1-9. SPECIAL ORTHOPEDIC BEDS--TURNING FRAMES

a. Turning frames are devices used to provide immobilization and to facilitate nursing care for the patient who, while immobilized, requires frequent repositioning from supine to prone. In addition to its orthopedic applications, a turning frame is used in the treatment of patients with such conditions as spinal cord injuries and severe burns.

b. The major advantage in the use of turning frames is the prevention of the complications given below.

(1) Pressure sores. With relief of pressure from body weight on bony prominence and pressure areas, blood supply is improved. Additionally, large body areas may be exposed for skin care.

 

(2) Respiratory congestion. Rotation of the patient from face-up to face-down aids in loosening and ridding the lungs of fluid accumulation. The patient can cough and expectorate more effectively in the prone position.

 

(3) Kidney and bladder complications. Rotation of the patient aids in elimination of urine sediments that are potential causes of kidney stones.

c. Nursing management of a patient in a turning frame is the same as for any other immobilized patient. The nature of the care required depends upon the reason for immobilization (casts, traction, paralysis, and so forth). Nursing care of the immobilized orthopedic patient is discussed later in this lesson in Sections V and VI.