PATIENT POSITIONING DEMO

Summary

This video script provides a comprehensive overview of 10 key patient positions commonly used in medical exams. It covers each position’s purpose, from the standing and sitting positions to more specialized ones like Lithotomy and Knee-Chest. The script emphasizes the importance of patient comfort, privacy, and clear communication during transitions between positions. The positions range from basic ones like Supine and Prone to more specific ones for exams such as Sims, Dorsal Recumbent, and Fowler’s. The guide is designed to train medical professionals on handling different exam positions safely and respectfully.

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Q & A

What is the correct stance for the standing or erect position?

In the standing or erect position, the patient should stand with their feet facing forward, hands at their sides, and eyes looking straight ahead.

What should be done for shorter patients when transitioning to the exam table?

For shorter patients, a step stool should be used to help them reach the exam table comfortably.

How should a patient be positioned when sitting on the exam table?

The patient should sit with their back straight, legs hanging off the edge of the table. The examiner should stand nearby in case the patient feels dizzy or has issues with equilibrium.

What is the supine position, and how is the patient positioned?

The supine position involves the patient lying flat on their back. A leg extension tray can be used for additional comfort by allowing the patient’s legs to rest in a relaxed position.

How do you transition a patient from the supine to the prone position?

To transition from supine to prone, the patient is asked to flip over onto their stomach. This position is the opposite of the supine position.

What is the Sims position, and how should the patient be positioned?

In the Sims position, the patient lies on their side with one knee bent towards the chest and the other leg extended. The patient's arm should be placed under their head for support.

How is the dorsal recumbent position different from the Sims position?

The dorsal recumbent position is similar to the Sims position but performed while the patient is on their back. In this position, the patient’s knees are bent, and one arm is placed behind their head.

What is the lithotomy position, and how should the patient be prepared for it?

In the lithotomy position, the patient lies on their back with their legs placed in stirrups. The patient should scoot to the edge of the table, and the examiner adjusts the stirrups based on the patient's height and comfort. The patient is usually undressed from the waist down.

What is the purpose of the Fowler’s position, and how is it set up?

The Fowler's position is used to raise the head of the exam table to a 90° angle, providing comfort and optimal positioning for certain medical examinations. If the table cannot reach 90°, it can be adjusted to a semi-Fowler’s position at a 45° angle.

How is the knee-chest position performed, and why is it typically uncomfortable?

In the knee-chest position, the patient kneels on the exam table and bends at the hips to lower their chest towards the table. This position is often uncomfortable for the patient because their rear end is elevated, and it is usually used just before a doctor’s examination.