BEDS & BEDMAKING CHAPTER 26 BEDS & BEDMAKING TYPES OF BEDS Regular beds (twin, double, queen etc) Hospital beds (manual, electric BED POSITIONS Flat Fowler’s position Low Fowler’s position Semi-fowler’s position High Fowler’s Trendelenburg’s position Reverse Trendelenburg’s position BEDS & BEDMAKING FLAT • Mattress is completely horizontal • Client sleeping in a variety of bed positions, such as back-lying, side-lying and prone • To maintain spinal alignment for client’s with spinal injuries • To assist clients to move & turn in bed • Bed making BEDS & BEDMAKING FOWLER’S POSITION • HOB raised 45-60o • Knees can be bent or straight • Relief from lying position • Promotes lung expansion BEDS & BEDMAKING SEMI FOWLER’S Semi sitting position in which HOB is raised to 35-45o •May also prop up pt. with pillow • • Knees may or may not be raised •Convenient for eating, reading, visiting & watching TV •Relief from lying positions •To promote lung expansion for client with respiratory problems •Assist client to a sitting position or dangle BEDS & BEDMAKING TRENDELENBURG’S Head of bed is lowered and the foot is raised • •To promote venous circulation •To provide postural drainage of lungs •Requires a Dr’s order BEDS & BEDMAKING REVERSE TRENDELENBURG’S Head of the bed raised and the foot lowered. • • Straight tilt in direction opposite to Trendelenburg’s • To promote stomach emptying and prevent esophageal reflux. •Requires a Dr’s order BEDS & BEDMAKING LINENS When handling linens follow the rules of medical asepsis Always hold linens away from you body and uniform Never shake linens (spreads microbes) Place clean linen on clean surfaces Never put clean or dirty linen on the floor Collect linens in order of use Fitted sheet Top sheet Lifter/incontinence pad Bedspread/blanket Pillowcases BEDS & BEDMAKING Use one arm to hold linen and the other to pick up linen Follow standard precautions when removing linen (used linen is contaminated) Wear gloves to remove soiled linen Check linens for personal items Remove each piece of linen separately and roll linen away from you The side that touched the client is the inside of the roll Place linens in an appropriate laundry container Change linens if wet, damp or soiled BEDS & BEDMAKING BEDMAKING The Closed Bed – when the bed will be unoccupied for The Open Bed - made shortly before the bed is to be The Occupied Bed – made with the client in it The Surgical Bed – made so that a client can be a period of time (resident is up for the day, or after a pt. is discharged)) occupied (resident is up for short periods) moved from a stretcher to a bed MOVIE CLIP