The physician’s admitting orders indicate that the client is to be placed in a High Fowler’s position. Upon positioning this client, how much will the nurse elevate the head of the bed?
A.
30 degrees.
B.
15 to 20 degrees.
C.
90 degrees.
D.
45-60 degrees
The Correct Answer and Explanation is:
The correct answer is C. 90 degrees.
Explanation:
The High Fowler’s position is a specific body position used in various clinical scenarios to enhance respiratory function, facilitate digestion, or improve patient comfort. In this position, the head of the bed is elevated to a near vertical angle to achieve optimal positioning.
When the physician’s orders specify the High Fowler’s position, the goal is to elevate the head of the bed to 90 degrees. This positioning provides the maximum elevation possible and is characterized by the patient sitting upright, with the torso nearly perpendicular to the bed. Here’s a detailed breakdown of why this elevation is important and how it compares with other positions:
- Respiratory Function: Elevating the head of the bed to 90 degrees helps improve lung expansion and respiratory efficiency. By sitting upright, gravity assists in pulling the diaphragm downward, which increases lung volume and helps the patient breathe more easily. This is particularly beneficial for patients with respiratory conditions such as chronic obstructive pulmonary disease (COPD) or congestive heart failure.
- Digestive Process: The High Fowler’s position aids in digestion and reduces the risk of aspiration. When the head of the bed is elevated, it allows for better gastric emptying and reduces the likelihood of stomach contents flowing back into the esophagus, which can lead to gastroesophageal reflux disease (GERD) or aspiration pneumonia.
- Comfort and Safety: For patients who are bedridden or recovering from surgery, being in a High Fowler’s position can enhance comfort and facilitate easier interaction with medical staff or family members. It also reduces pressure on the sacral area and can help prevent pressure ulcers.
In contrast:
- 30 degrees (Semi-Fowler’s) and 45-60 degrees (Fowler’s) are used for less pronounced elevation and are typically chosen based on specific patient needs and comfort.
- 15 to 20 degrees is considered a low elevation, more appropriate for patients requiring minimal head and torso elevation.
In summary, elevating the head of the bed to 90 degrees for the High Fowler’s position is crucial for maximizing respiratory and digestive benefits and ensuring patient comfort and safety.