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A woman placed in the Fowler's position (in this case, 45 degrees)

In medicine, Fowler's position is a standard patient position in which the patient is seated in a semi-sitting position (45-60 degrees) and may have knees either bent or straight. Variations in the bending are denoted by high Fowler, indicating an upright position at approximately 90 degrees and semi-Fowler, 30 to 45 degrees; and depression Fowler, where the head is slightly elevated."^[1] It is an intervention used to promote oxygenation via maximum chest expansion and is implemented during events of respiratory distress. Fowler's position facilitates the relaxing of tension of the abdominal muscles, assuasive for improved breathing. In immobile patients and infants, the Fowler's position alleviates pinch of the chest that occurs due to gravity. Fowler's position increases comfort during eating and other activities, is used in postpartum women to amend uterine drainage, and in infants when signs of respiratory distress are present. Fowler'south position is likewise used when oral or nasal gastric feeding tubes accept been implemented as it minimizes the adventure of aspiration. Peristalsis and swallowing are aided by the consequence of gravitational pull.^{[ commendation needed ]}

Information technology is named for George Ryerson Fowler,^[2] who saw it as a way to subtract the bloodshed of peritonitis: Accumulation of purulent material under the diaphragm led to rapid systemic sepsis and septic stupor, whereas pelvic abscesses could be drained through the rectum.^[3]

Semi-Fowler'due south position [edit]

Semi-Fowler'southward position at xxx degrees

The Semi-Fowler'due south position is a position in which a patient, typically in a hospital or nursing dwelling house in positioned on their back with the caput and body raised to betwixt 15 and 45 degrees,^[four] although 30 degrees is the almost frequently used bed bending.^{[5] [6]} The elevation is less than that of the fowler's position, and may include the foot of the bed existence raised at the knee to bend the legs.^{[ citation needed ]}The position is useful in promoting lung expansion^[7] as gravity pulls the diaphragm downwards, allowing for expansion and ventilation.^[4] It is as well recommended during gastric feeding to reduce the chance of regurgitation and aspiration.^[iv] During childbirth, the semi-fowler'due south position is preferred over the full-fowler's as it is mostly more than comfortable for the female parent, and reduces the need for analgesics and surgical interventions such equally operative vaginal delivery or cesarean sections.^[8]The semi-fowler's position is too indicated when assessing the jugular veins.^[7]

Loftier Fowler's position [edit]

Upright at 90 degrees is total or high Fowler's position. Other Fowler'southward positions are tilted back.

The high Fowler's position is a position in which a patient, typically in a infirmary, is placed when the caput of the bed needs to be elevated as high as possible. The upper half of the patient'southward body is between sixty degrees and 90 degrees in relation to the lower half of their trunk.^[9] The legs of the patient may be direct or aptitude. This position is also required postoperatively for pneumonectomy patients.^[x] This position is known colloquially equally "sitting".

This position is oftentimes used when feeding a patient (especially one on feeding precautions), for radiology, needing to take a specific type of x-ray at the bedside, (at times) when a breathing treatment is beingness given to the patient, when the patient is having difficulty breathing, for nasogastric tube insertion, for dependent drainage after abdominal surgery, grooming, etc.^[eleven]

See too [edit]

• Lithotomy position
• Trendelenburg position

References [edit]

1. ^ LaFleur Brooks, Myrna and Danielle (2018). Exploring Medical Language: A Pupil Directed Arroyo (tenth Ed). Elsevier. p. 68.
2. ^ synd/3035 at Who Named It?
3. ^ G. R. Fowler. Diffuse septic peritonitis, with special reference to a new method of treatment, namely, the elevated caput and torso posture, to facilitate drainage into the pelvis, with a report of nine sequent cases of recovery. The Medical Tape, New York, 1900, 57: 617-623, 1029-1931.
4. ^ ^{a b c} Kozier and Erb's fundamentals of nursing. Berman, Audrey., Kozier, Barbara., Erb, Glenora Lea, 1937-2001. (2nd ed.). Frenchs Forest, Northward.South.West.: Pearson Commonwealth of australia. 2012. p. 1277. ISBN9781442541696. OCLC 769349688. {{cite book}}: CS1 maint: others (link)
5. ^ Potter & Perry's fundamentals of nursing. Crisp, Jackie., Taylor, Catherine. (4th ed.). Chatswood, N.South.West.: Mosby. 2012. p. 1028. ISBN9780729541107. OCLC 811073338. {{cite book}}: CS1 maint: others (link)
6. ^ Carter, Pamela (June 2007). Lippincott's Textbook for Nursing Assistants: A Humanistic Approach. p. 189. ISBN9780781766852 . Retrieved 17 May 2015.
7. ^ ^{a b} Kozier and Erb's fundamentals of nursing. Berman, Audrey., Kozier, Barbara., Erb, Glenora Lea, 1937-2001. (2nd ed.). Frenchs Forest, N.Southward.W.: Pearson Commonwealth of australia. 2012. pp. 702, 881. ISBN9781442541689. OCLC 769349688. {{cite volume}}: CS1 maint: others (link)
8. ^ Murray, Michelle (15 December 2008). Labor and Delivery Nursing: Guide to Bear witness-Based Do. ISBN9780826110923 . Retrieved 17 May 2015.
9. ^ Carter, Pamela J. (2007). Lippincott's Textbook for Nursing Administration: A Humanistic Approach to Caregiving . Lippincott Williams & Wilkins. p. 190. ISBN9780781766852 . Retrieved 18 January 2018. High Fowler'due south position.
10. ^ "Pneumonectomy" (PDF). Archived from the original (PDF) on 2011-04-06. Retrieved 2012-03-nineteen .
11. ^ Frey, Rita; Cooper, Lisa Shearer (1996). Introduction to Nursing Profitable: Building Language Skills. Cengage Learning. p. 202. ISBN0827362331 . Retrieved 18 January 2018.

External links [edit]

• Diagram
• Loftier-Fowler's position
• Bed Preparation Techniques

blankenshipbouricipt.blogspot.com

Source: https://en.wikipedia.org/wiki/Fowler%27s_position

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