POSITIONING FOR PEOPLE AFFECTED BY STROKEepiuze/files/judy/poster.pdf · people affected by stroke....
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Prevention of Shoulder Pain Following a Stroke DO: Practice Proper Positioning Sitting in a wheelchair Sit with back leaning against the chair with the head, spine and pelvis aligned Affected arm must be supported by a pillow, a lap tray or a trough Feet are shoulder width apart and rested on footrests or flat on the floor Lying on unaffected side Place one or two pillows under the head, under the weaker leg, and behind the back Bring affected arm forward and comfortably rest it on a pillow Lying on affected side Place one or two pillows under the head, under the stronger leg (should be bent), and behind the back Make sure the weaker leg is straight Lying on back Place one or two pillows under the head, the affected arm, and beneath the knees Feet are placed in a neutral position DO: Learn to apply arm sling correctly 1. Slip affected forearm through small loop 2. Pull strap across back and the top of the unaffected shoulder 3. Place affected hand into large loop so hand and wrist are supported Wear arm sling only during transfers and walking Pull on the affected arm during transfers or walking Wrap arm sling around the neck Passively lift arm higher than shoulder level (neither front nor side). Leave the sling on while the patient is sitting in the chair DON’T 1 2 3 References 1. Canadian Best Practice Recommendations for Stroke Care. Canadian Stroke Strategy. Update 2010. 2. E. Kader et al. Positioning: Information for Patients and Families. Stroke Engine. Canadian Stroke Network. Update 2011. 3. Positioning for People Affected by Stroke. Chest Heart & Stroke Scotland. 2012. 4. Left Arm Sling. Stroke Strategy Southwestern Ontario & London Health Sciences Centre. 2012. Authors Judy Dumont (Physical Therapy student), Allana Goodman (Occupational Therapy student), Di Zhang (Physical Therapy student) McGill University Richardson Hospital Center, August 2012 Shoulder pain is a common condition that affects about 72% of people who sustained a stroke. To prevent shoulder pain the following measures can be taken by patients, families, or caregivers. Richardson Hospital Center
Transcript of POSITIONING FOR PEOPLE AFFECTED BY STROKEepiuze/files/judy/poster.pdf · people affected by stroke....
If you require any more information please contact the Advice Line Nurses on:
0845 077 6000Monday - Friday 9.30 - 12.30 and 1.30 - 4.00 (Local call rate)
www.chss.org.uk
POSITIONING FOR PEOPLEAFFECTED BY STROKE
CHSS takes no responsibilityfor the consequences of error,
loss or damage suffered byusers of information published
on this chart.
Acknowledgement to Mark Smith,
Clinical SpecialistPhysiotherapist for Stroke,
NHS Lothian.
This chart suggests possible positioning options forpeople affected by stroke. After a stroke people canexperience differing physical problems, and thereforecareful positioning and placement of pillows can bemade to achieve safe and comfortable postures for
any individual.
Illustrations - Affected stroke side is in blue.Pictures do not depict bed rails.
LYING ON AFFECTED SIDE• One or two pillows for head• Affected shoulder positioned comfortably• Place unaffected leg forward on one or two pillows• Place pillows in front and behind
LYING ON UNAFFECTED SIDE• One or two pillows for head• Affected shoulder forward with arm
supported on pillow• Place affected leg backwards on one or
two pillows• Place a pillow behind.
LYING ON BACK (if desired)• Place three pillows supporting both
shoulders and head• Place affected arm on pillow.• Optional pillow beneath affected hip• Ensure feet in neutral position
SITTING UP• Sitting well back in the centre of chair or wheelchair• Place arms well forward onto two pillows on table• Feet flat on floor or footrests• Knees directly above feet
SITTING IN BED• Sitting in bed is desirable for short
periods only• Sitting upright well supported by pillows• Place both arms on pillows• Legs supported for comfort
Scottish Charity Number SCO 18761
If you require any more information please contact the Advice Line Nurses on:
0845 077 6000Monday - Friday 9.30 - 12.30 and 1.30 - 4.00 (Local call rate)
www.chss.org.uk
POSITIONING FOR PEOPLEAFFECTED BY STROKE
CHSS takes no responsibilityfor the consequences of error,
loss or damage suffered byusers of information published
on this chart.
Acknowledgement to Mark Smith,
Clinical SpecialistPhysiotherapist for Stroke,
NHS Lothian.
This chart suggests possible positioning options forpeople affected by stroke. After a stroke people canexperience differing physical problems, and thereforecareful positioning and placement of pillows can bemade to achieve safe and comfortable postures for
any individual.
Illustrations - Affected stroke side is in blue.Pictures do not depict bed rails.
LYING ON AFFECTED SIDE• One or two pillows for head• Affected shoulder positioned comfortably• Place unaffected leg forward on one or two pillows• Place pillows in front and behind
LYING ON UNAFFECTED SIDE• One or two pillows for head• Affected shoulder forward with arm
supported on pillow• Place affected leg backwards on one or
two pillows• Place a pillow behind.
LYING ON BACK (if desired)• Place three pillows supporting both
shoulders and head• Place affected arm on pillow.• Optional pillow beneath affected hip• Ensure feet in neutral position
SITTING UP• Sitting well back in the centre of chair or wheelchair• Place arms well forward onto two pillows on table• Feet flat on floor or footrests• Knees directly above feet
SITTING IN BED• Sitting in bed is desirable for short
periods only• Sitting upright well supported by pillows• Place both arms on pillows• Legs supported for comfort
Scottish Charity Number SCO 18761
If you require any more information please contact the Advice Line Nurses on:
0845 077 6000Monday - Friday 9.30 - 12.30 and 1.30 - 4.00 (Local call rate)
www.chss.org.uk
POSITIONING FOR PEOPLEAFFECTED BY STROKE
CHSS takes no responsibilityfor the consequences of error,
loss or damage suffered byusers of information published
on this chart.
Acknowledgement to Mark Smith,
Clinical SpecialistPhysiotherapist for Stroke,
NHS Lothian.
This chart suggests possible positioning options forpeople affected by stroke. After a stroke people canexperience differing physical problems, and thereforecareful positioning and placement of pillows can bemade to achieve safe and comfortable postures for
any individual.
Illustrations - Affected stroke side is in blue.Pictures do not depict bed rails.
LYING ON AFFECTED SIDE• One or two pillows for head• Affected shoulder positioned comfortably• Place unaffected leg forward on one or two pillows• Place pillows in front and behind
LYING ON UNAFFECTED SIDE• One or two pillows for head• Affected shoulder forward with arm
supported on pillow• Place affected leg backwards on one or
two pillows• Place a pillow behind.
LYING ON BACK (if desired)• Place three pillows supporting both
shoulders and head• Place affected arm on pillow.• Optional pillow beneath affected hip• Ensure feet in neutral position
SITTING UP• Sitting well back in the centre of chair or wheelchair• Place arms well forward onto two pillows on table• Feet flat on floor or footrests• Knees directly above feet
SITTING IN BED• Sitting in bed is desirable for short
periods only• Sitting upright well supported by pillows• Place both arms on pillows• Legs supported for comfort
Scottish Charity Number SCO 18761
Prevention of Shoulder PainFollowing a Stroke
DO: Practice Proper Positioning
Sitting in a wheelchairSit with back leaning against the chair with the head, spine and pelvis aligned
Affected arm must be supported by a pillow, a lap tray or a trough
Feet are shoulder width apart and rested on footrests or flat on the floor
Lying on unaffected sidePlace one or two pillows under the head, under the weaker leg, and behind the back
Bring affected arm forward and comfortably rest it on a pillow
Lying on affected sidePlace one or two pillows under the head, under the stronger leg (should be bent), and behind the back
Make sure the weaker leg is straight
Lying on backPlace one or two pillows under the head, the affected arm, and beneath the knees
Feet are placed in a neutral position
DO: Learn to apply arm sling correctly
1. Slip affected forearm through small loop
2. Pull strap across back and the top of the unaffected shoulder
3. Place affected hand into large loop so hand and wrist are supported
Wear arm sling only during transfers and walking
Pull on the affected arm during transfers or walking
Wrap arm sling around the neck
Passively lift arm higher than shoulder level (neither front nor side).
Leave the sling on while the patient is sitting in the chair
DON’T1 2 3
References1. Canadian Best Practice Recommendations for Stroke Care. Canadian Stroke Strategy. Update 2010.2. E. Kader et al. Positioning: Information for Patients and Families. Stroke Engine. Canadian Stroke Network.
Update 2011.3. Positioning for People Affected by Stroke. Chest Heart & Stroke Scotland. 2012.4. Left Arm Sling. Stroke Strategy Southwestern Ontario & London Health Sciences Centre. 2012.
AuthorsJudy Dumont (Physical Therapy student), Allana Goodman (Occupational Therapy student), Di Zhang (Physical Therapy student) McGill UniversityRichardson Hospital Center, August 2012
Shoulder pain is a common condition that affects about 72% of people who sustained a stroke. To prevent shoulder pain the following measures can be taken by patients, families, or caregivers.
Richardson Hospital Center
