https www yenepoya edu in 1142020 8 49

https: //www. yenepoya. edu. in 11/4/2020 8: 49 PM Yenepoya Nursing College (Prashma ) 1

UNIT-X MEETING NEEDS OF PATIENT Occupied, unoccupied, postoperative and Cardiac Bed making Reviewed by Mr. Girish G R Associate Professor Dept: of MSN Presented by Mrs. Prashma Lecturer Dept: of MSN

LEARNING OBJECTIVES • To define bed making • To list out the types of bed making • To explain the procedure of bed making

INTRODUCTION Bed-making is the act of arranging the Bed sheets. Patients need to be nursed in bed to make them comfortable. The nurse will also be comfortable without straining on her back.

UNOCCUPIED BED Used when the client is able to get out of bed, is left open with the top sheets folded down PURPOSES OF UNOCCUPIED BED MAKING • To be ready for the next occupant • Prepare the bed for the client’s return • To provide a clean environment • To provide a good appearance minimize source of infection

EQUIPMENTS : • • • Mattress cover Bottom sheet Rubber sheet Cotton draw sheet Top sheet Pillow cases -2 Blanket Gloves Laundry bag

PROCEDURE FOR MAKING AN UNOCCUPIED BED MAKING • Gather necessary linens in the order to be used. • Wash your hands. • Put on gloves. • Explain what you are going to do. • Raise adjustable bed to high position; lower bed rails • Remove the pillowcase and place the pillow on the bed side chair. • place soiled linen in the linen hamper • Wash and dry plastic covered mattress , if soiled

PROCEDURE FOR MAKING AN UNOCCUPIED BED • Remove gloves and wash hands • Place the folded bottom sheet with its center fold on the center of the bed. spread the sheet over the mattress • Place draw sheet in the center of the bed. • Place the top sheet, and cover the top sheet with blanket.

Mitered/mitten bed corner To mitten the corner, first tuck the top end of the sheet evenly under the mattress at the head end of the bed the side edge of the sheet about 30 cm from the mattress corner and hold it at a right angle to the mattress. Tuck in the bottom edge of the sheet hanging the mattress. Finally , drop the top edge and tuck it under the mattress

PROCEDURE FOR MAKING AN UNOCCUPIED BED • Fold back the cuff at the head of the bed with the sheet and blanket. • But clean billow case on the pillow and place it in the center at the top of the bed The closed bed: Pull the covers up to the head of the bed. The open bed: Fanfold the top of the linens to the bottom third of the bed. • Return the bed to previous position and wash your hands.

OPENBED It is a bed, made when it is about to be occupied by either a new patient or an ambulatory patient.

CLOSED BED 1. It is an unoccupied or empty bed made to receive the patient and is fully covered with counter pane to protect it from dust and dirt. 2. On admission of the patient, the closed bed is converted in to an open bed

Closed bed

OCCUPIED BED This bed is made with the patient in it. PURPOSES: • • To make a bed with least possible discomfort to the patient. To handle the bed clothes skillfully while the patient is on bed, giving least disturbance to the occupant. To provide a neat, clean and tidy appearance. Used in patients like: Unconscious patient, after major surgery, elderly, fracture patients.

OCCUPIED BED

ARTICLES REQUIRED a. Mattress cover b. Bottom sheet c. Rubber sheet d. Cotton draw sheet e. Top sheet. f. Pillow cases -2 g. Blanket h. Gloves i. Laundry bag

1. Assemble equipment and supplies 2. Explain to the client what you are going to do 3. Wash hands 4. Provide privacy to client 5. Loosen all the top linen at the foot of the bed and remove the spread and the blanket.

OCCUPIED BED MAKING PROCEDURE(CONT…) 6. leave the top sheet over the client. 7. Change the bottom sheet and draw sheet 8. Assist the client to turn on the side facing. Raise the side rail nearest the client. 9. Loosen the foundation of the linen on the side of the bed near the linen supply. 10. Fanfold the bottom sheet and the draw sheet at the center of the bed.

OCCUPIED BED MAKING PROCEDURE(CONT…) 11. Place the new bottom sheet and draw sheet on the bed, and vertically fanfold the half to be used on the far side of the bed. 12. Tuck the sheet under the near half of the bed and miter the corner 13. Assisst the client to roll over toward you onto the clean side and move the side rail before leaving the side of the bed. 14. Remove the used linen and place it in the laundry bag.

OCCUPIED BED MAKING PROCEDURE(CONT…) 15. Unfold the fan folded bottom sheet and the draw sheet from the center of the bed 16. Use both hands to pull the bottom and draw sheet then tuck the excess under the side of the mattress 17. Reposition the patient in the center of the bed 18. Reposition the pillows at the center of the bed

OCCUPIED BED MAKING PROCEDURE(CONT…) 19. Spread the top sheet and the blanket over the client. 20. Complete the top of the bed. And Raise the side rails. 21. Return the bed to previous position and wash your hands.

POST OPERATIVE BED /OPERATION BED It is a bed prepared for a patient who is recovering from the effects of anesthesia following surgery. PURPOSES: 1. To make a bed that will be comfortable and safe for the client who is recovering from anaesthesia. 2. To provide warmth 3. To be prepared to meet any emergency 4. For quick transfer of the client from the trolley to the bed 5. To care for the client without loss of time

ARTICLES REQUIRED: • Top sheet • Bottom sheet • Mackintosh -2 • hot water bag-3 Other articles: • Temperature tray • BP apparatus • IV stand • Bed block • Suction apparatus • Oxygen cylinder

PROCEDURE FOR POSTOPERATIVE BED MAKING • Assemble all the articles required. • Raise the bed to a comfortable working height to prevent back strain. • Make the foundation of the bed using the bottom sheet. • Place 2 mackintosh –one at the head end other at the waist level. • Extra mackintosh is kept at the head end to protect the bed from soiling by vomitus. • Additional mackintosh can be used according to the side of the operation to protect the bed from getting soiled by blood.

PROCEDURE FOR POSTOPERATIVE BED MAKING • Cover it with the draw sheet • Standing to one side of the bed, the top linen is fanfolded to opposite side. • Place the hot water bags under the top sheet. • Other articles are required to meet the immediate care of the client • Temperature tray to check the temperature • IV stand to place the IV fluids. • Bed block to raise the foot end if the blood pressure of the patient drops.

POST OPERATIVE BED

CARDIAC/ FOWLER’S BED • A cardiac bed is used to help the client to assume a sitting position which can afford patient the greatest amount of comfort with least strain. PURPOSE 1. To relieve dyspnoea caused by cardiac disease.

PROCEDURE • Bed making is similar to the open bed. • Place a back rest and arrange the pillows so that back is well supported. • Make the patient to lie down and cover with the top sheet. • Place a knee pillow under the to prevent slipping. • Arrange pillows on the either side, so the arms are well supported. • Adjust the cardiac table with pillow in front of the client so that the client can lean forward and rest on it.

CARDIAC TABLE

SUMMARY • Today we discussed about bed making, types, purposes, principles, types of linen, stripping the bed procedure and procedure of occupied, unoccupied( open and closed), post operative , cardiac bed making.

CONCLUSION Bed making is the techniques of making different types of bed. Before bed making the nurse should observe certain principles. Lastly the nurse should know the reasons for making the patient bed.

Bibliography 1. Lind eman Ca rol A, Meathi e, Marylov, Fundamentals of contemporary nursing practice. Published by W. B. a u n d ers, Ph i la d elp h i a 2. White skills Lois, Basic S 1999. nursing: Foundations of and concepts, Delmar, 2002. 3. http: //tinehealth. com/2017/06/05/the-role-of-nurses-in-hospitalquality-improvement/ 4. https: //www. ncbi. nlm. nih. gov/books/NBK 2681/

EVALUATION 1. 2. 3. Define occupied bed making What is mitten corner List out the purposes of cardiac bed?

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