NURSING INTERVENTIONS

• Bed making


  • The ability of the nurse to keep the bed clean and comfortable
  • The technique of preparing different types of bed in making patients/clients comfortable in his/her suitable position for a particular condition
  • It requires keen inspection to be sure that the linens are clean, dry and wrinkle-free
• Fanfold


  Done by grasping the upper edge of the linen with both hands, specifically folding the edge of the sheet used in the bed 6-8 inches outward
• Mitered corner


  • A means of anchoring sheets on mattresses
  • Method of folding the bed clothes at the corners to secure them in place while the bed is occupied
  • It is accomplished on the bottom sheet by placing the end of the sheet evenly under the mattress
• Toe pleat


  A fold made in the top bed clothes to provide additional space for patient's toes
• Foot drop


  • Dropping of the foot from paralysis of the anterior muscle of the leg
  • Plantar flexion of the foot with permanent contracture of the gastrocnemius (calf) muscle and tendon
• Bed cradle


  • A curved, semi-circular device made of metal that can be placed over a portion of the patient's body
  • Sometimes called an Anderson frame, is a device designed to keep the top bedclothes off the feet, legs, and even abdomen of a client
• Magic corner


  Corners of a folded linen when upon opening it automatically positions the sheets the way it is placed on the bed
• Unoccupied bed


  The unoccupied bed is made when there is no patient confined in bed
• Open bed


  • The top covers are generally folded back so that a client can easily get into bed
  • Surgical, recovery and postoperative bed is a modified version of the open bed; the top sheets are folded to one side or fan folded to the bottom third of the bed
• Close bed


  The top sheet blankets and bedspreads are drawn up to the head of the mattress and under the pillows, this is prepared in a hospital room before a new client is admitted to that room
• Cradle bed


  Contains cradle, a device for holding the top covers off
• Postoperative bed


  • Also known as recovery bed or anesthetic bed
  • Used not only for clients who have undergone surgical procedures but also for clients who have given anesthetics for a certain examination
  • Used for a patient with a large cast or other circumstance that would make it difficult for him to transfer easily into bed
• Water bed


  • Special mattress filled with water
  • It controls temperature of water reducing pressure on body parts
• Turning frames (Stryker Wedge)


  It allows repeated changes between the supine and prone positions without disturbing spinal alignment
• Rotation bed


  Promote postural drainage, peristalsis and helps prevent the complications of mobility
• Circo-lectric bed


  • Permits frequent turning of several injured or immobilized patient with minimal trauma or extraneous movement
  • Helps prevent and treat pressure ulcers, respiratory and circulatory complications
• Clinton therapy bed


  • Also called the air-fluidized bed
  • Designed for managing burns and patients with various disabilities
• Air therapy bed


  • For patients who have risk skin breakdown
  • Provide different levels of support to different body parts
• Common bed positions


  • Fowler's
  • Semi-Fowler's
  • Trendelenburg's
  • Reverse Trendelenburg's
  • Flat
  • Contour
• Fowler's position


  Head of bed raised to angle of 45 degrees or more; semi-sitting position; foot of bed may also be raised at knee
• Semi-Fowler's position


  Head of bed raised approximately 30 degrees; Inclination less than Fowler's position; foot of bed may also be raised at knee
• Trendelenburg's position


  Entire bed frame tilted with head of bed down
• Reverse Trendelenburg's position


  Entire bed frame tilted with foot of bed down
• Flat position


  Entire bed frame horizontally parallel with floor
• Contour position


  Head section is elevated; the knee and foot section are elevated
• Kinds of linens


  • Blanket
  • Top sheet
  • Cotton drawn sheet
  • Bottom sheet
  • Rubber sheet
  • Mattress cover
  • Woolen blanket
• Stripping the bed


  1. Place chair at the foot of the bed

  2. Remove pillow case from pillow. Place pillow on chair. Place soiled pillow case on lower bar of the bed

  3. Loosen all bed linens starting at center of head of bed, raising the mattress with one hand and drawing out bed clothes with other

  4. Remove sheets separately. Fold each linen with soiled part inside. Wrap them all in a sheet and place on lower bar of the bed

  5. Roll rubber sheet and place on chair

  6. Remove mattress cover
• Making an unoccupied bed (closed bed)

  1. Refold each sheet according to its system of use

  2. Place clean linens on chair in order of use

  3. Cover mattress

  4. Place bottom sheet with center fold in center in line with rim of mattress at foot part. Spread across bed. Make mitered corner of head part. Tuck extra sheet at side from head to foot

  5. Put rubber sheet 12-15 inches from the head of mattress. Cover with drawsheet. Spread across bed. Tuck together extra length

  6. Place top sheet in line with mattress at head part and spread across bed. Tuck extra length of sheet at foot part. Miter corners. Allow to hang free at sides

  7. Go to opposite side and repeat same procedure

  8. Put pillow case on pillow

  9. Spread top sheet over pillow

  10. Pull folds of clean sheets into place. Tuck bottom sheet at head part and miter at the side

  11. Tighten rubber sheet and draw sheet. Tuck together with bottom sheet

  12. Help patient to roll on his back at center of bed

  13. Place clean fanfolded sheet over patient. Cover shoulders. Draw fanfolded sheet together with used top sheet at foot part

  14. Tuck clean top sheet at foot part. Miter corner

  15. Fit pillow into pillow case

  16. Fold dirty linens separately. Wrap in one sheet

  17. Carry soiled linens to laundry
• Making an unoccupied bed (open bed)

  1. Refold each sheet according to its system of use

  2. Place clean linens on chair in order of use

  3. Cover mattress

  4. Place bottom sheet with center fold in center in line with rim of mattress at foot part. Spread across bed. Make mitered corner of head part. Tuck extra sheet at side from head to foot

  5. Put rubber sheet 12-15 inches from the head of mattress. Cover with drawsheet. Spread across bed. Tuck together extra length

  6. Place top sheet in line with mattress at head part and spread across bed. Tuck extra length of sheet at foot part. Miter corners. Allow to hang free at sides

  7. Go to opposite side and repeat same procedure

  8. Grasp one corner of top sheet. Fanfold at foot part or diagonally to one side
• Making an unoccupied bed (postoperative bed)

  1. Make foundation bed

  2. Place top sheet. Do not tuck

  3. Turn sheet back. Fanfold at sides

  4. Fanfold bedding across bed from side nearest the door

  5. Spread bath towel at head of bed

  6. Place folded blanket across bar at foot of bed

  7. Equip bedside table with emesis basin, cellu wipes, tongue blade, BP Apparatus and stethoscope
• Making an occupied bed

  1. Explain procedure to the patient. Screen if in ward

  2. Bring materials to bedside. Place on chair, at foot side/part of bed. Arrange in order of use

  3. Adjust bed to level position. Remove pillows if permissible

  4. Loosen beddings on side of bed

  5. Go to the other side of bed and turn patient towards you. Go back to original side

  6. Fanfold used draw sheet, rubber sheet and bottom sheet towards center of bed and under patient

  7. Place clean folded sheet on bed in line with mattress at foot. Open and spread toward the head part. Fanfold upper half of sheet toward center and under patient. Make mitered corner and tuck extra length of sheet

  8. Pull back rubber sheet, place clean draw sheet over it. Fanfold upper half of draw sheet under patient. Tuck extra length of rubber and draw sheets together