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  4. The experience of using a hospital bed alternative at home among individuals with spinal cord injury: A case series

The experience of using a hospital bed alternative at home among individuals with spinal cord injury: A case series

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.1937454 · Published: March 1, 2023

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study explores the experiences of individuals with spinal cord injuries (SCI) who chose to use alternative adjustable beds at home instead of standard hospital beds. It investigates their comfort, skin health, and how these beds affect their daily lives. The researchers collected data through interviews, questionnaires, and pressure mapping to understand the benefits and drawbacks of using alternative adjustable bed systems compared to traditional hospital beds with pressure-reducing mattresses. The study found that participants generally had positive experiences with alternative adjustable beds, citing increased comfort, a greater sense of normalcy, and improved functionality. The use of these beds did not negatively impact skin health.

Study Duration
Not specified
Participants
4 individuals with cervical SCIs and 1 partner
Evidence Level
Level IV, Observational case series

Key Findings

  • 1
    Participants preferred alternative adjustable beds due to their larger size and the desire to share a bed with a significant other, which was not feasible with smaller hospital beds.
  • 2
    The alternative adjustable beds provided a greater sense of normalcy, helping participants to separate their homes from the hospital environment and improving their overall quality of life.
  • 3
    Participants reported that alternative adjustable beds improved their functional abilities, such as rolling and transferring, and facilitated caregiver assistance due to features like height adjustability and bedrails.

Research Summary

This case series investigated the experiences of individuals with SCI who used alternative adjustable bed systems at home instead of standard hospital beds. The study aimed to inform clinicians’ equipment recommendations. The results indicated that participants had positive experiences with alternative adjustable beds, reporting increased comfort, a greater sense of normalcy, and improved functionality without compromising skin integrity. The study suggests that alternative adjustable bed systems may be a suitable option for certain individuals with SCI, offering both functional benefits and improved quality of life compared to traditional hospital beds.

Practical Implications

Client-Centered Bed Recommendations

Clinicians should consider patient preferences and quality of life when recommending beds for individuals with SCI, not solely focusing on clinical factors.

Promoting Normalcy

Alternative adjustable beds can help individuals with SCI maintain a sense of normalcy and improve their psychological well-being by creating a home environment that is less like a hospital setting.

Functional Benefits

Adjustable bed features such as height and head elevation can enhance independence and caregiver assistance for individuals with SCI, improving overall function and ease of daily activities.

Study Limitations

  • 1
    Small sample size
  • 2
    Case series design limits statistical comparison
  • 3
    Participants used only one type of alternative adjustable bed system

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