NurseReview.Org - Rest and Sleep Bed Making


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NurseReview.Org - Rest and Sleep Bed Making

  1. 1. Rest and Sleep Bed Making Skill and Rational
  2. 2. Why is it so important? <ul><ul><li>The bed is particularly important to people who are ill. It is essential the nurse keep the bed as clean and comfortable as possible. </li></ul></ul><ul><ul><li>Physical Comfort </li></ul></ul><ul><ul><li>Psychological comfort </li></ul></ul>
  3. 3. Rest and Sleep <ul><li>Healing and Optimal Health </li></ul><ul><li>Promoting Sleep </li></ul>
  4. 4. Nursing Process <ul><li>Assessment </li></ul><ul><ul><li>Usual pattern of rest/sleep </li></ul></ul><ul><ul><li>bed routines </li></ul></ul><ul><li>Nursing diagnosis </li></ul><ul><ul><li>Sleep pattern disturbance </li></ul></ul><ul><li>Plan </li></ul><ul><ul><li>Sleep aids </li></ul></ul>
  5. 5. Nursing process <ul><li>Implementaion </li></ul><ul><ul><li>Regular habits </li></ul></ul><ul><ul><li>Nutrition/exercise </li></ul></ul><ul><ul><li>Quiet time prior to sleep </li></ul></ul><ul><ul><li>Warm milk </li></ul></ul><ul><ul><li>Sleep/wake cycle </li></ul></ul><ul><ul><li>Back rub </li></ul></ul><ul><ul><li>Comfortable bed </li></ul></ul>
  6. 6. Nursing Process <ul><li>Evaluation </li></ul><ul><ul><li>Good night sleep </li></ul></ul>
  7. 7. Promoting Rest and Sleep <ul><li>Rest period </li></ul><ul><li>Nonessential tasks </li></ul><ul><li>Night time/early am bathing </li></ul><ul><li>Lab work </li></ul><ul><li>Cluster activity </li></ul><ul><li>Visitor control </li></ul><ul><li>Interventions prn </li></ul>
  8. 8. Comfort Measures for Promoting Sleep <ul><li>Administer hygiene measures for clients on bedrest </li></ul><ul><li>Loose fitting nightwear </li></ul><ul><li>Remove or change any irritants against the client’s skin (moist dsg., drainage tubes) </li></ul><ul><li>Position and support dependent body parts to protect pressure points and aid muscle relaxation </li></ul>
  9. 9. Comfort Measures for Promoting Sleep <ul><li>Provide caps and socks for older clients and those prone to cold </li></ul><ul><li>Void before bedtime </li></ul><ul><li>Analgesics or sedatives 30 min. prior H.S. </li></ul><ul><li>Bedtime massage/backrub </li></ul><ul><li>Comfortable mattress and a clean dry bed! </li></ul>
  10. 10. Noisy Nightshift <ul><li>Close doors to clients’rooms/work areas if possible </li></ul><ul><li>Telephone/paging equipment </li></ul><ul><li>Noisy footwear </li></ul><ul><li>Equipment </li></ul><ul><li>Bedside monitors </li></ul><ul><li>TV/radio </li></ul><ul><li>Conversations </li></ul>
  11. 11. Client’s Environment <ul><li>Chairs </li></ul><ul><ul><li>Straight back post surgery </li></ul></ul><ul><ul><li>Lounge chair </li></ul></ul><ul><li>Lighting </li></ul><ul><ul><li>Overbed </li></ul></ul><ul><ul><li>Night light </li></ul></ul><ul><ul><li>Call light </li></ul></ul><ul><li>Overbed table </li></ul><ul><li>Bedside table </li></ul>
  12. 12. Special Mattresses <ul><li>Types </li></ul><ul><li>Regular firm, plastic covered </li></ul><ul><li>Mattresses used to prevent & treat decubitus ulcers </li></ul><ul><ul><ul><li>KCI beds </li></ul></ul></ul><ul><ul><ul><li>Eggcrate </li></ul></ul></ul><ul><ul><ul><li>Sheepskin </li></ul></ul></ul>
  13. 13. Special mattresses are not a substitute for nursing care <ul><li>Turn patients Q2h </li></ul><ul><li>Skin care </li></ul><ul><li>positioning </li></ul>
  14. 14. Considerations <ul><li>Bed position </li></ul><ul><ul><li>Safety </li></ul></ul><ul><ul><li>Body mechanics </li></ul></ul><ul><ul><li>Gatchs </li></ul></ul><ul><li>Infection control </li></ul><ul><li>Skin breakdown </li></ul>
  15. 15. The bed changing process <ul><li>Every health care agency wants the end product to be neat, clean, comfortable and durable. </li></ul><ul><li>Economical </li></ul><ul><ul><li>Time </li></ul></ul><ul><ul><li>Equipment </li></ul></ul><ul><ul><li>Energy, patients and nurses </li></ul></ul>
  16. 16. Assembling Equipment <ul><li>2 sheets </li></ul><ul><ul><li>Fitted/flat for bottom </li></ul></ul><ul><ul><li>Flat for top </li></ul></ul><ul><li>Pillowcases </li></ul><ul><li>Cotton/rubber drawsheet as needed </li></ul><ul><li>Soaker </li></ul><ul><li>Bedspread </li></ul><ul><li>Blanket </li></ul>
  17. 17. Linen Overload <ul><li>Just what you need </li></ul><ul><li>Cost control </li></ul><ul><li>Once linen brought into a client’s room, if unused, must be discarded for laundering </li></ul><ul><li>Excess linen causes clutter and obstacles in a cramped space </li></ul>
  18. 18. Rubber drawsheet <ul><li>Save on linen </li></ul><ul><li>Time </li></ul><ul><li>Turning and positioning </li></ul><ul><li>Placed under cotton drawsheet </li></ul><ul><li>Drawsheet extends from above waist to midthigh. </li></ul><ul><li>Absorbs secretions due to urinary/fecal incontinence </li></ul>
  19. 19. Linen Change <ul><li>As per hospital protocol </li></ul><ul><ul><li>Cost </li></ul></ul><ul><ul><li>Pillow cases/drawsheet OD </li></ul></ul><ul><ul><li>Soiled or bath day </li></ul></ul><ul><ul><li>Laundry shute/hamper </li></ul></ul><ul><ul><li>If soiled with feces/blood </li></ul></ul><ul><ul><li>Use of gloves </li></ul></ul>
  20. 20. Skill <ul><li>Under no circumstances do you place dirty linen on floor, footstool, another patient’s bed or on over the bed tables. </li></ul><ul><li>Assessment </li></ul><ul><li>What needs to be changed </li></ul><ul><li>Client’s condition </li></ul>
  21. 21. When does the bed get changed? <ul><li>Usually after client’s bath </li></ul><ul><li>Client is sitting in chair </li></ul><ul><li>Out of room for tests </li></ul><ul><li>Check throughout day and straighten linen prn </li></ul><ul><li>After meals, if eating in bed, check for food particles </li></ul><ul><li>Change linen that is soiled or wet </li></ul>
  22. 22. Effective Body Mechanics and Bed Making <ul><li>Maintain good body alignment </li></ul><ul><li>Use the large muscles of the body </li></ul><ul><li>Work smoothly and rhythmically </li></ul><ul><li>Push or pull rather than lift </li></ul><ul><li>Use your own weight to counteract the weight of an object. </li></ul>
  23. 23. Nursing Diagnosis <ul><li>Activity intolerance </li></ul><ul><li>Impaired physical condition </li></ul>
  24. 24. Types of Bed <ul><li>Occupied </li></ul><ul><li>Unoccupied </li></ul><ul><li>Surgical/post-op beds </li></ul>
  25. 25. Occupied Bed <ul><li>Gloves if drainage </li></ul><ul><li>Check chart/kardex for client’s activity </li></ul><ul><li>Talk to the client, explain procedure </li></ul><ul><li>Privacy </li></ul><ul><li>Assemble all equipment, incontinent pads prn </li></ul><ul><li>Safety with side rails/call bell </li></ul><ul><li>Wash hands before and after </li></ul>
  26. 26. Planning <ul><li>Expected outcomes </li></ul><ul><li>Best time to change linen </li></ul><ul><li>Equipment needed </li></ul>
  27. 27. Implementation <ul><li>Wash hands </li></ul><ul><li>Gloves prn </li></ul><ul><li>Equipment </li></ul><ul><li>Adjust bed height-HOB down </li></ul><ul><li>Lower side rail- remove call bell </li></ul><ul><li>Loosen linen </li></ul><ul><li>Keep soiled linen away from uniform </li></ul>
  28. 28. Infection Control and Bed Making <ul><li>Microorganisms are present on the skin and in the general environment. </li></ul><ul><li>Some microorganisms are opportunists; that is, they can cause infections when conditions are favorable ( break in skin, mucous membranes) </li></ul><ul><li>Clients are often less resistant to infections because of the stress resulting from an existing disease process. </li></ul>
  29. 29. Infection Control and Bed Making <ul><li>Microorganisms may be transferred from one person to another or from one place to another by air, by inanimate objects or by direct contact among people. Therefore: </li></ul><ul><li>Avoid holding soiled linen against uniform </li></ul><ul><li>Never shake linen </li></ul><ul><li>Always wash hands before going to another patient. </li></ul>
  30. 30. Avoid shaking linen for infection control purposes <ul><li>Linen to be reused </li></ul><ul><ul><li>fold and place on chair </li></ul></ul><ul><li>Soak and rinse linen soiled with feces or blood before placing in hamper </li></ul><ul><li>Make sure no tripads, personal articles or anything besides linen is placed in hamper </li></ul>
  31. 31. Evaluation <ul><li>Inspect bed </li></ul><ul><ul><li>Clean </li></ul></ul><ul><ul><li>Neat </li></ul></ul><ul><ul><li>Wrinkle free </li></ul></ul>
  32. 32. Always be alert to client comfort and safety during bedmaking. <ul><li>When finished evaluate </li></ul><ul><ul><li>Safety re bed position </li></ul></ul><ul><ul><li>Call light </li></ul></ul><ul><ul><li>Side rails </li></ul></ul><ul><ul><li>Unit tidy </li></ul></ul><ul><ul><li>Personal belongings are within reach </li></ul></ul>
  33. 33. Accessories <ul><li>Bed cradle/foot cradle </li></ul><ul><li>Fracture board </li></ul><ul><li>Foot board </li></ul><ul><li>Toe pleat </li></ul><ul><li>Therapeutic Frames allow movement for immobilized patients & help prevent complications R/T immobility </li></ul>
  34. 34. Remember <ul><li>To make bed, position is elevated </li></ul><ul><li>When completed, bed is lowered </li></ul><ul><li>If occupied, patient comfort & safety </li></ul><ul><li>Soiled linen away from uniform </li></ul><ul><li>Gloves prn </li></ul><ul><li>Bath before making bed if occupied </li></ul>