Psychiatric intensive care bed
As psychiatric (PIB), partly geriatric or network bed a special is hospital bed or care bed designated surrounded with nets and is closed at the top and also devices for physical fixation of a patient may contain. These measures serve to protect against endangering the patient and himself and others. Their use represents a deprivation of liberty in the legal sense , as the patient cannot get out of bed without outside help. Designs of baby beds are also often referred to as "net beds", although baby beds differ from psychiatric intensive care beds in that they do not have a net covering the top. In the intensive care sector, completely different types of intensive care beds are common.
Property as a medical device
Like all hospital beds, net beds are medical products and, as such, must meet the requirements placed on them , for example Directive 93/42 / EEC on medical products , which in parts continues to apply until, in Germany after a transition period in May 2021, it is approved by the European Medical Device Regulation (Medical Device Regulation, MDR) will be replaced.
Uses and benefits
A study by the manufacturer Posey , which was published in American Nurse Today in 2017 , showed that a closed spatial environment, such as a mesh bed, is an effective means of reducing the agitation of patients with traumatic brain injury and thus the risk of injury to reduce. Mesh beds therefore help calm patients with traumatic brain injury or other impaired patients. Afterwards they will be cared for again in a normal hospital bed.
In the Netherlands, net beds (tentbed) were included in the care standard under point 5 VBI score 4 by the Dutch care association V&VN in 2016. They help to reduce the amount of restraints close to the body and to treat patients therapeutically. The Dutch nursing standard also refers to positive studies and patient examples.
Neuroscientists and gerontologists found in studies published in the Netherlands in the Zeitschrift für Geriatrie in 2015, that behavior problems and aggressiveness of patients decreased with the use of net beds. Patients were better rested and slept better. Chemical fixations could be greatly reduced or stopped entirely. The state of health of patients could be improved through the use of net beds.
The Dutch Ministry of Health commissioned a national survey in all geriatric clinics. The results of the national questionnaire from the 77 geriatric clinics showed that 66% of the patients showed less motor restlessness through the use of net beds. 55% of the patients showed less anxiety behavior and 69% of the patients could sleep better. By using the net beds, 59% of the facilities were able to reduce or even stop the administration of psychotropic drugs.
A 6-month observational study at Doctors Hospital (Columbus, Ohio) by Cindy Wagner (RN, BC, MS, CNS), which was coordinated and monitored by the hospital's ethics committee, showed the following positive results from the use of net beds: 84% of staff found that patient anxiety could be reduced; 100% of the staff found that patients slept better. Falls in patients who were treated with net beds could be avoided in the entire study period of 6 months. The net beds were appreciated by employees and relatives.
The German Hospital Association cites the net bed as an example of best practice in dealing with dementia patients . In an article in The Yellow Sheet , the net bed (here also “tent bed”) was described as a “cave of security” for this group of patients. Since the use of net beds, the situation of dementia patients at the Penzberg Clinic has improved. Mesh beds are an innovation and could reduce patient restraint on the bed. The Kessler Handorn residential and nursing home in Kaiserslautern, which won the 2017 design award and was recognized for its exemplary contribution to design for people with dementia and certified for quality management for people with dementia, recommends mesh beds in its milieu therapy as a guide for the design of inpatient care facilities.
Risks, criticism and prohibitions
The use of PIB is partly controversial in medicine because of the limited monitoring options for the patient's vital parameters and is heavily criticized, particularly in the case of complications resulting in death. With effect from September 1, 2014, their use in the psychiatric departments of Vienna's hospitals was abolished.
Individual evidence
- ↑ a b FeelSafe Bed.Retrieved October 7, 2019 .
- ^ Dawn Walters, Enclosure bed: A tool for calming agitated patients. In: American Nurse Today Vol. 12 No. September 9 , 2017, accessed April 21, 2019 .
- ↑ Dutch Nursing Association. In: Van Burink J. / Master Advanced Nursing Practice (MANP) Masterscriptie 2012. Accessed March 1, 2019 .
- ^ Neuroscience. In: Drs. Pieter W. Molleman et all (Drs. PW Molleman, GZ psychologist / neuropsychologist; JBM van Kesteren, nurse; Dr CJM Ubink-Bontekoe, bio-medical scientist; Drs. MPD Zoomer-Hendriks, specialist in geriatrics; Dr . Roland Wetzels, specialist in geriatrics), Ned Tijdscher Geneeskd. 2015; 159: A9617 Sept. 2015. Retrieved March 1, 2019 .
- ↑ Dutch Geriatrics. In: M. Kattenbelt, RWMM Jansen et all, 2017-3-Ins & outs - Tijdschrift voor Geriatrie, 2017. Retrieved March 1, 2019 .
- ^ Hospital study. In: Cindy Wagner, RN, BC, MS, CNS et all, Use of the Posey Bed in Acute Care, Columbus, OH, April 2007. Retrieved March 1, 2019 .
- ^ German hospital society. Retrieved March 1, 2019 .
- ↑ Care facilities. Retrieved March 1, 2019 .
- ↑ Weblink: http://wien.orf.at/stories/256048/
- ↑ End for net beds in Viennese hospitals wien.orf.at from September 1, 2014, accessed on April 21, 2019