. Nursing in abdominal surgery and diseases of women. will otherwise cause the patient pain fromthe cauterant effect of the carbolic acid. Some phy-sicians sterilize their instruments for office use byholding them in the flame of an alcohol lamp for afew minutes. Another duty of the nurse in attend- menTof ?. . , . «ii 1 positions. ance upon a physician making examinations will beto place the patient in the positions desired. Thesepositions are known as follows :— The lithotomy position, being the ordinary recum-bent position, the limbs being markedly flexed uponthe abdomen. This is more commo


. Nursing in abdominal surgery and diseases of women. will otherwise cause the patient pain fromthe cauterant effect of the carbolic acid. Some phy-sicians sterilize their instruments for office use byholding them in the flame of an alcohol lamp for afew minutes. Another duty of the nurse in attend- menTof ?. . , . «ii 1 positions. ance upon a physician making examinations will beto place the patient in the positions desired. Thesepositions are known as follows :— The lithotomy position, being the ordinary recum-bent position, the limbs being markedly flexed uponthe abdomen. This is more commonly called forin certain operative procedures than during ex- 212 DISEASES OF WOMEN. Simssposition. amination. The method of maintaining it by theleg-straps will be described later. The Sims position, for bringing the uterine cervixwithin easy access, and for making rectal exami-nations. The patient lies on her left side, with herleft arm drawn behind her, so as to let her rest onthe left side of her chest. The right leg should be Fig. Simss Position. so flexed as to let the right knee lie just above theleft. This position is necessary for the use of Simssspeculum. The patients clothing being well drawnup under her hips and a sheet thrown over thelower extremities for their protection, the physicianintroduces Simss speculum, which the nurse holdsin place with one hand, while with the other she PREPARATIONS FOR EXAMINATIONS. 213 lifts the right buttock to aid in the exposure of thevulvar orifice and vagina. The knee-chest position is one which is frequently Genupec- 1 l J toral, or assumed for the replacement of the pelvic organs knee-chest L l o position. or the appreciation of their mobility. This is obtained by having the patient place her-self upon her knees, and bend forward so that her Fig. 59.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectabd, booksubjectwomen