Special Beds for Positioning Client

SPECIAL BEDS FOR POSITIONING SPECIAL BEDS FOR POSITIONING SPECIAL BEDS FOR POSITIONING SPECIAL BEDS FOR POSITIONING CLIENTCLIENTCLIENTCLIENT

Maria Carmela L. Domocmat, RN, MSN

Nurse Instructor

Northern Luzon Adventist College



� Beds and their purposes Beds and their purposes Beds and their purposes Beds and their purposes

� Beds to promote turning

� Beds to promote skin integrity

� Nursing care Nursing care Nursing care Nursing care � Nursing care Nursing care Nursing care 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

2Maria Carmela L. Domocmat, RN, MSN

BEDS AND THEIR PURPOSES

� Beds to promote turning

� purpose

� examples

�Turning Frames�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-fluidized beds or fluidized air bed

�air mattresses (e.g., Flexicare bed)

� flotation bed


NURSING CARE NURSING CARE NURSING CARE 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 � Call company representative for regular

servicing of bed



Turning Frames

Oscillating Beds

BEDS TO PROMOTE TURNINGBEDS TO PROMOTE TURNING


BEDS TO PROMOTE TURNING

� purpose

� examples

�Turning FramesTurning FramesTurning FramesTurning Frames

� Stryker or Foster frames

CirOlectric bed� CirOlectric bed

�Oscillating BedsOscillating BedsOscillating BedsOscillating Beds

� Rotokinetic treatment table; Roto Rest bed


PURPOSE

� immobilize the vertebral column

� facilitates turning

� promotes body functions (circulation,

respiration, elimination)respiration, elimination)


TURNING FRAMES TURNING FRAMES


TURNING TURNING TURNING TURNING FRAMESFRAMESFRAMESFRAMES

� Includes

� Stryker frames or Foster frames

� CircOlectirc bed


STRYKER FRAMES OR FOSTER STRYKER FRAMES OR FOSTER STRYKER FRAMES OR FOSTER STRYKER FRAMES OR FOSTER FRAMESFRAMESFRAMESFRAMES

� 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 immobilization and alignment of injured body

structures

� allow for horizontal turning of client


STRYKER FRAME


STRYKER FRAME


STRYKERSTRYKERSTRYKERSTRYKER FRAMEFRAMEFRAMEFRAME

� 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, 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


STRYKERSTRYKERSTRYKERSTRYKER FRAMEFRAMEFRAMEFRAME

� 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 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


FOSTER FOSTER FOSTER FOSTER FRAME/BED FRAME/BED FRAME/BED 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


CIRCOLECTRICCIRCOLECTRICCIRCOLECTRICCIRCOLECTRIC BEDBEDBEDBED






CIROLECTRIC (COL) CIROLECTRIC (COL) CIROLECTRIC (COL) CIROLECTRIC (COL) BEDBEDBEDBED

� 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)(Trendelenburg, prone, standing, supine)

� similar in principle to the stryker frame

� allows for vertical turning of client


CIROLECTRIC (COL) CIROLECTRIC (COL) CIROLECTRIC (COL) CIROLECTRIC (COL) BEDBEDBEDBED

� indications

� used especially in orthopedics, those in some types

of traction

� severe burns and decubitus ulcers.� severe burns and decubitus ulcers.

� those with various types of spinal injuries


CIROLECTRIC (COL) BEDCIROLECTRIC (COL) BEDCIROLECTRIC (COL) BEDCIROLECTRIC (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. 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 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

effort used by staff to physically

move patients..http://www.kpl.gov/uploadedImages/Local_History/Essays_All_About_Kalamazoo_History/biographie

s/CircOlecrtric-Bed-294.jpg


� CircOlectric

hospital bed for

trama / burn /

orthopedics

patient

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






OSCILLATING BEDSOSCILLATING BEDSOSCILLATING BEDSOSCILLATING BEDSOSCILLATING BEDSOSCILLATING BEDSOSCILLATING BEDSOSCILLATING BEDS


OSCILLATING OSCILLATING OSCILLATING OSCILLATING BEDSBEDSBEDSBEDS

� uses a continual side-to-side rotation with the

client in constant motion

� ex:

� RotokineticRotokineticRotokineticRotokinetic treatment table; treatment table; treatment table; treatment table; � RotokineticRotokineticRotokineticRotokinetic treatment table; treatment table; treatment table; treatment table;

� RotoRotoRotoRoto Rest bedRest bedRest bedRest bed


ROTO REST

� ROTO REST

kinetic treatment

table.

� ROTO REST is � ROTO REST is

Kinetic Concepts'

trademark for its

oscillating bed. Courtesy of Kinetic Concepts, San

Antonio, TX.


ROTOROTOROTOROTO REST BEDREST BEDREST BEDREST 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 � 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


BEDS TO PROMOTE SKIN INTEGRITY BEDS TO PROMOTE SKIN INTEGRITY


BEDS TO PROMOTE SKIN INTEGRITY

� Purpose

� relieve pressure by distributing body weight

� limits friction

� promotes circulation of air under client � promotes circulation of air under client


BEDS TO PROMOTE SKIN INTEGRITY

� Examples

� Air-fluidized beds

� Air mattresses

� Flotation bed� Flotation bed


AIR-FLUIDIZED BEDS


AIRAIRAIRAIR----FLUIDIZED FLUIDIZED FLUIDIZED FLUIDIZED BEDSBEDSBEDSBEDS

� or Fluidized air bedFluidized air bedFluidized air bedFluidized 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) � Ex: Clinitron bed, Skytron Air Fluidized Therapy (AFT)

Bed



AIRAIRAIRAIR----FLUIDIZED FLUIDIZED FLUIDIZED FLUIDIZED BEDSBEDSBEDSBEDS

� 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� 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 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 MATTRESSESAIR MATTRESSESAIR MATTRESSESAIR MATTRESSES

� Ex: Flexicare bed

� uses an automatic airbag system that adjusts

to individual’s weight and activity to evenly

distribute client’s weight distribute client’s weight


FLEXICAIRFLEXICAIRFLEXICAIRFLEXICAIR ECLIPSE® LOW AIR LOSS MATTRESS ECLIPSE® LOW AIR LOSS MATTRESS ECLIPSE® LOW AIR LOSS MATTRESS ECLIPSE® LOW AIR LOSS MATTRESS

AND THERAPY AND THERAPY AND THERAPY AND THERAPY UNITUNITUNITUNIT

� 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 for use with patients experiencing a variety of conditions such as immobility, malnutrition, incontinence, contractures, fractures or amputations.


FLOTATION BED


FLOTATION BEDFLOTATION BEDFLOTATION BEDFLOTATION 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 � 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.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 NURSING CARE NURSING CARE NURSING CARE NURSING CARE NURSING CARE NURSING CARE 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 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 � 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

hypotensionhypotension


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 � 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 � use foam wedges when positioning the client


OTHER NRG CARE

� Call company representative for regular

servicing of bed



ETC. ETC.


� FrameFrameFrameFrame : a rigid structure for giving support to or for immobilizing a part.� Balkan frameBalkan frameBalkan frameBalkan 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.pulleys attached, by which the leg is supported in a sling.

� Bradford frameBradford frameBradford frameBradford frame� a canvas-covered, rectangular frame of pipe; used as a bed

frame in disease of the spine or thigh.

� Quadriplegic Quadriplegic Quadriplegic Quadriplegic standing framestanding framestanding framestanding 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 Balkan Frame Balkan Frame Balkan Frame

AdjustmentAdjustmentAdjustmentAdjustment: For

flexion, raise

pulley (a). For

abduction, 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:blog:

� http://blog.easystand.com/2008/1

2/quadriplegic-standing-frame/

http://blog.easystand.com/wp-content/uploads/2008/12/jenni-taylor.jpg


Special Beds for Positioning Client

Documents

promotes skin

promote skin

rotokinetic

roto rest

turning frame

jpg maria

bradford frame

stryker frame