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(piano music)

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[Narrator] As a person's
condition declines,

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or he or she is spending
extended periods in bed,

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having a fresh, clean, and
tidy bed is very important.

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A clean bed feels great

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and it can help prevent
the skin irritation

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that can occur from
resting on wrinkled, wet,

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or soiled linens.

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The supplies you'll
need are a fitted sheet,

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a flat sheet that can be
folded for a turning sheet,

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a moisture-proof pad if
necessary, a top sheet,

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a bedspread and/or comforter,
and new pillow cases.

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If two people are assisting,

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position yourselves on
opposite sides of the bed,

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facing each other.

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First, tell the patient what
you're going to be doing.

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Ensure that any tubing or catheters

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are not attached to the current bedding

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and will not be caught on the bed.

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If you're using a hospital bed,

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raise the bed to waist level
to reduce strain on your backs.

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More comfortable for our backs.

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[Narrator] If there are wheels on the bed,

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ensure they're in the locked position.

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I'll pull this pillow out.

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[Narrator] Remove any extra pillows,

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leaving one under the person's head.

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Turn over that way.

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[Narrator] Then help the person

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turn toward that side of the bed.

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If changing the bed by yourself,

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the patient may feel more
comfortable holding the side rail.

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If a helper is available,
they can assist with turning

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and steadying the patient
while you change the bedding.

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Know that this can be an
opportunity to provide skin care.

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For example, to wash and dry the back

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or apply lotion as needed.

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You're a little chilly, are you, Pat?

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[Narrator] Loosen the bottom sheet

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and roll the soiled linen
toward the center of the bed,

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tucking them under the person's back.

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Right under you so that
you can roll over it.

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Here's the draw sheet.

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[Narrator] Place the clean
linens on half the bed,

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rolling up the other half

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and tucking them against the
soiled linens in the center.

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[Nurse] Here and tuck it in.

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[Narrator] Repeat the process
for each layer of linen.

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And then, Pat likes it nice and tight.

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[Narrator] Create a turn sheet

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to help with future position changes

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by folding a flat sheet in half

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and positioning it from shoulder to thigh.

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Fold this up and tuck this end under,

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and you use this end.

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One more sheet, Pat.

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[Narrator] Adding a moisture-proof pad

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can help to reduce the
frequency of soiled linen

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if the person is in continent.

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Right under there.

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Okay, Pat.

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Before you turn her.

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[Narrator] If the patient has a catheter,

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carefully move the bag to
the opposite side of the bed

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before transferring the pillow

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and helping the person to
roll over the bump of linen.

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Now you can just relax over
that mountain of bed linen.

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Okay, there you go.

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I'll bring that pillow right over with us.

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[Narrator] Fold the soiled linen on itself

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and place it into a laundry hamper.

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She'll take hers down.

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We're just overlapping your linens.

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[Narrator] Stretch the clean linen

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to the other side of the bed,

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smoothing out any wrinkles in the fabric

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that may cause discomfort.

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You're comfortable?

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All right, that's good.

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Okay, it's all nice and
you can just relax back.

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[Narrator] Help to reposition the person

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in a more comfortable position,
using pillows as necessary.

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Does that feel good?

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[Narrator] Don't forget
to change the pillowcases.

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All right, here's a
brand new, fresh pillow.

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[Narrator] Finally, wash your hands.

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(piano music)