Postural changes  Getting comfortable and changing position in bed (Aita Menni Hospital)

With these images, from the Aita Menni Hospital, we want to show how the necessary skills can be acquired to transfer or help to move a person who cannot do it on their own. First of all, it should be clarified that the objective of the assistant is to guide and facilitate movement. Before starting, you have to explain to the person what is going to be done and how. During the process you will also be given simple directions so that the movement is coordinated. When two people are assisting a highly dependent person, only one of them will say what to do. In some cases, when the presence of two assistants is not possible, the use of support products such as rotating discs, skid boards or cranes is recommended. To avoid future complications such as pressure ulcers, muscle atrophy, back pain, circulatory problems, edema, osteoporotic changes … it is important to change your posture, sit and stand up several times a day. People without mobility problems do it naturally. In addition, the posture that is acquired lying down and sitting will also influence the way in which you will move later. For this reason, in people with difficulty to move, correct positioning and postural changes are essential. There are several possibilities, we will see some of them below. We will always make sure that the head, shoulders, hips and legs are aligned to achieve a comfortable and relaxed position. Lying on your back We can place two fanned pillows to cover the head and shoulders. At shoulder height, pillows should go below shoulder blades. In order to place the parasic arm in decline and prevent it from becoming edematous, it is advisable to place another pillow at arm level covering the hand. If possible the hand will remain open. Another pillow can be placed for the lower limb or else another pillow under both knees. On the side on the healthy side We will use a pillow for the head and another between the knees, either with both legs bent or one stretched and the other bent. The objective is that the hip and knee of the upper leg, which will be affected, are at the same height. To place the paraseal arm in a neutral position (show position) we will place another pillow. Finally, to help maintain the position, we will place another pillow behind the back. On your side on the affected side You should avoid lying on the affected side and, if you do, keep it brief. Partly because it is difficult to get a proper posture and then because if the person suffers from pain, as is usual shoulder or hip pain, this posture can make it worse. In any case, we will use a pillow for the head and another between the legs as before. The paraseal arm, however, will be carefully stretched forward. .

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