Care for bedridden patients in nursing home

4 Mental and spiritual care

Bedridden patients often have a variety of negative emotions, such as loneliness, loneliness or even depression, and the paramedics give more companionship and reassurance while giving family members more time to accompany, considerate, understanding, comforting and enlightenment patients, as much as possible to express Their own feelings, to meet their hobbies and requirements, make it feel that their existence is valuable, is respected and accepted.

5 Prevent complications

Prolonged bedridden patients with complicated bedsores, degenerative pneumonia and urinary tract infections. Insist every 1 to 2 hours to stand up and massage 1 times, stand up when the action should be gentle, avoid dragging, pulling, pushing and other actions, and pat the patient back to Lee sputum discharge, vomitus or sputum and more patients should be their head bias One side, promptly vomiting and secretions removed to prevent aspiration. After turning up massage bedsore spot. Massage with the palm of your hand close to the skin, the pressure from light to heavy, then heavy to light, for a ring massage. Bone protruding parts, should be added with sponge pad, rubber band pad or cushion bed to reduce local pressure. Keep the perineum clean and dry, encourage patients to drink more water, urination to prevent urinary tract infection. Paralyzed lower limbs to prevent foot foot deformity, the foot should be given support, such as the use of foot board care, pillows and other objects, so that feet and legs at right angles to maintain dorsiflexion.

6 Urine care

Long-term bedridden patients prone to constipation, to eat more crude fiber-rich vegetables and fruits; daily half an hour before breakfast every morning to drink a cup of warm water, honey, water or salt water; abdomen for clockwise massage, or urge the daily Contraction of the abdomen several times to develop the habit of daily defecation; if constipation can not be resolved with more than one day with bloating, irritability, should be given open plug anal anal, enema or directly with a glove to dig out the stool. Wash the anus with warm water after each defecation to keep it partially dry. Dementia patients with incontinence can be placed on the bed or perineum absorbent mats, materials, sponge absorbent material selection of strong items, external use of pure cotton cloth to absorb urine. The use of the pad should be promptly replaced to avoid urinary skin irritation will lead to dermatitis or other infectious diseases.

7 Sleep nursing

Long-term bedridden patients do not insist on sleep, like healthy people, daytime and nighttime sleep time is often disproportionate, the total sleep time no significant reduction on the line. Inspect the patient before going to bed with warm water to wash your feet, drink a glass of licorice permitted, do not allow the patient to eat too much, do not look at some breathtaking novels and television, to arrange proper posture and pillows. Patients with large soft clothes, underwear for the pure fabric is better, collar buckle, the belt should be loose and easy to dissolve, does not affect the breathing. Put some fresh fruit on the head of the bed or listen to light music will help patients into the eye. The patient should turn off the lights after falling asleep, leaving only the footlights. In addition to severe insomnia, generally without treatment, for patients who are really hard to fall asleep, they can take the appropriate amount of stable hypnotics before going to bed; for patients with significant anxiety before going to bed to take care of peace 50mg, both conducive to sleep, but also Relieve mental stress; if pain causes insomnia, consider applying analgesics. Pay attention to the safety of patients, may increase the bed file, to prevent falling bed hurt, if necessary, to give protective restraint.

8 Functional training

Care for long-term bed-ridden patients is a long-term, meticulous and painstaking work that requires a realistic nursing plan and training to be done step by step. In case of illness, should take the initiative or passive physical exercise. Guide and help patients exercise all joints, often keeping the hand fine movement training, such as writing, eating with chopsticks and other activities, to avoid muscle and joint stiffness. For speech impaired people, they should increase their language training by listening to music, drama, watching TV, reading newspapers and chatting with their patients. For patients with chronic bronchitis and emphysema, they should be advised to quit smoking and teach their patients to breathe less. This can effectively increase the strength and efficiency of respiratory exercise and mobilize the potential for ventilation. Cold-resistant exercise can be taken; before the winter insist on cold water nasal wash, 2-3 times a day, each 2-3 minutes. You can also wash your face with cold water, self-massage nose to prevent cold effectively.

9 Medical problems

Bedridden patients are mostly elderly, or stroke sequelae, or with severe cardiopulmonary disease, according to doctor’s advice on a regular basis, regular review. Close observation of changes in condition, such as confusion, can not speak, limbs can not activity, headache, dizziness, nausea and vomiting, precordial pain or palpitations, etc., should promptly inform the doctor and according to doctor’s advice, if necessary, cooperate with the doctor for rescue.

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