Bed Making Objectives: After 4 hours of varied classroom activities, the level I students will be able to: I.

Define the following terms:

I.1 Bed Making process of making the bed that will add to ones comfort. I.2 Fan Fold to lay one part over or against another part. I.3 Mitered corner used at most corners of the beds for sheets, blanket and bed spreads to secure bed cloths while beds are occupied. I.4 Toe Pleat a fold mode in the top bed clothes to provide additional space for patients toes. I.5 Foot Drop dropping of the foot from paralysis of the anterior muscle of the leg. I.6 Bed Cradle contains a cradle ( a device for holding the top covers of the feet). I.7 Magic Corner a special type of fold that serves as guide for an easier spreading of the linens. II. Enumerate the purpose of bed making

II.1Help patients to secure proper rest and comfort which are essential for health and refresh them by providing clean linen. 2.2 Provide care for patients to lessen fatigue. 2.3 Preventing patients from skin irritation. 2.4 To make bed look neat and clean and for psychological comfort and rest. 2.5 Changing beds is part of maintaining hygiene. 2.6 The client is able to carry in normal body activities. III. Discuss the types of bed

III.1 Closed Bed a bed which is made following the discharge of a patient in preparation for a new patient. The spread covers the top linens and extends to the head of the mattress and sometimes covers the pillow. The beddings and pillow are kept clean by this method. III.2 Open Bed frequently used to refer to the type of bed making employed when the bed has been assigned to a new patient, or it may refer to any bed occupied by a patient. Spread is turned under the top of the blanket. The top sheet is turned over the top of the blanket. Bed is opened to whatever width the patient desires. Usually, the top bedding is fan folded to the foot of the bed to make it easy for the patient to get in. III.3 Occupied Bed patient must remain in bed constantly. When finished, the top covers are made into a fold similar to the open bed. Making the bed using new linens while the patient is on the bed.

III.4

Unoccupied Bed

A. Closed Bed arranging clean bed lines in preparations for patient to be admitted. Bed isnt used; no patient in it. B. Open Bed arranging or preparing the bed for newly admitted patients. Could be faded diagonally and fan folded side wards. Top covers are folded back (easier for clients to get in) III.5 Post operative Bed arranging bed linens to receive the patient who had just undergone surgery III.6 Anesthetic Bed sometimes called recovery bed IV. Explain the principles of Bed Making

IV.1 Sociology nurse should listen as how to talk to patients; should know the subject of conversation interests the patient; alleviates stress. IV.2 Body Mechanics most important to prevent quick tiring, back problems, muscle pain and maintain body mechanics or alignment. IV.3 Anatomy and Physiology body events uneven points of pressure against different areas of the mattress and pressure is greatest of all points of prominence or of great weight. IV.4 Chemistry wooden blanket fibers may cause irritation to the patients skin, there must always be a sheet to separate blanket from patient, and strong detergent soaps may cause irritation if knees are not thoroughly rinsed. IV.5 Microbiology pathogenic microorganisms may be transferred from the source to a new host directly by contaminated linen; wash hands before and after making a bed, bed linen should be folded away from your body to minimize transfer of microorganisms to clothing; fanning bed clothing, stirs up bacteria in the air. IV.6 Physics (good posture should be maintained when changing linens) irritation bed sores. IV.7 Physiology comfort for the patient is the psychology basic idea beyond goal workmanship. V. Identify the different kinds of linen

V.1Linen made of softly generally like home linen but is made for hospital purposes. V.2Pillowcase use to cover the pillow. V.3Blanket large piece of cloth, often soft, woolen and is used for warmth as a bed cover. V.4Top Sheet used to cover the patient to provide warmth as a bed cover; made of thick cotton; thermal material. V.5Cotton Draw Sheet piece of cloth that covers rubber sheet and is used to absorb and protect moisture. V.6Bottom Sheet used to cover the bed after mattress cover. V.7Rubber Sheet used to protect the bottom sheet.

V.8Mattress Cover piece of cloth to cover mattress V.9Woolen blanket large rectangle piece of soft fabric often with bound edges used especially for warmth as a bed covering should be light, warm and large enough to cover whatever shoulder and to tuck in well at foot and extend over sides of the bed. VI. Differentiate the common bed positions:

6.1 Flat mattress is completely horizontal; client sleeping in a variety of bed positions, such as back-lying, side-lying and prone (face down). To maintain spinal alignment for client with spinal injuries. To assist client to move and turn in bed. Bed making by nurse. 6.2 Fowlers Position semi position in which head of bed is raised to angle of at least 45 degrees. Knees may be flexed or horizontal. Convenient for eating, reading, visiting, watching TV. Relief from lying positions and to promote lung expansion for client with respiratory problem. To assist a client to a position on the edge of the bed. 6.3 Semi Fowlers Position head of bed raised only 30 degrees angle. Relief from lying position and to promote lung expansion 6.4 Trendelenburgs Position head of bed lowered and rose in a straight line. Promote venous circulation in certain clients and provide postural drainage of basal lungs lobes. 6.5 Reverse Trendeleburgs Position head of bed raised and the foot lowered. Straight tilt in direction opposite to trendelenburgs position. To promote stomach emptying and prevent esophageal reflexes in clients with niatal hernea. VII. State the guidelines of bed making

VII.1 Wash hands before you begin and after you finish bed making. VII.2 Soiled linen should never be come in contact with nurses uniform. VII.3 Linen of the client is never placed on another clients bed. VII.4 Soiled linen is placed directly in a potable linen hanger or locked in a pillow case at the end of the bed before it is gathered up in a disposable linen hanger. VII.5 Soiled linen is never shaken in the air to avoid spreading of microorganism. VII.6 Consume time and energy by gathering all necessary materials. VII.7 Before you start bed making, you are supposed to have environmental sanitation. VII.8 Be sure to maintain body mechanics while performing the procedure.