managing bed ridden patients at home

a:bed should be soft and uniform.bedsheets should be tightly tucked in without wrinkles.
b:instruct the relatives to change position every 1 to 2 hrs.
c:feeding should be done preferably in sitting position and by self help;ryle's tube feeds in semi conscious patients.
d:give protein supplemants,avoid food that may cause diarrhoea.
e:give enema on alternate days to evacuate the bowels,use simple enema
f:instruct the relatives to sponge the patient everyday with a wet towel followed by dry towel,followed by eau de colone or talcum powder,teach them to move all the limb joints through full range,severa times a day.
g:check every 2 to 3 days over sacrum,back,greater trochanter and ankles,if bedsores is devdressing and padding.
h:avoid soakage of bed by urine or stools,as bedsores develop very quickly in such cases.
i:if urineary incontinence,apply a condom catheter.if urinary retention,insert a foley's cathreter and give daily bladder wash with boiled water and piodine.
j:encourage deep breathing to prevent pneumonia