Professional care for critically ill patients –
it is primarily the highest quality care.
The art of caring is to care
not for a patient with any disease,
and for a person with individual
features, character, habits, desires.
Creating favorable conditions for patients
sensitive and tactful that
to assist in any minute, are
mandatory conditions quality
nursing care.
В рамках реформы сестринского дела,
начатой в России в 1993 году, сёстрам
предстоит освоить новый вид
деятельности – осуществление
сестринского процесса.
Всемирная организация
здравоохранения (ВОЗ) рекомендует
исользовать для этого модель сестринского
дела Вирджинии Хендерсон. Данная модель
была создана в 1960 и акцентирует внимание
сестринского персонала на физиологических
потребностях, которые могут быть
удовлетворены благодаря сестринскому уходу.
Одно из непременных условий этой модели –
участие самого пациента (родственника) в
планировании и осуществлении ухода.
In the framework of the reform of nursing, which began in Russia in 1993, the sisters have to learn a new activity – implementation of the nursing process.
The world health organization (who) recommends the use of this model of nursing care Virginia Henderson.
This model was created in the 1960s and focuses nursing staff on the physiological needs that can be met through nursing. One of the preconditions of this model is the participation of the patient (family member) in the planning and delivery of care.
1 Normal breath
2. To consume sufficient food and fluid
3. To distinguish from the body's waste products
4. To move and to maintain the right position
5. Sleep
6. Independently dress and undress themselves, to choose clothes
7. To maintain body temperature within normal limits
8. To observe personal hygiene, cares about appearance
9. To ensure its security
10. To communicate with other people
11. Religious observances
12. To do the work
13. Relax
14. To satisfy curiosity, helping to develop normally
If will be correctly complied with the rules of patient care, there is a risk of complications such as bedsores
Bedsore ( lat.- decubare means to lie) ulcer from the pressure on certain body areas and under certain conditions.
Пролежень ( лат.- decubare обозначает лежать) язва от давления, возникающая на определенных участках тела и при определенных условиях.
Change patient position every 2 hours:
8-10 PM - the position "sitting";
10-12 h - position "in left side";
12-14 h - position "on the right side";
14-16 hours - the position "sitting";
16-18 h. the position of Simms;
18-20 hours - the position "sitting";
20-22 h - position "on the right side";
22-24 h - position "in left side";
0-2 hours - the position of the Simms;
2-4 h - position "on the right side";
4-6 h - position "in left side";
6-8 hours - the position of the Simms.
If the patient can be moved (or move themselves with the help of auxiliary means) and in a chair (wheelchair), he can remain in a sitting position in bed).
Daily 12 times
In the care of patients should be used only by the intended devices and instruments.
To empty the bladder using a catheter bag. It is often called "duck" because of the characteristic shape. Urinals can be male and female, and differ only in the shape of the inlet. The volume of the same, usually 1.5 liters. To use the urinals is very simple. At the request of the patient he serves the urinals. If he can't keep it up, a urinals keeps the nurse. After the urinals is emptied, it is reused and returned under the bed of the patient.
Plain circles are used to prevent the formation of pressure ulcers due to friction reduction of the tissue surface of the patient on bed linen, and reduce the pressure on the part of the body.
The heater is used to increase blood flow to certain areas of the skin as well as in hypertension a hot water bottle placed on the legs, the outflow of blood from the upper parts of the body.
Multifunctional bed is unique in that it is possible to lift one of its three parts: head end, middle part and foot end with a special arm. This gives you the opportunity to give the necessary position of the patient, without effort on his part.
Band-aid is used in case of minor cuts, abrasions, and also as a treatment for bedsores.
Medical rubber gloves medical personnel use during all invasive manipulations, as a means of protecting the patient from the introduction into his body from the hands of the health care provider of various microorganisms. In turn, the health care provider thus protect themselves from exposure to bodily fluids in your body (HIV infection, hepatitis, tuberculosis, etc.)
Due to the fact that the patient himself is not able to ensure the hygiene of his body, helps him in this nurse and if the patient is in serious condition, the personal hygiene of the patient - it becomes a task of nurses.
The essence of cleaning is the handling of alcohol skin folds, perineum, genitalia, places of possible formation of bedsores. Washing away is a major means of prevention of pressure sores and one of the means of prevention of nosocomial infection.
You must remember that all event details to care for patients must be strictly confidential and the transfer of this information to third parties is unacceptable.
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