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6. While supporting the person’s head and neck, gently take the
bent knee closest to you and very gently roll the person away
from you. Adjust the upper leg, so both the hip and knee are
bent at right angles. Ensure the person is steady and cannot
roll.
7. Tilt the head back and make sure the airways are clear and
open.
High fowler position- is a standard patient position in which the
patient is seated in a semi-sitting position (45-60 degrees) and
may have knees either bent or straight. Variations in the angle
are denoted by high Fowler, indicating an upright position at
approximately 90 degrees and semi-Fowler, 30 to 45 degrees;
and low Fowler, where the head is slightly elevated." It is an
intervention used to promote oxygenation via maximum chest
expansion and is implemented during events of respiratory
distress. Fowler's position facilitates the relaxing of tension of
the abdominal muscles, allowing for improved breathing. In
immobile patients and infants, the Fowler's position alleviates
compression of the chest that occurs due to gravity. Fowler's
position increases comfort during eating and other activities, is
used in postpartum women to improve uterine drainage, and in
infants when signs of respiratory distress are present. Fowler's
position is also used when oral or nasal gastric feeding tubes
have been implemented as it minimizes the risk of aspiration.
Peristalsis and swallowing are aided by the effect of
gravitational pull.