Special beds for positioning client

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different types of bed for positioning bed ridden clients.

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Special beds for positioning client

  1. 1. SPECIAL BEDS FOR POSITIONING CLIENT Maria Carmela L. Domocmat, RN, MSN Nurse Instructor Northern Luzon Adventist College
  2. 2. SPECIAL BEDS FOR POSITIONING CLIENT Beds and their purposes Beds to promote turning Beds to promote skin integrity Nursing care Care for a client on a turning frame Care for a client on a bed that promotes skin integrity Call company representative for regular servicing of bed Evaluate client’s response to procedureMaria Carmela L. Domocmat, RN, MSN 2
  3. 3. BEDS AND THEIR PURPOSES Beds to promote turning purpose examples Turning Frames Stryker or Foster frames CirOlectric bed Oscillating Beds ex: Rotokinetic treatment table; Roto Rest bedMaria Carmela L. Domocmat, RN, MSN 3
  4. 4. BEDS AND THEIR PURPOSES Beds to promote skin integrity purpose examples air-fluidized beds or fluidized air bed air mattresses (e.g., Flexicare bed) flotation bedMaria Carmela L. Domocmat, RN, MSN 4
  5. 5. NURSING CARE Care for a client on a turning frame Care for a client on a bed that promotes skin integrity Call company representative for regular servicing of bed Evaluate client’s response to procedureMaria Carmela L. Domocmat, RN, MSN 5
  6. 6. Turning FramesOscillating Beds BEDS TO PROMOTE TURNING Maria Carmela L. Domocmat, RN, MSN 6
  7. 7. BEDS TO PROMOTE TURNING purpose examples Turning Frames Stryker or Foster frames CirOlectric bed Oscillating Beds Rotokinetic treatment table; Roto Rest bedMaria Carmela L. Domocmat, RN, MSN 7
  8. 8. PURPOSE immobilize the vertebral column facilitates turning promotes body functions (circulation, respiration, elimination)Maria Carmela L. Domocmat, RN, MSN 8
  9. 9. TURNING FRAMESMaria Carmela L. Domocmat, RN, MSN 9
  10. 10. TURNING FRAMES Includes Stryker frames or Foster frames CircOlectirc bedMaria Carmela L. Domocmat, RN, MSN 10
  11. 11. STRYKER FRAMES OR FOSTER FRAMES an orthopedic bed that allows the patient to be rotated as required to either the full supine or the full prone position while maintaining proper immobilization and alignment of injured body structures allow for horizontal turning of clientMaria Carmela L. Domocmat, RN, MSN 11
  12. 12. STRYKER FRAMEMaria Carmela L. Domocmat, RN, MSN 12
  13. 13. STRYKER FRAMEMaria Carmela L. Domocmat, RN, MSN 13
  14. 14. STRYKER FRAME an apparatus specially designed for care of patients with injuries of the spinal column or cord used in the immobilization of patients with unstable spines, postoperative management of multilevel spinal fusions management of severe burn patients Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.Maria Carmela L. Domocmat, RN, MSN 14
  15. 15. http://www.public.asu.edu/~gimpy/Stryker_8.jpgMaria Carmela L. Domocmat, RN, MSN 15
  16. 16. STRYKER FRAME the frame on which the patient lies while in the supine position is called the posterior frame; the anterior frame is used when the patient is turned on the abdomen. There are perineal openings in both frames for use of a bedpan. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.Maria Carmela L. Domocmat, RN, MSN 16
  17. 17. http://www.public.asu.edu/~gimpy/Stryker_8.jpgMaria Carmela L. Domocmat, RN, MSN 17
  18. 18. http://2.bp.blogspot.com/_HZIO9Uu6NHY/TCzgnFtn2LI/AAAAAAAAAOo/jDXlGqb- pk4/s1600/cama+stryker2.jpgMaria Carmela L. Domocmat, RN, MSN 18
  19. 19. FOSTER FRAMEMaria Carmela L. Domocmat, RN, MSN 19
  20. 20. FOSTER FRAMEMaria Carmela L. Domocmat, RN, MSN 20
  21. 21. FOSTER FRAME/BED also used for halo-femoral traction and maintenance of continuous cervical traction in flexion for patients with unstable cervical neck problemsMaria Carmela L. Domocmat, RN, MSN 21
  22. 22. http://farm4.static.flickr.com/3080/3118349162_d507a416d5.jpgMaria Carmela L. Domocmat, RN, MSN 22
  23. 23. CIRCOLECTRIC BEDMaria Carmela L. Domocmat, RN, MSN 23
  24. 24. CIRCOLECTRIC BEDMaria Carmela L. Domocmat, RN, MSN 24
  25. 25. CIRCOLECTRIC BEDMaria Carmela L. Domocmat, RN, MSN 25
  26. 26. CIROLECTRIC (COL) BED an electronically controlled bed that can be vertically rotated 210 degrees, allowing a patient to be placed in variety of positions (Trendelenburg, prone, standing, supine) similar in principle to the stryker frame allows for vertical turning of clientMaria Carmela L. Domocmat, RN, MSN 26
  27. 27. CIROLECTRIC (COL) BED indications used especially in orthopedics, those in some types of traction severe burns and decubitus ulcers. those with various types of spinal injuriesMaria Carmela L. Domocmat, RN, MSN 27
  28. 28. CIROLECTRIC (COL) BED consists of a strong aluminum circular frame supporting an anterior and a posterior straight frame within the exterior aluminum circle. The patient is "sandwiched" and secured between the two straight frames during rotation. one nurse can turn the client, with the electric motor providing the power attachments permit application of traction and other accessories Mosbys Medical Dictionary, 8th edition. © 2009, Elsevier. http://medical-dictionary.thefreedictionary.com/CircOlectric+bedMaria Carmela L. Domocmat, RN, MSN 28
  29. 29. THE CIRCO-LECTRIC BED During the 1950s Dr. Stryker worked on what was arguably his most famous invention – the Circo-Lectric Hospital Bed. It resembled a small Ferris wheel. consisted of a bed suspended between two wheels. An electric motor turned the bed to a vertical or horizontal position, as well as many positions in between. The device could be operated by the patient or a nurse. Like the turning frame, this reduced the amount of time andhttp://www.kpl.gov/uploadedImages/Local_History/Essays_All_About_Kalamazoo_History/biographie effort used by staff to physicallys/CircOlecrtric-Bed-294.jpg move patients.. Maria Carmela L. Domocmat, RN, MSN 29
  30. 30. CircOlectric hospital bed for trama / burn / orthopedics patient http://img1.classistatic.com/cps/kj/101012/517r8/0645he4_20.jpegMaria Carmela L. Domocmat, RN, MSN 30
  31. 31. http://www.public.asu.edu/~gimpy/Stryker_8.jpgMaria Carmela L. Domocmat, RN, MSN 31
  32. 32. http://www.public.asu.edu/~gimpy/Stryker_8.jpgMaria Carmela L. Domocmat, RN, MSN 32
  33. 33. OSCILLATING BEDSMaria Carmela L. Domocmat, RN, MSN 33
  34. 34. OSCILLATING BEDS uses a continual side-to-side rotation with the client in constant motion ex: Rotokinetic treatment table; Roto Rest bedMaria Carmela L. Domocmat, RN, MSN 34
  35. 35. ROTO REST ROTO REST kinetic treatment table. ROTO REST is Kinetic Concepts trademark for its oscillating bed. Courtesy of Kinetic Concepts, San Antonio, TX.Maria Carmela L. Domocmat, RN, MSN 35
  36. 36. ROTO REST BED used in the treatment of a variety of neurological conditions in which the patient must be kept still and in alignment. The bed can rock slowly back and forth, thereby preventing some hazards of immobility. The patient is kept in place with a system of belts and specially designed pillows and packs. http://medical-dictionary.thefreedictionary.com/CircOlectric+bedMaria Carmela L. Domocmat, RN, MSN 36
  37. 37. BEDS TO PROMOTE SKIN INTEGRITYMaria Carmela L. Domocmat, RN, MSN 37
  38. 38. BEDS TO PROMOTE SKIN INTEGRITY Purpose relieve pressure by distributing body weight limits friction promotes circulation of air under clientMaria Carmela L. Domocmat, RN, MSN 38
  39. 39. BEDS TO PROMOTE SKIN INTEGRITY Examples Air-fluidized beds Air mattresses Flotation bedMaria Carmela L. Domocmat, RN, MSN 39
  40. 40. AIR-FLUIDIZED BEDSMaria Carmela L. Domocmat, RN, MSN 40
  41. 41. AIR-AIR-FLUIDIZED BEDS or Fluidized air bed uses flow of temperature-controlled air through small ceramic spheres to evenly distribute client’s weight Ex: Clinitron bed, Skytron Air Fluidized Therapy (AFT) Bed http://medical-dictionary.thefreedictionary.com/CircOlectric+bedMaria Carmela L. Domocmat, RN, MSN 41
  42. 42. AIR-AIR-FLUIDIZED BEDS minimizes pressure and distributes weight evenly over the support surface. A gentle flow of temperature- controlled air is projected upward through numerous tiny openings called ceramic microspheres. http://medical-dictionary.thefreedictionary.com/CircOlectric+bedMaria Carmela L. Domocmat, RN, MSN 42
  43. 43. AIR-FLUIDIZED BED: CLINITRON BEDMaria Carmela L. Domocmat, RN, MSN 43
  44. 44. Watch the following videos for more info about Air-fluidized bed http://www.youtube.com/watch?v=BpjlMFR1mx4 http://www.youtube.com/watch?v=3a7qNU9PRc8 &feature=related http://www.youtube.com/user/HillRomVideo?blend =3&ob=5Maria Carmela L. Domocmat, RN, MSN 44
  45. 45. AIR-FLUIDIZED BED: SKYTRON AIR FLUIDIZEDTHERAPY (AFT) BED preferred therapy for wound care, burn care, oncology, orthopedics, critical care, neurology/neurosurgery, and plastic surgery. allows patients to heal faster, providing pressures well below capillary closing to improve blood flow to the skin, reducing pain, and accelerating healing. Lowest Pressure, Friction, and Shear Forces Available Maximum Patient Weight: 250 lb. http://www.stat- med.net/content/p/9/pid/33/catid/31/Skytron_Air_Fluidized_Therapy_BedMaria Carmela L. Domocmat, RN, MSN 45
  46. 46. AIR MATTRESSESMaria Carmela L. Domocmat, RN, MSN 46
  47. 47. AIR MATTRESSES Ex: Flexicare bed uses an automatic airbag system that adjusts to individual’s weight and activity to evenly distribute client’s weightMaria Carmela L. Domocmat, RN, MSN 47
  48. 48. FLEXICAIR ECLIPSE® LOW AIR LOSS MATTRESSAND THERAPY UNIT provides pressure relief for patients up to 300 lbs. This five-zoned low air loss mattress enhances patient comfort and is appropriate for use with patients experiencing a variety of conditions such as immobility, malnutrition, incontinence, contractures, fractures or amputations.Maria Carmela L. Domocmat, RN, MSN 48
  49. 49. FLOTATION BEDMaria Carmela L. Domocmat, RN, MSN 49
  50. 50. FLOTATION BED a waterbed or other fluid-filled mattress that distributes body weight evenly to minimize prolonged pressure in one area used for immobilized or burned patients to prevent pressure ulcers http://medical-dictionary.thefreedictionary.comMaria Carmela L. Domocmat, RN, MSN 50
  51. 51. A conventional mattress creates pressure points on those areas of greatest weight concentration. A FloCore adjustable latex-flotation mattress conforms to the bodys exact shape, providing total support, correct spinal alignment and eliminates uncomfortable pressure points. http://www.flobeds.com/inav/deadbed.GIFMaria Carmela L. Domocmat, RN, MSN 51
  52. 52. NURSING CAREMaria Carmela L. Domocmat, RN, MSN 52
  53. 53. CARE FOR A CLIENT ON A TURNING FRAME turn the client all in one piece (log roll) because frames are narrow, for safety purposes do not permit the client to sit up, roll over, or reach out to the side; do not place extremely obese clients on a frameMaria Carmela L. Domocmat, RN, MSN 53
  54. 54. CARE FOR A CLIENT ON A TURNING FRAME since only the prone and supine positions can be used, strict attention must be paid to prevention of decubiti before releasing pivot pins, secure all bolts and straps to ensure client safetyMaria Carmela L. Domocmat, RN, MSN 54
  55. 55. CARE FOR A CLIENT ON A TURNING FRAME when turning the CircOlecteric bed, do so slowly so that the client’s cerebral circulation can adjust to the new position; observe for signs of hypotensionMaria Carmela L. Domocmat, RN, MSN 55
  56. 56. CARE FOR A CLIENT ON A BED THAT PROMOTESSKIN INTEGRITY use only the incontinence pads recommended by the manufacturer with oscillating beds assess for agitation and motion sicknessMaria Carmela L. Domocmat, RN, MSN 56
  57. 57. CARE FOR A CLIENT ON A BED THAT PROMOTESSKIN INTEGRITY with air-fluidized beds assess the client for signs of dehydrations because air flow promotes evaporation use foam wedges when positioning the clientMaria Carmela L. Domocmat, RN, MSN 57
  58. 58. OTHER NRG CARE Call company representative for regular servicing of bed Evaluate client’s response to procedureMaria Carmela L. Domocmat, RN, MSN 58
  59. 59. ETC.Maria Carmela L. Domocmat, RN, MSN 59
  60. 60. Frame : a rigid structure for giving support to or for immobilizing a part. Balkan frame an apparatus for continuous extension in treatment of fractures of the femur, consisting of an overhead bar, with pulleys attached, by which the leg is supported in a sling. Bradford frame a canvas-covered, rectangular frame of pipe; used as a bed frame in disease of the spine or thigh. Quadriplegic standing frame a device for supporting in the upright position a patient whose four limbs are paralyzed. Dorlands Medical Dictionary for Health Consumers. © 2007 by Saunders, an imprint of Elsevier, Inc. All rights reserved. http://medical- dictionary.thefreedictionary.com/Stryker+frameMaria Carmela L. Domocmat, RN, MSN 60
  61. 61. BALKAN FRAMEMaria Carmela L. Domocmat, RN, MSN 61
  62. 62. Balkan Frame Adjustment: Adjustment For flexion, raise pulley (a). For abduction, swing foot-end of balkan wide of bed (b http://www0.sun.ac.za/ortho/webct-ortho/general/trac/balkan.pngMaria Carmela L. Domocmat, RN, MSN 62
  63. 63. BRADFORD FRAME http://www.healthheritageresearch.com/images/BradfordFrameHSC-AR1937- 800.jpgMaria Carmela L. Domocmat, RN, MSN 63
  64. 64. BRADFORD FRAME http://history.amedd.army.mil/booksdocs/wwii/orthoeuropn/ch04fig11.jpgMaria Carmela L. Domocmat, RN, MSN 64
  65. 65. Maria Carmela L. Domocmat, RN, MSN 65
  66. 66. Quadriplegic standing frame Jenni Taylor, C1C2 quadriplegic stands twice a week in her EasyStand Evolv. Read more of her story in her blog: http://blog.easystand.com/2008/1 2/quadriplegic-standing-frame/http://blog.easystand.com/wp-content/uploads/2008/12/jenni-taylor.jpgMaria Carmela L. Domocmat, RN, MSN 66

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