Change of bed linen and underwear after getting wet as a result of hygiene procedures, as well as pollution for various reasons, occurs in several ways. To begin with, it is worth recalling that underwear should be without coarse seams, fasteners and scars on the side touching the patient's body, because they injure the skin.
Replacement of linen in a bedridden patient occurs weekly, and with profuse sweating, uncontrolled urination and defecation - more often.
Technique for changing bed and underwear
If the patient is assigned to bed rest, and with the permission of the doctor he moves, then with the participation of an assistant, he can perfectly cope with this himself. In the case when the patient is allowed to sit, he is transferred to a chair with the help of a nurse, and the change of bed linen and underwear occurs without much difficulty.
When spreading, the formation of wrinkles should be avoided, and the edges of a well-stretched sheet should be tucked in. With abundant discharge from the wound of the patient, it would be reasonable tospread a sheet of oilcloth.
When it is impossible to get up and move, the patient has to resort to outside help, and there are some difficulties in changing linen that require special attention.
You need to prepare for the procedure by providing everything you need: a set of clean bedding, a bag for dirty laundry, put on gloves, a bathrobe. It is more convenient if bed linen and underwear are changed by two people. The two most commonly used methods are:
• vertical (if the patient is completely still); • horizontal (if the patient can turn in bed).
Having prepared everything you need, you need to establish contact with the patient, explaining the sequence of actions and securing his consent to the upcoming manipulations. After that, you can proceed to the procedure.
Vertical method
When it is necessary to change underwear and bed linen, the algorithm of actions with the patient completely immobile looks like this:
1. Change duvet cover and pillowcase.
2. Fluff the pillows, put the blanket and pillows on the bedside chair.
3. Roll a clean sheet across the width with a roller.
4. The assistant, lifting, supports the head and shoulders of the patient.
5. Roll up the dirty sheet very quickly to the waist of the patient, and lay out a clean one in its place.
6. Pillows are laid down, the patient's head is lowered.
7. The patient's legs and pelvis are raised.
8. A dirty sheet quickly rolls up, rolls out in its placenet.
9. The lower limbs of the patient descend.
10. The sheet is stretched, carefully spreading along the edges, and tucked under the mattress.
11. Dirty linen put in a bag, remove gloves.12. Cover the patient.
Horizontal way
If the patient is able to turn in bed, a horizontal method of changing linen is used, which can be started only by establishing a trusting contact with the patient and placing him to himself with explanations about the actions taken.
How is underwear and bed linen changed? The algorithm of actions will help to avoid mistakes.
1. Prepare everything you need: fresh linen, a clean bathrobe, gloves and a container for used linen.
2. Roll the prepared clean sheet with a roller along the length, replace the duvet cover.
3. Raise the head of the patient, remove the pillows.
4. Change pillowcases, put pillows on a chair.
5. Gently turn the patient on his side, pull him towards you, to the edge of the bed.
6. Quickly roll up the dirty one, and straighten a fresh sheet in its place.
7. Carefully turn the patient over on the other side, placing on a fresh sheet.
8. Roll up the dirty sheet, and spread the clean one over the empty space.
9. Turn the patient on his back.
10. Fasten the edges of the stretched sheet under the mattress.
11. Pack dirty laundry in a bag, remove gloves.12. Cover the patient with a blanket.
Change underwear
To change underwear and bed linencritically ill patient was successful, recommendations must be followed.
• Pajamas should be spacious, made of natural materials that easily absorb moisture and do not cause irritation.
• To remove the shirt, you must carefully wrap the edge of the garment to the collar, bring the patient's hands up. The shirt is removed over the head, freeing the patient's hands.
• It should be put on first on the hands, then thrown over the head, lower the shirt by the edges along the torso down.• To change the trousers, it is necessary to raise the patient's sacrum and gently pull it off trousers down, freeing the legs. If there is a fastener, then first unfasten it, but most often pajamas have an elastic band, which greatly facilitates the procedure.
Recommendations
To change bed linen and underwear to cause minimal inconvenience to the patient, it is necessary:
• Matching the size of bed linen and mattress.
• The presence of Velcro, elastic bands along the edge of the sheet for better fixation.
• Pillows should not be made of feathers and down, but of synthetic material (microfiber or synthetic winterizer).
• Oilcloth should be soft and washed daily.• Laundry should be washed without products containing chlorine, and iron on both sides.
If you follow these recommendations, the patient will experience a minimum of inconvenience, which will greatly alleviate his suffering.
