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UNIT-X Meeting needs of patient COMFORT DEVICES Reviewed by: Mr. Gireesh Associate professor Dept. of MSN 3/9/2021 7: 18 AM Presented by: Mrs. Prashma Lecturer Dept. of MSN (Prashma) 2

LEARNING OBJECTIVES At the end of the class students will be able to • Define comfort devices • Explain the importance of comfort devices • Discuss the types of comfort devices with their uses

INTRODUCTOIN • Comfort devices are the mechanical devices planned to provide optimal comfort to an individual. Comfort devices are invented articles which would add comfort to the patient when used in appropriate manner

COMFORT DEVICES

DEFINITION • Comfort devices are articles which would add to the comfort of the patient when used, by relieving discomfort and helping to maintain correct posture.

PURPOSES • To relieve discomfort. • To provide and maintain correct body alignment/posture. • To immobilize a body part. • To relieve pressure on parts of body. • To prevent falls and accidents. • To assist the patient to obtain an adequate sleep to meet his requirements

Common comfort devices and their uses: 1. Pillows: Pillows are used to give comfortable position to the patient Uses: • It is used to support parts of the body like head and neck, arms, legs and parts of back. • Relieves pain on abdominal muscles and tendons beneath the knees. • Used in positioning patients • To maintain proper body alignment • Help to reduce pressure

2. Foot board/foot rest: Foot board is the device that is placed towards the foot of patients bed to serve as support for his feet Uses: • Used to prevent plantar flexion of feet • To maintain the normal position of feet • To promote comfort • To prevent foot drop

3. Bed cradle: It is a frame used to hold the bed linen from touching the patient Uses: • Used to support the weight of the top bed clothing and to prevent them from coming in contact with the patient's body. • Used especially for patients with burns or when the plaster cast is yet to be dry or for patients after amputation

4. Cardiac table: It is a device designed as an over bed table and is placed in front of the patient while they are in fowler’s position Uses: • Used for patient to lean forward especially when the patient has been in sitting position for a long time • Used as a book support to read or write or as a table to take food in bed itself • Used in positioning patients who are to undergo some diagnostic procedures like thoracentesis.

5. Backrest: It is a mechanical device which provides support for the patient in sitting position Uses: • Used to relieve dyspnea as in asthmatic patients by providing Fowler's or high Fowler's position. • Used in positioning cardiac patient to reduce workload on heart. • To support back

6. Trochanter roll: It is a cotton bath blanket/sheet is folded lengthwise to width extending from greater Trochanter of femur to lower border of popliteal space Uses: • Used to prevent external rotation of legs when the patient is in supine position.

7. Trapeze bar: It is an overhead frame that extends from the foot to head of bed patient can grasp the bar to raise the trunk of the bed surface or to move up in bed Uses: • Used to enable patient to raise trunk from bed • Used to enable patient to move from bed to wheel chair. • Used to help the patient in performing exercises that strengthen upper arms.

8. Balkan frame: • Balkan frame is made of wood or metal that extends lengthwise above the bed and is supported at either ends by a pole • Trapeze may be attached to the frame just above the patients head as an aid to the patient in lifting himself up in bed fracture board

9. Sand bags: These are canvas rubber or plastic bags filled with sand Uses: • Used to immobilize the body part • Used to support fracture bone • Used to provide support and shape to body, and maintains specific body alignment • To relieve discomfort

10. Hand rolls: These are made up of cloth that rolled into a cylinder about 4 -5 inches long and 2 -3 inches in diameter and stiffed firmly Uses: • Used to maintain thumb in slightly adducted position and in opposition to fingers. • Used to maintain fingers in slightly flexed position. • To keep the fingers free being held in a tight fist

11. Knee rest: • Knee rest may be substituted by a pillow, gives relaxation and thus relieves pain on abdominal muscles and tendons beneath the knees.

12. Hand wrist splints Uses: • Used to maintain immobility of the fingers and maintains functional position. • Used to maintain proper alignment of the thumb in slight adduction and wrist in slight dorsi flexion

13. Bed boards: Board are usually made of wood and are placed under the mattress to provide support Uses: • Used for increasing back support and vertebral alignment with a soft mattress. • Used in patients with spinal problems • Used in giving CPR in the proper manner.

14. Air and water mattresses: These are used for thin, obese and those who are prone to bed sores Uses: • Used to prevent pressure sores • To provide comfort • To improve circulation

15. Bed blocks: These are made of wood placed under the foot of the bed. Uses: • Used for providing Trendelenburg position for patients • For preventing shock • For arresting hemorrhage • To retain enema.

16. Side rails: Side rails are bars positioned along the sides of the length of the bed Uses: • Ensure patients safety • Are useful for increasing mobility • Provide assistance in rolling from side to side or sitting up in bed hand wrist splints

17. Rubber and cotton rings: These are circular ring made up of rubber or cotton. Uses: • To relieve pressure on certain parts of the body like elbows and heels • To improve circulation • To prevent direct pressure on bony prominence • After hemorrhoidectomy

18. Air cushion: These are round in shape and made up of rubber and is inflated with air. Uses: • It is used to take off the weight of the body • To relieve pressure on certain part of body • To promote comfort of client

CONCLUSION • Comfort is a state of freedom from pain, discomfort, tension & anxiety. Comfort is define as “the contented enjoyment in physical or mental wellbeing, freedom from pain or trouble & anxiety.

Bibliography 1. Lind eman Ca rol A, Meathi e, Marylov, Fundamentals of contemporary nursing practice. Published by W. B. a u n d ers, Ph i la d elp h i a S 1999. 2. White Lois, Basic of skills and concepts, Delmar, 2002. nursing: Foundations 3. http: //tinehealth. com/2017/06/05/the-role-of-nurses-in-hospitalquality-improvement/ 4. https: //www. ncbi. nlm. nih. gov/books/NBK 2681/

EVALUATION SHORT ESSAYS: 1. Comfort devices used in the hospital MCQ’S 1. Which among the following devices will be appropriate for a patient with burns? a. Hot water bag b. Bed cradle c. Back rest d. Foot board

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