pressureulcer完整ppt课件.ppt

Enhance human immunity Correct Underlying Problems【纠正潜在的病因】 diarrhea Urinary Incontinence【小便失禁】 Assess and Manage Pain Provide Attention to Nutritional Status， Link between pressure ulcer and malnutrition,nutritional assessment Provide Adequate dietary intake to prevent malnutrition (may need supplementation) Provide nutrients to support healing【愈合】 Provide Education 1、 Patient and Family need to understand cause、 contributing factors 、prevention measures 、 Significance of Nutrition 2、Give Resource Information at bedside 3、Education of family, patient, caregiver, nurse etc is the key to prevention and successful management of existing pressure ulcer. PREVENTION Superior Care! Keen Observation! Prompt Reporting! Prevention is more important than treatment!  Risk Population  The Obesity Malnourished patients The old Neurological diseases Patients with fever Patients receiving cast immobilization Patients with edema People with pain Incontinence Patients with use of sedatives(镇静药） Avoid long-term compression Avoid friction force, shearing force Protect the patients skin Promote skin blood circulation Enhance the body nutrition Health education Preventive measures Avoid long-term compression Reduce pressure: Turn bed residents every 2 hours. Even a 15 degree turn helps to relieve pressure on skin surface. Use a written turning schedule so that others know in which direction the resident is to go. Avoid long-term compression Position correctly! Use pillows to support joints Avoid skin touching skin Check to make sure no body part is hitting a wall or railing Remember! Check positioning in the chairs. Chairs too small or residents that lean to one side may have pressure. Microsoft OfficeXP2002 Avoid Shearing Friction Use lifter sheet(升降板) to move resident up in bed Use assistance of over bed trapeze（吊架） Keep HOB 30 degrees or lower to avoid slipping down in bed Cup heels