2017년 4월 1일 토요일

Face up position

Face up position

Face up position, a bottom lie on their back, and the top is located

One of the care, the expression of nursing science, sports medicine and the physique in other fields (ergonomics) that is anatomy of the Homo sapiens and the application with face up position (ぎょうがい, Luo: supinus British: supine position[1][2]) or the face up position (there is a burr Germany: Rückenlage[1] British: dorsal position[2]) mainly.

Table of contents

Summary

It is the posture that slept for so-called facing upward (facing upward) that it is a kind of the horizontal rank (horizontal position) who let a physical major axis stand still horizontally for a gravity vector [1], and let there be it in the ground, and the back lie in bed [2]. In the domain converting seat rank including dentistry and horizontal rank frequently, I often use horizontal rank as the term which is approximately synonymous with face up position. General what let the face turns God in this physique [1], and extend on the human trunk side as for the arms naturally [1]; [2]. The lower limbs open in right and left a little and let you let you extend naturally [1] or spread pillows under [2], the knee and bend it a little [3], and there is little load to muscle when the ankle does it with middle rank (I do not let you bend 底屈, a back) [2]. In addition, along the flexura of the spinal column, I may support head and neck and a femoral region and a foot bottom (calcaneal tuberosity) with a pillow [3].

A center of gravity is stable as a moment low and is the physique that the back becomes the base side, and a physical physiology-like stationary state is easy to be got because the physical bearing surface is wide [2]. In addition, it is done with the physique that can save the consumption of the bioenergy most because the strain of the muscle of the whole body is smallest, and there is little gravity load for the exercise of frame or tendon device system [3].

Because the all parts of the head, a human trunk, limbs become heart and the about the same height about the cardiovascular system, the systemic circulation of the whole body, the bloodstream of the particularly abdominal internal organs rise [2]. Because the vein ring flow quantity to the right heart increases at the same time, and cardiac capacity load increases, attention is particularly necessary at the time of the drop of the heart and the lungs function [2].

It is the natural physique to take at bedtime [1] and, at the time of rest, is suitable for a patient and a person needing rest of cover assistance [2]. In the case of a verge and the surgery of medical medical examination, measures, I am used willingly [2], but the use with other physique such as seat rank, lying on back rank, a knee-chest position, the rubble rank is done appropriately [3].

By having will or not of the person taking this posture, I can classify it in "active face up position" and "passive face up position". The latter points at the state that it became impossible to turn into other physique from face up position only for a will of oneself for weakening or disturbance of consciousness [4].

On the occasion of long-time lying in bed, it is necessary to consider the possibility of the harmful phenomenon. The representative thing has a bedsore as a harmful phenomenon and appears most commonly on the back, the buttocks and a calcaneal region [2]. Because the second sacral vertebrae have a center of gravity with the face up position in particular, the bedsore of the sacral region is frequent [1]. It is necessary to perform physique conversion appropriately to prevent a bedsore [2]. Furthermore, in the cases that postoperative verge and disturbance of consciousness include, I take an airway obstruction and the aspiration into consideration, and it is necessary to take off a pillow, and to do it, and to warn you to one of the head [2].

Facing upward 寝 of infants

For 1,992 years, the American pediatric society announced that an incidence of the sudden infant death syndrome was significantly decreased by assuming a baby face up position. In the Japanese pediatric society, the healthy baby recommends that I lay you with face up position.

However, as a result, infants would be employed in the state of facing upward 寝 for a long time, and the cranial transformation of infants increased drastically [5]. Therefore prophylaxis such as taking the Tammy time is performed to prevent the cranial transformation of infants.

Footnote

  1. In ^ a b c d e f g h Koji Uchizono, Kinori Kosaka (the supervision) "nursing science Dictionary" fourth edition, medical friend company, November, 1994, it is page 449.
  2. ^ a b c d e f g h i j k l In association of m n Naomi Harikae "face up position" "nursing science dictionary" Japan nursing science, March, 2003, it is page 150.
  3. In ^ a b c d Yumiko Ohashi and others (the supervision) "nursing science learning dictionary" second edition, Gakken, November, 2002, it is 796-799 pages
  4. In 15 ^ Jugoro Takeuchi "internal medicine diagnostics" revisions, 南江堂, May, 1997, it is p60.
  5. ^ Laughlin, J.; Luerssen, T. G.; Dias, M. S.; Committee On Practice Ambulatory Medicine (2011). "Prevention and Management of Positional Skull Deformities in Infants". Pediatrics. 128 (6): 1236–41. doi: 10.1542/peds.2011-2220. PMID 22123884.

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This article is taken from the Japanese Wikipedia Face up position

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