Basic Care and Comfort
A 78-year-old female with a history of congestive heart failure is admitted with dyspnea and oxygen saturation of 88% on room air. Her BP is 140/85, HR 95, RR 24. Which position is most appropriate to optimize her breathing and comfort?
- AProne position with a pillow under the abdomen
- BSupine with a pillow under the knees
- CLeft lateral recumbent with head flat
- DHigh Fowler's position with arms supported
Not B. Lying supine increases venous return and worsens orthopnea.
D is right. High Fowler's position with the arms supported lets the diaphragm descend, improves lung expansion and reduces venous return, easing the work of breathing in heart failure.
