7
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ILL.
Proning
Place the 4Way Mattress out of center – there should be more
mattress to the side you turn the user.
Remove the head-end of the bed.
If the user is connected to a ventilator or other life saving
machines, turn the user towards the equipment. Place the
hand of the user under the hip. If needed add 2-3 pillows or
positioning cushions used on top of the users body.
Place a sheet over the user fold the sheet away from the users
head tug the sheet round the user like a cocoon.
Unlock the system as describe before.
One carer secure the users head and one carer on each side to
support the user.
Move the user to the opposite side to where the user is turned.
Attach the handles of the 4WayGlide Mattress to the sling bar.
Raise the hoist and slowly turn the user to almost 90° When the
user is on the side one carer tug the sheet under the user to be
able to remove it when the user is turned to prone. Same carer
support the user by having the hands on the shoulder. Continue
to turn the user. The carer can either push down on the glide
mattress or pull on the handles to make sure the user is turned
in the middle of the bed (Illustration 22) turn until the user is in
the correct prone position
Slowly lower the hoist again. Remove the handles from the sling
bar hooks. If nesseccary move the user to the center of the bed.
Secure that the user is correct positioned. (illustration 23) Raise
the guard rails if required
Turn to supine positioning the same way.
The “5 smiles” technique:
To ensure the most comfortable position (seated or lying), it is
imperative that the carers remove any tension occurring on the
skin when the user’s head or feet are raised.
First Smile: move and reposition the pillow (Illustration 19).
Second and third Smile: relieve the skin tension under the
shoulders (Illustration 20) on each side. Use the Immedia
MultiGlide glove and place the gloved hand under the user
and slowly move it down towards the bed end.
Fourth and fifth Smile: relieve the skin tension under the legs
(Illustration 21) one leg at the time. Use the Immedia MultiGlide
glove and place the gloved hand under the buttocks and slowly
move it towards the bed end.
Seated position:
Once the carer has ensured that any tension on the skin is
released, they can support the user in the seated/lying position
with positioning wedges or positioning pillows.
