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1、床上擦浴,目的:身心健康,促进舒适,及其他并发症预防感染,床上擦浴的评估,患者:意识及心理状态,关节活动,自理能力,清洁习惯,健康知识 皮肤:颜色,温度,清洁度,有无污垢及特殊气味,有无破损,皮疹,水疱和结节,有无伤口和感觉障碍,四肢活动情况 环境:室温是否合适24-26,门窗是否完好及私密性是否能够保证,床上擦浴的注意事项 1. 操作过程中动作轻柔;防止患者着凉; 2. 穿脱衣服时患侧或输液侧先穿后脱; 3. 操作过程中保护患者自尊及隐私; 4. 操作过程中病情变化立即停止操作 5.操作中应用节力原则; 6.注意耳后、皮肤褶皱处擦洗干净; 7.掌握毛巾使用的步骤(湿毛巾涂肥皂湿毛巾湿毛巾拧干
2、毛巾浴巾)和手法。,用物准备,调节室温24-26,水温45-50 浴巾,毛巾三条,肥皂,梳子,护肤品,水桶二个(一个盛4750摄氏度热水,以水温计测水温),脸盆三个,清洁衣裤。必要时备50%乙醇,剪刀,弯盘,被服等,床上擦浴的流程 脸部-颈部-上肢-胸部-背部-臀部-会阴-下肢,病情许可,放平床尾、床头支架,松开床尾盖被。移开床旁椅,热水桶、污桶放于床旁,将脸盆放床旁桌上,倒入热水2/3满。 浴巾铺于头颈下松开领口,左手扶头顶,将微湿毛巾缠于右手上,依次擦洗眼(由内眦至外眦)、额、鼻翼、面颊部、嘴部、耳后直至下颌及颈部,再用拧干毛巾擦干,涂上润肤露 从颈部外侧向下经手臂外侧到手背,从腋窝经手臂
3、内侧到手掌,分四次从肩部向下经胸部至腹部,女病人乳放下的褶皱处注意擦净分四次从肩部、后项经背部至臀部,必要时用50%乙醇按摩骨隆凸部位 以微湿毛巾和拧干毛巾擦洗会阴 从髂前上脊经腿外侧到足背,从腹股沟经腿内侧到内踝,从臀部经腿后侧到足跟,Use of templates,You are free to use these templates for your personal and business presentations.,Do Use these templates for your presentations Display your presentation on a web s
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