Which way should a bedpan face? A comprehensive guide to proper use

According to the National Institute on Aging, more than 1 in 4 Americans over 65 have difficulty with daily activities like using the toilet. Learning proper technique is essential, so which way should a bedpan face? Correct placement depends on the bedpan type to ensure safety, comfort, and cleanliness for the patient or loved one.

Quick Summary

The wider, flatter end of a standard bedpan is positioned toward the head of the bed, under the patient's buttocks, while the narrow, curved end faces their feet. For a fracture pan, the low, flat handle end is placed under the buttocks toward the feet.

Key Points

• Standard Bedpan: The wide, rounded end of a standard bedpan faces the head of the bed, providing stability and surface area.

• Fracture Bedpan: The low, flat end with the handle of a fracture bedpan is positioned toward the feet, minimizing patient movement.

• Positioning the Patient: For both types, gently rolling the patient to their side is the safest way to place and remove the bedpan, especially for those with limited mobility.

• Ensuring Dignity: Always prioritize patient privacy and communicate clearly throughout the process to maintain comfort and respect.

• Preventing Spills: Using a protective pad under the patient and ensuring the bedpan is correctly centered is crucial to prevent leaks and maintain a clean environment.

• Post-use Hygiene: Prompt and thorough cleaning of both the patient and the bedpan is essential for preventing skin irritation and managing odor.

Standard vs. Fracture Bedpan: Understanding the Difference

Before discussing proper orientation, it is crucial to recognize that there are two primary types of bedpans, each with a distinct design for different needs. Using the wrong bedpan for a patient's condition or using the correct bedpan incorrectly can lead to significant discomfort, skin irritation, or embarrassing accidents. The standard bedpan is a deeper, more pronounced receptacle, resembling a traditional toilet seat. In contrast, the fracture bedpan is a flatter, smaller device designed for individuals with limited mobility, such as those recovering from hip surgery or fractures. Identifying the correct type is the first step toward proper use.

The standard bedpan: Orientation for safety and comfort

The standard bedpan is designed to be placed with the wider, rounded end positioned under the patient’s buttocks, closer to their upper body. The narrow, curved end should face toward the foot of the bed. This orientation maximizes the surface area under the patient, providing stability and preventing the bedpan from tipping. Think of it as a small, portable toilet seat.

Step-by-step guide for placing a standard bedpan:

1. Gather supplies: Before starting, ensure you have gloves, the bedpan, a protective pad or towel, and toilet tissue. Having a washcloth and mild soap or pre-moistened wipes nearby is also helpful for post-use cleaning.
2. Ensure privacy: Always close the door or pull the curtain to provide the patient with dignity and privacy.
3. Position the patient: If the patient can assist, ask them to bend their knees and push up with their feet. For non-weight-bearing individuals, gently roll them onto their side, away from you.
4. Place the bedpan: With the patient on their side, place the bedpan firmly against their buttocks, ensuring the wider end is positioned toward the head. Apply gentle pressure to slide it partially under them.
5. Roll back: Help the patient roll back onto their back, centering them on the bedpan. For comfort, you may need to raise the head of the bed once they are securely in place.
6. Provide privacy and a call light: Once positioned, provide toilet tissue and the call light, and leave the room to give them privacy, but stay within earshot.

The fracture bedpan: Handle placement for limited mobility

The fracture bedpan is flatter and has a distinct, small handle or lip on one end. This handle end should be placed toward the foot of the bed. This design allows it to be slid under a patient with minimal lifting, which is critical for those with hip or leg injuries who cannot raise their hips.

Step-by-step guide for placing a fracture bedpan:

1. Preparation: As with a standard bedpan, gather all necessary supplies and wear gloves.
2. Privacy and positioning: Follow the same steps to ensure patient privacy. Roll the patient onto their side, away from you.
3. Place the pan: Place the low, flat side of the fracture pan under the patient's buttocks, with the handle facing toward the feet of the bed. This reduces the height and pressure required for positioning.
4. Roll back gently: Carefully help the patient roll back onto their back, centering them on the pan. For individuals with limited movement, two caregivers may be needed to ensure safety.
5. Secure position: Once centered, raise the head of the bed to a comfortable, semi-upright position if permitted by their condition.
6. Provide privacy: Supply the patient with tissue and a call light before leaving to allow privacy.

Comparison of bedpan types

Feature	Standard Bedpan	Fracture Bedpan
Design	Deeper, more contoured, similar to a toilet seat.	Flatter, smaller, with a low-profile handle.
Primary Use	Bedbound patients with more mobility and ability to lift hips.	Patients with limited mobility, hip/leg fractures, or surgery.
Key Orientation	Wider, rounded end toward the head.	Low, flat end (with handle) toward the feet.
Placement Method	Requires patient to lift hips or be rolled completely onto side.	Slides easily under the buttocks with minimal lifting.
Risk of Spills	Higher if not positioned properly, due to depth.	Lower profile can increase spill risk if not monitored carefully.

Best practices for bedpan use and caregiving

Caring for a loved one with a bedpan can be challenging, but following best practices can make the process more comfortable and dignified for everyone involved. Regular communication, gentle handling, and attention to detail are key to a positive experience.

Tips for caregivers:

• Prioritize communication: Always explain what you are doing. Talking the patient through each step helps manage anxiety and increases cooperation.
• Maintain skin integrity: Prolonged contact with moisture can lead to skin breakdown. Use a protective pad and ensure the patient is clean and dry after use. Check for any signs of redness or irritation.
• Be gentle: Sensitive areas require gentle handling. Use soft materials and mild, non-irritating cleansers for perineal care. Consider using a barrier cream if recommended by a healthcare professional.
• Manage odor: Empty the bedpan promptly after use and clean it thoroughly with a sanitizing solution. Placing a small amount of water in the bedpan before use can help with cleaning and odor control.
• Ensure proper hygiene: For both the patient and the caregiver, proper hand hygiene is paramount. Always wash hands and have the patient wash or sanitize their hands afterward. For more guidelines, consult authoritative resources on caregiver best practices, such as the National Institute on Aging.

Conclusion

Knowing which way to face a bedpan is a fundamental aspect of safe and dignified senior care. For a standard bedpan, the wide end goes toward the head; for a fracture bedpan, the low handle end goes toward the feet. These simple rules, combined with proper preparation and technique, make a significant difference in the comfort and well-being of the patient. Following these guidelines helps ensure a clean, safe, and respectful experience, solidifying the trust and care essential in any caregiving relationship.

Frequently Asked Questions

What is the key difference between a standard and a fracture bedpan?

The main difference lies in their design. A standard bedpan is deeper and shaped more like a toilet seat, suitable for more mobile patients. A fracture bedpan is flatter and has a lower profile, making it easier to use for patients with limited hip or leg movement.

Which way does a standard bedpan face when placed under a patient?

A standard bedpan is placed with the wide, rounded end facing toward the head of the bed. The narrower, contoured end should face toward the patient's feet.

How should a fracture bedpan be positioned?

A fracture bedpan is placed with the low, flat end (which usually has a handle) facing toward the foot of the bed. The angled, more open side is positioned away from the patient's feet.

Is it better to roll the patient or lift their hips to place a bedpan?

If the patient can safely lift their hips, this is a valid method. However, for those with limited mobility, rolling the patient gently to one side is the safest and most comfortable way to place the bedpan. For fracture pans, rolling is often the only option.

How can I prevent spills when using a bedpan?

To prevent spills, ensure the bedpan is placed correctly and securely centered under the patient. Using a waterproof pad or towel underneath can also catch any drips. Additionally, place a small amount of water in the pan before use to minimize odor.

What should I do after the patient has used the bedpan?

After use, assist with cleaning and drying the patient's perineal area. Empty and thoroughly clean the bedpan with a disinfectant. Ensure the patient is comfortable and repositioned correctly. Always remember to practice good hand hygiene.

Can I use a fracture bedpan for a patient who can lift their hips?

Yes, a fracture bedpan can be used for more mobile patients, but it is not typically as comfortable due to its low profile. The key is to use the correct orientation regardless of the patient's mobility level.