Patient Positions for Postural Drainage PDF

Patient positions for postural drainage 31 Upper Lobes; anterior apical Segment Bed or drainage table flat. Patient leans back on pillow at 30 degree angle (High fowler’s position). (Clap over area between clavicle and top of scapula on each side.) Upper Lobes...

Patient positions for postural drainage 31 Upper Lobes; anterior apical Segment Bed or drainage table flat. Patient leans back on pillow at 30 degree angle (High fowler’s position). (Clap over area between clavicle and top of scapula on each side.) Upper Lobes; Posterior apical Segment Bed or drainage table flat. Patient leans over folded pillow at 30 degrees angle. (Clap over upper back on each side of chest.) 32  Upper Lobes; Anterior Segment Bed or drainage table flat. Patient lies flat on back with pillow under knees. (Clap between clavicle and nipple on each side of chest.) 33  Upper lobe right posterior segment Bed or drainage table is flat Patient lies on his left side and quarter turn towards prone (clap over the right scapula) Upper Lobes left posterior segment Patient lies on his right side and quarter turn towards prone Head and shoulders are elevated 18 inches (30 degrees). (Clap over the left scapula.) 34  Right Middle Lobe: lateral segment-& medial segment Foot of table or bed elevated 14 inches or about 15 degrees (Trendelenburg) Patient lies head down on Lt. side and rotates ¼ turn backward. Pillow may be placed behind patient from shoulder to hip. Knees should be flexed (clap over Rt. Nipple area. 35 Left : Lingular Segment:- Superior-8 & Inferior Foot of table or bed elevated 14 inches or about 15 degrees (Trendelenburg).. Patient lies head down on right side and rotates 1/4 turn backward. Pillow may be placed behind patient from shoulder to hip. Knees should be flexed. (Clap over left nipple area.) Lower Lobes: Superior Segment Bed or table flat. Patient lies on abdomen with pillows under hips (Clap over middle of back below tip of scapula on either side of spine.) 36 Lower Lobes: Anterior Basal Segment Foot of table or bed elevated 18 inches or 30 degrees (Trendelenburg).. Patient supine , head down, pillow under knees. (Clap over lower portion of ribs.) Lower Lobes: right Lateral Basal Segment Foot of table or bed elevated 18 inches or 30 degrees (Trendelenburg).. Patient lies side lying on his left side. Upper leg can be flexed over a pillow for support. (Clap over lower aspect of right rib cage) 37 Lower Lobes: left Lateral Basal Segment Foot of table or bed elevated 18 inches or 30 degrees (Trendelenburg).. Patient lies side lying on his right side. Upper leg can be flexed over a pillow for support. (Clap over lower aspect of left rib cage) Lower Lobes: Posterior Basal Segment Foot of table or bed elevated 18 inches or 30 degrees (Trendelenburg).. Patient lies on abdomen, head down, with pillow under hips.. (Clap over lower ribs close to spine on each side of chest.) 38 Modified Some patients who require postural postural drainage cannot tolerate the positions optimal for postural drainage: drainage:  a patient with congestive heart failure; may exhibit manifestations of orthopnea (can not lying flate).  After neurosurgery; the patient may not be allowed to assume a head-down position because this position causes increased intracranial pressure.  After thoracic surgery; the patient may have chest tubes and monitoring wires that limit positioning. 39