MAKING AN AMPUTATION BED BY EVELYN SUNNU MRS

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