How is the preparation of the bed, the change of bed and underwear for a seriously ill patient? This will be discussed in this article.
What do you need?
Required for the procedure:
- Big clean sheet. It should be free of patches and seams.
- Two pillowcases.
- Clean duvet cover.
Longitudinal way
This method works best when the patient is lying on their side.
Action Plan:
- First of all, roll up two-thirds of a clean sheet with a roller.
- Then remove the blanket, then the pillow, while gently lifting the patient's head.
- Note that the patient is turned away from himself on his side.
- Then, on the freed half, roll the dirty sheet (also with a roller) to the middle of the bed.
- For the rest, roll out the roll of the prepared clean sheet.
- After we turn the patient on the other side, that is, face already towards us.
- Next, remove the dirty sheet with the releasedparts.
- After we straighten the clean one, we stretch it. Then we fill under the mattress from all sides.
- Next, lay the patient on his back. We put pillows already in clean pillowcases.
- After we change the duvet cover. Then we cover the patient with a blanket.
Transverse change method
This method is best used when the patient cannot be rotated, but it is possible to lift the upper body or sit down.
Action Plan:
- Roll the sheet widthwise with a roller by two-thirds.
- Then the nurse lifts the patient a little, holding him by the shoulders, back.
- Remove pillows. We roll to the back of the patient to chill with a roller.
- After we put the pillows in clean pillowcases. Then we put the patient on them.
- A nurse lifts a patient up in the pelvis.
- Rolls up the dirty part from the freed part, put a clean sheet in its place.
- After we put the patient down.
- The nurse then lifts the patient's legs.
- Completely remove dirty bedding from the bed.
- Then we roll out a clean sheet to the end, tuck under the mattress from all sides.
- Next, change the duvet cover to a clean one. Then cover the patient.
Change of underwear (shirts)
This manipulation is carried out to maintain personal hygiene, prevent bedsores.
To change you will need: a shirt one size larger than the patient's clothes.
Action Plan:
- First raise the patient's head, remove the pillows.
- After lift upslightly patient, gather the shirt up. That is, it should be assembled at the level of the armpits from the side of the face, and from the back - near the neck.
- Next, fold the patient's hands on the chest.
- Then with your right hand, support the patient by the back of the head. At the same time, with the left, grabbing the shirt on the back, carefully remove it. Keep the dirty item away from the patient's face.
- Then lower the patient's head onto the pillow.
- Then you take your shirt off your hands.
- Then put on clean clothes. All actions are performed in the same way, only in reverse order. First, collect the shirt on the back. After we put it on our hands.
- Then we fold our arms across our chests. And, holding the patient's head with the hand, we put on the shirt with the left hand over the head.
- Then straighten the clothes to the bottom.
Change of underwear and bed linen. Note
The hostess always has clean linen. Dirty is collected in oilcloth bags with a special marking "for dirty linen." Then he goes to a separate special room.
Note that when changing linen, you can not put either dirty or clean on adjacent beds or on bedside tables.
Linen is changed every five days or as it gets dirty. If the patient is untidy or bedding, clothes are contaminated with pus, blood, then you need to carry out manipulations in a mask and gloves.
In conclusion
Now you know how the change of underwear and bed linen for a seriously ill patient takes placepatient. As you can see, there is nothing difficult in these procedures. But it is very important that the procedures for changing underwear and bed linen are carried out according to the required algorithm.
