Current location - Health Preservation Learning Network - Health preserving class - What if the old man is paralyzed in bed?
What if the old man is paralyzed in bed?
1, diet care: according to personal living habits, rationally allocate diet, diversify food, and eat more vegetables and fruits containing more cellulose. Drinking 300 ml of cold boiled water or warm honey water after brushing your teeth in the morning can moisten the intestines and promote peristalsis. In addition, strengthen the abdominal muscles and levator ani function exercise, tie a strong cloth belt or belt at the other end of the bed, hold the cloth belt with both hands, pull up the upper body with external force, then put it down, and keep exercising according to your own ability. Persistence is beneficial to defecation and prevention of bedsore.

2. Life care: take care of the daily life of patients such as washing, eating and defecation, and gradually train patients' self-care ability. Encourage patients to eat a nutritious and digestible diet, drink more water and eat more fruits and vegetables.

3, skin and limb care: paraplegic patients are prone to bedsore due to some local long-term compression, poor blood circulation. Therefore, it is necessary to prevent and treat as early as possible, keep the sheets flat and clean, add balloons to bony protrusions, turn over more, change positions every 2 hours, and massage with 50% ethanol. Passive activities, massage, acupuncture and physical therapy for paralyzed limbs can promote functional recovery. Prevent muscle atrophy, joint stiffness, bone decalcification, etc. Pay attention to maintaining the functional position of limbs to prevent deformity. After 3 months of traumatic paraplegia, you can sit up and start walking on the ground.

4. Urinary tract care: patients with urinary retention will be indwelling catheter under aseptic conditions. After continuous catheterization for 2 weeks, it will be opened regularly every 4 ~ 6 hours, and the reflex bladder relaxation and contraction function will be gradually trained to prevent bladder contracture. In order to prevent urinary tract infection, in addition to maintaining sterility, bladder irrigation should be carried out every day, and abdominal pressure should be increased when urinating, and bladder pressure should be pressed to reduce residual urine volume.

5. Prevention of pulmonary complications: Turn over regularly, pat the back, encourage the patient to take a deep breath, expectorate effectively, and spray inhalation when necessary to keep the respiratory tract unobstructed. To prevent catching cold, tracheotomy and antibiotics should be used for high paraplegia.