Experience Summary

In this 360-degree video, observe staff explain the importance of correct bed positioning to a patient, and demonstrate how to use the handheld bed controls.

Clinical Context

Correct hospital bed positioning plays a vital role in the prevention of pressure sores, also known as pressure ulcers or bedsores. These skin and underlying tissue injuries are caused by prolonged pressure, shear, or friction, particularly over bony areas such as the sacrum, heels, hips, and elbows. Immobile or bed-bound patients are at the highest risk, and without regular repositioning and pressure relief, pressure sores can develop rapidly, leading to pain, infection, delayed recovery, and increased healthcare costs.

Proper bed positioning helps distribute body weight evenly, reduces pressure on vulnerable areas, and enhances blood flow to the skin and tissues. For example, elevating the head of the bed to no more than 30 degrees helps prevent shearing forces that can occur when the patient slides down the bed. Likewise, repositioning the patient at least every two hours—manually or by adjusting the bed—relieves pressure points and promotes tissue health.

Hospital beds are designed to support these preventive strategies through adjustable features, such as head and foot elevation, height adjustments, and tilting capabilities. These features are essential for both clinical staff and patients to reposition safely and effectively.

The use of handheld patient controls enhances patient autonomy and encourages more frequent repositioning. These controls, typically attached to the bed rails, allow patients to adjust their bed position without needing assistance, within safe parameters. For example, a patient experiencing discomfort or early signs of pressure (such as tingling or redness) can raise or lower sections of the bed to redistribute pressure and improve comfort. This ability to make small positional changes throughout the day can significantly reduce the risk of pressure sores developing.

Moreover, empowering patients to take part in their care supports their dignity, independence, and engagement in recovery. For patients with limited mobility, nurses and caregivers should routinely check that they are using the controls correctly and safely. In cases where the patient is unable to reposition themselves, staff must remain vigilant in turning and repositioning schedules.

Ultimately, combining appropriate bed positioning with patient education, risk assessments (such as the Waterlow or Braden scale), and the use of pressure-relieving surfaces provides a comprehensive approach to preventing pressure sores. Handheld bed controls play a valuable supporting role by making pressure relief more accessible and responsive to patient needs.

Learning Outcomes

1. Understand the importance of correct patient positioning in preventing pressure ulcers.
2. Understand the importance of demonstrating how to use the handheld bed controls to the patient.
3. Observe healthcare staff explaining the controls to a patient, and demonstrating their functions.

External Resources

• NHS - Pressure ulcers (pressure sores)