Tilt Table
The tilt table, a padded table or bed-length board that can be raised gradually from a horizontal to a vertical position, can help prevent the complications of prolonged bed rest. Used for a patient with a spinal cord injury, brain damage, orthostatic hypotension, or other condition that prevents free standing, the tilt table increases tolerance for the upright position, conditions the cardiovascular system, stretches muscles, and helps prevent contractures, bone demineralization, and urinary calculus formation.1,2 Tilting a patient with a tilt table is performed once or twice per day, usually in a separate room, depending on the patient’s tolerance. In patients with orthostatic hypotension and postural orthostatic tachycardia, the tilt table is used as part of a diagnostic test meant to produce signs and symptoms characteristic of the disease.
Equipment
Tilt table with footboard and safety straps ▪ sphygmomanometer and stethoscope or electronic vital signs monitor ▪ antiembolism stockings or elastic bandages ▪ Optional: abdominal binder, wooden block, stretcher.
Implementation
Confirm the doctor’s order.
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.6
Explain the use and benefits of the tilt table to the patient.
Apply antiembolism stockings to restrict vessel walls and help prevent blood pooling and edema. If necessary, apply an abdominal binder to avoid pooling of blood in the splanchnic region, which contributes to insufficient cerebral circulation and orthostatic hypotension.Stay updated, free articles. Join our Telegram channel
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