How to care for stroke patients
Care after stroke rehabilitation patients may play an important role, both in the hospital or at home, bootbe closely observed changes in condition, found traces of changes in condition contact your doctor promptly, in order to obtain a doctor's guidance. Focus on patient care following items:
(A) unconscious care:
Position taken by the patient in lateral position, head turned to one side, to facilitate the outflow of oral secretions in the estuary, should not sit. Loosen the collar and underwear, to keep airway open. If the mouth, nasal secretions or vomit in a large number of objects should be promptly cleaned to prevent suffocation. With activity dentures should be removed. Daily cleaning with normal saline or boric acid water mouth 2 to 3 times. With incontinence pads in the hip pad should, good absorbent diapers or toilet paper or diapers. Male condoms cover the penis free, open access skin cut in front of urine drainage. Urinary retention could not resolve who should be invited to medical catheter drainage. Stool a few days to be unreasonable or services to the enema laxatives. Perineal cleaning twice a day, especially after bowel cleansing in time to prevent infection. Turning the patient every two hours time, to prevent bedsores. Coma can not eat 2 to 3 days after the water supply should be in the stomach cannula medical help, relying on nasal feeding diet to maintain the patient's nutrition and water. Coma a long time and conditions permit, may be appropriate to the patient's feet, shampoo and a sponge bath.
(B) of the bed sore prevention and care:
Severe stroke patients have varying degrees of consciousness disorder and paralysis of limbs, bed-ridden and can not stand up on their own activities. Bed over time, compression of skin blood circulation of skin blood stasis occurs all too easy to easy to scratch on the formation of bedsores, and further infection of the deeper, the more rotten, and even lead to sepsis, increased illness, life-threatening. Therefore, intensive care is particularly important for the prevention of bedsores. Please note the following points: 1, Qin turning the key. Should generally stand up once every two hours. Interchangeable with supine position, lateral position and semi-prone position. Action to light when turning and avoid drag, pull, push etc, and to avoid skin abrasions. Bone protruding parts can cushion gas ring, pad, sponge cushion, so as to reduce stress. 2, keeping the skin clean and dry. First of all, to bed clean, flat, dry, soft. Frequently change and wash clothing, sheets not airtight plastic sheeting non-absorbent pad. Cleaned every morning and evening on the compression site once polluted with urine should promptly clean. 3, preventive massage. Predilection of the decubitus position of bone protrusion (sacral, scapular, elbow, heel, etc.) to regular massage, stimulating blood circulation, improve tissue nutrition. Close to the skin when the hand massage, the pressure from light to heavy, then heavier to light, as circular massage. 50% alcohol can be used for massage agent can be used in winter or some soothing safflower oil emulsion. In addition, patients should pay attention to nutrition, should be eating more food high in protein and vitamins, and add enough water to increase the resistance of the skin. Pressure ulcers in the event, should be under the guidance of a doctor, do a good job cleaning, dressing changes, debridement, etc. further care.