EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED

QUALITY MANAGEMENT SYSTEM

City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Changing Client Position
A. Moving a Client Up in Bed
B. Turning a Client to the Lateral or Prone Position in Bed
C. Logrolling a Client
D. Assisting a Client to Sit on the Side of the Bed (Dangling)

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Positioning client and maintaining body alignment are essential
components of nursing care

Frequent change of position helps to prevent discomfort, undue

pressure, damage to superficial nerves and blood vessels, and
contractures

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Guidelines in client positioning:
1. Make sure the mattress is firm and level has yet enough to give to fill in and
support natural body curvatures
2. Ensure that the bed is clean and dry
3. Place support devices in special areas according to client position
4. Avoid placing one body part, particularly with one with bony prominences directly on
top of another body part
5. Avoid friction and shearing to prevent abrasion and damage to the skin
6. Plan a systematic 24 hour schedule for position changes to prevent pressure ulcers
in immobilized clients (Every 2 hours)
7. Always obtain information from the client to determine which position is most
comfortable and appropriate

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Moving a Client Up in Bed
Purpose: to assist clients who have slid down in bed from the Fowler’s position to move
up in bed

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Assessment
Before moving a client, the nurse should assess the following:
➢ Client’s ability to assist with the move
➢ Ability to understand instructions and willingness to
participate
➢ Degree of comfort or discomfort when moving (if needed,
analgesics or other pain relief measures maybe
administered
➢ The availability of equipment and personnel for assistance

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Planning
➢ Review the client recorded to determine if previous nurses have
recorded information about the client’s ability to move
➢ Use proper assistive equipment and additional personnel whenever
needed
➢ Ensure that the client understands instruction, and provide an
interpreter as needed
➢ Determine the number of personnel and type of equipment needed to
safely perform the positional change to prevent injury to staff and
patient

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Equipment
➢ Assistive devices: overhead trapeze, friction – reducing device,
mechanical lift

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Turning a client to the Lateral or Prone Position in Bed
Purpose: To place a bedpan beneath the client, when the changing the
linens, or when repositioning the client

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Turning a client to the Lateral or Prone Position in Bed
Purpose: To place a bedpan beneath the client, when the changing the
linens, or when repositioning the client

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Turning a client to the Lateral or Prone Position in Bed
The client lies on one side of the body
The top hip and knee are flexed to reduce lordosis and promote good back
alignment
Lateral position helps to relieve pressure on the sacrum and heels of the
client

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Logrolling a Client
Purpose: to keep the client’s body in straight alignment at all times (like a
Log) e.g. a client with back surgery or spinal injury

Considerable care must be taken to prevent additional injury

This technique requires two or three nurses depending on the client’s

weight

For the client who has a cervical injury, one nurse must maintain the
client’s head and neck alignment
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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Logrolling a Client
Before performing the procedure, the nurse must determine the
following:
Assistive devices that will be required
Encumbrances to movement such as an IV or urinary catheter
Medications the client is receiving, because certain medications may
hamper movement or alertness of the client
Assistance required from other health care personnel (at least 2 or 3
additional personnel)

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Logrolling a Client

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Assisting the Client to Sit on the Side of the Bed (Dangling)
Purpose: The client assumes a sitting position on the edge of the bed
before walking, moving to a wheelchair, eating or performing other
activities

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Assisting the Client to Sit on the Side of the Bed (Dangling)
➢ Preparation: Before assisting the client to sit on the
Edge/side of the bed, the nurse has to determine
the following:
➢ Assistive devices that will be required
➢ Encumbrances to movement such as an IV or urinary
catheter
➢ Medications the client is receiving
➢ Assistance required from health personnel
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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Assisting the Client to Sit on the Side of the Bed (Dangling)

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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

Lifespan Considerations for Positioning, Moving and Turning Clients
Care should be taken when positioning infants to prevent abrasions or
damage to skin
Infants should be positioned on their back for sleep even after feeding
The dependent skin surfaces of all infants and children confined in bed
should be inspected at least three times in each 24-hour period
Use care when moving and positioning clients who have had stroke (CVA)
and paralysis
Use support devices such as pillows or foams to prevent injury to the
affected areas
Reposition adults approximately every 2 hours to help reduce pressure on
bony prominences and avoid tissue trauma
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EMILIO AGUINALDO COLLEGE ISO 9001: 2015 CERTIFIED
QUALITY MANAGEMENT SYSTEM
City of Dasmariñas,Cavite

Fundamentals of Nursing Practice

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