CARING FOR BED BOUND CLIENTS - At Home …

1 A Client Care Module: CARING FOR BED. BOUND CLIENTS . 1998-2011. May be copied for use within each physical location that purchases this inservice. Inservices For Nursing Assistants We hope you enjoy this inservice, prepared by A Client Care Module: registered nurses especially for nursing CARING for assistants like you. Bed BOUND CLIENTS After nishing this inservice, you will be able to: Instructions for the Learner Give at least two If you are studying the inservice on your own, reasons a client please do the following: may become bed BOUND .

2 Read through all the material. You may nd it useful to have a List at least four highlighting marker nearby as you read. Highlight any information possible that is new to you or that you feel is especially important. complications of immobility. If you have questions about anything you read, please ask Describe pressure _____. ulcers and contractures and Take the quiz. Think about each statement and pick the best answer. how to prevent them. Check with your supervisor for the right answers. You need 8 correct to pass!

3 List two important reasons for keeping Print your name, write in the date, and then sign your name. skin clean, dry and moisturized. Keep the inservice information for yourself and turn in the quiz page Discuss the bene ts to _____ no later than of exercise and massage for CLIENTS _____. Show your Inservice Club Membership Card who are bed to _____ so that it can be initialed. BOUND . A Client Care Module: CARING for the Bed BOUND Client Being Bed BOUND Inside This Inservice: Can you imagine being con ned to end stage Parkinson's, multiple your bed, day after day, unable to care sclerosis, severe obesity or they may The Importance of for your most basic needs?

4 Be nearing the end of their lives. 2. Excellent Skin Care While a sudden accident or injury can Sixty years ago, it was common for The Facts about Pressure 3 cause someone to become bed BOUND doctors to put their patients on bed Ulcers overnight, most people end up that rest. After childbirth, new mothers The Importance of 4. way after a period of immobility. stayed in bed for two weeks. And, Nutrition and Hydration patients were on bed rest for four For example, you may work with CLIENTS weeks after a heart attack!

5 Providing Comfort and 5 who are bed BOUND due to a short term Positioning immobility related to stroke, injury, Today, we know that bed rest and Hygiene and the 6 fracture of the spine or hip or surgery. immobility can lead to a variety of Incontinent Client For them, rehabilitation is usually serious complications. If you care for possible. CLIENTS who are con ned to bed . The Importance of 7. whether it is temporary or Exercise and Massage You may have other CLIENTS who are permanent you can help improve Mechanical Lifts and 8 bed BOUND due to a long term their quality of life.

6 Keep reading to Good Body Mechanics immobility. This may be related to learn more about CARING for bed 9 paralysis, severe stroke, certain disease BOUND CLIENTS . Activities for Bed BOUND processes, end stage Alzheimer's, CLIENTS 10. Some Final Tips! Here are some of the problems that can develop from immobility regardless of the client's age: Loss of muscle mass, Blood clots in the 2011 In the Know, Inc. strength and legs endurance Contractures Pressure Sores Depression May be copied for use within each physical location that Muscle pain Confusion purchases this inservice Osteoporosis from In the Know.

7 Anxiety Pneumonia Mood swings All other copying or distribution is strictly Constipation Social isolation prohibited. THE DANGERS Incontinence and Loss of urinary tract OF IMMOBILITY infections independence A Client Care Module: CARING for the Bed BOUND Client 2011 In the Know, Inc. Page 2. SKIN CARE FOR BED BOUND CLIENTS . Did you know skin is considered an organ just like the TIPS FOR PROTECTING THE SKIN. heart and lungs? Skin is the largest organ of the Keep the skin clean and dry. Wash with mild human body.

8 Soap, rinse well and then dry the skin You wouldn't ignore an abnormal heart rate or completely. abnormal respirations, so you shouldn't ignore Only give a complete bed bath once or twice a abnormal changes in your client's skin. week, or as needed, to avoid over drying. Functions of the skin include: preventing bacteria or Moisturize with dye-free, fragrance-free lotions other pathogens from entering the body; preventing if available. water from leaving the body; protecting internal organs; and regulating body temperature.

9 Make sure your CLIENTS stay well hydrated. Any break in the skin, whether it is a cut, tear, burn or Provide blankets, socks, and clothing in layers if pressure ulcer, leaves the body vulnerable to CLIENTS are cold and adjust room temperature if infection. they become too warm. NEVER use an electric blanket or heating pad. If Why Does Skin Break Down More Easily in a client has trouble sensing heat, a burn could Elderly CLIENTS ? result. As aging occurs, skin becomes thin and fragile. Always follow the care plan and re-position the Oil and sweat secretion bed BOUND client as ordered.

10 If no order is in slows, leaving the skin dry place, re-position every two and itchy. hours. Use pillows to pad pressure Nerve endings become less sensitive, making it di cult points and prevent pressure to sense heat, cold and pain. sores. How is the Bed BOUND Monitor for Changes Client A ected? Take every opportunity to Immobility presents special assess your client's skin carefully challenges to the skin. Individuals who cannot for any changes. move or re-position themselves when they feel Look for any cuts, scrapes, tears, friction burns, pain are at risk of developing pressure ulcers.