The Resident’s Living Space

Unit 7

Making an Occupied Bed

Living Space• Residents may bring own

furniture, wall decoration and other items to

personalize living space.• Staff members knock before

entering resident’s room.• When a resident receives

personal care in the room, staff members provide for

privacy by closing: • blinds• doors

• curtains around bed

Bed• Bed-typically the bed is provided by

the health care facility.– Bed can be raised in flat position.– Raise HOB (head of bed) or knees.– High position may be used for staff

while providing care.– DO NOT LEAVE IN HIGH POSITION

Beds continued…Low position is used for resident

at high risk for falls.

Put brakes on to prevent from moving.

Special mattresses may be used to reduce pressure.

Assistive devices for mobility such as trapeze or mobility rail.

Bed rails

• May be placed only if the resident’s medical condition

dictates and when ordered by physician.

– Care plan– Benefits should out weigh risks

• Can resident climb over rails• 4 bed rails is considered a restraint

Furniture

• Bedside table• Bedside stand or commode

Personal Care Items

• Urinal and bedpan• Wash basin• Emesis basin

• Personal hygiene and grooming supplies

– Shaving cream– Soap

– Deodorant– After shave

– lotion

Environmental Comfort

• Adjust temperature for personal difference, keeping in mind that the elderly cannot adapt as well

to temperature extremes.• Provide ventilation according to the res preference and condition.• Adjust lighting for day and night

safety. Place lights to avoid glaring.

Daily Maintenance• Make a habit to scan the resident’s room for safety issues when entering

and leaving.• Keep call lights within resident’s reach.• Keep urinal discretely with in reach of

male residents who uses urinal.

Empty and rinse urinal promptly after each use.

Eliminate odors by removing the source of odors.

Keep bedside stand/cabinet within reach.

Keep items that resident frequently uses within resident’s reach.

Daily Maintenance continued…

• Remove or rearrange resident’s belongings with

resident’s permission.• Some residents hoard items such as snacks or personal care supplies.

• CNA can check with more experienced staff about how to respectfully deal

with this issue.

Daily Maintenance continued…• Keep bed in lowest position, using

bed rails only if ordered. The bed should be in the raised position

only while providing care.

– Place pads on floor at side of bed, if ordered, when res is in

danger of falling out of bed.

– Bedrails can entrap and harm resident if not properly used.

Daily Cleaning

• Keep room free from clutter, restock care

supplies.

• Follow facility policy for CNA’s responsibilities.

Bed Making• Making a comfortable, safe bed.

Surface should be smooth and wrinkle free

• With aging skin becomes less resilient and resistant

to damage.

• Frail elders may have less tissue padding over boney

prominences.

Bed Making

– Wrinkles under the resident’s body can be

uncomfortable and restrict circulation, resulting in

pressure areas.

– These pressure areas lead to pressure ulcers.

Bed Checks

• When a resident remains in bed for long periods, the bed linens need to be checked frequently

and straightened/tightened.– Check when the resident

is repositioned and at other times.

Bed Checks continued…

• A resident who is incontinent of urine or feces will need to have bed linens checked frequently.

• NEVER allow a resident to lie in soiled bedding.

• Check the resident’s skin when repositioning and when

changing linens after incontinence.

Types of Bed making

• Unoccupied-resident is able to leave the bed while it is made.

– Spread and top sheet may cover pillow or the pillow may be left

exposed, depending on resident’s preference or facility policy.

– Occupied-resident remains in bed while linens are changed.

Bed Making Procedure• Names of bed linen

– Flat sheet, fitted sheet, draw sheet, washable protective under pads vs.

disposable .

Measures for resident comfort (preventing wrinkles and allowing

toe room)

Measures for resident safety during bed-making process.

Infection control(preventing spread during linen change)

Using good body mechanics.

Pressure Ulcers

Stage I

Stage II

Stage III

Stage IV

Same pressure ulcer