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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
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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 a period of time (resident is up for the day, or after a pt. is discharged)) • The Open Bed - made shortly before the bed is to be occupied (resident is up for short periods) • The Occupied Bed – made with the client in it • The Surgical Bed – made so that a client can be moved from a stretcher to a bed • MOVIE CLIP