1. BEDS & BEDMAKING
CHAPTER 26

2. BEDS & BEDMAKING TYPES OF BEDS Regular beds (twin, double, queen etc)
Hospital beds (manual, electric
BED POSITIONS
Flat
Fowler’s position
Low Fowler’s position
Semi-fowler’s position
High Fowler’s
Trendelenburg’s position
Reverse Trendelenburg’s position

3. BEDS & BEDMAKING FLAT Mattress is completely horizontal
Client sleeping in a variety of bed positions, such as back-lying, side-lying and prone
To maintain spinal alignment for client’s with spinal injuries
To assist clients to move & turn in bed
Bed making

4. BEDS & BEDMAKING FOWLER’S POSITION HOB raised 45-60o
Knees can be bent or straight
Relief from lying position
Promotes lung expansion

5. BEDS & BEDMAKING SEMI FOWLER’S May also prop up pt. with pillow
Semi sitting position in which HOB is raised to 35-45o
May also prop up pt. with pillow
Knees may or may not be raised
Convenient for eating, reading, visiting & watching TV
Relief from lying positions
To promote lung expansion for client with respiratory problems
Assist client to a sitting position or dangle

6. BEDS & BEDMAKING TRENDELENBURG’S To promote venous circulation
Head of bed is lowered and the foot is raised
To promote venous circulation
To provide postural drainage of lungs
Requires a Dr’s order

7. BEDS & BEDMAKING REVERSE TRENDELENBURG’S
Head of the bed raised and the foot lowered.
Straight tilt in direction opposite to Trendelenburg’s
To promote stomach emptying and prevent esophageal reflux.
Requires a Dr’s order

8. BEDS & BEDMAKING LINENS
When handling linens follow the rules of medical asepsis
Always hold linens away from you body and uniform
Never shake linens (spreads microbes)
Place clean linen on clean surfaces
Never put clean or dirty linen on the floor
Collect linens in order of use
Fitted sheet
Top sheet
Lifter/incontinence pad
Bedspread/blanket
Pillowcases

9. BEDS & BEDMAKING
Use one arm to hold linen and the other to pick up linen
Follow standard precautions when removing linen (used linen is contaminated)
Wear gloves to remove soiled linen
Check linens for personal items
Remove each piece of linen separately and roll linen away from you
The side that touched the client is the inside of the roll
Place linens in an appropriate laundry container
Change linens if wet, damp or soiled

10. BEDS & BEDMAKING BEDMAKING
The Closed Bed – when the bed will be unoccupied for a period of time (resident is up for the day, or after a pt. is discharged))
The Open Bed - made shortly before the bed is to be occupied (resident is up for short periods)
The Occupied Bed – made with the client in it
The Surgical Bed – made so that a client can be moved from a stretcher to a bed
MOVIE CLIP