Sunday, June 24, 2012

Prevent the small skill of bedsore

Prevent the small skill of bedsore
Prevent the small skill of bedsore
As to some patients lying in bed in hospital or home for a long time, it improves patient's life quality, an important content which lengthens the life-span to prevent bedsore. Patient that lie in bed for a long time press, too long, cause the intersection of blood circulation and obstacle because of local organization, and it is malnutritive to organize. Patient skin moist rubing getting physical to stimulate often, secretion or pollution, impregnate of defecation and urination, sheet fold unequal, make skin resistance reduce, the apt emergence which cause bedsore too. Bedsore easy to take place in health pigeonholing and lacking adipose tissue protect, have muscle parcel or muscle layer thin supporting the intersection of weight and more bone dash for ward the place, internal and external sides such as sacral bone tail, hip, shoulder blade department, elbow, knee joint, places such as internal and external ankles, heel department, the auricle, the occipital bone,etc.. According to weight and skin state - -Determine, stand up method for prevent from some to press, should encourage and help, lie in bed patient stand up often for a long time, generally stand up once every two hours, avoid movements of towing, drawing, pushing away etc. while standing up, prevent the skin of abrasion. While standing up for the patient, movements should be soft, must lift the patient to move the position. Stand up each time, check the skin situation in the position pressed carefully, the bone can pad the air ring or cotton cushion while dashing for ward the place, if necessary also can use by support,in order to if you can't ask, cover while propping uping,to prevent from is some to press. Stress the skin of the position with 50% of the alcohol massage bone, promote some blood circulation, improve some nutritional status. According to the patient's condition, skin state, weight, take different methods of standing up. 1.The standing up law by stage: Divide the human body into 3 ' Head and shoulder, buttock, lower extremities) Stand up. Lie while being flat patient move by bed by stage, then stand up by stage, make, stand up view up to 90 degrees, take shape and stand up big. Expose the area largely, it is effectual to attend to. This law is suitable for the weight being relatively heavy, patient of the skin with better nutritional status. 2.The standing up law wholly: Hold, lie the patient's waist while being flat on one hand, hold the thigh on the other hand, move it by the bed wholly, then let the patient lie on one's side and it reaches 90 degrees to stand up in the angle, take shape and stand up big. This law is suitable for the weight being relatively light, patient of the skin with worse nutritional status. 3.Small angle standing up law: Make the patient reach 60 degrees standing up in the angle, waist back leans on the pillow. This law is suitable for the patient light in weight, with bad nutritional status, with thin skin. Use the skin of alcohol massage of safflower - -Improve the blood circulation besides helping a patient to stand up, should avoid humidity and friction are amazing. The bed should keep levelling and having no fold, clean, dry, there are no dreg bits. Keep the skin, mattress of the patient of incontinence of feces and urine dry. Patient of brothers' contracture, hands take the form of chicken's claw, mean one is difficult to separate. For strengthen, mean room ventilate, prevent the intersection of skin and damage from infect, mean room can separate with little cotton ball. Often wipe the bath, rub one's back with a towel or apply pressing the position with the warm towel with the warm water, local massage, in order to improve the blood circulation. Lie in bed once bedsore happens to the patient, should treat and have illness coming on originally actively, increase patient's whole body nutrition, strengthen the part to treat and attend to. Find it is ruddy for patient to pigeonhole into the intersection of position and skin, can it stand up, with the intersection of safflower and alcohol (15 of safflower add, soak for one week by 75% the intersection of alcohol and 500) Massage some skin 10~15 minute. At the massage, pour in palm the intersection of safflower and a little alcohol, carry toward heart going on massage far with large the intersection of fish and the intersection of border and position palmar, but can't pressurize to the affected part again. Once the skin has damage, should clean the wound surface, prevent saprophytism from being new, promote and heal. Can wash the skin with the aseptic physiological saline, the part scribbles with the dense cod liver oil, then roast light. Can use home desk lamp, enable from bulb to 30~50 of wound, one shine 20~30 minutes, wait for the oil to dry, keep some and dry, 3 times a day. At the roast light, let the patient keep the comfortable body posture, and observe skin color at any time, try the temperature, and listen to or look out for the response of the patient, so as not to scald.


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