Care of Bedridden
Transcript of Care of Bedridden
SUPPORTIVE CARE OF BEDRIDDEN PATIENTS
Bedridden patient
Disease Trauma Ageing
Nursing care for the bed ridden Personal hygiene ( Mouth care, Eye care, Bed
bath, Back care, Head bath, Perineal care ) Nutrition Mobility Communication Treatment Education & empowerment Regular follow up
Personal Hygiene Bath Nail care Care of eye,ear,nose Hair care Oral care Perineal care Skin care
Nutrition Assistance for feeding Assessment& management of
problems in feeding Dealing of misconceptions Utilisation of locally available food
Mobility Motivate movement Simple exercises Encourage activities
Pressure sore: Definition
Pressure sores are localised tissue death and is the result of impairment of vascular & lymphatic system of the skin and tissues caused by compression , tension or shear
Etiology Pressure for a long time
Collapse of blood vessels
Nutrition ,Oxygen & tissue perfusion
Tissue ischaemia & hypoxia & cell death
Stress
Breakdown of skin
Causes
Intrinsic Age Neurological
disease Vascular disease Nutritional status
Extrinsic Pressure Shear Friction Moisture Immobility Pathogenic
organisms
High Risk Groups Bed ridden (old age, pain, sedated, ascitis, oedema,
coma, Depression, agitated,dementia,fracture, paralysed )
Obese , very thin and emaciated Diabetic pts Incontinence-Bowel & Bladder Excessive sweat or exudates Hyperpyrexia Malnourished
Preventive Measures Maintenance of skin integrity Daily examination of skin integrity /
pressure points Pressure relief techniques Promote pt movement Improve nutrition & hydration Education of pt & family Minimise extrinsic factors
Common sites
Depending on common position of patient
Supine (occiput, elbows, saccral region, heels,scapula )
Side lying (ear, acromion process, ribs, greater trochanter, medial & lateral maleolus,lateral condyles )
Sitting (isschial tuberosity )
Common sites of bedsores
Common sites-1
Common sites-2
4 Stages of bedsore
Assessment of pressure sores
Site Size Shape Stage Presence of Necrotic or sluff tissue Exudates Undermining & Tunneling Granulation & epithelial Tissue Wound Edge Surrounding Skin
Management
AIM Remove source of irritation Necrotic tissue Infection control Protect new healthy tissue Team work Improve quality of life
Factors helping to cope with aging
Physical health & activities Mental health Social activities Prevention of accidents & Abuse Health Teaching Financial resources
Thank You!!