Morning and evening care:
Cleanliness addiction: it can enhance the relationship of caring for the elderly. Maintain the self-image of the elderly and prevent diseases.
Morning care: before treatment
Evening care: after dinner
Objective: The elderly are clean and comfortable to prevent skin infection. Promote local blood circulation; Prevent pressure ulcers; Create a quiet sleeping environment for the elderly; To observe and understand the general situation, psychological needs and disease progress of the elderly, and provide basis for diagnosis.
Room temperature: summer: 25-28 degrees; Winter: 18-22 degrees.
Relative humidity: 50-60%
Ventilation time: after rain or early morning; Winter: once a day at noon for 30 minutes.
Observe:
Skin: color, edema, ulceration, bleeding point, rash, temperature and humidity; Consciousness: whether you are awake, whether you have pain reaction, and whether you have physical activity; Emotion: facial expression, whether it needs cooperation; Condition changes: language expression ability, limb abnormality; Oral mucosa: whether there is bleeding or ulcer; Various pipeline abnormalities: oxygen tube, urinary tube, nasal feeding tube, etc.
Oral hygiene:
Clean and moisten the mouth, reduce bad breath, stimulate appetite and prevent oral infection. /span>。
Methods: rinse your mouth at any time, before and after meals (elderly people with few or no teeth)
Methods; Take a sip of water and rinse it off; Rinse repeatedly until it is clean; Dry the quarrel and pack up; Brush your teeth (teeth can be done completely)
Morning and evening dental care
Methods: The elderly were semi-seated, wetting the mouth, with the upper teeth from top to bottom, the lower teeth from bottom to top, and the occlusal surface from inside to outside, and scrubbing the mouth and mouth (for the elderly who stayed in bed for a long time).
Adaptation: elderly people with oral diseases, fasting, high fever, nasal feeding and coma.
Scrubbing sequence: assist the elderly to tilt their heads to the nurses. If you have dentures, take them off first and brush them with cold water. Oral lip: Hold a cotton swab dipped in warm water in one hand and a tongue depressor in the other to open your cheeks. First, scrub the outside of the teeth vertically from left to right (from inside to outside), and then scrub the upper inside-upper occlusal side-lower occlusal side-lower occlusal side-curved cheek in the same way. Finally, scrub the hard palate in the same way.
Wash your face and hands; Comb your hair: wrap the fallen hair in a towel and take it out; Foot washing: help the elderly bend their supine position and put a rubber towel under the basin; Cleaning of female perineum: scrubbing downward from pubic symphysis to anus; Skin cleaning for the elderly (bathing)
Hairdressing, shaving and nail polishing; Put 47-50 degree hot water in the basin and cover the beard 1-2 minutes, 2-3 times.
Take a bath in bed
Water temperature: 47-50 degrees, put the birdbath on the chair beside the bed, pour the birdbath into the bucket with hot water for 2/3 (47-50 degrees), move the table beside the bed to 20cm away from the bed, put the chair beside the bed at the center of the end of the bed 15cm away from the bed, move the pillow and help the elderly turn over, sleep on the bed with their backs to the nurses, and aim at the center line/kloc.
Life nursing care:
Old people take off their clothes (change clothes) room temperature: 22 degrees.
The size and thickness of bedding are suitable.
1, active (long limbs) elderly:
Dressing: near first, then far.
Scraping: the first far side, the last side:
2. There are two ways for hemiplegic elderly people to dress:
One kind:
Penetration: first affected side, then healthy side.
Take off: the healthy side first, then the affected side.
Two kinds:
One-word method (two collars are pinched together corresponding to the hem)
Pullover clothes:
Dressing: Take the old man's hand out of the cuff first, then keep fit, and finally put it on his head.
Stripping: first, the healthy side, then the affected side, and finally the head off.
3. Pants: Take them off your hips.
4. Take off your shoes and socks: First, help the old man sit by the bed, take off his shoes and socks and put them in the shoes.
5, clothes finishing: silk clothes: washed, ventilated and cool, dried 70%, stacked in the cabinet; Underwear: wash the front, dry it outside, fold it and put it in the cupboard. Wool: dried and stacked in the cabinet; Sweater: after washing, wring it out, shake it loose and lay it flat. Because it's even cold and dry, it's kept in Zhang nao pills.
6, clothing finishing; Bedding and cotton-padded tires are exposed to the sun for not less than 6 hours, and they are turned every two hours.
7. Shoe finishing: classified and placed according to different seasons.