5.6 Safe Patient Handling Procedure Fowler’s Positioning

Safe Patient Handling














Procedure Fowler’s Positioning


















JULIE JAMES ABDULLAH

1. Safe patient handling and



movement

Learning




Objectives • Procedure Lateral Positioning
























2

Fowler’s




Position








• Patient’s head of bed is

placed at a 45-degree


angle. Hips may or may


not be flexed. This is a

common position to


provide patient comfort

and care.











3

The patient will use
some pillows or use a
bed or mattress can be

raised over the head.
Semi Fowler’s / Semi

Recumbent (30 to 45°) Fowler’s


Fowler’s position can
be divided into two Position


High Fowler’s /
Upright (45 to 90°)
Patients are given a
cardiac table for easy
rest and breathing

more comfortable.










4

Patients who experience Examples of heart

difficulty breathing or patients (congestive
cardiac failure) and
dyspnoea. Asthma patients.






Patient after surgery example after the

patient begins to heal or use drainage tube
such as under water seal drainage.

Indication





Patients undergoing surgery on the chest,
heart and thorax.









Ascites natural patients. Take for example

Cirrhosis of liver.




5

Provide Provide Comfort














Ease Or
Purpose Alleviate Ease Or Alleviate Respiratory Problems.
For Example Dyspnea, Pneumonia











Encourage The Flow Of Secretion

Encourage Through The Flow Tube (Chest Or
Abdomen) after surgical procedure.






6

Potential





Pressure





Point

































7

Procedure Fowler’s




Positioning




























8

Preparation • Small Pillow x4




Equipment
























9

Procedure Fowler’s Positioning






NO PROCEDURE



1 Greet patient and introduce self


2 Explain procedure


3 Perform hand hygiene



4 Prepare equipment


5 Lock the bed wheels


6 Elevate the head of bed 45 to 60 degrees if not contraindicated











10

Procedure Fowler’s Positioning






NO PROCEDURE


7 Rest head against mattress on the pillow


8 Use pillow to support arms and hands if the patient does not have


voluntary control or use of hands and arm


9 Position pillow at lower back


10 Place pillow or roll under thigh



11 Support calves with pillows


12 Make the patient comfortable


13 Document and report




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