{"id":1623,"date":"2024-09-26T18:29:46","date_gmt":"2024-09-26T22:29:46","guid":{"rendered":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/chapter\/types-of-bed-positions-2\/"},"modified":"2024-09-27T18:08:46","modified_gmt":"2024-09-27T22:08:46","slug":"types-of-bed-positions","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/chapter\/types-of-bed-positions\/","title":{"raw":"5.2 Types of Bed Positions","rendered":"5.2 Types of Bed Positions"},"content":{"raw":"<p style=\"text-align: left;\">Hospital beds can be adjusted into various positions based on the client\u2019s needs, diagnosis, or condition. It is important to know these common bed positions, so that you can effectively communicate with the health care team.<\/p>\r\n\r\n<h1><span style=\"text-align: initial; font-size: 1em;\">Fowler's Position\u00a0<\/span><\/h1>\r\n<p style=\"text-align: left;\">The standard client position is the [pb_glossary id=\"606\"]Fowler's position[\/pb_glossary], where the client is in a semi-upright seated position, at about a 45\u201360-degree angle, with the knees either bent or straight. This position is considered standard because it allows the client's abdominal muscles to relax, making it easier to breathe and eat. It is frequently used for clients with oral or nasal gastric feeding tubes because it minimizes the risk of aspiration. In addition, peristalsis and swallowing are aided by the effect of gravitational pull. This is a common position to provide client comfort and care.<\/p>\r\n<p style=\"text-align: left;\">High Fowler\u2019s position is used to describe a client\u2019s position, where the upper body is positioned approximately 60\u201390 degrees in relation to the lower body. This position may be used while you assist a client to eat when they are at risk for choking and aspiration.<\/p>\r\n\r\n\r\n[caption id=\"attachment_1622\" align=\"aligncenter\" width=\"301\"]<img class=\"wp-image-135 size-full\" style=\"font-size: 1em;\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Fowlers_Position.jpg\" alt=\"\" width=\"301\" height=\"201\" \/> <strong>Figure 5.2.1<\/strong> Fowler's position[\/caption]\r\n<h1>Semi-Fowler's<\/h1>\r\nThe client sits at a 30\u201345-degree angle. [pb_glossary id=\"543\"]Semi-Fowler's position[\/pb_glossary]\u00a0is slightly lower than the Fowler's position. It can also be used for clients with a feeding tube.\r\n\r\n[caption id=\"attachment_1622\" align=\"aligncenter\" width=\"301\"]<img class=\"wp-image-136 size-full\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Semi-Fowlers_position-1.jpg\" alt=\"\" width=\"301\" height=\"201\" \/> <strong>Figure 5.2.2<\/strong> Semi-Fowler's position[\/caption]\r\n<h1>Trendelenberg<\/h1>\r\n<p style=\"text-align: left;\">In the [pb_glossary id=\"542\"]Trendelenberg position[\/pb_glossary],\u00a0the client lies flat on their back in the [pb_glossary id=\"609\"]supine position[\/pb_glossary], with their feet elevated higher than their head by about 15\u201330 degrees. This position is used in situations such as hypotension and medical emergencies as it helps promote venous return to major organs, such as the head and heart.<\/p>\r\n\r\n\r\n[caption id=\"attachment_1622\" align=\"aligncenter\" width=\"300\"]<img class=\"wp-image-137 size-medium\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Trendelenburg_position-scaled-1.jpg\" alt=\"\" width=\"300\" height=\"199\" \/> <strong>Figure 5.2.3<\/strong> Trendelenburg position[\/caption]\r\n<h1>Reverse Trendelenberg<\/h1>\r\nWith the [pb_glossary id=\"539\"]reverse Trendelenburg position[\/pb_glossary], the head is slightly higher than the feet at 15\u201330 degrees. This position may be used to promote gastric emptying.\r\n\r\n[caption id=\"attachment_1622\" align=\"aligncenter\" width=\"300\"]<img class=\"wp-image-1622 size-medium\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-300x300.gif\" alt=\"\" width=\"300\" height=\"300\" \/> <strong>Figure 5.2.4<\/strong> Reverse Trendelenburg position[\/caption]","rendered":"<p style=\"text-align: left;\">Hospital beds can be adjusted into various positions based on the client\u2019s needs, diagnosis, or condition. It is important to know these common bed positions, so that you can effectively communicate with the health care team.<\/p>\n<h1><span style=\"text-align: initial; font-size: 1em;\">Fowler&#8217;s Position\u00a0<\/span><\/h1>\n<p style=\"text-align: left;\">The standard client position is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1623_606\">Fowler's position<\/a>, where the client is in a semi-upright seated position, at about a 45\u201360-degree angle, with the knees either bent or straight. This position is considered standard because it allows the client&#8217;s abdominal muscles to relax, making it easier to breathe and eat. It is frequently used for clients with oral or nasal gastric feeding tubes because it minimizes the risk of aspiration. In addition, peristalsis and swallowing are aided by the effect of gravitational pull. This is a common position to provide client comfort and care.<\/p>\n<p style=\"text-align: left;\">High Fowler\u2019s position is used to describe a client\u2019s position, where the upper body is positioned approximately 60\u201390 degrees in relation to the lower body. This position may be used while you assist a client to eat when they are at risk for choking and aspiration.<\/p>\n<figure id=\"attachment_1622\" aria-describedby=\"caption-attachment-1622\" style=\"width: 301px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-135 size-full\" style=\"font-size: 1em;\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Fowlers_Position.jpg\" alt=\"\" width=\"301\" height=\"201\" \/><figcaption id=\"caption-attachment-1622\" class=\"wp-caption-text\"><strong>Figure 5.2.1<\/strong> Fowler&#8217;s position<\/figcaption><\/figure>\n<h1>Semi-Fowler&#8217;s<\/h1>\n<p>The client sits at a 30\u201345-degree angle. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1623_543\">Semi-Fowler's position<\/a>\u00a0is slightly lower than the Fowler&#8217;s position. It can also be used for clients with a feeding tube.<\/p>\n<figure id=\"attachment_1622\" aria-describedby=\"caption-attachment-1622\" style=\"width: 301px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-136 size-full\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Semi-Fowlers_position-1.jpg\" alt=\"\" width=\"301\" height=\"201\" \/><figcaption id=\"caption-attachment-1622\" class=\"wp-caption-text\"><strong>Figure 5.2.2<\/strong> Semi-Fowler&#8217;s position<\/figcaption><\/figure>\n<h1>Trendelenberg<\/h1>\n<p style=\"text-align: left;\">In the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1623_542\">Trendelenberg position<\/a>,\u00a0the client lies flat on their back in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1623_609\">supine position<\/a>, with their feet elevated higher than their head by about 15\u201330 degrees. This position is used in situations such as hypotension and medical emergencies as it helps promote venous return to major organs, such as the head and heart.<\/p>\n<figure id=\"attachment_1622\" aria-describedby=\"caption-attachment-1622\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-137 size-medium\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Trendelenburg_position-scaled-1.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><figcaption id=\"caption-attachment-1622\" class=\"wp-caption-text\"><strong>Figure 5.2.3<\/strong> Trendelenburg position<\/figcaption><\/figure>\n<h1>Reverse Trendelenberg<\/h1>\n<p>With the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1623_539\">reverse Trendelenburg position<\/a>, the head is slightly higher than the feet at 15\u201330 degrees. This position may be used to promote gastric emptying.<\/p>\n<figure id=\"attachment_1622\" aria-describedby=\"caption-attachment-1622\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1622 size-medium\" src=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-300x300.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-300x300.gif 300w, https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-150x150.gif 150w, https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-768x768.gif 768w, https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-65x65.gif 65w, https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-225x225.gif 225w, https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-content\/uploads\/sites\/430\/2024\/09\/Reverse_Trendelenburg_position_01-350x350.gif 350w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1622\" class=\"wp-caption-text\"><strong>Figure 5.2.4<\/strong> Reverse Trendelenburg position<\/figcaption><\/figure>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_1623_606\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1623_606\"><div tabindex=\"-1\"><p>The client\u2019s head of bed is placed at an angle between 45 degrees and 60 degrees. Hips may or may not be flexed. It\u2019s a common position to provide client comfort and care.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1623_543\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1623_543\"><div tabindex=\"-1\"><p>Slightly lower than Fowler\u2019s position, the client is seated in bed at a 30\u201345-degree angle. The client\u2019s head of bed is placed at a 30-degree angle. This position is used for clients who have cardiac or respiratory conditions and for patients with a nasogastric tube.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1623_542\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1623_542\"><div tabindex=\"-1\"><p>A position that places the head of the bed lower than the feet. Client lays flat on their back with feet elevated higher than their head by 15\u201330 degrees. Used in situations such as hypotension and medical emergencies, this position helps promote venous return to major organs such as the head and heart.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1623_609\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1623_609\"><div tabindex=\"-1\"><p>The client lies flat on their back, facing upward. Additional supportive devices may be added for comfort.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1623_539\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1623_539\"><div tabindex=\"-1\"><p>Client lays flat on their back with head higher than feet by 15\u201330 degrees.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":123,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[50],"contributor":[],"license":[],"class_list":["post-1623","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":117,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1623","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/users\/123"}],"version-history":[{"count":1,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1623\/revisions"}],"predecessor-version":[{"id":1893,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1623\/revisions\/1893"}],"part":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/parts\/117"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1623\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/media?parent=1623"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapter-type?post=1623"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/contributor?post=1623"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/license?post=1623"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}