticipating the physicians
    needs and taking care of the used articles
    after the examination.

    Horizontal
    Recumbent

    Purpose:
    General examination.
    Abdominal surgery.
    Surgery on head and extremities.

    1. Place patient flat on back with legs extended or


    slightly flexed.
    2. Place bath blanket over patient lengthwise. Fan
    bedding to foot of bed

    Dorsal Recumbent
    Purpose:
    Rectal, vaginal and pelvic examinations and

    treatments.
    Deliveries.
    1. Place patient flat on back with one pillow under
    head; have knees flexed and separated and feet
    flat on bed.
    2. Fold blanket in half lengthwise. Lay center of
    blanket over abdomen and ends over each foot.
    Fan leading to foot on bed. Arrange blanket to
    cover extremities and expose perineum.

    Sims or Left Lateral


    1. Place patient on left side somewhat obliquely
    across the bed with buttocks to edge of
    mattress. Incline the body forward, draw the
    left arm back under patient and place the
    right arm free in front. The thighs should be
    flexed upon the bodythe right more than the
    left.
    2. Place lengthwise bath blanket over patient,
    fanfold topsheet to foot of bed. Fold blanket
    back exposing the area to be examined.

    Knee-Chest or GenuPectoral
    Purpose:
    To obtain better exposure of the vagina,

    cervix, and rectum.


    To examine the bladder.
    To help correct retroversion of the uterus.
    To administer caudal and sacral anesthesia.
    Vaginal and rectal examinations.
    Operative procedures on the vagina, rectum
    and perineum. Operative deliveries

    Place patient in the prone position, then assist

    her to kneel so that her weight rests on her


    chest and knees. Turn head to one side and
    flex her arms at the elbows extending, then to
    the bed in front of her. Be sure the thighs are
    perpendicular to the level of the head. Watch
    pulse and general condition of the patient.

    Dorsal Lithotomy or
    Dorso-sacral:

    Purpose:
    Vaginal and rectal examination.
    Operative procedures on the vagina, rectum
    and perineum.
    Deliveries and operative deliveries

    On Examining Tables: Place patient on

    dorsal position with the knees flexed and feet


    in still-ups. Buttocks are brought down to edge
    of examining table.
    In bed:
    Place the patient on her back across bed with
    the buttocks slightly beyond the edge of the
    mattress, then flex knees over the abdomen
    and separate the knees. Support the knees by
    means of long sheet folded diagonally and
    passed under the knees and around the neck.
    Draw up gown over abdomen. Drape as for
    dorsal recumbent.

    Standing or Erect
    Purpose:
    1. Vaginal examination for determining the

    degree of prolapse of the uterus.


    2. Examination of hernia

    When used for vaginal examination:


    Have the patient standing with the knees separated

    about ten inches with one foot on a low stool.


    Instruct her to place one hand on the buck of the
    chair for support and the other hand on her hip.
    Either remove skirts or fold about waist. Wrap a
    folded sheet about the lower part of the body
    stimulating skirt, with the sides overlapping in
    front. Pin it to hold in place.
    When use for examination of spine and
    backs:
    Remove patients slippers and have patient stand
    on towel.
    Loosen gown, place bath blanket around shoulders
    with opening at the back. Pin at nape.

    Prone
    Purpose:

    For treatment on the back.


    To facilities drainage from wound.
    To secure drainage of pus to front of abdomen.
    To keep pus away from the spine.
    1. Let patient lie on his abdomen. Turn hand to one
    side. Allow pillow under the head and another
    under the lower chest.
    2. Draping same as in dorsal.

    Jack knife or Kroaske or


    Bozeman

    Place patient on a prone position with the hips


    directly over the band of the examining table.
    Tip the table with the head lower than the
    hips. Lower the foot part of the table so that
    the patients feet are below the level of his
    head. Place pillow under the pelvis and
    abdomen to relieve the strain.
    Drainage
    Purpose: Operation on the rectum and
    coccyx

    Walchers Position
    Purpose:
    To increase the diagonal conjugate of the pelvis in

    high forcep delivery and in breach presentation.


    Relax the perineum
    1. Place patient flat on her back with the sacrum
    resting on the edge of the table. Lower the legs
    slowly toward the floor. Elevate the buttocks
    slightly if the table permits.
    2. Draping is similar to that of the lithotomy
    position.

    Fowlers and SemiFowlers


    Position

    Purpose:
    To obtain good drainage in the pelvis.
    To localize infection in the pelvis and prevent
    its spread to the peritoneum.
    To prevent strain of abdominal muscles.
    To facilitate breathing in patients with cardiac
    or respiratory embarrassment fur postoperative nasal cases and/or thyroidectomy
    cases.

    Method I: Elevate head part of the bed by

    means of head elevator 8-24 inches high.


    Elevate knee to about 6 in.
    Method II: Place patient in semi-sitting
    position by backrest. Flex knees and support
    with pillows

    Trendelenburg
    Position
    Purpose:
    Gynecological surgery and suprapubic

    prostatectomy cases.
    To prevent shocks.
    To prevent or relieve post-partum
    hemorrhage.

    Place patient in the horizontal recumbent

    position. Well-padded shoulder braces and


    knees and arms restraints are adjusted. If on
    the operating table. Adjust the table so that
    the patients head is low the body on an
    inclined phone and the knees flexed over the
    adjustable lower section of the table, which is
    lowered.
    If no bed, rise the foot part of the bed by
    means of bed elevator blocks also known as
    shock blocks.

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