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Paralysis patient bedsore how to do?

2018-04-22 12:48:59

Paralyzed patients due to lying in bed or wheelchair for a long time, skin compression necrosis long bedsores, daily care is relatively difficult, but as long as the correct method, bedsores can be repaired and healed.

Tools/Materials
1

Bedsore cream, normal saline, iodophor

2

Cotton swabs, tweezers, surgical scissors

1. Bedsore in bed for a long time
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1, relieve the pressure of the wound: due to lying in bed for a long time, the buttocks, tail vertebrae, crotch and other parts are prone to bedsores, and it is necessary to frequently turn over and change positions, use a variety of postures to stay in bed, avoid the second pressure on the bedsore site, and regenerate new bedsores in other parts.

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2, bedsore debridement: bedsore wounds are usually attached with black scab, carrion, pus and other necrotic tissue, resulting in long-term wound non-healing, need to be cleaned with normal saline with cotton swabs and tweezers gradually remove, the contaminated wound into a clean wound.

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3, muscle repair: after debridement, apply bedsore cream to promote the wound muscle long flesh, and then bandage treatment, change the medicine once a day and night, when the defect wound is "filled" with new tissue, the epidermis begins to butt heal, commonly used injury Di, spin clear bedsore cream can be.

4

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Second, wheelchair bedsore for a long time
1

1. Reduce sitting time: When hemiplegia and paraplegia patients sit in a wheelchair for a long time, their hips and tail vertebrae suffer from greater pressure, so they are extremely prone to bedsores, and most of them are hollow or subcutaneous cavity bedsores. Therefore, it is necessary to reduce sedentary time, usually no more than 1 hour at most.

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2, bedsore dewounds: the wound inside the rotting flesh can be removed with tweezers and scissors, for the adhesion of relatively tight rotting flesh with bedsore cream to promote dissolution and liquefaction removal, if the wound is small, and the internal cavity is larger, you need to consider through surgery into an open wound.

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3, muscle repair: Because there is a certain depth of the wound, it is necessary to cut gauze dipped in bedsore cream, make oil yarn strips filled in the cavity, so that the ointment and the four walls of the wound full contact, and finally bandage treatment.

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4. Daily care: the wound should avoid pressure again, so it should not use a wheelchair, maintain a balanced and nutritious diet, and the care staff can assist it to do limb stretching exercises, promote Qi and blood patence through passive exercise, which is more conducive to recovery.

Matters needing attention
1

Do not use powder or powder to force the wound to dry scab, which is easy to form fluid under the scab.

2

Anti-bedsore air mattress can help improve pressure, but can not replace manual turning.

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