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EVALUATION TOOL
NAME:
INSTRUCTION:
1 0 REMARKS
Mark the appropriate column
1. Raise the level of the bed to comfortable working height.
4. Wash hands.
6 Instruct the client to lie on his/her back with legs stretched out together.
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DIFFERENT BODY POSITIONS
EVALUATION TOOL
Bring the underlying arm forward and flex it on the pillow used for the
19. head
20. Bring top arm forward, flex it and rest it on a pillow in front of the body.
Flex the client's upper non dependent leg to a right angle. Let client extend
21.
his/her lower depended leg. Place a pillow under the knees and foot
22. Check the client's proper body alignment.
Able to identify use of position for Physical Exam and / or application to a
23.
procedure.
E. SIMS POSITION
24. Instruct the client to lie on his LEFT side with the cheek resting on a pillow
placed under the head.
Let the client turn far enough onto the abdomen. Extend the lower arm
25.
behind the back and flex both knees slightly.
26. Let the other arm rest in a way that is comfortable to the patient.
Able to identify use of position for Physical Exam and/or application to a
27.
procedure.
F. PRONE POSITION
Instruct the client to lie flat on his / her abdomen, with the head turned to
28.
one and resting on a pillow.
29. Place the client's arms at the sides or bent at the elbows.
Able to identify use of position for Physical Exam and/or application to a
30.
procedure.
G. KNEE-CHEST POSITION
Instruct the client to kneel on the bed or on the examining table, and then
31. lean forward with the hips in the air and the chest and arms on the bed or
table.
32. Place a pillow under the client's head, with the head turned to one side.
Able to identify use of position for Physical Exam and/or application to a
33.
procedure.
H. SEMI - FOWLER'S POSITION
Place the client in a supine position with the head of the bed elevated to
34.
angle of 25 degrees.
I. FOWLER'S POSITION
Place the client in a supine position with the head of the bed elevated to
35.
angle of 45 degrees
Able to identify use of position for Physical Exam and/or application to a
36.
procedure.
J. HIGH FOWLER'S POSITION
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DIFFERENT BODY POSITIONS
EVALUATION TOOL
Place the client in a supine position with the head of the bed elevated to
37.
angle 70 - 90 degrees.
K. TRENDELENBURG POSITION
Check the availability of bed straps to be used to prevent the client from
38.
slipping off the bed.
39. Remove the pillow from the head part and place it at the edge of the bed.
Place client flat on his back. The head of the bed is lowered at 30 degree
40.
angle below horizontal level.
Able to identify use of position for Physical Exam and/or application to a
41.
procedure.
L. REVERSE TRENDELENBURG POSITION
Place the client flat on his / her back with the head bed elevated to an
42.
angle of 30-45 degrees above horizontal level.
43. Check the availability of bed straps or restraints.
Able to give the significance of the position during the emergency / special
44.
cases.
M. C-CURVE POSITION
45. Let the client assume a fetal position with the knees and arms together.
The chin should be touching the chest.
TOTAL
PERFECT SCORE: 45 = 100%
________________________________
CI’s Signature over printed name
LEGEND:
1 SKILLED
0 UNSKILLED
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