https://embed.notionlytics.com/s/TldVM2VEbHRaRWw1UjBOaGJFWjFUV3hOWTA4PQ==

Proning for Self Care

• Proning is the process of turning a patient with precise, safe motions, from their back onto their abdomen (stomach), so the individual is lying face down.
• Proning is medically accepted position to improve breathing comfort and oxygenation.
• It is extremely beneficial in COVID-19 patients with compromised breathing comfort, especially during home isolation.

https://www.youtube.com/watch?v=Px1IpFZUPKo

Importance Of Prone Lying:

• Prone positioning improves ventilation, keeps alveolar units open and breathing easy.
• Proning is required only when the patient feels difficulty in breathing and the SPO2 decreases below 94. (Less than 94).
• Regular monitoring of SPO2 along with other signs like temperature, blood pressure and blood sugar, is important during home isolation.
• Missing out on hypoxia (compromised oxygen circulation) may lead to worsening of complications.
• Timely proning and maintaining good ventilation could save many lives.

Positioning Of Pillow:

• One pillow below the neck
• One or two pillows below the chest through upper thighs.
• Two pillows below the chins.

Avoid Proning In Conditions Like:

• Pregnancy
• Deep venous thrombosis
• Major cardiac conditions
• Unstable spine, femur or pelvic fractures.

DISCLAIMER: This may need modification with emerging evidence.