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.