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 clients response to procedure

Maria Carmela L. Domocmat, RN, MSN

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

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

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 clients response to procedure

Maria Carmela L. Domocmat, RN, MSN

Turning Frames Oscillating Beds

BEDS TO PROMOTE TURNING

Maria Carmela L. Domocmat, RN, MSN

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

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

Maria Carmela L. Domocmat, RN, MSN

TURNING FRAMES

Maria Carmela L. Domocmat, RN, MSN

TURNING FRAMES
Includes
Stryker frames or Foster frames CircOlectirc bed

Maria Carmela L. Domocmat, RN, MSN

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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

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STRYKER FRAME
Maria Carmela L. Domocmat, RN, MSN 12

STRYKER FRAME

Maria Carmela L. Domocmat, RN, MSN

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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

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http://www.public.asu.edu/~gimpy/Stryker_8.jpg Maria Carmela L. Domocmat, RN, MSN

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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

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http://www.public.asu.edu/~gimpy/Stryker_8.jpg Maria Carmela L. Domocmat, RN, MSN

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http://2.bp.blogspot.com/_HZIO9Uu6NHY/TCzgnFtn2LI/AAAAAAAAAOo/jDXlGqbpk4/s1600/cama+stryker2.jpg

Maria Carmela L. Domocmat, RN, MSN

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FOSTER FRAME
Maria Carmela L. Domocmat, RN, MSN 19

FOSTER FRAME

Maria Carmela L. Domocmat, RN, MSN

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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

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

Maria Carmela L. Domocmat, RN, MSN

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CIRCOLECTRIC BED
Maria Carmela L. Domocmat, RN, MSN 23

CIRCOLECTRIC BED

Maria Carmela L. Domocmat, RN, MSN

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CIRCOLECTRIC BED

Maria Carmela L. Domocmat, RN, MSN

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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

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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

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

Maria Carmela L. Domocmat, RN, MSN

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

Maria Carmela L. Domocmat, RN, MSN

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

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http://www.public.asu.edu/~gimpy/Stryker_8.jpg Maria Carmela L. Domocmat, RN, MSN

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http://www.public.asu.edu/~gimpy/Stryker_8.jpg Maria Carmela L. Domocmat, RN, MSN

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OSCILLATING BEDS

Maria Carmela L. Domocmat, RN, MSN

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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

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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

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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

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BEDS TO PROMOTE SKIN INTEGRITY

Maria Carmela L. Domocmat, RN, MSN

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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

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BEDS TO PROMOTE SKIN INTEGRITY

Examples
Air-fluidized beds Air mattresses Flotation bed

Maria Carmela L. Domocmat, RN, MSN

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AIR-FLUIDIZED BEDS
Maria Carmela L. Domocmat, RN, MSN 40

AIRAIR-FLUIDIZED BEDS
or Fluidized air bed uses flow of temperature-controlled air through small ceramic spheres to evenly distribute clients weight Ex: Clinitron bed, Skytron Air Fluidized Therapy (AFT) Bed

http://medical-dictionary.thefreedictionary.com/CircOlectric+bed

Maria Carmela L. Domocmat, RN, MSN

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AIRAIR-FLUIDIZED BEDS
minimizes pressure and distributes weight evenly over the support surface. A gentle flow of temperaturecontrolled air is projected upward through numerous tiny openings called ceramic microspheres.

http://medical-dictionary.thefreedictionary.com/CircOlectric+bed

Maria Carmela L. Domocmat, RN, MSN

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AIR-FLUIDIZED BED: CLINITRON BED

Maria Carmela L. Domocmat, RN, MSN

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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

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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.statmed.net/content/p/9/pid/33/catid/31/Skytron_Air_Fluidized_Therapy_Bed

Maria Carmela L. Domocmat, RN, MSN

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AIR MATTRESSES
Maria Carmela L. Domocmat, RN, MSN 46

AIR MATTRESSES
Ex: Flexicare bed uses an automatic airbag system that adjusts to individuals weight and activity to evenly distribute clients weight

Maria Carmela L. Domocmat, RN, MSN

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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

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FLOTATION BED
Maria Carmela L. Domocmat, RN, MSN 49

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

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

NURSING CARE

Maria Carmela L. Domocmat, RN, MSN

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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

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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

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CARE FOR A CLIENT ON A TURNING FRAME

when turning the CircOlecteric bed, do so slowly so that the clients cerebral circulation can adjust to the new position; observe for signs of hypotension

Maria Carmela L. Domocmat, RN, MSN

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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

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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

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OTHER NRG CARE

Call company representative for regular servicing of bed Evaluate clients response to procedure

Maria Carmela L. Domocmat, RN, MSN

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ETC.

Maria Carmela L. Domocmat, RN, MSN

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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://medicaldictionary.thefreedictionary.com/Stryker+frame

Maria Carmela L. Domocmat, RN, MSN

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BALKAN FRAME

Maria Carmela L. Domocmat, RN, MSN

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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

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BRADFORD FRAME

http://www.healthheritageresearch.com/images/BradfordFrameHSC-AR1937800.jpg

Maria Carmela L. Domocmat, RN, MSN

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BRADFORD FRAME

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

Maria Carmela L. Domocmat, RN, MSN

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Maria Carmela L. Domocmat, RN, MSN

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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

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