《压疮的预防与护》.ppt

编辑课件 压疮的预防与护理 Definition of pressure ulcer压疮的定义 是局部组织长期受压、血液循环障碍，持续缺血、缺氧、营养不良而致软组织溃烂和坏死，目前多称压力性溃疡。 褥疮发生的诱因 局部皮肤外环境的改变 皮肤自身内条件的改变 低蛋白血症 血液循环不良 压力敏感性增高 × = 压力的强弱 时间 褥疮产生 褥疮产生方程式 造成褥疮的力学机制 垂直性压力 摩擦力 剪切力 挤压 垂直性压力 ????????????????????????????????????????????? 　　毛细血管的内压32mmHg是褥疮形成的极限。 褥疮的好发部位 仰卧位时候 侧卧位时候 俯卧位时候 好发部位 实施方法 1、接待新入院及转科的卧床、坐轮椅患者，护士要按照记录表所列部位仔细检查病人皮肤，发现问题逐项填写记录单，并与家属或原科护士核对后签字。 2、在日常护理工作中发现新发褥疮，由当班护士逐项填写并签字。 3、褥疮长、宽、深、窦道的测量方法： ① 测量褥疮的表面：用厘米制一般尺、纸尺测量伤口表面的最宽及最长处。 ② 测量褥疮的深度：使用无菌长棉棒探至褥疮最底部，以测量深度 ；坏死组织覆盖伤口，则不能测量深度。 ③ 以顺时针方法，记录窦道的位置，用棉棒探测到的水平最深度为褥疮深度。例：6～7点间3ｃｍ深。 褥疮的预防 防止局部长期受压 避免局部刺激 促进局部血液循环 药物预防 营养支持疗法 采用各种医疗器械　 七勤 勤观察 勤翻身 勤按摩 勤擦洗 勤更换 勤整理 勤交班 支 架 water mattresses 褥疮克星 褥疮的分期及临床表现 淤血红润期，也称为I度 炎性浸润期，又称为II度 溃疡期，又称为III度褥疮 Stage I 特点：指压 皮肤由白变红斑，局部有热感，症状不明显 Developing Resume Sections Created by Bryan M. Kopp * * Key Concept: The size of your honors and activities section depends on three factors: potential relevance, potential interest-value to employers, and space available. To determine relevance, students may need to do some outside research into company literature and study job advertisements in their field. Determining interest-value is difficult, but generally speaking applicants may want select experiences they feel best represent them as professionals or as interesting people. It is a good idea to draft the honors and activities section last, after one has written one’s objective, education and experience sections, in order to see how much room is left for extra information. Students should keep in mind that they do not have to include everything in this or any resume section. Include only enough to spark interest in the eyes of resume readers. One can always fill in any gaps in the cover letter—and in the interview itself. Activity: Have participants write an “R” next to all potentially relevant experience