This also helps the alveolar sacs maintain their elasticity and improves overall lung health. If the client lies in the right lateral recumbent position, the secretion found in the left lung will be more easily extruded as the lung is ventilated. ![]() In pulmonary physiotherapy, using the lateral recumbent or side-lying position can be a great way of ventilating the lungs. In time, this can limit the expansion of the lungs making it harder for the patient to breathe. This is particularly true for the lower half of the lungs as secretion accumulates and fills the alveolar sacs. ![]() However, sitting or partially lying down in this position also harms the patients’ lungs ability to function. Normal practice is often to have patients with respiratory difficulties lie down with the head end of the bed elevated at approximately 30-degrees. When the client is halfway lying and halfway sitting in this position, gravity will push the secretion from the lungs down to the bottom of the lung tissue allowing the client to breathe more easily because he/she is only using the top half of the lungs. However, that positioning has a positive effect on respiration is often overlooked. ![]() Positioning is also used to optimize work health and safety for the caregivers, by helping hold the client or patient still. Positioning in the supine position is often used to create comfort for the client, to relieve pressure and prevent pain.
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