Nursing measures of pressure sore
1. Strengthen basic nursing: keep the bed flat, clean and dry, keep the patient's skin clean, scrub frequently, change medicine frequently, turn over frequently, massage frequently, check frequently, and keep the temperature and humidity in the ward appropriate. Avoid defecation and wet stimulation, guide patients to use bedpans correctly, and avoid pulling.
2. Take effective preventive measures: for patients who stay in bed for a long time, use an air cushion and make a 1m× 1m millet pad. Millet is sweet, flat, slightly cold and non-toxic. Without processing, it can be washed, dried and put into cotton cloth. It can be placed on an air cushion bed and placed on the compressed part of the patient, which can effectively prevent the occurrence of pressure ulcers.
3. Strengthen the sense of responsibility of nursing staff: effectively guide patients and caregivers to enhance their subjective initiative, strengthen health education, actively cooperate with patients, give patients a high-protein and high-vitamin diet, and enhance patients' resistance and tissue repair ability.
4. Nursing care of high-risk groups: for high-risk groups such as emaciation patients and low immune function, focus on the prone parts, focus on guidance, and strictly implement the handover system.
5. Take effective treatment and nursing measures: eliminate the inducement of pressure sore in time, increase the number of turns, prevent local continuous pressure and prevent from getting wet. After washing the wound with normal saline, apply the wound with-Suchuangfuqing bedsore Shengji Ointment and gauze, covering and dressing, once a day 1 ~ 2 times.
Prevention and control of pressure ulcer
1, to avoid long-term compression of local tissues.
(1) Change positions frequently: Turn over every 2 hours, and turn over every 1 hour if necessary, and avoid dragging, pulling and pushing when turning over.
(2) Protect the bony process and support the body gap: cushion soft pillow/sponge cushion/air cushion, etc. If necessary, the quilt can be raised by the quilt frame.
(3) Use gypsum, splint and bandage: the pad is smooth and elastic, so observe it carefully.
2. Avoid the stimulation of local physical and chemical factors
(1) dry skin, not lying directly on the rubber.
(2) Bed sheets and bedding shall be clean, flat, dry and free of sundries.
(3) The toilet is undamaged and used correctly.
3. Promote local blood circulation
(1) Full back massage: 50% ethanol.
1) Starting from sacrococcygeal region, massage upward along the side of spine, and downward to coccyx behind shoulder;
2) Massage along the spine from the sacrococcygeal region to the 7th cervical vertebra.
(2) Local massage: Dip a little 50% ethanol, press the thenar muscle of the palm close to the patient's skin, from light to heavy, and then from heavy to light, and do circular massage evenly and forcefully for 3-5 minutes each time.
4. Improve nutritional status
Give a high protein and vitamin diet. Appropriate mineral supplements, such as oral zinc sulfate, can promote the healing of chronic ulcers.