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(upbeat music)

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[Narrator] It's natural to be reluctant

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to move a person when movement is painful.

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However, for people who can't move in bed,

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regular repositioning is important

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for preventing skin pressure sores,

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pain, and the collection
of secretions in the lungs.

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If pain with movement is a problem,

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talk to your healthcare
provider about pain medications

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that can be given to help.

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The equipment you'll
need for in-bed movement

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might include a slider,

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which can be obtained
from the home care office.

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An alternative is a turning sheet,

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which can be made by
using an extra flat sheet

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that's been folded in half

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and placed across the bed
over the bottom sheet.

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Place it from shoulder to knee
under the person in the bed.

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In every interaction,

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we begin by explaining
what's going to happen.

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In everything we do,

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we want to remind the patient
that we see them as a person,

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not an object to be moved around.

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To turn a person in bed,

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begin by lowering the patient's
head as much as possible,

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either by lowering the head of the bed

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or removing the pillows
that support their head.

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Note that if the person
is short of breath,

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they may not be able
to lie completely flat.

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If the bed is adjustable,
always raise it to waist height.

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Ensure that urinary drainage bags

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and other tubings that
are attached to the person

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aren't caught or attached to the bed.

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If there are side rails
on the bed, lower them.

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Be sure the brakes are set.

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Loosen the covers and
remove any extra pillows.

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Place the person's arms across their body.

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You'll use the turning sheet

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to help the person move
toward one side of the bed.

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This will ensure that when
they're turned on their side,

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they'll remain in the center of the bed.

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Roll the turning sheet and
grasp it with your wrists

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in the neutral position.

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That is palms up.

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Your elbows should be tight to your sides.

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Keep your knees slightly bent

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and plant your feet in the
direction you plan to move,

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with one slightly in front of the other.

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Protect your back by tilting your pelvis.

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One, two.

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[Narrator] Have one person
count, and on three,

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gently move the person toward you

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by shifting your weight from
your front to your back leg.

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Next, bend the patient's leg

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that's closest to the edge of the bed.

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Supporting the person
at the hip and shoulder,

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use the turning sheet to
slowly roll the patient

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toward the center of the bed.

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A pillow behind you.

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[Narrator] Place a pillow
length-wise at the person's back

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and anchor it by tucking
the outer edge of the pillow

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under the person to provide support.

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Help the person flex their knees

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so that they're slightly bent.

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Bring the upper leg forward slightly

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so that it doesn't rest
directly on the lower leg.

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Place a flat pillow or folded
blanket between the knees

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to reduce pressure on the joints.

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If necessary, position
the feet using pillows

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so that the person's ankles or heels

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don't rest directly on the bed.

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This will help reduce
pressure on the joints.

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Ensure that the person's
lower arm and shoulder

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are in a comfortable position.

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You can use a pillow underneath
the upper arm and hand.

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As this demonstration shows,

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unless the patient is able to help,

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this technique requires two caregivers.

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(upbeat music)