What is primary reason for the gradual change of position of the patient after surgery?
Chapter 3. Safe Patient Handling, Positioning, and Transfers Show
Immobility in hospitalized patients is known to cause functional decline and complications affecting the respiratory, cardiovascular, gastrointestinal, integumentary, musculoskeletal, and renal systems (Kalisch, Lee, & Dabney, 2013). For surgical patients, early ambulation is the most significant factor in preventing complications (Sanguinetti, Wild, & Fain, 2014). Lack of mobility and ambulation can be especially devastating to the older adult when the aging process causes a more rapid decline in function (Graf, 2006). Ambulation provides not only improved physical function, but also improved emotional and social well-being (Kalisch et al., 2013). Prior to assisting a patient to ambulate, it is important to perform a patient risk assessment to determine how much assistance will be required. An assessment can evaluate a patient’s muscle strength, activity tolerance, and ability to move, as well as the need to use assistive devices or find additional help. The amount of assistance will depend on the patient’s condition, length of stay and procedure, and any previous mobility restrictions. Assisting Patient to the Sitting PositionPatients who have been immobile for a long period of time may experience vertigo, a sensation of dizziness, and orthostatic hypotension, a form of low blood pressure that occurs when changing position from lying down to sitting, making the patient feel dizzy, faint, or lightheaded (Potter, Perry, Ross-Kerr, & Wood, 2010). For this reason, always begin the ambulation process by sitting the patient on the side of the bed for a few minutes with legs dangling. Checklist 27 outlines the steps to positioning the patient on the side of a bed prior to ambulation (Perry, et al., 2014). Checklist 27: Assisting a Patient to a Sitting Position
Video 3.2Ambulating a PatientAmbulation is defined as moving a patient from one place to another (Potter et al., 2010). Once a patient is assessed as safe to ambulate, determine if assistance from additional health care providers or assistive devices is required. Checklist 28 reviews the steps to ambulating a patient with and without a gait belt. Checklist 28: Ambulating a Patient
Video 3.3Video 3.4Watch the video How to Ambulate with a Cane by Kim Morris of Thompson Rivers University. Video 3.5Watch a video How to Ambulate With Crutches by Kim Morris, Thompson Rivers University.
What are the key reasons for changing the patient's position?Changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin stay healthy and prevents bedsores. Turning a patient is a good time to check the skin for redness and sores.
What is the position of the patient after surgery?In Lateral position, the patient may be placed on either their left or right side depending on the side of the surgical site. A pillow or head positioner should be placed under the patient's head with the depended ear assessed after positioning.
Why is constant changing position in bed important?Frequent position changes.
Repositioning the patient every two hours helps prevent complications like pressure ulcers and skin breakdown.
How frequently should the nurse monitor the VS of the patient in recovery room?Conclusions: Based on these results, the best times to take post-operative vitals to ensure deviations are detected are: every 15 minutes for 30 minutes upon admission, 1.5 hours after admission, 4 hours after admission, and then every 4 hours for 20 hours.
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