搬运病人法及平车轮椅使用法Patient handling and the use of flat cars and wheelchairs.docx

搬运病人法及平车轮椅使用法Patient handling and the use of flat cars and wheelchairs.docx

《搬运病人法及平车轮椅使用法Patient handling and the use of flat cars and wheelchairs.docx》由会员分享，可在线阅读，更多相关《搬运病人法及平车轮椅使用法Patient handling and the use of flat cars and wheelchairs.docx（11页珍藏版）》请在冰豆网上搜索。

搬运病人法及平车轮椅使用法Patienthandlingandtheuseofflatcarsandwheelchairs

搬运病人法及平车、轮椅使用法（Patienthandlingandtheuseofflatcarsandwheelchairs）

Patienthandlingandtheuseofflatcarsandwheelchairs

[Objective]

1,mastertheflatcar,wheelchairtransportationmethodandnotice.

2,combinedwithotherrelevantknowledge,accordingtodifferentconditions,adopttheappropriatedeliverymethod.

[evaluation]

1,thepatient'sweight,consciousness,illnessandphysicalactivity.

2,thelocationofthelesionandthedegreeofcooperation.

3,wheelchairandflatcarperformanceisgood?

.

[substancepreparation]

Flatcar;wheelchair;mediumbill.

[methodsofexperiment]

1,toillustratethenursingstudentspreviewlayoutmethodandexperimentalpurposes,aroundthecar,wheelchairhandlingpatientpresentslayoutoftheenvironmentandtherequirementtousethemethodofnursingstudents,guidethestudentstochoosetheappropriatecasesandpreparationtimeforoneweek.

2.Providesimulationsituation:

Situation1:

PatientswithA,leftkneeligamentinjuryfor2weeks,stillcannotwalk;

Simulatedsituationtwo:

PatientswithB,acuteosteomyelitis,weight31kg;

Simulatedsituationthree:

PatientswithC,rightshinfractureoftibiaandfibula,2W,weight40kg,generalconditionisgood;

Simulatedsituationfour:

PatientswithD,2daysaftermassivebleedingofpepticulcer,weight52kg,weakconstitution;

Simulatedsituationfive:

PatientswithE,cervicalfracture,1W,weight,75kg,consciousness;

3,handlingsteps:

Topreparematerials,requirementsandpreparation,checking,interpretation,wheelchair,flatcarpushedtothebedside,brakingquality,willbetransportedtothecar,thewheelchair（accordingtothesimulationmethodtoselecttheappropriatehandling）toassistthepatientsit/lie,warmbedandfinishingunit

Asimulationusingwheelchairtransportation,advisedbytherecoil,nottogetoff,payattentiontokeepwarm;

Thesimulatedsituationtwoshouldadoptonehandlingmethod,flatheadandabedtailobtusely,handlinganarmfromthepatient'sarmtothesideshoulder,armintothepatientunderthepatient,hisarmsacrossthebearersoftheneck;

Thesimulatedsituationthreeshouldadopttwohandlingmethod,flatheadandabedtailintoahead,holdtheobtuseangle,diseaseofneckandshoulderandwaist,hipandkneesupportBpatients;

Thesimulatedsituationfourshouldadoptthreehandlingmethod,flatheadandabedtailintoapatienttoholdtheobtuseangle,neckshoulderandchest,Bpatientsholdbackwaisthip,kneeandfootsupportCpatients;

Thesimulatedsituationfiveshouldadoptfourhandlingmethod,carclosetothebedside,inpatientswithsinglelowerwaisttohip,neckshoulderandlegsbearersofaandBrespectivelyraisingpatients,thirdDingseizefourinangle,fourliftedatthesametime,thepatientwillgentlyonthecentralflat.

4,theoperationprocessrequiresanalognursestocommunicatewithpatients,reflectingtheconcernofpatients.Themovementsarelightandsteady,andthemovementsarecoordinatedwhenmanypeoplemove.

Placeallkindsofdecubitus,assistthepatientandchangethedecubitusposition

[Objective]

1,graspthecommonlyusedvariouslyingposition,theimplementationmethod.

2,combinedwithinternalandexternalknowledgeandsoon,accordingtothedifferentconditionsorneedsoftheexamination,refertothefollowinganalogcases（orself-designed）,forpatientscorrectlyplacedallkindsofdecubitus,andgraspthepointsforattention.

[evaluation]

1,thegeneralsituationofpatients,suchasawareness,illness,age,education,thecurrenttreatmentprogram.

2,whetherornotthepreviousexperienceandthelevelofcooperation.

3,thepatient'sself-careabilityandactivitiesarelimited.

[substancepreparation]

Equipment,fullyfunctionalbeds,softpillowseveral.

[methodsofexperiment]

1.Arrangethepreviewandexplainthepurposeoftheexperimenttothestudents.Puttheexperimentrequirementsaroundthelyingposition,providethesimulatedsituation,previewthepreparationtimeforoneweek.

2.Providesimulationsituation:

Situation1:

thepatientwasA,hewassenttothewardaftertheoperationoflowercervicalanesthesia.Therighthandwasbackinthetransfusionandcomplainedofchills;

Thesimulatedsituationtwo:

Bpatients,postoperativeacuteappendicitis（seeappendixwereobviouslyswollen,appendicealcavitywithempyema,asmallamountofturbidliquidperiappendicuralintraperitoneal）for1days,BP120/80mmHg,generallyingoodcondition;

SimulationThree:

Cinpatientswithacuteexacerbationofasthma,andnotsupine,pallor,cyanosis,R38/min;

Thesimulatedsituationfour:

Dpatients,openfracturescausedbytrafficaccident,BP80/50mmHg,P130/min,thin,paleskin,clammylimbs,clearconsciousness,apathy;

Simulatedsituationfive:

PatientswithE,G1P0,28weeksofpregnancy,prenataloutpatientexaminationfoundfetaltransverseposition,morethannormal.

Simulatedsituationsix:

PatientswithF,cervicalspinefracturetractionbytheskull,generallygood;

Simulatedsituationseven:

PatientswithG,G1P0,38weekspregnant,prematureruptureofmembranes.

3,supineplacementsteps:

Qualityrequirements:

preparationofobjects,preparationofpatients,verification,interpretation,placementoflyingposition（accordingtothesimulatedpatient'schoiceofsupineposition）toassistthepatientinlyingdownandcomfortable

Asimulatedsituationplacedtothepillowsupine,headtooneside,thepillowcrossstandbedtokeepwarm;

Thesimulatedsituationtwoshouldbeplacedinthesemirecumbentposition,toraisethebedbracket30~50O,andthenshakeupunderthekneesupport;

Thesimulatedsituationshouldbeplacedinthesittingposition,three,tohelpthepatienttositup,raisethebedbracket70~80O,thebedacrossthebedtable,tableVassistpatientstorest;

Thesimulatedsituationfourshouldbeplacedinshockposition,raisingtheheadandchestabout10to20O,liftingthelowerlimb20~30o;

Thesimulatedsituationfiveshouldbeplacedinthekneechestposition,kneelingpatient,twolegflatonthebed,legsandverticalchestwound,wound,abdominalhanging,buttocks,headtotheside,armselbow,placedonbothsidesofthehead.

Sixsituationsshouldbeplacedinlowheadhighsimulation,raisethebedfeetfrom15to30cm;

SevensituationsshouldbeplacedinTrendelenburgpositionsimulation,pillowcrossstandbed,bedelevationclaspers15~30cm;

4,theoperationprocessrequiresanalognursestocommunicatewithpatients,reflectingtheconcernofpatients.

Measurementandrecordingofbodytemperature,pulse,respiration,bloodpressure

[Objective]

Bodytemperature,pulse,respirationandbloodpressurearethebasicsignsoflifesupport,isanobjectivereflectionoftheinnerbodyactivities,isameasureofbodyconditionindex,collectivelyknownasthevitalsigns（vitalsigns）.Undernormalconditions,vitalsignsshouldbemaintainedwithinacertainrangeandhavesomerelationshipandinfluencewitheachother.Vitalsignscanreflecttheslightchangesofthebodyandmind.Byobservingthevitalsigns,wecanunderstandtheoccurrence,developmentandprognosisofthedisease,andprovidethebasisforprevention,diagnosis,treatmentandnursing.Thevitalsignsarethemostfrequentlycollecteddatabythenurses,andtheaccuracyofthecollecteddatadirectlyaffectsthediagnosisandtreatmentofthedisease.

[evaluation]

1,thegeneralsituationofpatients,suchasage,gender,education,consciousness,diseasetypes,

Atpresent,thecondition,thetreatment,thedegreeofcooperation,etc.,determinetheorderofbodytemperature,pulse,respirationandbloodpressure,whichmethodissuitableformeasuringbodytemperatureandmeasuringthetimeofpulseandbreathing.

Thereare2physiologicalfactors,30minuteswitheating,sitzbath,coldcompress,strenuousexercise,moodswings,theinfluenceofbodytemperature,pulse,respiration,bloodpressure.

3.Arethereanyhemiplegiaorfunctionaldisturbancesinthepatients?

.

[substancepreparation]

1、thesterilizingthermometer,sterilizedgauze,bendingdisc（internalpadgauze）,bloodpressuregauge,stethoscope,stopwatch,penandrecordbookforthetreatmenttray.

2,iftheanustemperaturetest,butalsopreparelubricatingoil,cottonswabs,toiletpaper

[methodsofexperiment]

Measurementofgeneralpatients:

Eachofthestudentsasageneralpracticenurseandpatientsimulation,measurementofmutualvitalsigns,eachstudentineachgroupundertheguidanceofteachers,instrictaccordancewiththeoperationpractice,theteacherfoundtheproblem,promptlycorrected.Thespecificoperationprocessisasfollows:

Measurementofspecialpatients:

Givethefollowingsituation,andputforwardthecorrectmethodofmeasuringbodytemperature,pulse,respirationandbloodpressure.Firstgroupdiscussion,eachtoexpresstheirviews,andfinallyundertheguidanceofteachers,thefollowingpatientswillbemeasuredinorder,location,measurementofspecificmethods,timeandsoon.

Asimulatedsituation:

inpatientswithA,79yearsold,delirious,lefthemiplegia,breathingisextremelyweak,itisdifficulttoobserveandmeasurethepatient'stemperature,pulse,respiration,pleaseaccuratebloodpressure.

Simulatedsituationtwo:

PatientsB,6months,needtobemeasured,pleasearrangethemeasurementorderandmeasurementmethodreasonably.

Simulatedsituationthree:

thepatientisC,67yearsold,diagnosedwithatrialfibrillation.Pleasemeasurethepatient'stemperature,pulse,respirationandbloodpressureaccurately.

Situationfour:

thepatient