晨间护理操作流程说课材料
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晨间护理操作程序
目的:
(1)使病人清洁、舒适,预防压疮及肺炎等并发症。
(2)观察和了解病情,满足其身心需要,促进护患沟通。
(3)保持病床和病室整洁。
评估:
(1)病人的病情、年龄、意识状态、自理能力、文化背景、生活习惯及睡眠状况。
(2)病人皮肤的受压状况及各种治疗性导管、牵引等固定维持情况。
(3)病人床单位是否清洁、平整。
(4)病人的心理状况。
计划:
(1)用物准备:一般病人自备漱口用具、毛巾、面盆、梳子、肥皂、50%乙醇。
重症病人另备口腔护理盘、便盆等;备清洁衣裤、清洁床上用品、床刷、扫床巾。
(2)环境准备:酌情关闭门窗,调节室温。
(3)病人准备:根据病情身体状况取舒适卧位。
(4)护士准备:着装整齐,戴口罩,洗手,备齐用物。
实施:
(1)操作步骤:
护士携物至床旁→向病人解释→放平床支架→协助排便→协助漱口(口腔护理)、洗脸、洗手、梳头→翻身,检查皮肤受压情况→擦洗背部并按摩→整理床铺(必要时更换被服等)→整理床单位→开窗通风→整理用物。
(2)注意事项:
①操作中注意与病人沟通,观察并询问病人感受及对护理要求。
②对能自理的病人协助做好清洁工作。
评价:
(1)病人清洁、舒适、安全,自我形象得到改善。
(2)病房整洁,空气清洁,病床平整、清洁。
(3)病人皮肤受压部位血液循环得到改善,无并发症发生。
(4)与病人沟通交流有效,获得病人相关信息。
晨间护理操作流程
操作者准备:着装规范、洗手
准备评估:患者病情、自理能力、合作程度;解释问二便
用物准备:护理车上层:护理篮、口腔护理用物、香皂 95%酒精、大毛巾1条、小毛巾1条、衣裤
1套、大单、被套、水温计
下层:便器及盖便器布、尿布、热水桶(内
盛47-500C热水)、污水桶、面盆各1、镊子、
一次性手套
环境准备:室温适宜,关门窗或屏风遮挡,松盖被,按
需给便器(步骤:脱裤→放胶单→放便盆→
撤便盆→洗手)
口腔护理协助患者取舒适体位,按口腔护理流程
倒水入盆,铺大毛巾在被头
擦洗洗脸:眼(内眦→外眦)→额→鼻→两侧颊→耳后→
下颌→颈
松裤协助病人侧卧,面向操作者
洗手(床边铺大毛巾)→换水
擦背:脱衣(酌情而定,如不脱,把衣服向颈部卷)
→铺大毛巾→分3条线擦洗,擦2遍(第1、3
条线从肩至臀部,注意擦腋后线,第2条线从
颈至骶尾部)
视病情需要按摩按摩骨隆突部(从骶尾部向上按到第七颈椎,单手按摩)
→更换或整理衣服
梳头协助患者取舒适体位→梳头(垫巾在枕头上)→剪指
甲、趾甲(剪指甲时护士背向病人,避免指甲弹向病人)
整理床单位
协助患者取舒适体位
整理整理用物、分类放置
洗手
记录
备注:1、如头发纠集成团,可能50%酒精湿润后再梳。
2、操作过程注意观察病情,注意保暖。
晨间护理操作流程口述Caring for a loved one in the morning is a vital part of their daily routine. It involves several steps to ensure their well-being and comfort throughout the day. The morning care process often begins with gentle wake-up calls, encouraging the person to start their day on a positive note. This small gesture can set the tone for the rest of the day and instill a sense of peace and routine.早晨护理对于家人的日常生活至关重要。
它包括几个步骤,以确保他们在一天中的安康和舒适。
早晨护理流程通常从温和的唤醒开始,鼓励他们以积极的姿态开启一天。
这种小小的举动可以为整天设定基调,树立一种平静和规律的感觉。
As the morning progresses, it is essential to assist the person with personal hygiene tasks, such as brushing their teeth, washing their face, and getting dressed. This not only promotes cleanliness but also helps the person feel fresh and ready for the day ahead. It is crucial to approach these tasks with patience and sensitivity, ensuring the person feels comfortable and respected throughout the process.随着早晨的进行,协助个人进行个人卫生任务变得至关重要,比如刷牙、洗脸和穿衣。
晨间护理操作流程口述英文回答:Morning Care Procedure.As a caregiver, I have a specific routine for providing morning care to my patients. This routine ensures thattheir personal hygiene needs are met and they start their day feeling fresh and comfortable. Let me walk you through the steps of my morning care procedure.1. Greeting and Introduction.I start by greeting my patient with a warm smile and introducing myself. This helps to establish a friendly and trusting relationship.2. Assessing the Patient's Condition.Before beginning any care procedures, I assess thepatient's condition. I check for any signs of discomfort, pain, or changes in their health. This allows me to tailor the care to their specific needs.3. Assisting with Toileting.Many patients need assistance with toileting in the morning. I help them to the bathroom or provide a bedpan or commode if necessary. I ensure their privacy and dignity are maintained throughout the process.4. Oral Care.Next, I assist the patient with oral care. This involves brushing their teeth, cleaning their dentures (if applicable), and providing mouthwash or oral moisturizer. Oral care helps to maintain a fresh breath and prevent dental issues.5. Bathing and Personal Hygiene.I assist the patient with bathing or provide a bed bathif necessary. This includes washing their body, shampooing their hair, and ensuring all areas are thoroughly cleaned.I also help with shaving, grooming, and applying lotion or creams to keep the skin moisturized.6. Dressing and Grooming.After bathing, I help the patient get dressed in clean clothes. I ensure they are comfortable and appropriately dressed for the day. I also assist with grooming tasks such as combing their hair and applying any necessary cosmetics.7. Medication Administration.If the patient requires any medication in the morning, I ensure it is administered according to the prescribed dosage and timing. I double-check the medication labels and document the administration accurately.8. Breakfast Preparation and Assistance.I assist the patient with breakfast preparation, takinginto consideration their dietary restrictions and preferences. I ensure they have a nutritious meal and provide any necessary assistance with eating and drinking.9. Documentation and Communication.Throughout the morning care procedure, I document any observations, changes in the patient's condition, or concerns. I communicate this information to the healthcare team to ensure continuity of care.10. Emotional Support and Encouragement.Lastly, I provide emotional support and encouragement to the patient. I engage in conversation, listen to their concerns, and offer reassurance. This helps to promote their overall well-being and maintain a positive attitude.中文回答:晨间护理操作流程。