Correct positioning is very important and advice can be provided to aid positioning when in the chair or bed.
Positioning is particularly important when:
Someone has impaired movement of their muscles and /or sensation
Someone has pain or spasms in a certain position
Someone is at risk or has developed pressure ulcers
Someone has cognitive impairments
Someone is restless or feels unsupported
Someone receives personal hygiene care in the bed
There are issues with swelling in arms and/ or legs
There are many benefits to good positioning. Some of which are highlighted below:
It assists with distributing pressure more evenly to help with prevention of pressure areas
Prevents over stretching of muscles which can cause pain
Avoids muscle shortening
Gives the feeling of stability and safety
Makes assisting with care needs easier
Facilitates the respiratory system
Assists with venous return
It is important that you change position regularly throughout the day to reduce the risk of pressure areas. For further information please see attached leaflet.
Postural Management Plan: Sitting
Ensure that the person has adequate support around the head/ neck. You may need to use an extra pillow.
Place pillows under the person's arm/ shoulder to help support in the chair.
Ensure that the person's bottom is right back in the chair to prevent them from slipping forward.
The person may need a pillow in between the knees to keep them apart.
Ensure that feet are flat on the floor or supported on a foot rest.
Postural Management Plan: Side lying on non affected side
Place a pillow behind the person to help support side lying position and prevent rolling back.
Place a pillow under affected arm to support whole upper limb.
Place a pillow under the affected leg to help support this in the correct position.
Postural Management Plan: Side lying on affected side
Use 1 or 2 pillows to keep the head comfortable, ensure that the head is not being pushed up too high.
Place a pillow behind the person to help support them in side lying and prevent them from rolling back.
Ensure that the affected shoulder is brought forward slightly so it is not directly underneath the person.
Place a pillow under the arm for comfort.
Place a pillow underneath the front leg.
Postural Management Plan: Sitting in bed
Place pillows in a V shape behind the person's head and shoulders to keep them supported in a sitting position.
Place pillows under the arms to help support upper limbs.
A pillow can be placed under the knees if you are unable to fully straighten them.
Place a pillow or rolled blanket/ towel in between the legs to prevent them from rubbing.
Postural Management Plan: Lying on Back