Stabilisation of head posture- Need tips!

Well it sounds like it's orthopnea.

Usually chronic respiratory patients like to sleep sitting up(with pillows behind their back) because the leaning forward position provides their AP chest to expand easier than being supine, and they generally feel more comfortable. This is due to the air trapping they have and the emphysemetous alveoli(floppy and baggy). You can sort of relate this posture to tri-poding. Also since their diaphragms are blunted, they don't feel like they can expand their lungs whilst supine.

I've experienced patients like this at a MINIMUM of a 30 degree angle of back of bed, all the way to 45 degrees with pillows behind their head. These chronic lungers basically feel more comfortable because they can feel they can breathe a lot easier sitting semi to full fowlers position. This pertains to vent patients as well.