Besides creating more comfort for the patient, Fowler’s position has other advantages, including: Benefits and Drawbacks of Fowler’s Positionįowler’s position has become so widely used that it is among the basic skills all RNs must learn as part of their training. However, it also has risks associated with it as the studies have revealed that resting in a high-Fowler’s position can cause discomfort including pressure on the sacral and gluteal areas, and makes patients prone to the development of pressure ulcers. A high-Fowler’s position is typically prescribed to elderly patients as it is scientifically proven to aid the digestion process and also helps the person to overcome breathing problems. Patients in an older age group generally spend more time resting in their beds, which is why they often face problems associated with digestion and respiration. While allowing for easy breathing, this is also considered the best position for: The upper part of the body is angled between 60 to 90 degrees with respect to the lower portion of the body. In this position, the patient is upright and the spine is kept straight. To prevent aspiration during tube feeding.In a low-Fowler’s position, the patient’s head is inclined at a 15- or 30-degree angle. This position is similar to the supine position, and is considered the best position for rest. According to a study, the patients who were administered with chemotherapy in a semi-Fowler’s position experienced comparatively less severe nausea. Typically, it is recommended for patients undergoing treatments that trigger nausea, such as chemotherapy. Patients resting in a semi-Fowler’s position experience less nausea compared to patients lying down. This variation of Fowler’s is considered the most popular. Additionally, the semi-Fowler’s position is also used for pregnancy because it improves the mother’s comfort. Semi-Fowler’s is considered the most comfortable position for patients who have a nasogastric tube fitted, as it ensures the tube remains fixed in its place. After shoulder, nasal, cranial, abdominal and breast reconstruction surgeries.To decrease cardiac or respiratory conditions.This position is implemented for a number of medical reasons including: The bed is typically inclined at an angle of 15 to 45 degrees, although 30 degrees is most frequently used. Understanding the different Fowler’s positions and when each is appropriate is an important way nurses can fulfill the metaparadigm of nursing, tending to the patient’s health, person, environment, and nursing needs.Ī semi-Fowler’s position is similar to the standard Fowler’s position, however, the head and back rest at a lower angle. The requirements of the patient and their medical conditions will determine which variant of Fowler’s position should be applied. There are three variants to take note of aside from the standard Fowler’s position: the semi-Fowler’s position, low-Fowler’s position, and high-Fowler’s position. For patients who are incapable of moving, this position enables normal talking, eating, and supports easy swallowing aided by gravity. The position is preferred as an option to combat respiratory distress syndrome since it allows for better chest expansion and improves breathing by facilitating oxygenation.
The legs of the patient are either bent at the knees or laid out straight on the bed. In the standard Fowler’s position, the patient sits upright at an angle between 30 and 90 degrees. When drainage occurs from after abdominoplasty.
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