ghd piastre Orthopedic patients developed pressure

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Orthopedic patients developed pressure sores related factors

Mining, handling, driving and other jobs are mostly male, and these efforts have been critical injury risks. As a result, this group exists in the incidence of pressure sores trend of more men than women. 4.4 Spinal injury patients the highest incidence of pressure sores. Spinal cord injury patients required absolute bed, all cooking daily life need to be in bed, skin pressure, excrement, sweat, slag chips to accelerate skin damage and other stimuli. 4.5 nursing intervention is an important measure to prevent bedsores occur. The vast majority of orthopedic patients to be absolute bed rest, movement disorder and self-care ability defects. Therefore, nurses should attach great importance to the prevention of pressure ulcers. Patient admission, care ± should assess the patient to understand the patient's condition, assess their activities and self-care ability, check the general skin condition, or potential for individual nursing problems and develop viable nursing intervention. ① simplest and most effective measure is to relieve pressure intermittently to avoid prolonged pressure on the local skin. Use of anti-bedsore mattress. Such as: corrugated air beds, sponge beds, water cushion, cotton lap, are primarily to achieve the purpose of dispersing the weight of the patient's body; ground stand up, turn over 1 time every 2 hours, the establishment of bedside stand up card, turn over after the recording time, position and skin conditions; use of gypsum, splinting patients, moderate soft liner,[link widoczny dla zalogowanych], observe and listen to the patient's response and timely adjust. ② bed unit to keep clean,[link widoczny dla zalogowanych], flat tight, no wrinkles, debris, timely replacement of dirty, wet bedding and clothing,[link widoczny dla zalogowanych], to help turn around and pick and place the potty to avoid drag, pull, pull and other movements, so as to prevent friction damage the skin. ③ keep the skin clean and dry sponge bath every day 1 or 2 times, on site massage pressure to improve blood circulation. Cleaned promptly after urine, change in time, so as not to irritate the skin or moist skin damage of bacterial contamination. ④ enhance nutritional support and guide the patient high-protein, high vitamin diet, to enhance the capacity of resistance and tissue repair. ⑤ universal health education. Through clinical observation, 95% of orthopedic patients and their families do not understand the knowledge of pressure ulcers, only 5% of patients and their families suffering from over pressure ulcers, pressure ulcers seen or nursing patients who had little knowledge of hazards and means of prevention of pressure sores. 44 patients in this group of patients in the hospital before the occurrence of bedsores. Therefore,[link widoczny dla zalogowanych], we should strengthen the health of patients and their families missionary,[link widoczny dla zalogowanych], described the occurrence of pressure ulcers, physical and mental development and the impact on patients, resulting in increased life-threatening illness. Good psychological care of patients, afraid of the pain do not want to stand up to overcome the psychological. In the implementation of the nursing process, to encourage family participation, the church family of simple and effective technique to prevent bedsores, to reduce the incidence of pressure ulcers in home care, help to improve patient quality of life. 4.6 bed sore treatment and care. The degree of pressure ulcers I should remove the cause, strengthening the stand, to avoid local sustained pressure. Ⅱ degree of pressure ulcers, blisters should be protected and not break the small, let self-absorption, the larger bubbles in the suction blister under sterile operating, maintaining skin integrity, and then coated foam iodophor disinfection or exhausted after the injection of 2% iodine solution moderate, dry and scab off the wound, iodine has a strong antiseptic and astringent. Such as skin damage, exposure to TDP after washing with normal saline 15 to 20 minutes, and then powder coated with a hundred or sprayed with inflammatory pain of the net for a spirit of Chinese aerosol spray. The group I ~ Ⅱ degree decubitus in 18 cases, 3 to 14 days recovery. Ⅲ ~ Ⅳ degree of pressure ulcers should enhance wound dressing, cut off under aseptic necrosis of tissue, with 3% hydrogen peroxide, wash the wound with normal saline, TDP irradiation for 20 minutes, to the square of sterile gauze soaked rehabilitation new cover, new rehabilitation can promote the role of granulation tissue repair. After debridement, or 0.2% to 5% Leifonuer wet compress or to saline filling, dressing was changed 2 times a day. Nutritional support and strengthen the anti-infective treatment. The group Ⅳ degree in 3 of 7 cases of decubitus patients underwent excision of necrotic tissue bedsore suture, removal of necrotic tissue, pressure ulcers in 4 cases Jiapi flap repair, wound healing in Class III. Ⅲ ~ Ⅳ degree in this group 38 patients with pressure ulcers were cured. This analysis showed that the incidence of orthopedic patients with pressure ulcers more common in spinal cord injury, pelvic fractures, hip fractures and other patients. For such patients, to pay sufficient attention to nursing interventions targeted to take early measures to ensure the quality of care for each patient's skin. At the same time, enhance patient and family hygiene education, raising awareness of the importance of skin care, to reduce or prevent the occurrence of bedsores and improve the quality of life of patients is important.
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