CARE OF LYING PATIENT

Care of Lying Patient by Dr. Bajji Ayoub

Page 1

  • Introduction to the care of lying patients.

Page 2

  • Importance of Proper Care: Vital for seriously ill patients' recovery and comfort.

  • Characteristics of Care: Unique features to consider during care.

  • Patient Positioning: Importance of correct positioning in bed.

  • Functional Bed Design: Purpose and design specifics of functional beds.

  • Bed Preparation: Steps to prepare a bed for a seriously ill patient.

  • Morning Toilet Care: Routine hygienic practices to perform every morning.

Page 3

  • Concept of Bedsores: Understanding pressure ulcers, their causes, and common locations.

  • Prevention and Treatment: Strategies to prevent and treat bedsores.

  • Stages of Bedsores: Identifying the formation stages and nurse actions with early indications.

  • Changing Bed and Linen: Methods for changing bedding for bedridden patients.

  • Patient Vessel and Urinal Supply: Guidelines for providing vessels and urinals.

  • Washing Techniques: Proper techniques for washing the patient safely.

Page 4

  • Daily Toilet Practices: Procedures for oral cavity, eyes, ears, and nose care.

  • Oral Irrigation Methods: Effective methods for oral hygiene.

  • Managing Nosebleeds: Nurse actions to take in case of a nosebleed.

  • Hair Care Specifics: Addressing the unique needs of hair care for bedridden patients.

  • Washing Patient's Head: Rules for effectively washing the hair of an immobile patient in bed.

Page 5

  • Hygiene Challenges: Acknowledging patients may struggle with personal hygiene.

  • Considerate Care: Importance of communication and compassion when assisting patients.

  • Emotional Sensitivity: Address the patient's feelings and concerns during assistance.

Page 6

  • Precautionary Measures: Protect against infections using appropriate equipment like gloves and masks.

Page 7

  • Patient Transfer Protocol: Methods of patient transport based on conditions, such as stretcher or wheelchair.

Page 8

  • Using a Gurney: Protocol on how to position and transfer patients to gurneys with proper techniques.

Page 9

  • Communication with Departments: Notify receiving departments of patient's condition during transfer.

Page 10

  • Wheelchair Transfer: Procedure for transferring patients to wheelchairs safely.

Page 11

  • Bed Comfort Importance: Discuss the significance and design attributes of functional beds for patient comfort.

Page 12

  • Bed Preparation Essentials: Key practices in preparing the bed to enhance patient comfort and hygiene.

Page 13

  • Functional Positioning: Utilizing a movable bed to assure the patient's functional positioning.

Page 14

  • Monitoring Patient Position: Ensure the position contributes positively to the patient's health.

  • Position Types: Define active, passive, and forced positioning for clarity.

Page 15

  • Linen Change Protocols: Instructions for changing bed linen for both occupied and unoccupied beds.

Page 16

  • Regular Linen Changes: Importance of routine changes to prevent pressure sore development from folds in linen.

Page 17

  • N/A

Page 18

  • Changing Underwear: Protocol for changing underwear in bedridden patients ensuring skin inspections.

Page 19

  • Use of Rubber Bedpans: Proper use and handling of bedpans for seriously ill patients.

Page 20

  • Toileting in Bed: Steps for assisting patients with bedpans while maintaining dignity and cleanliness.

Page 21

  • Preparation for Toileting: Gather equipment and ensure privacy and hygiene during the process.

Page 22

  • Disinfecting Equipment: Proper cleaning and disinfecting of bedpans and urinals to prevent infection.

Page 23

  • Urinal Disinfection: Similar methods for disinfecting urinals ensuring proper storage.

Page 24

  • Skin Vulnerability: Discuss how aging and health status affect skin integrity and wound healing.

Page 25

  • Hospital Environment Effects: Importance of environmental factors for skin health and care.

Page 26

  • Inflammatory Conditions: Overview of common inflammatory skin conditions affecting patients.

Page 27

  • Wiping Procedure: Guidelines for wiping down patients effectively to maintain hygiene.

Page 28

  • General Bed Bath: Steps to provide thorough hygiene care for bedridden patients.

Page 29

  • Male Personal Hygiene: Care techniques focusing on male patients, emphasizing gentleness and thoroughness.

Page 30

  • Pressure Ulcer Risks: Identify at-risk patients and preventive measures needed to avoid sores.

Page 31

  • Understanding Pressure Ulcers: Detailed explanation of what pressure ulcers are and how they form.

Page 32

  • Prevention Strategies for Pressure Sores: Best practices for ensuring patient comfort and skin care.

Page 33

  • Assessment Tools: Introduction to the Waterlow score and Norton scale for assessing ulcer risk.

Page 34

  • Norton Scale Usage: Guide for rating a patient's risk for pressure ulcers based on various physical and mental factors.

Page 35

  • Stages and Symptoms of Bedsores: Overview of bedsores stages and corresponding treatments for each.

Page 36

  • Equipment for Hair Washing: Procedures for washing patients' hair while maintaining comfort and cleanliness.

Page 37

  • N/A

Page 38

  • Denture Care: Guidelines for maintaining oral hygiene in patients with dentures, including sanitation methods.

Page 39

  • Halitosis Definition: Discussing the causes and effects of halitosis in patients.

Page 40

  • Aphthous Ulcer Management: Identifying these painful ulcers and considerations for their care.

Page 41

  • Eye Care Routine: Recommended practices for keeping patients' eyes clean and healthy.

Page 42

  • Washing Eyes: Communicative participation in eye care for able patients; caution in incapacitated patients.

Page 43

  • Ear Care Routine: Instructions for cleaning ears safely to prevent infections.

Page 44

  • Nose Care Protocol: Steps for caring for the nasal passages effectively to avoid crust formation.

Page 45

  • Hygienic Bath Overview: Importance of routine bathing for hospitalized patients and precautions to take.

Page 46

  • Hygenic Shower Guidelines: How often to administer showers and care during this process.

Page 47

  • Acknowledgment of Sources: Acknowledgment and gratitude for the delivery of patient hygiene information.