Effectiveness and Dangers of Beds

The below information is general and does not apply to everyone.
When selecting and using welfare equipment, please consult a professional (such as a care manager, physical therapist, occupational therapist etc.) or welfare equipment consultant who understands the user’s physical condition and selects the appropriate equipment and provides guidance in using the equipment properly. Incorrect use of welfare equipment may lead to accidents or injury.

The Back Lifting Function Assists in Getting Out of Bed

Using the power of the motor to lift the back from 0°to 70°, the user can stop the bed from lifting at their preferred angle. It is an effective function for the following type of users:

●People who have difficulties getting up due to weakened muscles

Prolonged lying can weaken muscles and inhibit the ability to walk. The heart and lungs also weaken. Because of this, standing up suddenly may cause a sudden drop in blood pressure (orthostatic hypotension) and the user is likely to fall over.

Please get up slowly using the back raising function, especially when getting up to go to the bathroom at night or in the morning,

●People with high blood pressure or low blood pressure

When people with chronic high blood pressure, extremely weakened muscles, or partial paralysis caused by a stroke tries to get up on their own, blood pressure can rise to over 200mmHg, and is very dangerous. Please use the motorized back lifting function.

●People with lumber pain

Raising the back and knees just a few degrees, as shown in the picture on the right, allows the back to fit into the mattress, which disperses the body’s pressure and alleviates lumbar pain and prevents bedsores.
This angle also prevents the internal organs from expanding and putting pressure on the lungs, which is beneficial for patients with respiratory issues and those with a weakened physique.

●Those who have trouble swallow solid foods (dysphagia)

Swallowing is easier when slowly eating small portions while sitting up in bed or with the back is lifted. Keeping the back lifted for a while after eating also prevents a reflux of food in the stomach.

Eating while in sleeping position is very dangerous.

It is very dangerous to eat while lying down because lying down makes swallowing difficult, which causes food to enter the lungs and cause aspiration pneumonia.

●Prevent injuring the back of the caregiver

Lifting a person who is lying down to a sitting position requires an enormous amount of strength and providing assistance in a strenuous position can injure the back.

* The Ministry of Health, Labour and Welfare has pointed out that the percentage of people developing back pain in the caregiving industry is higher than other industries. Please be very careful about providing care in a strenuous position.

Caution for Lifting!

●Beware of Back Pressure

Immense pressure is put on the back when an immobile person is lifted up by motor. For an immobile person, this can cause extreme discomfort and pain, and can even lead to difficulty breathing. While lifting the back and after lifting the back, it is necessary to lift the body off the mattress to release this pressure.

The Care Insurance Rental Nursing Care Bed “Miolet Series” and the “Ultilet Series” bed for nursing care institutions that have back-lifting functions also have a unique back-sliding function, which alleviates pressure on the back at approximately 60° and shifts the pressure to shoulders at around 70°. Simply place a hand behind the user’s shoulders to release the pressure.

Anyone can experience the back pressure

Simply lift your back from a 0º to 70º position without moving your body at all. Try experiencing the pain caused by back pressure to better understand how to provide care.

●Be Careful of Falling to the Side

Rather than raising the bed to 70º, users with a higher level of care needs or do not have the strength to keep their body in an upright position should raise the bed to a 30~45ºangle to avoid falling over to the side.
* As shown in the picture on the right, the user may fall over with their head or neck on the side rails, which may place an immense amount of pressure the arteries and respiratory tracts and cause major accidents.

A “Long Side Rail” or “Bed Grip” is recommended to prevent the user from falling out of bed should they accidentally fall to their side.

Leg Lifting Function

It is difficult for blood to flow back up should users with narrow veins in their legs caused by diabetes or heart issues and users with poor blood circulation remain in a seated position for an extended period of time, which may cause blood congestion. Lifting the legs and laying down should relieve the blood congestion.

* If blood congestion continues, it can lead to varicose veins or blood clots in arteries as shown in the picture on the right.
* The 3 Motors Type beds from the Care Insurance Rental Nursing Care Bed “Miolet Series” and “Ultilet” beds for nursing care institutions can raise the legs independently.

Height Adjustable (Vertical Motion of the Bed)

Beds with height adjusting motors can raise and lower the bed. This is an effective function for the following type of users:

●People who are worried about getting up or have difficulties getting up due to weakened muscles

As shown in the picture on the left, getting out of bed from too low of a position requires muscle strength. This may cause users with partial paralysis to fall out of bed and can be dangerous. Getting out of bed will be easier when raising the height of the bed to adjust for the length of the user’s legs.

* Forcing users to stand on their own that do not have the ability to do so may cause them to fall over. Please use a wheelchair as needed.

●People with Lower Back Pain and Rheumatism

Adjusting the height of the bed to make it easier to stand will drastically reduce strain on the knees and lower back and alleviate pain.

●People with Low or High Blood Pressure

Anemia can be caused by people with low blood pressure suddenly stand suddenly, and may result in the person falling over. Using the height adjusting function of the bed and standing up slowly can reduce the risk of accidents caused by anemia. Please use the height adjusting function in tandem with the back lifting function.

People taking sleeping medication should be careful.

Standing or walking after taking sleeping medicine is very dangerous and increases the dangers of falling. This is a common accident. Please follow your doctor’s instructions and remain in bed until the effects of the medicine wear off and do not walk.

●Prevent injuring the back of the caregiver

Same as when lifting the user’s back, assisting a person to stand from a sitting position requires a lot of strength and can cause back pain. Adjusting the height of the bed to an optimal height will be a safe and easier method of getting out of bed. Please use the available welfare equipment to provide safe and easy care.

Other Uses of the Height Adjustable Function

●Sitting on the Edge

When a person is bedridden for an extended time, their balance and muscle strength weakens and may lose their sense of day and night, which can lead to wandering around at night. Therefore, it is considered beneficial for bedridden users to be in a sitting position during the day. Because people sit on the edge of the bed the position has been coined “Sitting on the Edge”. Please lower the bed to a position where the user’s feet are planted firmly on the floor.
* If the user’s feet are not placed firmly on the floor, they may fall out of bed, which can cause broken bones.

●Getting On/Off Wheelchairs and Portable Toilets

When getting into a wheelchair from the bed, raise the height of the bed to be slightly higher the height of the seat of the wheelchair. When getting into bed from the wheelchair, lower the bed to be slightly lower than the wheelchair. Doing so improves the safety of getting in and out of wheelchairs.

Sliding Board and Transfer Sheet

Manufactured by a different company, there are sliding boards and transfer sheets to improve the safety and ease of going between the bed and the wheelchair.
Incorrect use of such products can be dangerous. Please ask a welfare equipment specialist for selecting the correct product and for using such products correctly.

The Auto-Lock Bed Grip “KneeparoⅡ” was designed to improve the safety of transferring in and out of bed.

●Walking While Holding On

Improve the safety of getting out of bed and walking while holding on to the bed by adjusting the height of the bed to an optimal height that makes it easier to hold on to and walk.
* Beds with elevating functions are the Home Care Bed Miolet Series with 1 Back Lifting Motor Type, 2 Motors Type, and 3 Motors Type and the Ultilet Series Care Bed for Institutions with 2 Motors Type and 3 Motors Type.

Various Options and Assistive Equipment

There is a variety of assistive equipment made for the user and caregiver.

Casters convenient for transportation and cleaning

Casters convenient for transportation and cleaning

In addition to the aforementioned care beds, there are mattresses that breathe especially well, are flame resistant and tick resistant, prevent bedsores, and air mattresses. Further, there are various wheelchairs, lifts to transfer users into their wheelchair, and a vast array of assistive equipment manufactured and sold by companies. Selecting the perfect equipment to fit the needs of the user can drastically improve their living conditions. Please consult a specialist, such as your care manager, welfare equipment consultant, or physiotherapist to select equipment that best fits your needs.

People with similar physical conditions and care needs will require differing welfare equipment, which depends on the situation of the family who is providing care and the space in which the care is being provided. Selecting the right equipment is the first step towards achieving independence.

* Using incorrect welfare equipment can worsen the user’s condition and may cause accidents.

A care bed is the most basic of welfare equipment that the care provider needs in order to provide care, but using the bed in the wrong way can cause accidents. Please carefully read the Instruction Manual before using.

Caution!

Only use the side rails and bed grips designated in the Instruction Manual. Assembling the bed with items from different manufacturers may create “dangerous spaces” between the rail and the bed where the neck, etc. can get caught and cause big accidents.

Common Accidents and Near Accidents

Case 1

Suffocation caused by the neck getting caught between the rails or the rail and boards.

Suffocation caused by the neck getting caught between the rails or the rail and boards.

Case 2

Broken arm caused by lifting the back while the arm is caught in the rail.

Broken arm caused by lifting the back while the arm is caught in the rail.

Case 3

Impaired breathing caused by leaving an immobile user in an upright position for a prolonged time or from pressure applied on the neck when the user falls onto the side rail.

Impaired breathing caused by leaving an immobile user in an upright position for a prolonged time or from pressure applied on the neck when the user falls onto the side rail.

Case 4

Broken arm caused by standing up without confirming that the bed grip was locked in place.

Broken arm caused by standing up without confirming that the bed grip was locked in place.

Case 5

Hitting the wall because the caster was not locked.

Hitting the wall because the caster was not locked.

Case 6

Injuries to the care provider’s back because the bed was too low and did not use the back lifting function.

Injuries to the care provider’s back because the bed was too low and did not use the back lifting function.

Case 7

Impaired breathing caused by lungs being compressed when the user falls between the bed and the wall. Please either leave at least 50cm of space between the bed and the wall or position the bed against the wall so there is no gap.

Impaired breathing caused by lungs being compressed when the user falls between the bed and the wall. Please either leave at least 50cm of space between the bed and the wall or position the bed against the wall so there is no gap.

Case 8

Falling over and breaking bones caused by getting in and out of bed by climbing over the side rails or boards.

Falling over and breaking bones caused by getting in and out of bed by climbing over the side rails or boards.

Case 9

Fall onto the buttocks because the user was sitting too close to the edge of the bed.

Fall onto the buttocks because the user was sitting too close to the edge of the bed.

Case 10

Injuries caused by falling over when attempting to use the table as a crutch.

Injuries caused by falling over when attempting to use the table as a crutch.

Case 11

Tableware may fall off the table when the bed is raised without removing the table.

Tableware may fall off the table when the bed is raised without removing the table.

Case 12

Compression fractures caused by lowering the bed when the limbs of the person sleeping next to the user are under the bed.

Compression fractures caused by lowering the bed when the limbs of the person sleeping next to the user are under the bed.