VIDEO PRAKTEK KEPERAWATAN (EPISODE 28 I PENGATURAN POSISI PASIEN DI TEMPAT TIDUR - POSITIONING)

Summary

In this video, Suci from Escape Indonesia explains various patient positioning techniques used to improve comfort and address specific health concerns. The techniques discussed include Fowler's, semi-Fowler's, orthopedic, dorsal recumbent, supine, prone, lateral, and more. Each position is explained with its intended function, such as optimizing ventilation for patients with breathing difficulties or providing post-operative comfort. The video also emphasizes the importance of hygiene, patient comfort, and ensuring proper alignment. This educational content aims to help caregivers and healthcare providers provide better care and relief for their patients.

Takeaways

• 😀 Different patient positioning techniques are essential for improving comfort and addressing specific medical issues.
• 😀 Always assess the patient's condition and symptoms before deciding on a positioning technique.
• 😀 Fowler’s Position (High and Semi-Fowler) helps with respiratory difficulties by improving ventilation, especially for patients with shortness of breath.
• 😀 The Orthopedic or Tripod Position aids patients with severe breathing issues, like asthma, by helping them find a comfortable position for better airflow.
• 😀 The Dorsal Recumbent Position supports recovery after surgery by offering comfort and relieving pressure on specific body parts.
• 😀 Supine Position (lying flat on the back) is used to support post-operative recovery, especially when no additional head or neck support is needed.
• 😀 Prone Position (lying face down) is beneficial for post-surgical drainage, especially in throat or oral surgery cases.
• 😀 The Lateral Position helps increase patient stability by supporting the body with pillows around key areas like the back, legs, and arms.
• 😀 SIMS Position, commonly used for pregnant women, provides comfort by flexing the legs and supporting the body with pillows.
• 😀 Lithotomy Position is typically used during childbirth or gynecological examinations, allowing easy access to the pelvic area.
• 😀 Trendelenburg Position, with the head lower than the feet, is effective for patients with hypotension, improving venous return and circulation.
• 😀 Reverse Trendelenburg Position, with the head elevated, helps patients with gastrointestinal issues by reducing reflux and promoting comfort.

Q & A

What is the primary purpose of patient positioning?

The primary purpose of patient positioning is to provide comfort to the patient or to help alleviate certain complaints or symptoms.

What should healthcare providers consider before positioning a patient?

Healthcare providers should first understand the patient's complaints or symptoms in order to determine the appropriate position to provide comfort and relief.

What is the function of the Fowler's position?

The Fowler's position, including its high and semi-variations, helps optimize ventilation for patients, particularly those with breathing difficulties, by affecting the diaphragm and lung expansion.

What is the difference between the high Fowler's position and the semi-Fowler's position?

In the high Fowler's position, the patient is seated upright to maximize lung expansion, while in the semi-Fowler's position, both the head and torso are raised at an angle between 15° and 45°.

What is the purpose of the orthopedic or tripod position?

The orthopedic or tripod position is used to help patients with breathing difficulties, such as those suffering from asthma, by allowing them to lean forward and rest on a small table or cushion, which helps them find the most comfortable breathing position.

What is the dorsal recumbent position and when is it used?

The dorsal recumbent position involves the patient lying on their back with a small pillow supporting their shoulders and head. This position is typically used to provide comfort after certain surgeries or to aid in recovery.

How does the supine position differ from the dorsal recumbent position?

In the supine position, the patient lies flat on their back without any support under their head or shoulders, unlike the dorsal recumbent position where the head and shoulders are supported by a pillow.

What is the purpose of the prone position?

The prone position, or lying face down, is used primarily for post-operative drainage, especially for patients who have had throat or oral surgeries.

When would the lateral position be used for a patient?

The lateral position, where the patient lies on their side with knees flexed, is used to provide comfort and improve stability, especially in cases where the patient needs additional support.

What is the SIMS position, and who is it commonly used for?

The SIMS position is a semi-prone position used to provide comfort, especially for pregnant women. It involves flexing the patient's legs and supporting the head with a pillow.

What is the purpose of the lithotomy position?

The lithotomy position involves the patient lying on their back with their legs raised and spread, often used during childbirth or for examining the genital area.

How is the Trendelenburg position beneficial for patients with hypotension?

The Trendelenburg position, where the patient's head is lowered and legs elevated, is beneficial for patients with hypotension as it helps increase venous return to the heart, thereby improving circulation.

What is the reverse Trendelenburg position used for?

The reverse Trendelenburg position, where the head is elevated above the feet, is commonly used for patients with gastrointestinal issues as it helps minimize acid reflux and improves digestion.