Protection and nourishment of the skin.
To the lying patients should be applied procedure for the protection and nourishment of the skin, but in addition, it is necessary to look at the patient's body, especially those areas that are subject to pressure: The Godfather, shoulder blades, nape. And the thighs, ankles, heels.
After bathing the bed and underwear of the patient changes and the cream is applied. To perform this procedure applied Washcloth-mitten, and clean skin buttocks, groin and external genitals applied cream, in the amount of up to G. Then massage movements, but without pressure, is distributed on the processed surface, but its layer should remain thin. It is desirable to apply creams, which include ingredients that protect the skin from the effects of feces and urine, and also substances that prevent the appearance of bedsores. They create a protective layer that does not irritate the skin, as well as protective creams can also be used for mucous membranes of genital organs. Application of creams is allowed with minor microfractures and irritations. But it should be remembered that these creams do not apply to therapeutic effect, and do not restore damaged skin. It is not allowed to use the cream with significant damage to the skin, bedsores, Izjavlenijah.
If the patient can not keep the urine, then after applying the cream, minutes after 15 it is necessary to cloud it in a diaper.
If the treated surface of the body is great-applied body balm, which has a range of effects on the skin: soothes, nourishes, softens, supports PH-balance, restores. Its application is only possible for the skin without damage: irritation and micro-cracks. Application for mucous genitals is unacceptable. To perform this procedure is applied washcloth-mitten, and on a clean skin cream, in the amount of up to G. Then massage movements, but without pressure, is distributed on the processed surface, and at the same time its layer should remain not thin.
To prevent the occurrence of bedsores, the skin is processed daily with special creams and gels, and only on the areas on which can appear bedsores: The Godfather, shoulder blades, nape. And the thighs, ankles, heels.
Head Hair Hygiene.
Care of patients includes the procedure of washing the hair for lying patients, while the fibrous part of the head is washed directly on the patient's bed. Before you start washing, you need to prepare:
A) waterproof glue and clamp to it;
(b) Waterproof film for the protection of bedding;
(c) a vessel for ablution;
(d) Waste water tank;
(e) A container of water suitable for washing;
(g) A towel that perfectly absorbs moisture;
(h) cotton sponges, cream or oil;
(i) Hair dryer.
When washing the fibrous part of the patient's head is followed by the following sequence:
-The sick person lifted, and under a back the any support is laid;
-Under the neck area is a waterproof fabric, and around it-a diaper;
-ears are closed sponges of cotton wool, in order to avoid penetration of water stains;
-The hair is moisturized, shampoo and foaming liquid is applied;
-Flushing of the head to the disappearance of foam residues;
-Placing the head with a towel;
-cleaning of waste materials;
-Giving sick to a person the initial position;
-Comb the hair.
With long curls, after ablution, they are divided into strands, and combed with the ends, and in order to comb the hair on the back of the head, enough to put the side. If you need to wind the head of the patient with a dry towel.
If water is not used, special shampoos are used when washing the hair. This shampoo is applied to the hair until it is completely moisturized. The foam is beaten and distributed throughout the head with a light massage. After that hair is simply wiped out by a towel which perfectly absorbs moisture. If the hair is contaminated strongly, the procedure should be repeated. In the case of eye shampoo. They're washed with water.
Washing the feet of a lying patient.
In addition to general body wash, patients need daily foot washing. For those who are not able to perform this procedure, washing the feet in bed is performed. For this prepare:
-Rubber gloves for the nurse:
-Container with water, suitable for the body;
-tissue napkin or towel;
-Scissors or cutters.
To perform this procedure, the following precedence is applied:
a) wear gloves;
b) The mattress is placed under the knees of the patient with the platen;
c) lay the waterproof adhesive and place the capacity on the bed;
(d) Washing the patient's feet with soap and sponge;
(e) drying washed feet;
(f) Nail clipping directly to eliminate the ingrown of the nail;
(g) Application of cream.
You can also apply a method to remove minor contaminants – apply wet wipes. It is much simpler, but no less effective.
Ship and urine.
In Pevuyu turn, includes the supply of the vessel, for defecation and urination (for women) and urine for men. These products are manufactured in metal, rubber and plastic versions. Depending on the condition of the patient, as well as the presence of bedsores used one or another type of products. For very heavy patients rubber products are used, which can be inflated by means of foot or electric pump, but not through.
At the urge to stool to perform the following actions: Wearing gloves, it podstilaet waterproof glue and substitutes the vessel, pre-heated and dried. In a vessel it is desirable to pour water, or to put a package with absorbent means.
The vessel under the buttocks of the patient is located in such a way that the crotch was above the hole. To facilitate the process, the patient's feet should be bent in the knees. After defecation the vessel is removed and the anus is rubbed with a napkin or toilet paper.
First you need to take out, rinse, and install the vessel under the patient for washing, which is made from the genitals to the anus. The anus and genitals are wiped out with a towel, the used materials are removed, the patient is placed in the initial position. Using damp tissues after defecation, it is possible to replace the washing.
In case of severe weakness of the patient used rubber vessel.
-Podstilaet waterproof adhesive;
-Substitute the vessel, pre-heated and dried.
-In a vessel it is desirable to pour water, or to put a package with absorbent means;
-Bend the patient's legs in the knees and turn on the side;
-Substitute the vessel and return the patient to the back, putting the pillow, but leave the bent knees;
-Place the vessel under the buttocks of the patient in such a way that the crotch is above the hole;
-Allow time for defecation;
-After defecation, the patient revolves to the side, the vessel is removed, and the anus is rubbed with a napkin or toilet paper.
First you need to take out, rinse, and install the vessel under the patient for washing, which is made from the genitals to the anus. The anus and genitals are wiped out with a towel, the used materials are removed, the patient is placed in the initial position. A purified vessel is left at the bedside of the patient. Using damp tissues after defecation, it is possible to replace the washing.
In urine enter the penis of the patient, and after urination, urine rinsed solution permanganate to remove the smell of urine.
Diapers for lying patients.
When incontinence urine or stool lying patients, apply diapers. They are put on after hygienic procedures.
To start, prepare a protective diaper and diaper.
The patient turns on the side, knees slightly bend.
The diaper is rolled into a cushion and podsovyvaetsjaed under the patient's back.
Turn the patient to the back and to the diaper.
Then you need to take a diaper, and in order for it to straighten, shake it.
The patient again turns on a side, knees slightly bend, and a diaper falls under buttocks, with arrangement Velcro-fasteners to a head, and the index of filling (to pay attention to an inscription on a diaper) was located along a line of a backbone.
Put the diaper on and turn the patient on the back, with the final diapering.
Next, the diaper is stretched between the legs, and is straightened on the belly.
The feet of the patient are omitted and the Velcro fastened: from the bottom to the top. It is necessary to tightly zip velcro, and that they reliably bowed feet, to avoid leaks. The upper Velcro fastens perpendicular to the patient's body.
The patient is given a comfortable position, and harbour a blanket.