July 30, 2011

P.C.A.- Personal Care Assistant.

        Personal Care Assistant ( P.C.A),Caregiver as called by many,and known for service
       demand worldwide,and still increasingly, in demand at present,most of this caregivers,

July 29, 2011

Family Caregivers

                What is a family caregiver?

                A Family caregiver,is a family that taking care of a family with a disease,disabled,

Does Caregivers Makes Difference?

Does caregivers makes difference,or not? That's the question some ask.
What do you think about it? Did caregivers made the difference?.

July 23, 2011

AMPUTATED PATIENT

     Amputation - is a removal of part of the body,such as foot,leg,shoulder
                           arm and hand,or the lower or upper limb,by means of cutting.

COMATOSE PATIENT.

First and foremost,what is coma,coma is the state of deep sleep of
a person,and a person that on the state of coma called comatose,and
from Greek name koma.

July 22, 2011

LET ME FREE FROM SUFFERING

In my care giving days, I had experienced,all kinds of patient, and I am so thankful above,
because all of my patient loved me, and treated me as one of their own family,during those

THE HARDSHIP OF A FAMILY CAREGIVER

What will be the hardship of a family caregiver,that taking
care for their love ones,specially when the family patient

INNER HAPPINESS WITHIN AS A CAREGIVER

Inner happiness within as a caregiver or ( P.C.A ), P.C.A means
personal care assistant.

July 21, 2011

A HOME SICK CAREGIVER

Home sick, is most of the hired caregiver experiencing,and most of this
are the hired caregiver, they choose to be far away to their family,and to

July 15, 2011

THE QUALITY OF A FILIPINO CAREGIVER

The quality of a Filipino caregiver,First and foremost,what would an employer
expect, in hiring a caregiver for their love ones? Answer is simple and practical,

WHEN SHOULD BE CALLED A PERSON A CAREGIVER

When should be called a person a caregiver, there will be a common
type to called a person a caregiver,and all of us in fact,is born with a given

July 14, 2011

EXERCISE ROUTINE IS GOOD FOR THE ELDERLY PATIENT.

Exercise routine for the elderly patient is very helpful and
important,not that excessive exercise,but a light exercise daily,

July 13, 2011

UNDERSTANDING LIFE PURPOSE AS A CAREGIVER


What would be the purpose of life and needed a caregiver,as
we understand life,and what life truly means to each and everyone
of us,life is not that easy, as we get older, the mobilities decreases
when our ages increases,in year by year,we can never imagine that

July 12, 2011

WATER THERAPY FOR THE PATIENT IS IMPORTANT


Water therapy for the patient is very important,this is one of the natural therapy
that help's a lot,its a cleansing type of therapy by means of water intake,and it
help's cleanse our body internally,it should be eight glasses of water per day,
this help's a lot for the patient,as a caregiver,its your responsibility to convince

July 11, 2011

THE IMPORTANCE OF CARE GIVING

 
What is the importance of care giving, as the world goes older, what will be
the important role of a caregiver, as a lots of people getting older,and in
reality,those people that has disease or elderly or senior people or no matter
what age,due to disease and some ailment's or either due to accident, that

July 10, 2011

SAFETY TIP FOR CAREGIVER WITH A WALKING STICK USER ELDERLY OR SENIOR PATIENT.


First and foremost,what is a walking stick? A walking stick is a stick for balancing
purposes while walking,walking stick is usually used by people with disabilities
due to some illnesses,and walking stick also commonly or usually used by most
elderly people,the walking stick helps the senior or elderly person to obtain the
balance while walking.

July 8, 2011

MAINTAINING SAFETY FOR WALKER USER PATIENT AS A CAREGIVER.

This tip for caregiver,is a simple and practical method in preventing the
patient from slipping or any injuries due to out balance when using a
walker,this tip is for maintaining the safety for the walker user patient
in all matters,and at all times,as a caregiver,its your responsibility to

July 6, 2011

CAREGIVER IS A CHALLENGING CAREER

 
Caregiver in career is a challenging career,and there's a lot of good things
to learn and shape your life not only in care giving career but what life
really is,as well as what life really means in reality,learning how life when
we got older,learning what really life for us and how really important life
is for each and everyone of us in this world,there's a lot of challenging
task or duties as a caregiver in career,this challenging task are most often
on how to deal with the mode of the patient in all ages,whether is an elderly,
child,teen,or in all ages for short.

Caregiver in career is challenging,because your dealing life,and the safety
and healthiness of the patient depend always on you as a caregiver,caring 
for an elderly patient is challenging for some various reason,depending
on what the health status of the patient,there are times most of the caregiver
give up due to some various reason,and the attitude or behavior of the patient,
and how the connection between the caregiver and the patient,some of those
caregiver give up due to unable to connect with the patient and the chemistry
between the caregiver and the patient are unmatched,and sometimes due to
lack of understanding between the caregiver and the patient.

There will be always a difference in each patient personality,and the challenging
task to it,is on how to gain the trust of the patient in terms of task or duties,
i day to day routine as a caregiver, such as medication bathing, various treatment etc.
this is one of the challenges that a caregiver will be facing,and there will be more,
depending on who is the patient, this will be measure the ability of the caregiver,
on how to deal with different kind of behavior of the patient that the caregiver
is into,and in fact, this is the hardest task for the caregiver to overcome,
but its always possible,with the secret powerful key,which is the patience,
a huge patience!within the heart of the caregiver,be patience always in
every different patient behavior and personality that you'll encounter,and
learn how to switch channels in different paces and be flexible to all 
challenges that will be on your way as a caregiver.    BY: J.LE

ELDERLY PATIENT A CAREGIVER MUST TO KNOW

 
Elderly patient,what would be a caregiver will expect when
taking care for an elderly patient? there's a lot to be aware as a
caregiver when taking care for an elderly patient or a senior patient,
one thing is,most of the elderly patient has the behavior like of a minor
age despite of their old age,and in fact,all of us people,will walk on the same
way like them,and be one of the senior's in time,this is by nature,and no one
is excuse.
The common behavior of most elderly patient or senior,is that they needed
much more attention than we thought,at all times,and as we know,when we
saw or recall our beloved grandma or grandpa,they needed much more
attention and they're most likely a sensitive in terms of feelings,and
this thing must to be aware of, as a caregiver.
and must always take it in to consideration and a lots of patience,
a huge patience, most of the percentage of the elderly or senior
patient,they usually forget something,or doesn't remember what was
yesterday,and its not by intention,this is due to some diseases or ailment,
sometimes even in day by day conversation will be the same as yesterday.
The reason is just they wanted someone that will be there for them
to listen,to listen what was their past and comparing it in the present,
its so natural for most of the elderly patient.
as a care provider,you must to take it into the list for as the one
of the priority for the patient enjoyment,as this is what they wanted the most,
that someone will listen and have a good bonding by means of conversation,
they wanted that someone will truly understand what they wanted and
one that will be there for them to listen always,there are different kind's
of attitude and personality in each and every elderly patient,and the
goodness of one will always be a factors with the natural personality
as a person,as a caregiver,you must to know what is the natural personality
of your patient,and its something like,to dig dipper on what is the true
inner personality of your elderly patient,what the things that she/he
like the most and the thing that makes your elderly patient switch to
bad mode,and this must to be avoided,because its unhealthy for the
patient. you must to know better dipper on who is your patient,and
work from your heart and be there to listen constantly and let the
patient feels that you will be always at his/her side at all time,
as a best friend, not just only a caregiver that do the duties,but
as a person that the patient can count on in all matters as a his/her
best friend.      BY: J.LE


GAINING TRUST FROM THE PATIENT FAMILY AND THE PATIENT AS THEIR CAREGIVER.


Gaining trust from the patient family as their caregiver,these is one of the vital
aspect that a caregiver must to achieve and the goal,trust in any person doesn't
comes right away in a day or two,and it doesn't ask to someone just to obtain
trust,but it rather comes from the heart that given to the person that worthy to
receive it,trust is vital in any side of our life,not only in care giving, but in all
angles in our daily life,trust is the most very important when in career,and if
trust is given,it must to be cared and not to be wasted, reputation in each one of
us is the most good thing to have within in any person,and in fact,its most likely
a good feeling within, that wherever you go,if you have the good reputation that
comes within the natural you as a person,and not just showing it for the sake of
getting the trust of other to give you,and this will just fade, if it is not that genuine.
Person that has a good reputation has the natural within them in their personality.
In this days,we all knew that caregiver is in demand worldwide,and the employer's
have the choices on whom they will hire as their caregiver,that they can trust.
there is a saying that,if you talk to any person,in face to face and you know how
to read the person personality,it's easy to figured, what kind of person that you are
having the conversation within the time of the conversation,this will tell
on how the person talk's, and on how the person act's,it's always reflect on the
person personality within, on who he/she is,in real.

Caregiver can gain or obtain the trust of the patient family,is by means of time,
and on how the caregiver do his/her duties,this is in terms of responsibilities.
the other thing is, on how the family of the patient can trust the caregiver as
a person within as genuine,like if the caregiver can be trusted alone with
the elderly person or in any ages,and on how the caregiver behave in terms
of personality in day to day routine as a caregiver.

We all know that its hard to trust someone,if you don't know him/her well,
time will tell,and time will let it flow voluntarily the trust, for the person that
worth to receive it.

Tip's for gaining the true trust of the patient family is,be honest truly within
genuinely,be responsible on daily task or duties as a caregiver,and be true
to yourself as a true person and act 's the natural good in you as a caregiver,
and a good person,that the family of the caregiver can trust at all times,that can
leave you alone as a caregiver with their father,mother,grandmother,grandfather
or etc. be open to the family of the patient and the patient as well,love them within
that comes from your heart, that truly care for them as a whole,not just by
doing your responsibilities, but as a whole,that can be trusted in all matters.
Do all the daily task within your heart and being true person as who you
are, and genuine that has the good personality, that wanted to help and to
care for the patient and patient family as well. in time will come, you as
a caregiver can fell the love and care from your patient and the patient
family, as one of their own family, and on how they treated you good
as a person, that care for them, and as a whole,then you as a caregiver
will able to feel the trust that you already obtain because of your good
doing and as a good caregiver as well as a good person.    BY: J.LE



July 5, 2011

CAREGIVER WITH A WHEELCHAIR USER PATIENT


For caregiver with a wheelchair user patient,most of the caregiver patient are wheelchair user, due to the limited mobility,and some various reason that the patient needed the wheelchair for reasonable reason,some of the reason is due to disabilities or invalid,some of those patient
unfortunately are in born disabilities,and wheelchair is the source of answer for disable patient to ease their life in day by day activities such as traveling from one place to another in a short distance,or even just to be able to have some time outdoor to be with friends or have some family gathering or friends bonding,wheelchair is the source for this wheelchair user patient to obtain this things or activities in daily cycle of their lives.

As a caregiver with a wheelchair user patient,it's very important to have the safety knowledge on how to handle wheelchair for the patient safety and for the good sake for both the caregiver and the patient as well,in this case,both caregiver and patient are maintaining the safety,to be able to get rid of unwanted injuries, due to good safety or proper safety handling of the caregiver in using the wheelchair.

One thing for the caregiver to keep always in mind at all times,before placing or putting the patient to the wheelchair,always be sure to check at all times,if there's any sign of possible problem or either some sign of cracks in the wheelchair frame,wheel,or in any parts of the wheelchair,this simple safety measure is a helpful way to prevent any injuries for the patient due to some broken frame in parts of the wheelchair or loose bolts,or any problem from the
wheelchair that can cause an injuries ,and as a caregiver it's your duty and your responsible to any act that you made,so in order to avoid future problem,always at all times by all means,be responsible enough to do your duty,and always put in priority the safety of your patient before putting the patient seated in the wheelchair,also bear in mind likewise,that wherever you both the patient and you the caregiver go,always be sure to lock the rear wheel of the wheelchair when the patient is in standby mode.

Always be in advance to check the wheelchair of any possible problem,before putting the patient into the wheelchair seat,and if there will be a sign of any crack in the metal frame of the wheelchair or any sign that can be the result of a problem that can cause injuries,always call for any available repair shop to fix it as soon as possible,repair shop that specialize on wheelchair
repair or contact the son or daughter of the patient, or who is the assigned family or relatives of the patient,that can arrange the schedule to the repair shop in fixing the wheelchair.

Always be in advance for safety and never put the patient into the wheelchair seat if there's any problem that can cause any unwanted injuries due to some cracks,loosen bolts or some parts of the wheelchair,this simple tips for safety, can make your day as a caregiver ease likewise for the patient,free from any injuries.  BY:J.LE

THE RESPONSIBILITIES AND JOB AS A CAREGIVER

AS A CAREGIVER,THE TASK AND DUTIES OF THE CAREGIVER,
IS TO ASSIST THE PATIENT IN MONITORING THE HEALTH STATUS
OF THE PATIENT AND TO WRITE IT ALL FOR PATIENT FILE,
TO SUBMIT IT TO THE DOCTOR'S,NURSE'S,PHYSICAL
THERAPIES. OR MEDICAL PERSONNEL THAT IF IN TIME
NEEDED FOR THE PATIENT HEALTH STATUS,CAREGIVER
RESPONSIBILITY IS TO ALWAYS BE READY IN TIME OF
EMERGENCY SITUATION AND KNOW WHAT TO DO IN CASE OF
EMERGENCY HAPPEN,AND IN TIME OF EMERGENCY THE
CAREGIVER MUST KNOW WHAT TO DO FIRST,AND
WILL NOT PANIC,AND STAY CALM ALWAYS IN CASE
OF ANY EMERGENCY CIRCUMSTANCES, BEFORE
ENGAGING IN ANY STEP TO HELP THE PATIENT,FIRST AID
KNOWLEDGE IS REQUIRED FOR THE CAREGIVER BEFORE
WORKING AS A CAREGIVER.TRAINING AND CERTIFICATE
FOR FIRST AID, SUCH AS CPR, AND ALL OTHER EMERGENCY
FIRST AID PROCEDURE, ETC.


TO QUALIFY IN WORKING AS A CAREGIVER.
FAMILIARIZATION WITH THE GOOD SIGNS
AND BAD SIGN IF THE PATIENT IS CONSCIOUS OR
UNCONSCIOUS AND APPLYING ALL THE TECHNIQUES
IN FIRST AID AND THE PRACTICAL METHOD IN PERFORMING
THE FIRST AID.THE CAREGIVER MUST TO CALL 911
IF I CASE OF EMERGENCY SITUATION,AND KNOW TO
PERFORM CPR,TO REVIVE THE PATIENT IN AMPLE TIME,
BEFORE THE AMBULANCE WILL ARRIVE IF IN CASE OF
CARDIAC ARREST.
MASTERING FIRST AID IS ALWAYS A GOLDEN KNOWLEDGE,
THAT A CAREGIVER CAN BRING IT ANYWHERE,AND ANYTIME
SPECIALLY WHEN ON DUTY,AND EVERYDAY TASK,OR ANYWHERE,
AND CAN ABLE TO APPLY THE KNOWLEDGE IN CASE OF ANY
EMERGENCY SITUATION,AND ABLE TO SAVE LIFE.

CAREGIVER JOB AND DUTIES IS TO FEED THE PATIENT
IF PARALYZE OR BEDRIDDEN & NOT ABLE TO MANAGE
ITSELF ALONE IN TAKING HIS/HER MEALS, ALSO GIVING
THE PATIENT A BATH,WHETHER A REGULAR BATH OR
A BED BATH,THIS IS ONE OF THE TASK AND DUTIES
OF A CAREGIVER,LIKEWISE IN ASSISTING THE PATIENT
FOR CLOTHING'S,LIKEWISE AS SHOE WEARING ETC.
IN A SHORT RUN OR TO MAKE IT SHORT,
ALL THAT NEEDED AND VITAL FOR THE PATIENT.
THE CAREGIVER MUST ALWAYS KNOW ,THE THINGS
THAT A PATIENT CAPABLE TO DO, SOMETHING LIKE,
WHAT THE THINGS THAT A PATIENT CAN DO OR
ABLE, IN TERMS OF MOBILITIES, AND THE THINGS THAT
THE PATIENT CAN'T OR CAN,AND THE PATIENT LIMITATION
OF CAPABILITIES IN TERMS OF MOBILITIES.
THEREFORE,AS A CAREGIVER,YOU MUST
BE RESPONSIBLE AT ALL TIMES AND PRESENCE OF MIND,
TO ASSIST THE PATIENT NEEDS,IN ALL AREAS AND ANGLE'S
IN DAY TO DAY ROUTINE.    BY:J.LE



July 3, 2011

TIPS FOR CAREGIVER IN GIVING BED BATH FOR PATIENT


Bed bathing is very important, specially for a patient disabilities to a regular bath,bed bath
keeps the patient protected from infection, and good hygiene is one of the key to good
health. before engaging to give a bed bath to a patient, the caregiver first must to
distinguish the patient abilities to move from left to right and side to side or in any angle,
in this case the caregiver can determine if there will be any movement
for the patient that he or she can manage to maneuver,and any movement
that can cause any pain for the patient, caution
is always be made, prior to any bed bath, to avoid any further problem, cause
by movement, check patient skin for any sensitivities, mostly old patient are candidate
for skin sensitivity figured out where the skin redness location all over he body of the
patient,usually the pressure spot is located at the back,buttocks,toe and back of the head,
this sign of redness spot and the area mention is prone to this case, we called it BED SORE.
  

  Tips!  To prevent bed sore. the caregiver must constantly check the patient and able to act. as  follow.                     
  • Monitor the patient position whether in wheelchair,bed, or sofa. don’t let the
    the patient stay in one position for a long period of time this can cause bed
    sore in any area where the pressure is.
  • When the patient is in bed, the caregiver must always change patient position every
    4 hours from one side to the other, then center position where the patient lying on his/her back.
  • When the patient is in the chair or wheelchair, this position distribute the
    pressure to the buttock and slight at the back. in this case you can't change the
    position of the patient side by side while the patient is in sitting position, except, assist the patient to stand. Or if the patient can walk, much better, every 4 hours, let the patient walk with your assistance to give the walk,in fact is good for the patient health to engage in walking. walking is a good exercise for the patient. Question comes? how if the patient can't stand? so you can think now that, HOW?, well this day there are good pillow intended and design just only for the buttock when patient is in sitting position,some of the pillow are designed filled with water inside nor air pillow that eliminates
    bedsore even the patient is on the position of sitting. whether in wheelchair or regular chair, sitting for long period of time,with the special pillow underneath the buttock of the patient, nothing to worry.


                             THINGS TO PREPARE PRIOR TO BED BATH.
        1. BASIN
        2. 6 TOWEL'S
        3. 6 WASH CLOTH'S
        4. MILD SOAP
        5. LINEN WITH BATH BLANKET
        6. DISPOSABLE GLOVES
        7. CLOTH,SUCH AS PATIENT GOWN OR REGULAR CLOTHING,UNDERWEAR .
        8. (OPTIONAL) DIAPER FOR PATIENT WITH THE CONDITION OF
          UNCONTROLLABLE BOWEL OR URINE DISCHARGE.
        9. LOTION,CREAMS SPECIALIZE FOR RASHES IS A MUST.
        10. CLEAN GOWN
        11. HAMPER
        12. TRASH CAN



  PRIOR TO BED BATH
  • introduced yourself to the patient,let the patient know what you will do and explain that you will give him /her a bed bath.

  • Place all bed bath things near or accessible to you to grab when needed.
  • close all windows and door for privacy reason. and be sure to properly
    lock the bed bar in both side before starting to give the bed bath.
    (ALWAYS) to prevent the patient from falling.

  • turn on heater to keep the room warm not much
    heat just a bit warm. keep it close until bed bath
    is done.

  • Fill the basin with warm water, be cautious to
    check it with your elbow if it is comfortable
    warm not burning the skin just warm water.

  • Place the blanket below the patient neck then
    roll until it reach to the patient feet.

  • Remove patient clothing by grabbing under the blanket
    this procedure keep the patient comfortable & privacy.
    blanket will cover the patient to keep warm until the last
    step of the bed bath.




       GIVING BED BATH     
  • Wear the disposable gloves,keep in mind that before
    doing bed bath always wear gloves ,this will protect
    your hand from any germs or bacteria and from any draining
    wounds of the patient. and by just throwing it quickly into
    the trash can as often as needed to change
    for new one, session after session of the bed bath.

  • Use mild soap ( always ) mild soap can't harm patient
    skin,and not drying the skin as well.

  • Put the washcloth in your back hand then fold it
    towards the front hand which is the palm, first the right side follow by the
    left side, then fold the folded wash cloth upper
    towards your palm,you can see the result of the folded wash cloth
    created a packet in your palm, then insert and secure it into the packet
    between your palm and washcloth.

  • Wet the washcloth with warm water in the basin, afterward
    rub the mild soap,then just leave it for a moment not using it in first step. Because you start in the face and eye so you will just use plain water to wipe patient face as well as the eyes. Just use the other washcloth even not folded for this area,wet the washcloth with plain warm water. 
     
  • First wipe the patient whole face with the wet washcloth gently beginning around the area of the eye with plain warm water just wiping around the surface of the eye, not to put excess force to avoid any breakdown of the skin, Repeat the same procedure on the other eye, afterward. wipe the neck area including the both ear and the head then wipe it dry with clean dry towel.
  • After wiping clean the area of the whole face,eyes,ears,head and neck,place
    a dry & clean towel under the patient arm prior to washing the underarms. put the
    washcloth with mild soap into your hand then wipe the underarms, do it the same way on the other
    underarm then rinse it thoroughly,afterward wipe it with a dry & clean towel,to dry the area.
  • Roll down the blanket until it reach the waist of the patient,this will give access to wash the chest and stomach, do the same procedure by wash wipe with washcloth with a mild soap rubbed on it, then after put it aside the washcloth with soap,take the another washcloth without a soap,deep into the basin with plain warm water on it,then rinse it well thoroughly,
    wipe it dry with a dry clean towel.
  • After washing patient chest and stomach be sure to wipe it dry always in all parts that you wash,wipe it up with a clean dry towel to dry the area after rinsing.
  • Roll back the blanket until it reach the patient neck.
  • Go to the opposite location of the blanket which is located down,where the feet is. grab the blanket and roll it up until it reach the knee of the patient, then do the same washing wipe procedure,wash first the calf then roll up the blanket until it reach the lower waist,afterward after the same procedure done,make sure always to wipe it dry with a dry towel after rinsing.
  • Now you can wash the foot left or right,depending what you preferred,deep in the foot into the basin then wash it with mild soap by gently wiping it, then rinse it well and wipe it to dry with a dry clean towel,be sure to wipe it dry properly specially the portion between all fingers of the foot.
  • Empty the basin into the sink, be sure to wash with soap before filling it with new warm water.
  • Prior washing patient back neck,back,thighs,buttocks and back
    of the legs be sure the arm bed is well locked to prevent from falling.
    Ask the patient to lie on his/her side, facing the arm bed or lock bar, left side
    or right side and ask the patient to hold the bar of the bed, by
    holding the bar, this can be helpful to maintain the side position.
    Your position will be at the back of the patient, then place
    the towel at the back, from the back of the neck until where
    it reach depending the length of the towel,wash wipe the back
    of the neck and back the same procedure,then rinse it well and after
    that,wipe it with dry clean towel to dry the area.
  • After washing the back of the neck and back, pull down the towel
    until it reach the back of the toe, then do the same procedure
    be sure to wipe it up dry again after rinsing, as I have said, ALWAYS.
  • Now you will wash the sensitive part of the patient, whether the
    patient is male or female, always wash it gently with caution,
    because this area it is prone to any infection if not done with
    proper care,before washing the female/male part, first things
    and must not to forget. (Is) again empty the basin into sink
    then wash the basin with water and soap then fill the basin
    with new warm plain water. this time, use the clean washcloth
    and towel,all used washcloths and towel you must to put it into
    the hamper. then change the disposable gloves for new one
    and the used gloves throw it into the trash can.
    Do the same procedure with the washcloth in securing and
    folded to your palm,put the clean towel between the legs
    near in the male/female part then ask the patient to spread
    his or her legs to give you the access to wash the area,
    again, rub the soap into the washcloth with warm water
    then gently wipe the area, in up down motion then rinsing
    it well then wipe it dry. With the clean towel.
  • NOTE: Wipe gently the male/female area, in up down motion or side motion, make sure
    not reaching the area of the anus, this can cause infection.

  • After washing the male/female area,again be gentle to wash
    the anus not reaching the male/female area,do the same
    procedure in washing wipe gently then rinsing it
    well afterward wipe it to dry with a clean dry towel.

  • Now your done. giving bed bath,before dressing up the patient or
    put the diaper and change the bedding,apply lotion at the back
    of the patient, arms, hands,legs,chest and calf also the foot.

           THING TO DO AFTER BED BATHING THE PATIENT
    After bed bathing the patient, ask the patient to stay on his/her
    position prior changing the patient bed gown and bedding's,whether
    the patient is in the left or right position, you must always position
    yourself on the opposite side position or facing patient back .
    From that position, the bed sheet from your side, from upper
    edge to lower edge of the bed, grab it by removing it and roll it
    towards patient back, then from the upper rolled edge until the
    lower edge of the rolled bed sheet, insert it a bit to the patient
    back,then put the new or clean bed sheet the same arrangement
    where you remove the unclean bed sheet, then roll the same, next
    to the unclean bed sheet about inch the distance.
    from that position ask the patient to remain on his/her position,
    now put the patient bed gown or cloth. By assisting the patient to
    insert patient hand into the bed gown or cloth sleeves, left or right
    depending the position of the patient, if lying on the left side,
    so the point of hand to enter the sleeve should be the right hand
    and if lying right side the entry will be left. the gown is much easier
    because it is button designed and cut half and easy to wear it for the
    patient,Continue to put it,then insert a bit of it at the back of the patient
    the opposite sleeves, then roll the patient towards you and ask the patient
    to hold on the arm bed or bar, go to the opposite location to remove the used
    and unclean bed sheet or bedding's, grab the new or clean bed sheet,
    arrange it from upper edge to lower edge of the bed,after the bed sheet
    is arrange in place, back to the location of the patient. then pull upward
    the gown sleeve of the patient then assist the patient hand to wear it,
    ask again the patient to remain on his/her position.
    Now change the unclean pillow cover to clean one, then place it
    aside. then position yourself at the back of the patient,then
    roll the patient towards you. putting the patient lying
    on his/her back. then put the pillow. position underneath
    the patient head. cover the patient with the clean blanket,
    the bedding is change and all clean and arrange. place all unclean
    bed sheet, pillow cover, linen,washcloths into the hamper for washing. BY: J.LE