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Special beds for positioning client
1. SPECIAL BEDS FOR POSITIONING CLIENT
Maria Carmela L. Domocmat, RN, MSN
Nurse Instructor
Northern Luzon Adventist College
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 procedure
Maria Carmela L. Domocmat, RN, MSN 2
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 bed
Maria Carmela L. Domocmat, RN, MSN 3
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 bed
Maria Carmela L. Domocmat, RN, MSN 4
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 procedure
Maria Carmela L. Domocmat, RN, MSN 5
7. BEDS TO PROMOTE TURNING
purpose
examples
Turning Frames
Stryker or Foster frames
CirOlectric bed
Oscillating Beds
Rotokinetic treatment table; Roto Rest bed
Maria Carmela L. Domocmat, RN, MSN 7
8. PURPOSE
immobilize the vertebral column
facilitates turning
promotes body functions (circulation,
respiration, elimination)
Maria Carmela L. Domocmat, RN, MSN 8
10. TURNING FRAMES
Includes
Stryker frames or Foster frames
CircOlectirc bed
Maria Carmela L. Domocmat, RN, MSN 10
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 client
Maria Carmela L. Domocmat, RN, MSN 11
21. FOSTER FRAME/BED
also used for halo-femoral traction and
maintenance of continuous cervical traction in
flexion for patients with unstable cervical neck
problems
Maria Carmela L. Domocmat, RN, MSN 21
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 client
Maria Carmela L. Domocmat, RN, MSN 26
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 injuries
Maria Carmela L. Domocmat, RN, MSN 27
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 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..
Maria Carmela L. Domocmat, RN, MSN 29
30. CircOlectric
hospital bed for
trama / burn /
orthopedics
patient
http://img1.classistatic.com/cps/kj/101012/517r8/0645he4_20.jpeg
Maria Carmela L. Domocmat, RN, MSN 30
34. OSCILLATING BEDS
uses a continual side-to-side rotation with the
client in constant motion
ex:
Rotokinetic treatment table;
Roto Rest bed
Maria Carmela L. Domocmat, RN, MSN 34
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. 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+bed
Maria Carmela L. Domocmat, RN, MSN 36
37. BEDS TO PROMOTE SKIN INTEGRITY
Maria Carmela L. Domocmat, RN, MSN 37
38. BEDS TO PROMOTE SKIN INTEGRITY
Purpose
relieve pressure by distributing body weight
limits friction
promotes circulation of air under client
Maria Carmela L. Domocmat, RN, MSN 38
39. BEDS TO PROMOTE SKIN INTEGRITY
Examples
Air-fluidized beds
Air mattresses
Flotation bed
Maria Carmela L. Domocmat, RN, MSN 39
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+bed
Maria Carmela L. Domocmat, RN, MSN 41
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+bed
Maria Carmela L. Domocmat, RN, MSN 42
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=5
Maria Carmela L. Domocmat, RN, MSN 44
45. 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
Maria Carmela L. Domocmat, RN, MSN 45
47. AIR MATTRESSES
Ex: Flexicare bed
uses an automatic airbag system that adjusts
to individual’s weight and activity to evenly
distribute client’s weight
Maria Carmela L. Domocmat, RN, MSN 47
48. 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.
Maria Carmela L. Domocmat, RN, MSN 48
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.com
Maria Carmela L. Domocmat, RN, MSN 50
51. 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
Maria Carmela L. Domocmat, RN, MSN 51
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 frame
Maria Carmela L. Domocmat, RN, MSN 53
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 safety
Maria Carmela L. Domocmat, RN, MSN 54
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
hypotension
Maria Carmela L. Domocmat, RN, MSN 55
56. 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
Maria Carmela L. Domocmat, RN, MSN 56
57. 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
Maria Carmela L. Domocmat, RN, MSN 57
58. OTHER NRG CARE
Call company representative for regular
servicing of bed
Evaluate client’s response to procedure
Maria Carmela L. Domocmat, RN, MSN 58
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.png
Maria Carmela L. Domocmat, RN, MSN 62
63. BRADFORD FRAME
http://www.healthheritageresearch.com/images/BradfordFrameHSC-AR1937-
800.jpg
Maria Carmela L. Domocmat, RN, MSN 63
64. BRADFORD FRAME
http://history.amedd.army.mil/booksdocs/wwii/orthoeuropn/ch04fig11.jpg
Maria Carmela L. Domocmat, RN, MSN 64
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.jpg
Maria Carmela L. Domocmat, RN, MSN 66