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(gentle music)

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[Narrator] People who
are spending time in bed,

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particularly if the head
of the bed is elevated

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or if they're partially sitting up,

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will naturally slide down over time.

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This means you'll periodically

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have to move them back
toward the head of the bed.

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This task is best done by two people.

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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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After explaining what you're going to do,

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lower the head of the bed until it's flat

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or as flat as the
person's condition allows.

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If there are wheels in the bed,

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ensure they're in the lock position.

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Loosen the covers and ensure
that urinary drainage bags

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or other tubing that are
attached to the person

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aren't caught or attached to the bed.

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If the height of the bed can be adjusted,

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raise the bed to waist height.

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Remove pillows that are
used for positioning.

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Have them cross their arms
over their chest or abdomen.

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Place a pillow at the top of the bed,

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just against the headboard,

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for use when the person is repositioned.

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Roll the turning sheet

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and grasp it with your wrists
in the neutral position

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to avoid strain.

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That is, palms up.

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Your leg should be a shoulder width apart

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and your knees bent.

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Protect your back by tilting your pelvis.

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Keep your elbows tight against
the sides of your body.

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Have one person count, and on three,

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gently move the person
toward the head of the bed

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by shifting your weight sideways
from one leg to the other.

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If they're able, have the
person tuck their chin

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into their neck during the move

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so their head is protected.

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If possible, bend their knees

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and encourage them to dig
their heels into the bed

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to help push with their legs.

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When the move is complete,

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a pillow can be placed under the knees

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to support a slight bend.

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This will keep the patient
from sliding down again.

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Once the patient is raised
into a comfortable position,

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smooth out the turn sheet
to eliminate any wrinkles

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and use pillows to ensure the person

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is in a comfortable position.

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If you have a hospital bed,

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you can stop the person from sliding down

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by gatching the knees.

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That is, raising the lower end of the bed

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so the knees are slightly bent.

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Finally, lower the height of the bed.

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(gentle music)