Transcript MAKING AN AMPUTATION BED

MAKING AN AMPUTATION BED
BY
EVELYN SUNNU (MRS)
MAKING AN AMPUTATION BED
• This bed is made to facilitate the dressing of
the stump.
• To ensure that the stump is visible to the staff
moving about the ward, so that at a glance
any hemorrhage may be observed.
• It is commonly found that the stump quivers.
MAKING AN AMPUTATION BED
• This is uncomfortable and distressing for the
patient.
• The stump is immobilized by using a towel and
two sand bags.
EXTRA REQUIREMENT
Waterproof/ dressing mackintosh and dressing
towels.
2 sand bags in covers
An extra dressing towel
EXTRA REQUIREMENT
A cradle
A flannelette sheet
A counterpane
A tray with a tourniquet and dressing towel
A bed linen
Procedure/ task Amputation above
knee
• The bed is modified depending upon where
the amputation has occurred.
• The bed is made up to the level of a simple
bed.
• The flannelette sheet is placed over the
patient’s chest, trunk and the good leg
PROCEEDURE CONT.
• . The dressing mackintosh and dressing towel
are placed where the stump will lie.
• To prevent quivering of the stump
• the second dressing towel is placed over the
thigh and held firmly by placing the sandbags
over it at either side of the thigh.
PROCEEDURE CONT.
• The cradle is then placed over the stump.
• The bed is now made up with the divide at the
level of the stump.
Amputation bed below the knee
• Requirement is as of amputation above knee.
• Procedure /Task
• The bed is made up to the level of simple bed until the
flannelette sheet and the bed cradle is in position.
• The bed is then made up as for simple bed,
• but the top bed clothes at the stump side are turned
back over the cradle
AMPUTATION BELOW KNEE
• This is tucked in at the bottom on the other
side, thus exposing the stump to view.
BED ACCESSORIES
• These are appliances used in bed making;
• To provide comfort of the patient
• For the protection of bed linen
• Prevention of pressure sores
• To facilitate putting the patient into bed without
delay etc.
BED ACCESSORIES
 A bed cradle
 It is a device designed to keep the top
bedclothes off the feet, legs and even the
abdomen of the patient.
Footboard or foot boot
These are used to support the immobilized
client’s foot in a normal right angle to the legs to
prevent plantar flexion contractures
BED ACCESSORIES
Intravenous rods/ stands/ poles/ standards
• These are made up of metal to support IV
infusion containers while fluid is being
administered to a client.
• These rods are free standing on the floor
beside the bed or are attached to the hospital
bed.
BED ACCESSORIES
Side rails/ bed rails
• These are used on both hospital beds and
stretchers.
• They are of various shapes and sizes and are
made of metal.
• The side rails serve as a safe effective means
of preventing a patient from a fall.
BED ACCESSORIES
– Hot water bottle
• They are used to provide warmth for the patient.
• They are made up of rubber.
• Observe the demonstrations on how to fill a hot
water bottle.
Air rings are covered and placed on a bed to lift the wait
of the patient off the bed.
BED ACCESSORIES
Bed rest/ back rest.
These may be attached to or separate from the bed and
pulled forward if required in cardiac condition, asthma
etc.
Bed elevators and bed blocks are made up of wood or
metal and have several rings /rungs at varying heights
on which the bar of the bed may be supported.
Sand bags are made up of impermeable material which
is filled with sand. This is used to immobilize a limb.
BED ACCESSORIES
Heart table/ cardiac table are specially made table
that can be drawn up in front of the patient during
meals time, when sitting upright and leaning slightly
forward.
• Fracture boards provide firm base for the bed
to prevent bit from sagging