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What kind of bed should you make a resident is up all day? A Guide to Open Beds

5 min read

According to the National Council on Aging, over 90% of older adults have at least one chronic condition, impacting mobility and sleep. So, what kind of bed should you make a resident is up all day? The answer involves understanding their needs to ensure their rest is both accessible and hygienic.

Quick Summary

An open bed is the correct type for an ambulatory resident, featuring turned-down top linens for easy and inviting access. This standard procedure prioritizes comfort, safety, and independence, ensuring the bed is ready for use without assistance.

Key Points

  • Make an Open Bed: An open bed is the correct choice for a resident who is up during the day, featuring turned-down covers for easy access.

  • Prioritize Accessibility and Independence: This bed-making method respects the resident's autonomy and provides an inviting space for rest at their convenience.

  • Ensure Comfort and Hygiene: Use soft, breathable fabrics and keep the bed wrinkle-free to prevent skin irritation and pressure sores.

  • Select the Right Mattress: Choose a supportive mattress, such as memory foam or an adjustable type, to relieve pressure points and improve sleep quality for aging bodies.

  • Maintain Safety Standards: Always lower the bed to its lowest position and place the call bell within reach after making the bed to prevent falls and ensure assistance is available.

In This Article

Understanding Bed-Making in Senior Care

Bed-making is a fundamental aspect of daily care in settings like assisted living or home care. Far more than a cosmetic task, it ensures a clean, comfortable, and safe environment for residents. Different bed-making protocols are followed based on a resident's mobility and health status. Knowing the difference between an occupied, closed, and open bed is crucial for proper care.

The Purpose of an Open Bed

For a resident who spends most of their day out of bed, participating in activities, socializing, or simply sitting in a chair, an open bed is the ideal choice. The primary purpose of an open bed is to signal that the bed is ready and easily accessible for the resident to enter at their leisure. It avoids the need for a caregiver to fully prepare the bed each time the resident wants to rest, promoting autonomy and reducing wait times.

Step-by-Step Instructions for Making an Open Bed

Making an open bed is a straightforward process that combines efficiency with resident-focused care. The goal is a tidy, inviting bed with linens that are easy for the resident to get into without requiring significant effort or assistance.

Preparing the Bed

  1. Adjust the Bed: Raise the bed to a comfortable working height for the caregiver to prevent back strain.
  2. Gather Linens: Assemble all necessary clean linens, including a fitted sheet, flat sheet, blanket, and pillowcase(s). Arrange them in the order they will be used to streamline the process.
  3. Ensure Safety: Lock the bed wheels to prevent movement. Lower the side rails on the working side, if applicable.

Changing the Sheets

  1. Remove Soiled Linens: Loosen the soiled bedding and roll it away from you, avoiding shaking the linen, which can spread pathogens. Place it in a designated hamper or bag. Wash your hands after handling soiled items.
  2. Place Fitted Sheet: Start with the clean fitted sheet, ensuring it is smooth and wrinkle-free to prevent pressure points that can lead to bedsores.
  3. Add a Draw Sheet (Optional): A draw sheet (or lift sheet) is a smaller sheet placed over the fitted sheet, centered under the resident's torso. This can be helpful for repositioning if needed and protects the underlying fitted sheet.

The Open Bed Finish

  1. Place Top Sheet and Blanket: Lay the flat sheet and blanket over the bed, but do not tuck them tightly at the top. The top of the sheet should be folded over the blanket to create a cuff.
  2. Fan-Fold the Linens: The most distinctive step for an open bed is fan-folding the top linens. Fold the top sheet and blanket down from the head of the bed in an accordion-style fashion to the foot of the bed. This makes it easy for the resident to pull the covers back up when they get into bed.
  3. Replace Pillows: Put clean pillowcases on the pillows. Position them neatly at the head of the bed with the open end of the case facing away from the door.

The Final Touch

  1. Lower the Bed and Provide Call Bell: Lower the bed back to its lowest, safest position. Place the call bell and any other necessary items, such as the TV remote or water cup, within easy reach of the resident.

The Importance of a High-Quality Mattress

Choosing the right mattress is as important as the bed-making process itself, especially for older adults. As we age, our bodies become more sensitive to pressure, making a supportive and comfortable mattress non-negotiable.

Common Mattress Types for Senior Care

  • Memory Foam: Conforms to the body's shape, providing personalized support and reducing pressure points on hips and shoulders.
  • Adjustable Beds: Offer customizable positions, such as elevating the head or feet, to improve circulation and reduce strain. They are especially beneficial for residents with conditions like acid reflux or chronic pain.
  • Low-Profile Beds: Positioned closer to the floor, these beds offer a safer alternative for residents at a higher risk of falling out of bed.

Hygiene and Resident Comfort

Maintaining hygiene and resident comfort goes beyond just making the bed. It's about creating a safe and inviting living space.

  • Regular Washing: Linens should be washed regularly to reduce bacteria and allergens. A consistent schedule is key for preventing the accumulation of harmful pathogens. For medically vulnerable residents, daily washing may be necessary.
  • Soft, Breathable Fabrics: Consider using soft, breathable fabrics like high-quality cotton or bamboo, which are gentle on delicate senior skin and can help regulate body temperature.
  • Smooth Surfaces: Always ensure the bed is free of wrinkles and crumbs. A wrinkle-free bottom sheet prevents pressure points, while a crumb-free bed prevents skin irritation.

Comparison of Bed-Making Techniques

Feature Open Bed Closed Bed Occupied Bed
Resident Status Ambulatory, out of bed for the day Bed is unoccupied; ready for a new resident or after discharge Resident is in bed and cannot get out
Top Linens Fan-folded back for easy access Completely covered with bedspread, pillows in place Kept in place during bed change to maintain privacy and warmth
Corner Style Standard, tucked at foot Mitered corners Mitered corners on the bottom sheet, top linens may not be mitered
Key Focus Accessibility and resident independence Tidiness and readiness for occupancy Patient comfort, safety, and skin integrity
Best For Daily use by active residents Readying a room or a bed not in current use Bedridden residents, to prevent bedsores

The Long-Term Benefits of Proper Bed Care

Proper bed care for senior residents offers significant long-term benefits that extend beyond simple comfort. By consistently making an accessible, clean, and safe bed, caregivers can help reduce the risk of common issues in elderly care. This includes preventing falls by keeping the bed at a low height and ensuring the call bell is always within reach. Additionally, meticulous linen care and wrinkle-free sheets minimize the risk of pressure ulcers, which are a serious concern for individuals with limited mobility. Furthermore, a comfortable and inviting bed encourages proper rest, which is essential for overall health, cognitive function, and emotional well-being in older adults. A proactive approach to bed-making demonstrates a commitment to the resident's dignity and quality of life.

Conclusion

For a resident who is up all day, the best practice is to make an open bed. This simple, inviting gesture respects their independence while ensuring a clean and safe resting place is always available. By following the proper procedures and considering the resident's specific needs—from the type of mattress to the softness of the sheets—caregivers can significantly contribute to a senior's overall health and comfort. Always prioritize clear communication and hygiene to provide the highest standard of care.

Find more resources on healthy aging and caregiving at the National Institute on Aging website: https://www.nia.nih.gov/

Frequently Asked Questions

The primary benefit is promoting independence and accessibility. The turned-down linens allow the resident to get into bed easily without needing assistance to pull back heavy covers, which supports their autonomy.

A closed bed is fully covered with the top sheets and bedspread pulled up, signaling that it is not currently in use. It would be inconvenient for a resident to have to rearrange the full bedding every time they wanted to rest.

Linens should be changed at least once a week, or more frequently if they become soiled. For medically vulnerable or incontinent residents, daily changes may be necessary to maintain proper hygiene.

Look for a mattress that offers good support and pressure relief, such as memory foam or an adjustable bed. A medium-firm mattress is often recommended for balancing comfort and spinal alignment.

Wrinkles in the bottom sheet can create pressure points on the skin, which can increase the risk of developing pressure ulcers or bedsores, especially for those with sensitive skin.

Lowering the bed to its lowest position reduces the risk of injury if the resident accidentally falls out. It's a standard safety protocol to prevent falls.

Yes, a draw sheet is still beneficial as it can protect the fitted sheet from potential soiling and can be used by caregivers to more easily reposition a resident if needed, without disturbing the entire bed.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.