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Dear
Robert:
The bed head position is ideally determined by the patient's comfort and/or any extenuating medical conditions. In general, select the position that's easiest and safest for the patient. Here's why.
When a patient is being transferred to a seated position such as to a wheelchair, it can be helpful for the patient to have the head of the bed raised prior to the transfer. This position enables the patient to orient himself, plus it allows his body to adjust to having his head in a raised position. There may be medical reasons as well. For instance, in cases where orthostatic hypotension is a problem, slowing raising the patient's bed toward a seated position may be advantageous. Please do not raise the head of the bed too high in order to avoid making the patient uncomfortable.
On the other hand, there are certain medical conditions in which stimulation can cause rigidity or spasticity. In these cases it might be best to limit the position change and start the transfer from a reclined position. This can be done by log rolling the patient to one side for sling application, allowing the patient to relax, and then slowly bringing him to a seated position in the sling. If employing this non-inclined procedure, make sure that a sling with head support is used and that the 'helper' pays attention to the patient's leg support and comfort.
My recommendation is to incline the head of the bed unless there is a medical reason for not doing so.
Stay safe,
The Lift Doctor* |
