Sims position medical
A healthcare practitioner might have to place a patient into the Sims' position for a rectal or a vaginal examination. Lying on the left side on a bed or examination table, the patient slightly flexes the right hip and right knee. This allows for easy access to the rectal or vaginal cavity, whether for examination, vaginal treatments, colonic therapy or other more intensive surgical procedures like a colonoscopy.
The Sims' position is not the only medical device or practice named after 19th century Alabama gynecologist J. Marion Sims. The Sims' speculumor duck-billed speculum, is still in use today to give doctors greater access to regions of the uterus most effected by a condition of childbirth called vesico-vaginal fistula, which is tearing of the tissue between the vagina and bladder, as opposed to the typical tearing that can occur between vagina and anus.
After controversial surgeries performed on slave labor over a decade or more, Sims discovered a way to repair these tears. The resulting procedure and other developments earned him the title among many American OB-GYN practitioners as the "father of gynecology. It is not difficult to help a patient assume the Sims' position.
First, the patient lays on one side, placing the under arm behind the back.
Then the patient flexes the upper thigh. The knee is half-flexed to slightly raise one hip and reveal the vaginal or rectal cavity. Once the rectal or vaginal cavity is exposed, a range of procedures can be performed. In a medical setting, this could be for an examination of a patient's vaginal tear, hemorrhoids or an endoscopic procedure called a colonoscopy, which may or may not involve the removal of a tumor or cyst from the lower regions of the digestive tract.
In a preventative health environment, colonics are performed with patients in the Sims' position. This is also a preferred position for women in the later stages of pregnancy. Medical professionals have a range of patient positions in their arsenal.
Some of the most basic of these is the supine positionwith the patient flat on his or her back and a pillow under the head, or the prone positionwith the patient flat on his or her stomach. Another position named after its creator is Fowler's position. Created by New York surgeon George Fowler in the late 19th century, this position involves the supine position and the patient's upper torso to be elevated at various levels depending on the purpose — from a low angle to ease abdominal tension to a high level for meal time.
Please enter the following code:. Login: Forgot password?Learn about the different patient positioning guidelines, how to properly position the patient, and nursing considerations and interventions you need to know. Positioning patients is an essential aspect of nursing practice and a responsibility of the registered nurse. In most settings, positioning patients provide airway management and ventilation, maintaining body alignment, and provide physiologic safety. The ultimate goal of proper patient positioning is to safeguard the patient from injury and physiological complications of immobility.
Specifically, patient positioning goals include:. Proper execution is needed during patient positioning to prevent injury for both the patient and the nurse. Remember these principles and guidelines when positioning clients:. The following are the commonly used patient positions including a description on how they are performed and the rationale:.
Supine positionor dorsal recumbentis wherein the patient lies flat on the back with head and shoulders slightly elevated using a pillow unless contraindicated e. Orthopneic or tripod position places the patient in a sitting position or on the side of the bed with an overbed table in front to lean on and several pillows on the table to rest on.
In prone positionthe patient lies on the abdomen with head turned to one side and the hips are not flexed. In lateral or side-lying positionthe patient lies on one side of the body with the top leg in front of the bottom leg and the hip and knee flexed.
Flexing the top hip and knee and placing this leg in front of the body creates a wider, triangular base of support and achieves greater stability.
Increase in flexion of the top hip and knee provides greater stability and balance. This flexion reduces lordosis and promotes good back alignment.
The lower arm is positioned behind the client, and the upper arm is flexed at the shoulder and the elbow. The upper leg is more acutely flexed at both the hip and the knee, than is the lower one. Lithotomy is a patient position in which the patient is on their back with hips and knees flexed and thighs apart.
Knee-chest positioncan be in lateral or prone position. In lateral knee-chest positionthe patient lies on their side, torso lies diagonally across the table, hips and knees are flexed.
In prone knee-chest positionthe patient kneels on the table and lower shoulders on to the table so chest and face rests on the table. The bed is scissored so the hip is lifted and the legs and head are low. In kidney positionthe patient assumes a modified lateral position wherein the abdomen is placed over a lift in the operating table that bends the body. Patient is turned on their contralateral side with their back placed on the edge of the table.
Contralateral kidney is placed over the break in the table or over the kidney body elevator if attachment is available. The following are the devices or apparatus that can be used to help position the patient properly.
The section below is a nursing cheat sheet for different conditions or procedures and their appropriate patient position with rationale:. After: Extremity in which contrast was injected is kept straight for 6 to 8 hours.
Flat, if femoral artery was used. Possible to have abdominal cramps and blood-tinged outflow if catheter was placed in the last weeks. Thank you! Keep the standard going. Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers!Sims position is one of the traditional methods for carrying out childbirth 1.
Various factors such as easy administration for natural childbirth and practical advantages in breech delivery, congestive heart failure, hip joint restriction, and fewer varicosities have contributed to its popularity.
It is also the one most preferred options for women who want to pursue less restricted and natural child deliveries 2. This position was invented by the father of modern Gynecology, James Marion Simsand hence, the name Sims positions. He was one of the most popular physicians and gynecologists of the 19th century who dedicated himself to the service of mankind by inventing various tried and tested techniques, through which he could help women survive through various complications or issues that they generally go through prior to, during, or after the phase of childbirth 3.
Sims position was his brainchild through which he aimed at facilitating easier vaginal and colonic examinations as well as the surgeries. The scope of this position is not limited to the above-mentioned procedures, but it is equally effective for carrying out enemas, treatments, and even genital and rectal examinations 4. Since lying down in this posture might be uncomfortable, you can consider placing a pillow beneath the head and elbow of the patient, and another one between both the legs.
Besides assisting the doctors and nursing staff to easily conduct the test in a way that the patient does not feel embarrassed and is comfortable, there are many other advantages of using Sims position for carrying out the examination. Besides assisting the medical staff, this position is also the most comfortable position for the pregnant ladies to sleep. It is because it restores the blood circulation slowed down owing to the weight of the fetus and the amniotic fluid.
Sims Position: Definition, Benefits, and Explanation.Medicine A Doctor injecting a patient. A Chief of Hospital Staff will eventually change careers and become an Inventor in the Science career track. Positive : Change to the Science career track as an Inventor.
Medicine is one of the ten basic careers in The Sims 2. College majors associated with this career are Biology and Physics.
Medicine is one of the careers available in The Sims 2 console. Medicine is one of the career tracks available in The Sims 2: Pets console. Depending on the game, Medical will be a profession-career, unless Ambitions isn't installed. Otherwise, Sims will only work in the rabbit hole.
Beginning at level four, the player receives a medical journal each night to read. Doing so increases the Sim's performance. Each one counts as a book read, though, so bookworms can get a massive number of books to read if they keep at the medical career.
Sims will often meet new personnel, gain job performance, and increase relations with their boss randomly during operations, patient escapes, days with few patients, etc. These events are very useful for advancing. Medical can call a Sim to work at anytime.
Using the Take Unpaid Time Off [ TS3 ] feature will not prevent them from going to work if they are called but it will delay the day they go to work. After reaching Level 10, Sims will have a Special Performance Option: Play Golf, that will fulfill the Fun need and increase relationship with coworkers. After reaching Level 5, Sims will be able to determine the gender of pregnant Sims' babies.
If the pregnant Sim chooses the option "Ask Gender of Baby", then you'll have to hover over the doctor's head to see the thought bubble pop up, displaying the gender. Either a female or male sign will show up. If the Sim is having twins, however, the doctor will only be able to determine the gender of one of the twins or triplets. And, if the Sim eats watermelons or apples after the gender is determined, the chances of the watermelons and apples working are significantly lowered.
Research can be performed by reading Medical Journals to increase job performance. Each journal appears in the Sim's inventory and has a "read" option. It is read like a regular book. The Medical career track is the only base game career that underwent significant changes in the The Sims 3: Ambitions expansion pack and The Sims 3 Deluxe.Sims position is a conventionally popular technique and was an invention of James Marion Sims from where the position derives its name. James Marion Sims is regarded as the father of modern gynecology due to his significant work in the field of gynecological science.
He was a physician and a gynecologist by profession and is often remembered for his contribution in the form of reliable approaches.أوضاع المريض في السرير
These approaches are used by the gynecologists worldwide to assist the women through an uncomplicated childbirth process. Sims position is generally used by the medical practitioners to carry out the vaginal and the colonic examination in an easy and efficient manner.
Sims position is also one of the most preferred ways of helping the pregnant ladies to pursue deliveries naturally rather than going for the surgical methods. Besides offering the benefits of a convenient position in case of breech deliveryhip joint restriction, congestive heart failureit also poses fewer risks of varicosities which add to its competence.
This position is even considered the best posture for the administering the enemas, perform procedures and carrying out the rectal and genital check-ups on the patients. However, this position is not considered suitable for patients suffering from leg injuries or arthritis.
In this position, the patient lies on the left side. The right knee is bent against the abdomen while the left knee is slightly tilted. The right arm is positioned comfortably in front of the body while the left one is rested behind the body, preferably on the closest part of the buttocks.
Adjust the opposite side rails according to the required height and make sure that you screw the wheels. Help the patient turn towards the left side using a positioning device like pillow such that they rest partly on the left side while partly on the stomach. Place the upper or the right arm of the patient in such a way that it rests freely and is bent at the shoulders and the elbow.
Position the lower arm or the left arm in a manner that it lies on the back of the patient, on or near the hips. Once through the process, make sure that you adjust the legs and the hands of the patients so that none of them experiences too much pressure. Also, make sure that the head of the person does not pose any challenge to the proper breathing process.
You can also position pillows below the head of the patient and between both the legs to avoid discomfort to the patient. Sims position offers numerous benefits to the patient as well as the medical practitioners. Some of them have been listed here for you:. It helps the physicians and the nursing team to examine the patient conveniently in such a way that also take cares of the comfort of the patient. It also ensures that the patient does not feel embarrassed while the tests are being done.
It provides a more unobstructed view of the body part to be checked up hence it gets easy to observe cystocelerectocele and uterine prolapse along with their degree. The doctors are given liberty to move with this position thereby facilitating better quality. The body parts and organs to be tested like the rectal area, the vaginal area, cervix or the genital area are clearly visible.
It allows the examiner to have a better view of the problem and employ better therapeutic measures after understanding the causes to overcome them.
Lying in this position enables certain areas of the body to be more open up and hence provide sufficient space to palpate. It would allow the doctor to determine the medical condition better and come up with effective curative recommendations.
This position is also the most convenient sleeping position for the pregnant ladies because it helps to regulate the blood pressure which has declined due to the weight of the fetus and the amniotic fluid.Related to Sims position: Trendelenburg positionlithotomy positionFowler's positionHomans sign.
See also presentation. Common examination positions. From Lammon et al. The anatomical position for quadrupeds is standing with all four feet on the ground; the difference between animal and human anatomical position leads to confusion among terms indicating position and direction. The body in the anatomical poisition, showing regions of the body. From Applegate, In radiology, the patient is placed in either the right or left lateral decubitus position with the beam perpendicular to the long axis of the body.
See illustration. Fowler's position a position in which the head of the patient's bed is raised 30 to 90 degrees above the level, with the knees sometimes also elevated. Low Fowler's. Prone position. Rose's position one intended to prevent aspiration or swallowing of blood, as from an injured lip: the patient is supine with head hanging over the end of the table in full extension so as to enable bleeding to be over the margins of the inverted upper incisors.
Sims position the patient lies on the left side with the left thigh slightly flexed and the right thigh acutely flexed on the abdomen; the left arm is behind the body with the body inclined forward, and the right arm is positioned according to the patient's comfort. Called also lateral position. Sims recumbent position a variant of the Sims position in which the patient lies on the left side in a modified left lateral position; the upper leg is flexed at hip and knees, the lower leg is straight, and the upper arm rests in a flexed position on the bed.
Trendelenburg's position the patient is on the back on a table or bed whose upper section is inclined 45 degrees so that the head is lower than the rest of the body; the adjustable lower section of the table or bed is bent so that the patient's legs and knees are flexed. There is support to keep the patient from slipping.
All rights reserved. Synonym s : English positionlateral recumbent positionsemiprone position. Segen's Medical Dictionary. Placement to facilitate a vaginal examination, with the patient lying on her side with the lower arm behind the back, the thighs flexed, the upper one more than the lower. Synonym s : lateral recumbent position.
Sims position - facilitates vaginal examination. Synonym s : English position ; lateral recumbent position ; semiprone position. Mentioned in? Medical browser? Simpson, Sir James Y. Full browser?Patient positioning is vital to a safe and effective surgical procedure.
Proper patient positioning depends on the type and length of procedure, anesthesia access to the patient, devices required and other factors. Safely positioning the patient is a team effort.
All members of the surgical team play a significant role in the process and share responsibility for establishing and maintaining the correct patient positions.
Following standard patient positioning guidelines and practices helps to ensure patient safety and physical well-being before, during and after a procedure. A sufficient number of personnel should always be available during a patient procedure to position the patient safely and effectively.
General positioning practices include having an adequate number of personnel, devices, and equipment available during a procedure to ensure patient and staff safety. The patient should be maintained in a neutral alignment, without extreme lateral rotation or hyperextension.
Ensure that pressure is not concentrated on one point in order to avoid pressure injuries. A sedated or anesthetized patient is not always able to communicate physical feeling such as numbness, tingling, tissue temperature, and other issues.
Various factors play a role in risk during a patient procedure as a result of positioning. Intrinsic and extrinsic factors can interact to contribute to the risk of developing pressure sores. Extrinsic factors may include pressure intensity and duration and overall effects of anesthesia. Intrinsic factors can include the overall health of the patient, and preexisting conditions such as respiratory or circulatory disorders, diabetes mellitus, anemia, malnutrition, advanced age, and body size.
When anesthetics and muscle relaxants depress pain, pressure receptors and muscle tone, the normal defense mechanisms cannot guard against joint damage or muscle stretch and strain. One of the main goals of proper patient positioning is to keep the patient's body as naturally aligned as possible while providing the surgical staff access to the surgical site, and quick, jerky movements should be avoided.
Fowler's position, also known as sitting position, is typically used for neurosurgery and shoulder surgeries. When positioning a patient in Fowler's position, the surgical staff should minimize the degree of the patient's head elevation as much as possible and always maintain the head in a neutral position. The patient's arms should be flexed and secured across the body, the buttocks should be padded, and the knees flexed 30 degrees. In Fowler's position, the patient is at an increased risk for air embolism, skin injury from shearing and sliding, and DVT forming in the patient's lower extremities.
In this position, a patient has an increased pressure risk in their scapulae, sacrum, coccyx, ischium, back of knees, and heels. In High Fowler's position, the patient is usually seated Fowler's position at the head end of the operating table.
The upper half of the patient's body is between 60 degrees and 90 degrees in relation to the lower half of their body. The legs of the patient may be straight or bent.
Supine position, also known as Dorsal Decubitus, is the most frequently used position for procedures. In this position, the patient is face-up. The patient's arms should be tucked at the patient's sides with a bedsheet, secured with arm guards to sleds.
The arms may be flexed and secured across the body or extended and secured on padded armboards. In Supine position, the patient may risk pressure ulcers and nerve damage. This position causes extra pressure on the skin and bony prominences over the occiput, scapulae, elbows, sacrum, coccyx and heels. Jackknife position, also known as Kraske, is similar to Knee-Chest or Kneeling positions and is often used for colorectal surgeries.
This position places extreme pressure on the knees. While positioning, surgical staff should place extra padding for the knee area.
The kidney position resembles lateral position, except the patient's abdomen is placed over a lift in the operating table that bends the body to allow access to the retroperitoneal space. In Prone position, the patient is face-down with their head in a neutral position without excessive flexion, extension or rotation.
Prone position is often used for spine and neck surgeries, neurosurgery, colorectal surgeries, vascular surgeries, and tendon repairs. When a patient is in Prone, pressure should be kept off of the eyes, cheeks, ears, and breast. At a minimum, four members of the surgical staff should be available when turning a patient prone.