(piano music)
[Narrator] As a person's condition declines,
or he or she is spending extended periods in bed,
having a fresh, clean, and tidy bed is very important.
A clean bed feels great
and it can help prevent the skin irritation
that can occur from resting on wrinkled, wet,
or soiled linens.
The supplies you'll need are a fitted sheet,
a flat sheet that can be folded for a turning sheet,
a moisture-proof pad if necessary, a top sheet,
a bedspread and/or comforter, and new pillow cases.
If two people are assisting,
position yourselves on opposite sides of the bed,
facing each other.
First, tell the patient what you're going to be doing.
Ensure that any tubing or catheters
are not attached to the current bedding
and will not be caught on the bed.
If you're using a hospital bed,
raise the bed to waist level to reduce strain on your backs.
More comfortable for our backs.
[Narrator] If there are wheels on the bed,
ensure they're in the locked position.
I'll pull this pillow out.
[Narrator] Remove any extra pillows,
leaving one under the person's head.
Turn over that way.
[Narrator] Then help the person
turn toward that side of the bed.
If changing the bed by yourself,
the patient may feel more comfortable holding the side rail.
If a helper is available, they can assist with turning
and steadying the patient while you change the bedding.
Know that this can be an opportunity to provide skin care.
For example, to wash and dry the back
or apply lotion as needed.
You're a little chilly, are you, Pat?
[Narrator] Loosen the bottom sheet
and roll the soiled linen toward the center of the bed,
tucking them under the person's back.
Right under you so that you can roll over it.
Here's the draw sheet.
[Narrator] Place the clean linens on half the bed,
rolling up the other half
and tucking them against the soiled linens in the center.
[Nurse] Here and tuck it in.
[Narrator] Repeat the process for each layer of linen.
And then, Pat likes it nice and tight.
[Narrator] Create a turn sheet
to help with future position changes
by folding a flat sheet in half
and positioning it from shoulder to thigh.
Fold this up and tuck this end under,
and you use this end.
One more sheet, Pat.
[Narrator] Adding a moisture-proof pad
can help to reduce the frequency of soiled linen
if the person is in continent.
Right under there.
Okay, Pat.
Before you turn her.
[Narrator] If the patient has a catheter,
carefully move the bag to the opposite side of the bed
before transferring the pillow
and helping the person to roll over the bump of linen.
Now you can just relax over that mountain of bed linen.
Okay, there you go.
I'll bring that pillow right over with us.
[Narrator] Fold the soiled linen on itself
and place it into a laundry hamper.
She'll take hers down.
We're just overlapping your linens.
[Narrator] Stretch the clean linen
to the other side of the bed,
smoothing out any wrinkles in the fabric
that may cause discomfort.
You're comfortable?
All right, that's good.
Okay, it's all nice and you can just relax back.
[Narrator] Help to reposition the person
in a more comfortable position, using pillows as necessary.
Does that feel good?
[Narrator] Don't forget to change the pillowcases.
All right, here's a brand new, fresh pillow.
[Narrator] Finally, wash your hands.
(piano music)