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Matters needing attention in nursing care of paralyzed elderly people
First, the diet of the paralyzed elderly.

Paralyzed elderly people have a lot to pay attention to in their diet. Let's have a look.

1, pay attention to dietary fiber, increase gastrointestinal peristalsis, and the food should not be too fine to prevent constipation.

2, the diet should be light, eat more fresh vegetables, fruits, bean products and kelp, jellyfish, shrimp skin and shrimp, eat fish, chicken, eggs, milk and dairy products, to ensure adequate intake of protein.

3. Drink plenty of water and often eat semi-liquid food. Paralytic patients are often afraid of urine, so it is not good for them to drink as little as possible. Paralysis patients should have enough water supply. Drinking 1-2 cups of light salt water in the morning can prevent constipation.

4. Patients with hypertension should control the intake of salt, generally 5 grams per day. People who have difficulty eating should be fed with food or nasal feeding. Gastric juice should be pumped before nasal feeding, and then food should be infused to prevent food from entering the trachea by mistake.

5. Avoid strong tea, wine, coffee and spicy food.

6. After each food infusion, a small amount of warm water should be infused to clean the lumen, and then the nasal feeding tube should be clamped. Long-term nasal feeding should replace the gastric tube once a week. Clean your nose and mouth in time.

Second, the daily life of the paralyzed elderly.

Paralyzed old people can't move, and their daily life is inconvenient. We should pay more attention to it.

1, bedding: it is best for the elderly to sleep in a bed with a guardrail to prevent falling; You can spread a thick and soft mattress on the wooden bed, and you can use an air cushion bed if you have the conditions; When you are incontinent, you can put a rubber pad under the bed sheet and a diaper on the bed sheet so as to change it in time and keep it dry.

2. Clothes: The clothes worn by the paralyzed elderly should be fat and soft, and it is convenient to put on and take off. It is best to use zipper or velcro for easy replacement. When changing clothes, first change the healthy upper limb, take off one side and put on the changed clothes immediately to avoid catching cold; When changing the affected side, protect the shoulder joint and prevent dislocation; When the temperature is low, it is necessary to raise the room temperature, cover it with a light and warm quilt, and do not place a hot water bottle to avoid burns caused by sensory impairment; When the temperature is high in summer, it is more convenient to wear pajamas on the bed. Just cover it with a thick towel, but pay attention to your shoulders.

3. Keep the environment quiet, keep the indoor air circulating, the temperature is appropriate, and keep warm in cold season to prevent colds.

Third, the nursing of the paralyzed elderly.

1, Prevention of urinary tract infection: Correct treatment of dysuria and proper methods of continuous urination at night and intermittent urination during the day due to urinary retention are beneficial to the recovery of bladder function. Keep the catheter unobstructed, change the catheter regularly, flush the bladder, and clean up the secretion of external urethral orifice in time. For urinary incontinence, men use socket-type urine collection bags; Women's protective diapers and diapers.

2. Bedsore prevention: When the paralyzed patient does not turn over for 8-9 hours, the compressed skin, subcutaneous tissue and muscle are ischemic and necrotic, forming ulcers. Medically, this kind of compressive necrosis is called bedsore. It is an effective measure to prevent bedsore to help turn over and change body position regularly. Turn over for 2-3 hours during the day and 4-5 hours at night, and turn over alternately from left to right, sideways for not less than half an hour. Immediately after turning over, press and knead the compressed protruding parts, or apply hot compress or physical therapy to improve local blood circulation. The load-bearing part is padded with cotton pad or steam pad, which plays a buffering and protecting role. It is beneficial to help exercise or massage the affected limb regularly, prevent heel bedsore and restore the function of the affected limb.

3, anti-constipation: paralysis patients have a lot of constipation, which not only increases the difficulty and pain of defecation, but also brings trouble to nursing.