Clinical care of patients with pressure ulcers.docVIP

 PAGE \* MERGEFORMAT 6 Clinical care of patients with pressure ulcers [Keywords:] pressure sores, nursing Pressure sores are a common body function by internal and external factors arising. Internal body is malnourished patients, metabolic disorders, such as low resistance, external means of local tissue blood flow obstacle [1]. In the event of pressure ulcers, not only to patients increase the pain, but will aggravate the disease and prolong duration of disease, affect quality of life, serious secondary infection can be caused by life-threatening sepsis. Therefore, we must strengthen basic care, to take effective measures to prevent the occurrence of pressure sores. 1 General Nursing 1.1 to avoid local pressure should encourage and assist the long-term bedridden patients often change position, the general turn over 1 / 2 ~ 3 h, a maximum of 4 h, if necessary, 1 / h. In the pressure areas, should be over balloon, sponge or soft pillow, also can be applied to air bed. 1.2 The regular inspection, massage pressure areas morning and evening daily sponge bath with warm water and massage the 1. If it is found under pressure in your skin red, red flower stand with 50% alcohol after the dumping in the palm of your hand a little, with the palm of the thenar massage to the concentric part of the local skin 10 ~ 15 min. allergic to alcohol, coated with a hot towel after the massage lubricant. 1.3 keep the patient clothing, bedding, clean sheets, soft, flat, dry toilet in time after washing and dry, can be coated with oil or bath powder to absorb moisture and reduce friction, etc., but note that the summer to be used with caution. 1.4 increase nutrition to give high-protein, high in vitamins, digestible food, can not eat those available nasal feeding or parenteral nutrition. 2 stage care 2.1 period (bleeding red period) in this period because of local compression or wet skin stimulation, red, swollen, hot, pain or numbness, but no damage to skin