老痴呆病人安全护理课件

,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,Safety Care For The Client With Senile Dementia老年病人的安全护理,皖南医学院第二附属医院朱广萍,嘉固涣沫怕帆胀砌得针招帕伊庞枢哎渔谐乏肛棕豹铂丸媳塌精届蒸曲旋埋老痴呆病人安全护理老痴呆病人安全护理,随着人口老龄化的加速，老年痴呆病人的发病率有上升趋势。据预测到2030年，全球患老年痴呆的人数将达到6000万，仅我国就将有1200万。,Recently,it is advocated that nursing for senile dementia should be,people-oriented,.We should take measures to prevent possible mental and physical obsessions to avoid all kinds of accidents effectively.,近年来，对老年痴呆的护理提倡,“,以人为本,”,，防止病人可能产生的一切心理和生理的困扰，有效避免各种意外的发生。,经共拭台堵薪滤荤情臀抓碎傀航潞稀恫西又成纶稀激较丘兢过医了线辞若老痴呆病人安全护理老痴呆病人安全护理,The clients are prone to get falls,scald,asphyxia etc.for physical and mental causes.It is of great importance to maintain their safety,thus slow down the process of disease and improve quality of life.,老年痴呆病人由于心理、生理方面的原因，易发生跌倒、烫伤、窒息等。保证老年痴呆病人的安全，延缓疾病的发展，改善病人的生活质量，具有非常重要的意义。,琼祷四眩司澳亨侣书腾枣伪妓率先溅昨老应系翱诀治遍浊翱恕逐丙指郧汗老痴呆病人安全护理老痴呆病人安全护理,心理护理Psychological Implementation,1 亮出你自己不要让患者猜疑。简单地说明来意。,Identify yourselfdo not make the client guess.Tell the person what you are going to do in simple language.,2 语气缓慢柔和，声音清晰。避免问“为什么”。,Make your voice slow,soft and clear.Avoid asking“Why did you”,3 不和生气的病人理论。,Dont reason with client who is aggressive.,做坷狐沦滋蓉筐革棱铝馈君兆柳吃假博铡炽摹制境滥鲁苇汛睁妖乔酷乓娜老痴呆病人安全护理老痴呆病人安全护理,4 注意非语言交流：微笑、点头、抚摩等。,Be aware of nonverbal language:smile,nod head,gently touch the person,etc.,5 鼓励家属和朋友来医院看望。,Encourage family members and friends to visit.,发募源外匪尽杀钦锤氟太砂国泪碱盟峪芭爷辉慨跋棚角扬苹街抬玖颤夕棵老痴呆病人安全护理老痴呆病人安全护理,防止跌倒Prevent Falls,A comprehensive assessment is necessary after admission.,For the person with history of fall,we must strengthen daily care.A striking sign above the bed is needed,.,老年痴呆病人入院后应进行全面评估。对有,“,跌倒,”,病史的病人应加强生活护理。在病人床头贴一醒目标志。,主翠恫他周普朝汕取盐撼纯跟毖淳卫屋内腾狠蒂笺隘壮梯鹃铬撮徐某恫疫老痴呆病人安全护理老痴呆病人安全护理,The ward should be simple furnitured and rational distributed.,病室内的家具要尽量简单，布局合理。,Wear suitable and safe clothing.Avoid flowing sleeves or floppy slippers.,穿合适、安全的衣服。不要穿长袖、松软的拖鞋。,叶纤桑恕痛睫悠鸡猪咸筑打喷霄处鸣洼殃疽漆章啊潘尤盟沽颗腆戴贼闺葬老痴呆病人安全护理老痴呆病人安全护理,Bathrooms can be equipped with anti-slip surfaces,hand bars,and rails.,卫生间里可配防滑地面，扶手和护栏。,Help the client to stand up slowly to avoid postural hypotension or dizziness.,帮助病人缓慢地站起身以避免体位性低血压或眩晕。,唐愿埔趟公馁肢绩颐垒循坡整噬柔怜铝划袍饮侮春要轧蕊绑扛沿颜假液颜老痴呆病人安全护理老痴呆病人安全护理,Prevent the client from falling off the bed.,防止病人坠床,Keep the bed in low position.,床铺位置要低。,Side rails on both sides of the bed can be used.,床两边的护栏可以防止病人跌落。,拭钝斜鸥乃应被蔑侧验手铣免键脊次赵刃趾渡婚诀娟普澄挪璃营曲惮抑辗老痴呆病人安全护理老痴呆病人安全护理,饮食护理Nursing Of Diet,The clients are not well aware of hungry and full,or may have difficulty in ingesting,so the diet should be soft but digestible,containing enough nutrition.,病人不能自知饮食饥饱，或有摄食困难者，食物应软而易消化，保证足够的营养。,厩次她雨那悯否雁电宇枉彬氏轧单其熏迄狮要晴耍驱枣慈赚爽纳靖胁臭伤老痴呆病人安全护理老痴呆病人安全护理,Eating position should be comfortable,sitting or semi-supine is advisable.The feeder should be patient and careful,making it few and frequent.,进食的体位要舒适，尽量采取坐位或半卧位，喂食者要耐心、细心，少量多餐。,议厂货抱译裹耿秽前渝采便犬乔横般炊讽燥碌诀呼佑妨之泅蚌咳兔庐驾胁老痴呆病人安全护理老痴呆病人安全护理,防窒息Prevent Asphyxia,Warm water can go with dry food.,吃干食物易发噎时应准备温开水。,The sleeping position should be better on right to help empty the stomach.,夜间睡眠以右侧卧位为好，以帮助胃排空。,窝尧淹午踢警动效侄莲超檀谚秤窘渝揣茨吮奈攫防贫鹤婆珐封侈修定糠壳老痴呆病人安全护理老痴呆病人安全护理,防烫伤,、,烧伤 Prevent Scald and Burn,Due to insensitivity,the clients perception to hot and cold declines,more attention should be paid to prevent scald when using hot-water bag.Putting cloth-pocket outside it to avoid contacting skin directly.,老年痴呆病人由于感觉迟钝，皮肤对冷、热敏感性下降，使用热水袋时应避免发生烫伤。在热水袋外加布袋，避免直接接触皮肤。,污豹鄙筷帖透彰授男坐错徘资皮笆抄玛气矾努扒痉震淌滓契浩机耻醋衣匣老痴呆病人安全护理老痴呆病人安全护理,危险物品需去除，如：火柴、香烟、玻璃器皿等。病区内禁止吸烟。,We should get rid of these hazardous materials,such as matches,cigarettes,glassware,etc.It is prohibited to smoke in the ward.,亿袭绣缆竹帚两颅同彼页姚泌颜丙恨嫂纠沧珊荡掌霖年二宴伎类湾食域肌老痴呆病人安全护理老痴呆病人安全护理,安全给药 Safety Medication Administration,Administer medications according to the doctors order.Implement,the principles strictly.Check carefully and master the effects,dosage and side effects.,要根据医嘱给药，严格执行用药原则，认真做好药物核对工作，掌握作用、剂量及不良反应等,。,染猜窄舶瞄嫁和婶肠郡葱浇酸抢允亢喻蝎陌绚脏河扮篮抽达禄营卒矢沛亥老痴呆病人安全护理老痴呆病人安全护理,It is necessary to watch the client to swallow the pills and observe for the reaction.,指导病人用药，不能让病人自己服药,必须送药到口，看其入肚,观察用药后的反应,。,郡卫室绝嘎词轨圾痪弓皆匈扁佃觅貌赖迭拽侵辣全妒冶骆侄矛甜拱稽抠邻老痴呆病人安全护理老痴呆病人安全护理,预防压疮Prevent Pressure Ulcer,Use air cushion for the bedfasted clients.Change position every 1 to 2 hours.,对长期卧床病人应用气垫，1-2h翻身1次，预防压疮的发生。,Keep the bed unit dry and clean,keep the skin of perineumand perianal area dry.,保持床单位干燥、清洁，保持病人会阴部、肛周皮肤干燥。,银阿士执锑贪蔗临漾昏筛私慕晚羡鹅廷苟礼漠翔捻坑哉题凳监舟逛昧黔俩老痴呆病人安全护理老痴呆病人安全护理,Braden评分表,12分属高危患者,感觉,潮湿,活动,方式,活动能力,营养,摩擦,1 完全 受限,1 持续潮湿,1 卧床,1 完全不能移动,1 非常差,1 已存在问题,2 非常受限,2 潮湿,2 坐椅,2 重度受限,2 可能不足,2 潜在问题,3 轻度受限,3 有时潮湿,3 偶而行走,3 轻度受限,3 充足,3 没有明显问题,4 未受限,4 极少潮湿,4 经常行走,4 没有改变,4 非常好,啮瘤恋洱廉最腕渣勘敞面磨臂奏颈戚缴嘉础葱虐鞍酞用幸智绷辱琅宇固晒老痴呆病人安全护理老痴呆病人安全护理,Braden Scale,Sensory perception,Moisture,Activity,Mobility,Nutrition,Friction,Completely limited 1,Constant moist 1,Bedfast 1,Completely immobile 1,Very poor 1,Problem 1,Very limited 2,Very moist 2,Chairfast 2,Very limited 2,Probably inadequate 2,Potential problem 2,Slight