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Bedsore & moving and lifting
Moving and lifting patients involves transferring them between locations using devices like wheelchairs and stretchers for those unable to move themselves. Common devices are wheelchairs, wheel beds, and stretchers. Assisting a patient from bed to chair maintains good body mechanics and enables position changes without injury, especially for pre-operative, anemic, old, or other indicated patients. Proper wound cleansing and sterile dressing application protects wounds from contamination and promotes healing by maintaining a clean, humid environment. Key steps include assessing the wound, preparing materials aseptically, informing the patient, cleansing and applying the dressing, and documenting properly.
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Bedsore & moving and lifting
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- 2. Moving and liftingof the patients means shift or transfer the patient from one place to another place with use of different types of devices. For example-.Wheel chair, stretcher. When the patient is not able to move or lift own self. DEVICE USED Wheel chair. or arm chair. Wheel bed. stretcher
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- 4. DEFINITION:- Assisting patientto a chair from the bed. PURPOSE To enable change of position without injury To maintain good body mechanics. INDICATION Pre-operative patient. Anemic patients. Old-age patients. To shift the patient to washroom. For shifting the patient from ward to the investigation area.
- 5. 1. Provide theprivacy. 2. Explain the procedure. 3. Adjust the bed at working height. 4. Fanfold the top linen. 5. Change the wet linen. 6. Offer the bedpan. 7. Remove all comfort devices. 8. Clamp the catheter. Attach the IV pole to then device. 9. Position foot stool if needed.
- 6. 1. Critically illpatients 2. Spinal injury and fracture patients. 3. Caesarian patients 4. Head injury patients. 5. Semi conscious ,unconscious and coma patients
- 7. CAESARIAN CRITICALLY ILLPATIENT COMA HEAD INJURY SPINAL CORD INJURY
- 8. DEFINITION:- shifting ahelpless patient from bed to stretcher or from stretcher to bed PURPOSE To transfer patient safety. To maintain proper body alignment. INDICATION Critically ill patients. Caesarian patients Head injury patients. Semi conscious, unconscious and coma patients. Post operative patients cardio vascular, spinal injury and fracture patients.
- 9. Check thediagnosis of the patient. Check the level of the consciousness and ability to follow instructions. Check the ability of the self care. Check the abilities and limitations such as paralysis ,fractures, and splints. Check the presence of the muscle, skin and bone lesions and attachment e.g. catheters and I.V. connections. Check numbers of personnel required
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- 11. Cleansing a woundor a incision and applying sterile protective covering using aseptic technique.
- 13. To protectthe wound from the contamination with microorganisms.
- 14. To promotewound granulation and healing
- 15. To supportor splint the wound site.
- 16. To promotethermal insulation to the wound surface.
- 17. To providefor maintenance of high humidity between the wound and dressing.
- 18. To promotephysical, psychological and aesthetic comfort
- 19. STERILE CLEAN 1. Arteryforceps-1 2. Thumb forceps-1 3. Cotton swabs. 4. Gauze pieces. 5. Gallipot for cleaning solution. 6. Surgical pad. 7. Kidney tray. 8. Sterile scissors. 9. Disposable sheet 10. Surgical tape 1. Clean gloves 2. Sterile gloves 3. Normal saline 4. Ordered medication 5. Adhesive plaster 6. Bandage scissors 7. Plastic bag 8. Mackintosh 9. Culture tubes
- 22. 1. PRE PROCEDURE:- preparation of environment / articles/ patient 2. INTRA PROCEDURE :- inform the patient about procedure. 3. POST PROCEDURE:- replace the article and recording and reporting.
- 23. Assess thewound like size color shape size and exudates and documented it Advice patient and relative to take high protein diet for faster wound healing. Take precaution from other disease which worse wound healing like control on diabetes/ smoking etc Assist in dressing and vital monitoring. Keep the patient clean and dry Avoid massaging on bone areas Change position very 2 hurly Send the pus culture and record the findings Assess the patient BMI and advice for daily ROM Provide proper skin assessment and care with documentation