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    Comfort Devices

    Uploaded by

    Kusum Gurung

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Comfort Devices

    Uploaded by

    Kusum Gurung
    23 views46 pages

    Original Title

    Comfort devices

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    23 views46 pages

    Comfort Devices

    Uploaded by

    Kusum Gurung

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 46

    COMFORT, REST, SLEEP & PAIN

    UNIT-9 (15hr+15hr)

    Comfort Pain (Discomfort)


    Comfort devices  Physiology
    Factors Influencing Comfort  Common cause of pain
    Types of beds including  Types
    latest beds, purposes & bed  Assessment – pain scales and narcotic
    making scales
    Therapeutic positions  Pharmacological and Non-
    pharmacological pain-relieving measures
    Sleep and Rest – Use of narcotics, TENS devices, PCA
    Physiology of sleep  Invasive techniques of pain management
    Factors affecting sleep  Any other newer measures
    Promoting Rest and sleep  CAM (Complementary & Alternative
    Sleep Disorders healing Modalities)
    COMFORT DEVICES
    COMFORT DEVICES - Definition

    • Comfort - The absence of irritating


    stimuli t h a t distract one's a t t e n t i o n f ro m
    the task at hand.
    • Comfort devices - are t h e mechanical
    devices planned t o provide optimal
    comfort t o an individual.
    Purposes of Comfort Devices
    • To provide maximum comfort and relaxation.

    • To aid in normal body function.

    • To prevent contractures and neuromuscular deformities and complications.

    • To conserve maximum possible energy by preventing unnecessary strain.

    • To relieve pressure on parts of body.

    • To prevent falls and accidents.

    • To immobilize a body part.


    List of comfort devices…
    1. PILLOWS 6. TR APEZ E BAR

    2. BACK REST 7. FOOTBOARD

    3. BED CRADLE 8. TROC H ANTE R ROLLS

    4. CARDIAC TABLE 9. SANDBAGS

    5. MAT TR ESSES 10. SIDE R AILS


    List of comfort devices…

    11.WEDGE/ABDUCTOR 14. AIR CUSHION


    PILLOW
    12.KNEE REST 15. RUBBER & COTTON
    RINGS
    13. BED BLOCKS

    16. HAND ROLLS


    FACTORS PROMOTING AND INHIBITING COMFORT
    FACTORS PROMOTING FACTORS INHIBITING
    1. Normal temperature Too high or too low temperature
    2. Normal humidity Dry or too humid environment
    3. Safe, clean, quite and comfortable Unsafe, unpleasant and stressful
    environment environment
    4. Comfortable positions Uncomfortable position
    5. Neat and clean bed and linen Dirty and soiled bed linen
    6. Good ventilation Poor ventilation
    7. Normal lighting Glaring or too dim lighting
    8. Pleasant odours Unpleasant odours
    9. No fear Fear
    10. No stress and worry Stress and worry
    PILLOWS
    PILLOWS

    PURPOSES:

     Used for suppo r t t o m aintain correct


    body alignment.
     Used under head, arms, legs & along
    spine or abdomen t o provide comfort.
    BACK REST
     Support patient’s back a t an angle, so tha t he
    may maintain a sit t i n g position.

     Can be adjusted t o desired angle.

     Extra pillows are needed.

     Arms of patient are well supported.


     Used for p a t i e n t s suffe ring with cardiac &
    pulmonary distress.
    BACK REST
    BACK REST
    PURPOSES:

    i. To relieve dyspnoea.

    ii. To promot e drainage from abdominal


    cavity.

    iii. To provide a comfortable change of


    position.
    BED CRADLE
    • I t is a frame used t o hold t h e bed linen
    from touching t h e p a t i e n t .

    • Cradle is a semicircular / rectangular frame


    of metal.

    • May be made of wood or bamboo.


    BED CRADLE
    BED CRADLE
    PURPOSES:

    • To preven t pressure from t h e weight of


    linen.

    • To allow air t o circulat e around lower limbs.


    CARDIAC TABLE
    • Bed table placed in front with a pillow on i t ,
    patient can lean forward & take rest.

    • Table without pillow is used for writing &


    meals.

    • Used for patients with cardiac conditions


    & asthma.

    • Position should be changed t o relieve fatigue.


    CARDIAC TABLE
    PURPOSES:
    • Patient can rest over t h e table with t h e help
    of pillow.

    • Helps t o take meals & in writing.


    MATTRESSES
    PURPOSES:
    • To provide comfort.

    • Used for very thin and very obese patients


    and t h o se who are prone to pressure
    sores.
    MATTRESSES
    Mainly two types:
    1. Air mattress
    2. Water mattress
    Air mattress Water mattress
    TRAPEZE BAR
    • Bar is suspended f rom an overhead frame
    t o head of bed.

    PURPOSES:

    • Patient can grasp t h e bar t o raise t h e


    trunk off t h e bed surface or t o move up in
    bed.
    TRAPEZE BAR
    FOOTBOARD
    • Device t h a t is placed towards t h e f o o t of p a t i e n t s
    bed t o serve as support for his f e e t .

    • Usually made up of wood/plastic/hea vy canvas.

    PURPOSES:

    • To support patients feet.

    • To prevent f o o t drop.
    FOOTBOARD
    TROCHANTER ROLLS
    • A cot t o n bath blank e t / s h e e t is folded
    lengthwise t o width extending from greater
    trochanter of femur t o lower border of
    popliteal space.
    PURPOSES:

    • Preve n t e x ternal ro t a t ion of legs when patient


    is in supine position.
    TROCHANTER ROLLS
    SANDBAGS
    • They are sand f illed plastic bags th a t can be
    shaped t o body contours.

    • Can be used in place of or in addition to


    trochanter rolls.
    PURPOSES:

    • Provide support & shape t o body.

    • Immobilize ext re m i t ies & maintain specific body


    alignment.
    SANDBAGS
    SIDE RAILS
    • Side rails are t h e bars positioned along the
    sides of t h e length of t h e bed.
    PURPOSES:

    • Ensure patient’s sa f e t y & are useful for


    increasing mobility.
    • Provide assistance in rolling from side t o side
    or sitting up in bed.
    SIDE RAILS
    WEDGE/ABDUCTOR PILLOW
    • I t is a tr iangular shaped pillow made of heavy
    foam.

    PURPOSES:

    • Used t o maintain legs in abduction following


    Tota l Hip Replaceme n t Surgery.
    WEDGE/ABDUCTOR PILLOW
    KNEE REST
    • This is a device placed under t h e knees to
    provide comfort .

    PURPOSES:

    • This gives relaxation and t h u s relieves pain


    on tendons beneath t h e knees.
    KNEE REST
    BED BLOCKS
    • Made up of wood or metal.

    PURPOSES:
    • These are used t o raise t h e f o o t end
    or head end of t h e bed.
    BED BLOCKS
    AIR CUSHION
    • Air cushions are made up of rubber and i t
    can be inflated with air.
    PURPOSES:

    • Used t o take off t h e weight of t h e body


    and t o relieve pressure on certain parts
    of t h e body.
    AIR CUSHION
    RUBBER & COTTON RINGS
    • These are circular rings
    made of rubber or cotton.

    PURPOSES:

    • These are used t o relieve pressure on


    certain parts of t h e body like elbow and
    heels.
    RUBBER RING COTTON RING
    HAND ROLLS
    • Made by folding a washcloth in half,
    rolling in leng thwise & securing roll with
    tape.

    • Roll is placed again s t palmar surface of


    hand.
    HAND ROLLS
    HAND ROLLS
    Purposes:

    • Maintain t h u m b in slightly adducted & in


    opposition t o fingers.

    • Maintain fingers in slightly flexed position.


    SPINTS & BRACES
    Indications Goals
    • Congenital • promot/allow tissue healing
    • Trauma • prevent contractures
    • Overuse injury • improve range of motion
    • Post/pre surgical • correct deformities
    • Disease • strengthen muscles
    • reduce tone
    • reduce pain
    • restrict motion

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