 Wysłany: Pią 19:28, 25 Mar 2011 Temat postu: Artificial hip replacement patient care _6239 |
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| Artificial hip replacement patient care
Abrasions. Day early, middle and late for a sacral massage. Every 20rain. Prevent bedsores occur; ② suction; 『care: Strict aseptic sustained negative Niansan. Unobstructed drainage bottle should be closely observed to attract the color drain, fluid volume and blood pressure, pulse changes, observed and recorded every 30rain 1. Postoperative 48 ~ 72h. Drain of less than 50m1, or when further promise of plasma exudation. Drainage tube aside. And squeeze out remaining operation area bloody liquid. ③ guide the functional exercise; after 3d can sit up, after 1w. Until body temperature returned to normal in patients with wound exudate stop Jk, swelling gradually subsided, no red hot inflammatory phenomenon. Start the guidance of hip function in patients with exercise, Zhu Huanzhe provision of hand-pulled on the tail end of the belt tied. Practice bed-ups. Activity rate increased. After 10 ~ 14d stitches after 3 l / d line-ups exercises, each Rotary 20rain. As soon as possible so that hip flexion and extension activities sacral too complex to level 90. 3w after holding crutches after the patient out of bed activity. When after 12w. Review hip x-ray film. Stick to determine fracture healing abandoned Shui walking exercise in the process of joint function. Prevent injuries. ④ psychological care throughout the surgical procedure (Editor Run Mining Xia) femoral fracture patients to implement self-training guide Zhang Yanli Baishishan Forestry staff hospitals more common in the elderly femoral neck fracture sites and the femur, increasing with age large. Femoral cancellous bone became the top crisp and loose. Even minor trauma can cause fractures of the elderly and the decline of the organ function may be frail, lying in the brook after fracture prone to a series of complications during treatment. This requires the implementation of the right of nurses to patients self-training guide. Reduce complications. A method of self-training exercise and 1.1 suffer from stomach muscle joint activities: Due to limitations of fracture. Does not affect the fracture reduction in the case of self-training include: quadriceps muscle relaxation and contraction of ankle plantar protrusion and Exhibition,tory burch reva, toe activities, supplemented by passive ilium. According to limb swelling, 3 to 6 times. Each gradual. Each lO ~ 15min. If the patient feels tired. Can reduce the amount of each activity, increasing the number of activities. Exercise the right machine will generate javascript good fracture stimulation, which will help the growth of callus. 1.23 points, or 5-point support to raise the upper body or hips: Patients with both hands pulling shelves pull handle, while with contralateral legs kicking at the bed surface, no traction frame or two when the elbow with the shoulders and head do support the entire upper body and hips to lift once every 2h. 3 ~ 4h intervals at night to do it again. This exercise can effectively prevent the occurrence of bedsores. Physical weakness and difficulty lifting obese patients, may hold up other hand waist, hips for help, but also on both sides alternately soft pillow to pad pressure to lift the purpose of sacrococcygeal skin. 1.3 salt limb muscle strength training and joint activities: fist extensor, elbow flexion-extension, stock back muscle relaxation and contraction, knee flexion and extension, ankle dorsiflexion flexor, toe activity, high leg lift, chest deep breath and so on. Respectively, according to the specific circumstances of the patient the morning, afternoon, before going to bed each night to do it once every 20 ~ 30min. 2 factors that affect the self-training 2.1 pain, swelling and bleeding at the fracture site: the patient showed forced position. Local pain, refused to move. 2.2 lifestyle changes: the fracture patients, life can not take care of themselves, wash, eat, defecate in bed all depend on others to complete. Changes in the environment lead to sleep disorders. Families, the financial burden of children, therapeutic efficacy and concerns about their future life. 2.3 by the traction device to limit the lack of proper understanding of traction, not contact. Worried about the impact fracture dislocation, not exercise. 2.4-dependent and passive enhancements: mainly used in the recovery period so that family members taking care of the patient, do not take the initiative to do things, excessive dependence on others when exercising. 3 3.1 Induction guide patient care and to consider elimination of aging injured patients, because pain can not flip. After fracture of body position changes on the thoughtful concerns, worried about dislocation of healing. Nurses should be more time talking with patients. Increase the understanding of disease. 3.2 effective to maintain the correct body position and traction: the patient after admission. Nurse should instruct the patient learn how to correctly use the toilet, stand up and adjust the traction direction, ward visits, pay attention to check the effectiveness of traction, posture is correct, only the correct position, traction force. In the training process to ensure patients are not troubled by pain. 3.3 to develop a viable self-exercise program: patient admission, the patient developed jointly exercise program nurse, 1 to 2 days to master 3 or 3-point support method, 3 days to master the content and method of exercise. Small to large amount of exercise, and gradually adapt. 3.4 twice daily to strengthen inspection and supervision of nurses to the bedside examination guidance |
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