Special beds for positioning client

SPECIAL BEDS FOR POSITIONING CLIENT

Maria Carmela L. Domocmat, RN, MSN
Nurse Instructor
Northern Luzon Adventist College

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 procedure

Maria Carmela L. Domocmat, RN, MSN 2

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 bed


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 bed


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


Turning Frames
Oscillating Beds

BEDS TO PROMOTE TURNING


BEDS TO PROMOTE TURNING
purpose
examples
Turning Frames
Stryker or Foster frames
CirOlectric bed
Oscillating Beds
Rotokinetic treatment table; Roto Rest bed


PURPOSE

immobilize the vertebral column
facilitates turning
promotes body functions (circulation,
respiration, elimination)


TURNING FRAMES


TURNING FRAMES

Includes
Stryker frames or Foster frames
CircOlectirc bed


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 client


STRYKER FRAME


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.


http://www.public.asu.edu/~gimpy/Stryker_8.jpg

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.


http://2.bp.blogspot.com/_HZIO9Uu6NHY/TCzgnFtn2LI/AAAAAAAAAOo/jDXlGqb-
pk4/s1600/cama+stryker2.jpg


FOSTER FRAME


FOSTER FRAME/BED
also used for halo-femoral traction and
maintenance of continuous cervical traction in
flexion for patients with unstable cervical neck
problems


http://farm4.static.flickr.com/3080/3118349162_d507a416d5.jpg


CIRCOLECTRIC BED


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 client



indications
used especially in orthopedics, those in some types
of traction
severe burns and decubitus ulcers.
those with various types of spinal injuries


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
Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.
http://medical-dictionary.thefreedictionary.com/CircOlectric+bed

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 and
http://www.kpl.gov/uploadedImages/Local_History/Essays_All_About_Kalamazoo_History/biographie
effort used by staff to physically
s/CircOlecrtric-Bed-294.jpg
move patients..

CircOlectric
hospital bed for
trama / burn /
orthopedics
patient

http://img1.classistatic.com/cps/kj/101012/517r8/0645he4_20.jpeg


OSCILLATING BEDS


OSCILLATING BEDS

uses a continual side-to-side rotation with the
client in constant motion
ex:
Rotokinetic treatment table;
Roto Rest bed


ROTO REST
ROTO REST
kinetic treatment
table.
ROTO REST is
Kinetic Concepts'
trademark for its
oscillating bed.
Courtesy of Kinetic Concepts, San
Antonio, TX.


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.


BEDS TO PROMOTE SKIN INTEGRITY



Purpose
relieve pressure by distributing body weight
limits friction
promotes circulation of air under client


Examples
Air-fluidized beds
Air mattresses
Flotation bed


AIR-FLUIDIZED BEDS


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



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.



AIR-FLUIDIZED BED: CLINITRON BED


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=5


AIR-FLUIDIZED BED: SKYTRON AIR FLUIDIZED
THERAPY (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_Bed


AIR MATTRESSES


AIR MATTRESSES

Ex: Flexicare bed
uses an automatic airbag system that adjusts
to individual’s weight and activity to evenly
distribute client’s weight


FLEXICAIR ECLIPSE® LOW AIR LOSS MATTRESS
AND 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.


FLOTATION BED


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.com


A conventional mattress creates
pressure points
on those areas of greatest weight
concentration.

A FloCore adjustable latex-flotation
mattress conforms to the body's
exact shape, providing total support,
correct spinal alignment and
eliminates uncomfortable pressure
points.
http://www.flobeds.com/inav/deadbed.GIF

NURSING CARE


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 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 safety



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
hypotension


CARE FOR A CLIENT ON A BED THAT PROMOTES
SKIN INTEGRITY
use only the incontinence pads recommended
by the manufacturer

with oscillating beds assess for agitation and
motion sickness


CARE FOR A CLIENT ON A BED THAT PROMOTES
SKIN INTEGRITY
with air-fluidized beds
assess the client for signs of dehydrations because
air flow promotes evaporation
use foam wedges when positioning the client


OTHER NRG CARE

Call company representative for regular
servicing of bed


ETC.


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.

Dorland's Medical Dictionary for Health Consumers. © 2007 by Saunders, an imprint of
Elsevier, Inc. All rights reserved. http://medical-
dictionary.thefreedictionary.com/Stryker+frame

BALKAN FRAME


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.png


BRADFORD FRAME

http://www.healthheritageresearch.com/images/BradfordFrameHSC-AR1937-
800.jpg


BRADFORD FRAME

http://history.amedd.army.mil/booksdocs/wwii/orthoeuropn/ch04fig11.jpg


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.jpg

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