A client has the head of her bed elevated 60 degrees. What is this called
The Correct Answer and Explanation is:
The position in which a client has the head of the bed elevated to 60 degrees is called the Fowler’s position, specifically the High Fowler’s position.
Explanation
The Fowler’s position is a common bed positioning technique used in healthcare settings to promote comfort, facilitate breathing, and support various medical conditions. It is categorized into three types based on the angle of elevation:
- Low Fowler’s – head of the bed elevated 15–30 degrees
- Semi-Fowler’s – head of the bed elevated 30–45 degrees
- High Fowler’s – head of the bed elevated 60–90 degrees
When the head of the bed is elevated to approximately 60 degrees, this is referred to as the High Fowler’s position. This position is often used for patients who are experiencing respiratory distress, as it allows for maximum lung expansion by reducing pressure on the diaphragm. It is also helpful for patients who are eating in bed, undergoing certain medical examinations, or receiving feeding via nasogastric tubes, as it reduces the risk of aspiration.
High Fowler’s position improves ventilation and oxygenation, making it particularly beneficial for patients with chronic obstructive pulmonary disease (COPD), pneumonia, or congestive heart failure (CHF). In this position, gravity helps draw the diaphragm downward, improving air exchange and making breathing easier.
However, while High Fowler’s position is beneficial for respiratory function, prolonged use should be monitored to prevent pressure injuries, especially on the sacrum and buttocks, as well as to avoid discomfort or orthostatic hypotension in some patients.
In nursing care, it is important to assess the patient’s condition regularly while in High Fowler’s position and adjust positioning as needed. Pillows may be used to support the arms or back to enhance comfort and prevent strain.
In summary, when the head of the bed is elevated to 60 degrees, the client is in High Fowler’s position, a vital posture for promoting respiratory efficiency and overall comfort in many clinical situations.
