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- by jeilers10 Oct 8Hi, first year nursing student and I'm working on a project. I have a patient that has lower extremity contractures and I need to insert an indwelling catheter. How what I deal with the lower extremity contractures while cathing in order to stay sterile? Have someone hold the legs in the correct position?
- Oct 8 by jeilers10Female, 90yo
I was thinking having assistance with pulling her legs apart. Or turn her on side and put pillow between legs
- Oct 8 by loriangel14Putting it in with them laying on their side is sometimes a good option.
- Oct 8 by NurseOnAMotorcycleI've also had them on their back and come up from under their legs, but you have to be more careful of your sterile field.
- With bad contractures, I would try the side-lying position, particularly since it might be quite uncomfortable to have their legs held apart and the person helping is likely to end up in the way.
- Quote from NurseOnAMotorcycleTo help this position, turn a slipper bedpan upside down and use it as a wedge under their bottom. Gives you more room to move and see.I've also had them on their back and come up from under their legs, but you have to be more careful of your sterile field.
- Oct 8 by MidnightTangI agree with others that the sidelying position is best with severe contractures. Easier to keep a sterile field and it's much more comfortable than trying to pry open legs.