Comfort Position Definition
- A comfort position is lying down patient on the bed and making yourself comfortable.
- A comfort position is placing the patient in good body alignment for the purpose of promotive, curative, preventive, and rehabilitative aspects of health.
- Comfort position is maintaining a patient good posture, in which body function can work properly.
- Positions are providing according to patient disease condition.
Purpose of Comfort Position
- To relieve pressure on the affected part.
- To promote and stimulate the blood circulation.
- To provide the comfort or wellbeing to the patient.
- To maintain proper body alignment.
- To maintain normal physiological function of body.
- To perform medical and surgical treatment setterly.
- To carry out nursing treatment easily.
- To prevent the immobility causing complications.
- To perform the physical examination.
- To prevent the bedsores.
Principles of Positioning
- Maintain the good body mechanism and alignment.
- Maintain the patient safety.
- Follow the specific physician order.
- Ensure the patient comfort.
- Follow safety measures to prevent injury or accidents.
- Prevention of deformities.
1. Supine Position
- Also known horizontal recumbent and back lying position.
- In supine position, client lies flat on back, a pillow under head.
Uses of Supine Position
- General head to toe physical examination
- To assess the vital sign
- Provide comfort of the patient
- Abdominal examination and surgery
- Extremities and head surgery
2. Prone Position
- The patient lies on the abdomen with thread turned to one side.
Uses of Prone Position
- Renal Biopsy
- Assess the hip joint
- Muscle skeletal examination
- Prevent aspiration of saliva, mucus, and blood
- Relieve pressure from a pressure sore on the back
- To relieve abdominal distention
- Assess the posterior thorax
- After cleft palate surgery
Contraindications of Prone Position
- Respiratory distress
- Any abdominal surgery
- In catheterization condition
- After colostomy
3. Dorsal recumbent position
- Patient lies on the back with full flexed of knee.
Uses of Dorsal recumbent position
- For abdominal examination
- For female catheterization
- For perineal care
- Also used for vaginal operation and examination
4. Trendelenburg Position
- Patient place in supine position, Bed is modified to a head-down tilt of 30-45’ degree, its means head is lower than pelvis.
Uses of Trendelenburg Position
- To prevent post-partum hemorrhage (PPH)
- To prevent postural drainage
- Use in patient with deep vein thrombosis
- Pelvic organ examination and surgery
- In case of lord prolapse
- Spinal anaesthesia
- In case of CSF leakage
- Use for laparoscopic cholecystectomy
Contraindication of Trendelenburg Position
- Increase ICP
- Breathing problem
- After cataract surgery
- Increase IOP
- Hypervolemic condition
5. Reverse Trendelenburg position
- Patient place in supine position, bed is modified to a head is higher than the feet
Uses of Reverse Trendelenburg position
- In the head and neck procedure.
- In gastro oesophageal reflex disease
6. knee-chest position
- Knee chest position also called pestoral position, it is a alternative position of the prone position.
- Patient rest on the knees and the chest, and head is turned to one side.
- A small pillow place under the chest.
Uses of knee-chest position
- For the examination of rectum
- For sigmoidoscopy
- In case of load prolapse
- Retroversion of the uterus
7. Lateral / side-lying position
- The patient lies on his side, with body weight pressure on his hips and shoulder.
- Two positions- Right Lateral Position, Left Lateral Position
- Right lateral Position used for – use after liver biopsy
Uses of Left lateral position
- Rectal examination
- Forgiving enema
- To insertion of flatus tube
- Insertion of suppository
- For taking rectal temp
uses of General lateral position
- Oval care in unconscious patient
- During vomiting
- Relieve pressure in pressure point
- After the tonsillectomy surgery
8. Lithotomy position
- The patient lie on supine position with hips flexed
- The patient legs are separate and thight are flexed
- The patient’s buttocks are little elevated
Uses of Lithotomy position
- For vaginal and pelvic examination
- For rectal examination and bowel or bladder irrigation
- Commonly used for normal delivery
- For genitourinary surgeries
- For hysterectomy
9. Flower’s Position
- A client is sitting position in which patient head is elevated at 45 degree to 60 degree.
- Back rest and pillows are used to maintain fowler position.
Types of fowler position
- High fowler position – Bed head elevated at 90 degrees.
- Fowler position – Bed head end elevated 45 degrees – 60 degrees.
- Semi-fowler position – Bed head end elevated 30 degree
Uses of Fowler Position
- To relieve respiratory distress or dyspnoea
- To improve blood circulation
- Water seal drainage system
- To relieve tension or abdominal
- For ending and reading
10. orthopneic Position
- Patient on bed in high fowler position with rest on both hands on over bed table. (maintain head down on bed table)
- Pillow apply under head
Uses of Orthopneic Position
- Use for COPD patient
- Cardiac patient
- Commonly use in thoracentesis
- Patient on chest drainage tube
11. Jack knife position
- Also known Kraske and Bozeman position, use for the surgical purpose
- Patient lies on bed in prone position, and bed is inverted in “V” shape position
- Bed make the opposite “V” shape position
Uses of Jack Knife Position
- For the rectal and coclyx surgery
- For anorectal procedure and examination
12. Watchers position
- Walchers position is an alternative position of the lithotomy
- Patient lie in a supine position, and both legs are hanging from the edge of the bed
Use of Walchers Position
- To allow contraction to engage the body
- Use in breech presentation
- Use in forceps delivery
- Use to relaxes the perineum muscles
- Used to encourage the pelvis to open a fraction wider
13. Standing Position
- Standing position maintain erect body posture
Uses of Standing Position
- For the physical examination
- Examine of the hernia
14. Tripod Position
- In tripod position, patient leaving forward with their hands on their knee
Uses of Tripod Position
- In severe respiratory distress
- Severe asthmatic attack
- Severe coughing
- Position use, during liver biopsy – Supine
- Position use, after the liver biopsy – Right lateral position
- Position use to reading of jugular vein distension – Semi-fowler position
- Position use during NU tube feeding – High fowler position
- Position use for pelvic surgery – Trendelenburg
- Knee chest position also known as – Genupectorial position
- Position use for ET tube insertion – Rose position
- Position use for vaginal delivery – Lithotomy position
- Position suitable for anaphylactic shock – Trendelenburg position
- To maintain normal breathing pattern is – Fowler position
- Enema given position is – Sims lateral position
- Which position helpful to decrease ICP – Fowler position
- Position use in case of – GERD – Reverse Trendelenburg
- Common position for COPD patient – Orthopneic position
- Position use for flatus tube insertion – Left lateral position