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PURPOSE OF BEDMAKING
PURPOSE OF BEDMAKING
to promote the client's comfort to provide a clean near environment for the client
healthy status
to promote the client's comfort to provide a clean near environment for the client
IMPORTANCE OF BEDMAKING
1. It helps maintain a clean, orderly and comfortable room which contributes to the patients sense of wellbeing. Helps the patient secure proper rest and comfort which are essential for health and refresh him/her by providing cleanliness It helps prevent or avoid microorganisms to come in contact with the patient which could cause tribulations. It minimizes the sources of skin irritation by providing smooth, wrinkle-free bed foundation.
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TYPES OF BED
TYPES OF BED
A. Common Types of Bed
1. Occupied bed the occupied bed is made when the patient is not able or not permitted to get out of the bed the important part of making an occupied bed is to get the sheets smooth and tight under the patient so that there will be no wrinkles to rub against the patients
skin
the clients privacy, comfort and safety is also important when making the bed
TYPES OF BED
2. Unoccupied bed the unoccupied bed is made when there is no patient confined in bed A unoccupied bed may be: the top covers are generally folded back so that a client can easily get into bed surgical, recovery and postoperative bed is a modified version of the open bed; the top bed line is arranged for easy transfer of the client from a stretcher to the bed the top sheets are folded to one side or fan folded to the bottom third of the bed
A. Open bed
TYPES OF BED
B. Close bed
the top sheet blankets and bedspreads are drawn up to the head of the mattress and under the pillows, this is prepared in a hospital room before a new client is admitted to that room
TYPES OF BED
C. Postoperative Bed Also known as recovery bed or anesthetic bed.
PRINCIPLES IN BEDMAKING
PRINCIPLES IN BEDMAKING
BODY MECHANICS
it is important to the nurse to observe the correct body mechanics in order to prevent quick tiring, back problems and muscle pain. ANATOMY & PHYSIOLOGY the conscious knowledge of the normal state and condition of certain parts of the body wherein one would be able to tell any abnormality. the body exerts uneven points of pressure against different areas of the mattress. The sacrum may become the site for preassure sore because of the weight of the patients body and a reduced blood supply to the tissues over bony prominence. CHEMISTRY woolen blanket fibers may cause irritation to the patients skin; there must always be a sheet to separate the blanket from the patient strong detergent, soap and bleaches used in commercial laundries may cause skin irritation if bed linens are not thoroughly rinsed
PRINCIPLES IN BEDMAKING
MICROBIOLOGY pathogenic microorganism may be transferred from the source to a new host directly by contaminated linen. Hands should be washed before and after making bed. bed linen should be folded away from the body to minimize the transfer microorganism to the clothing fanning bed clothing stirs up bacteria in the air, and air motion is a method of transfer. PHYSICS friction can irritate the skin and cause rashes. It is therefore appropriate to keep the lines smooth and wrinkle-free. stability of body (center of gravity over its base) PSYCHOLOGY use skill and efficiency in making the bed to minimize undue exertion and fatigue for the patient. If the procedure brings comfort and relaxation, his attitude will improve. SOCIOLOGY the nurse should know how to talk to patients. The nurse should also know the subject of conversation which interests the patient including his condition, family, and work.
KINDS OF LINENS
KINDS OF LINENS
1. Blanket a large piece of cloth often soft, woolen and is used for warmth as a bed cover Top sheet used to cover the patient to provide warmth, made of thick cotton, thermal material Cotton drawn sheet a piece of cloth that covers the rubber sheet and is used to absorb and protect moisture Bottom sheet used to cover the bed after mattress cover
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KINDS OF LINENS
5. Rubber sheet
6. Mattress cover
a piece of cloth to cover the mattress
7. Woolen blanket
GUIDELINES IN BEDMAKING
GUIDELINES IN BEDMAKING
1. Wash hands thoroughly after handling clients bed linen.
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Gather all needed linen before starting to strip the bed. Keep the patients environment as clean and as neat as possible.
Procedure:
1. Place chair at the foot of the bed. 2. Remove pillow case from pillow. Place pillow on chair. Place soiled pillow case on lower bar of the bed. 3. Loosen all bed linens starting at center of head of bed, raising the mattress with one hand and drawing out bed clothes with other. 4. Remove sheets separately. Fold each linen with soiled part inside. Wrap them all in a sheet and place on lower bar of the bed. 5. Roll rubber sheet and place on chair. 6. Remove mattress cover.
How to make a mitered corner Here, a mitered corner is being made on a flat bottom sheet. (A) The sheet is hanging over the side of the bed. (B) Grasp the edge of the sheet about 12 inches from the foot of the bed and lift it up, forming a triangle. Lay the triangular fold on the top of the bed, and smooth the hanging portion of the sheet against the side of the mattress. (C) Tuck the hanging portion of the sheet underneath the mattress, while holding the triangular fold taut against the top of the bed. (D) Bring the triangular fold back down over the edge of the mattress, and tuck it underneath. This process is the same for the upper corners of the bed and for the top linens.
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Pull folds of clean sheets into place. Tuck bottom sheets at head part and miter at the side.
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Tighten rubber sheet and draw sheet. Tuck together with bottom sheet.
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Tuck clean top sheet at foot part of the bed. Miter corner. Fit pillow into pillow case. Fold dirty linens separately. Wrap in one sheet. Carry soiled linens to laundry.
Cardiac bed
A cardiac bed is used to help the patient to assume a position which affords him the greatest amount of comfort with the least strain. Purpose 1. To relieve dyspnea
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Articles
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Back rest and cardiac tables Air cushion, knee pillow and foot rest
Procedure
1. Make the bed as in an open bed. Place the back rest and arrange the pillows in position, so that the back is well supported. 2. Keep the client in bed cover him properly. Adjust the air cushion in place. Place the knee pillow under the knees to prevent slipping of the client. 3. Arrange the pillows on either side so that the arms are well supported. Adjust the cardiac table with
Fracture bed
It is one which is used for a client with fracture of the trunk or extremities to provide firm support by the use of firm mattress that rest on a fracture board or bed.
Purpose
1. To provide a strong underlying foundation for the patient.
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Articles
1. 2. Same articles like open bed Fracture boards
Procedure
Make the bed as an ordinary bed
Amputation bed
A bed which is used to the patient after amputation of the lower limb to keep the stump visible and elevated.
Purpose
1. 2. To keep the stump in good position. To be able to watch the stump for hemorrhage and
Procedure
Foundation and head end is made as in an open bed
1. 2. 3. 4. 5. 6. To arrange the lower half of top bed, place a sheet lengthwise over the bed Place the blanket over the sheet & fold the sheet over
When patient is brought back from operation room, fanfold the top linen towards the side of the bed, remove hot water bags & place the patient in bed. Elevate the stump on the pillow which is covered with the towel. Cover the stump with other towel & place bed cradle to prevent weight of bed clothes.
Blanket bed
It is made for client with Rheumatism or whenever extra
Purpose
1. To carry the weight of the bed cloths of the painful joints.
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Articles:
Same like closed bed. Bed cradle, sand bag & back restetc
articles needed.
Procedure
Make the bed is as closed bed. Place the patient in bed & cover him with blanket[place sand bag in case of rheumatism]. This blanket should not be tucked in & cover him properly. Place top linen and blanket as usual. If cradle used, place in between blankets.