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