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General Topics of Care

Care Journal
Medication
Hand Washing
Body Mechanics
Bed Sore Precautions
Sitting Up in Bed
Moving Up in Bed
Moving to the Side of the Bed
Turning to The Side Lying Position
Sitting Up on the Bed Side
Transferring to A Chair
Undressing
Dressing
Using a Bedpan
Diaper Changing
Shampooing Hair
Giving a Bed Bath
Giving a Partial Bath or Lizzy Bath
Occupied Bed Making
Raised Bed Position
Lying on the Back
Lying on the Stomach
Lying on the Side
Sims' Position
30 Degrees Lateral Position
Tips on Care
Terminal Illness
Taking Care of The Caregiver

Be an Advocate


Occupied Bed Making

Learn if your loved one has any moving and/or positioning restrictions. Wash your hands. Explain to your loved one what you plan to do. Gather a mattress pad, bottom sheet or fitted sheet, plastic liner, if you use one, cotton draw sheet, which is a top sheet folded in half, top sheet, blanket, bedspread, and pillowcases. On three, move the person to one side of the bed, placed in the side lying position face outwards. Take the appropriate precautions to insure the person won't fall off the edge of the bed. Keep the person warm and comfortable. If the person needs a bath blanket, tuck it under so it is out of the way. On the back side of the person, work your way down through the bedding. Start with the top draw sheet, and fan fold or roll it as close as you can to the back of the person. Then fan fold or roll the plastic liner as close as you can to the back of the person. 

Continue with the bottom sheet or fitted sheet, fan fold or roll as close as you can to the person's back. Then if you are doing the mattress pad, do the same as the others. 

Now, work from the same side of the bed and apply the new linens to the empty side of the mattress, working your way up. If you are changing the mattress pad, start with a clean mattress pad and unfold it over the empty half of the bed. Tuck the two corners of the mattress pad in under the mattress on the back side of the person. Pull the mattress pad tight across the empty side to the back of the person. Fan fold or roll the end of the clean mattress pad and tuck the end portion underneath all the old bedding. Take a clean bottom sheet or fitted sheet, and unfold it over the clean mattress pad, tuck two corners in under the mattress. Pull the bottom sheet or fitted sheet tight to the back of the person. Then fan fold or roll the end of the clean sheet and tuck the end portion under all the old bedding. Next is the plastic liner, if you use one. Lay the plastic liner over the bottom or fitted sheet. Line up the top with the top of the person's abdomen and the bottom lines up below the thighs. Fan fold or roll the end of the plastic liner to the person's back. Tuck the end portion of the plastic liner under all the old bedding. Then add a cotton draw sheet. Have the top line up with the person's shoulders and the bottom line up below the thigh. Fan fold or roll the end of the clean cotton draw sheet and tuck the end portion under all the old bedding. Do not tuck the draw sheets under the mattress. 

Inform the person that he or she will need to roll over the hump of bedding. On three, assist the person in rolling onto the other side of the bedding. Remove all the old bedding then work your way up starting with the clean bottom mattress pad. Pull tight and tuck the two corners of the mattress pad under the mattress. Moving to the bottom or fitted sheet, pull tight and tuck two corners under the mattress. The plastic liner is pulled tight and left untucked from the mattress. If you use a plastic draw sheet, or plastic liner, make sure there is a cotton sheet covering over the plastic. Next, pull the cotton draw sheet tight and leave untucked. Make sure the bed is smooth and wrinkles free, this helps to prevent skin problems. Position the person in the center of the bed. Place a clean top sheet on the person. Do not tuck the top sheet tight because the pressure may cause sores on the feet and heels. Lay a blanket on top of the top sheet leaving the ends untucked. Before, during, and after giving care, take the appropriate safety precautions, and make sure the person is safe and secure from falling.

                                                                                                                                                                                                                                  

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