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We wonder what the difference is between the ''across bend arm position'' and ''half' across arm bend (position). The concept may refer to the degree with which the arm is bent, and to the shoulder position. Although we can translate these concepts into Dutch, the underlying concept/position is not really clear to us. We now contrasted both concepts with clearly bent versus somewhat bent arm position in Dutch. http://physicalculture.com.au/wp-content/uploads/2015/09/APPENDIX-7-Glossary.pdf
Question 2: 229987002 Half grasp arm position (finding)
With respect to concept 229987002, we are in doubt whether this position refers to either a grasping position with 1 hand or arm, or rather a position where a patient is supported (by another) with one grasped arm, for instance in assisting a patient after a CVA with walking. The latter position is described in the following paper: , https://link.springer.com/article/10.1186/1471-2474-15-261. https://chestofbooks.com/health/body/massage/Massage-And-Medical-Gymnastics/Positions-derived-from-Standing-by-changing-the-Position-of.html
4 Comments
Monica Harry
This came via a Freshdesk enquiry. Thanks for any help you can provide. thanks, Monica
Steven Dain
There was a book Positioning in anesthesia and surgery by John Martin. Does someone have a copy of it? I have a vague recollection the positions came out of that book.
Positioning in anesthesia and surgery
Contributor
Martin, John T., 1924-
Warner, Mark A.
Publication Date
c1997
Publisher
Philadelphia : Saunders
Subject
Surgery, Operative -- Positioning
Anesthesia -- Positioning
MESH subjects
Surgical Procedures, Operative
Posture
Anesthesia
Format
xx, 345 p. : ill. ; 27 cm.
Identifier
ISBN : 0721666744
OCLC : (OCoLC)35192300
Edition
3rd ed.
Bibliography Notes
Includes bibliographical references and index.
MMS ID
991014634389705163
Source
Library Catalog
Monica Harry
Thanks for this, but noting the publication date makes me realise my question may not have been specific...
Are these concepts still in use today?
Grant Forrest
At the last SCATA Open Standards Working Group, there was a presentation on patient positioning for surgery by Martin Gardner.
https://drive.google.com/file/d/1GLBYBlE7hVJY9o3p5ffHv9F9yOGumwe0/view?usp=sharing
The author is preparing a scientific paper on the topic. It highlights the somewhat confusing situation with regard to terminology in this area.
A similar approach to that suggested by Martin might help to solve the problems of limb positioning. For example, the position of an arm could be described in terms of the angles of the shoulder, elbow and wrists joints using a schema.
Getting such a positioning schema to become adopted as either a standard or a usable terminology would be difficult, but having it described clearly in SNOMED, supported by an archetype in OpenEHR or a simple procedure resource in FHIR would be a good starting point.