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Lateral Positioning and Clinical Reality Without careful positioning, patients do not tolerate this position well. Patients in studies of lateral positioning often spontaneously repositioned themselves Patients who can spontaneously reposition themselves should be put in the lateral position that is most comfortable to them This position is most important and better tolerated by those who are obtunded or in deep coma. Repositioning/Turning HIGH RISK – ◦ Q2h turning schedule Very High Risk ◦ Supplement with small shifts 41 8/7/2012 18
Pressure Reduction Seating Systematic review show no clear superiority of one over another, but need remains Individualization is important, particularly for those who are chairfast for all activities of daily living. Frequent repositioning or teach selfrepositioning Lift-offs and Weight Shifting Supported primarily by the opinion of clinical experts Coggrave and Rose (2003) studied 48 spinal cord injured patients and found it took nearly two minutes of pressure relief for reperfusion to take place. Sprigle & Sonenblum, 2011 8/7/2012 19
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Page 23: Linda Laudato BSN, RN Gold STAMP Co

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