passive position
Introduction
Introduction Patients often use a comfortable position because of the different parts of the disease. Experienced people often use the posture posture to judge the disease, so that the correct treatment method is adopted. Passive position, also known as forced position, means that you cannot adjust or change the position of your limb by your own strength, in a fixed and uncomfortable state. It is common in people with extreme weakness or severe injuries to the head and loss of consciousness. Common passive positions include supine, flat, semi-sitting, sitting, lateral, high, low, and low.
Cause
Cause
Common passive positions include supine, flat, semi-sitting, sitting, lateral, high, low, and low.
The supine position of the pillow is common in patients after spinal anesthesia, in order to prevent headache caused by the reduction of intracranial pressure.
The concave position is common in shock patients, the purpose is to increase the amount of blood return, and thus increase cardiac output to reduce the risk of shock.
The semi-sitting position is common in patients with inflammation or abdominal surgery in the abdomen. The purpose of taking this position is to reduce the tension at the wound and relieve pain.
The sitting position is common in patients with bronchial asthma, and the purpose is to relieve breathing difficulties, because such patients will increase their breathing difficulties when lying down.
The lateral position is common in patients who need to be enema, or need to do anal and gastroscopy.
Head high and low position is common in patients who need skull traction due to cervical fractures, providing them with anti-traction.
Head low foot high is common in premature rupture of membranes during pregnancy, in this position to prevent uterine prolapse.
Examine
an examination
Related inspection
Postural blood routine
Therefore, clinically, patients with forced position should:
First, physical examination
Taking a medical history gives us a first impression and revelation, and also guides us to a concept of the nature of the disease.
Second, laboratory inspection
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis.
Diagnosis
Differential diagnosis
Differential diagnosis of passive position:
1. Automatic position
Refers to physical activity freely, without any restrictions, seen in normal people or some early illnesses or diseases.
2. Forced position
(1) Forced sitting position: also called sitting breathing, this position is easy to breathe, and because the lower limb position is lower than the heart, the blood return to the heart is reduced, reducing the burden on the heart, more common in patients with severe heart failure and patients with pulmonary insufficiency.
(2) Forced prone position: This position can reduce the tension of the lower back muscles, which is common in patients with spondylitis and spinal trauma.
(3) Forced lateral position: seen in patients with pleural effusion on one side and a large amount of pleural effusion on one side, because it can alleviate the pain, and can make the respiratory muscles and lungs of the healthy side repellently to relieve breathing difficulties.
(4) Forced supine position: The patient is lying on his back and his legs are twisted. This can reduce the abdominal muscle tension and relieve pain. It is seen in some pain caused by abdominal diseases such as peritonitis.
(5) Forced stop position: Most of the time when standing on the walk, suddenly stand, and handcuffed the front area, and then continue to move forward. Most of them are caused by angina pectoris, and then even faint or sudden death. If you have a similar episode, you need to go to the hospital immediately and carry the necessary medicines for emergency use.
(6) Forced squatting: During the activity, the patient feels palpitations or difficulty breathing, and takes a squat or knee chest to relieve symptoms, which is common in cyanotic congenital heart disease.
(7) Swiveling position: the patient is in the bed tossing and turning, constantly changing position. It means that the patient has been unable to adjust or change the position of the limb.
