0 1. The treatment tray is placed on the bedside table, with bath towels, shirts and underwear stacked from top to bottom on the left side, cups and straws on the upper right corner, talcum powder on the left side of the cups, an arc tray on the lower left corner, scissors and combs in the arc tray, and a small folded towel on the left side of the arc tray.

02. Put two buckets (the handles of the buckets should be outward) and two basins (each basin should be put with a folded towel) (pay attention to the position, and avoid moving the stool and knocking it over when walking).

03. Put the bedpan on the shelf under the bed and set it up.

2. Three elements:

0 1. Ask for instructions. Teacher: I'm ready to play. Please operate.

Hand washing (7 links): inside, outside, clip, bow, big, standing and wrist.

02. communication Grandma: It's a beautiful day today. Shall I give you a bath? (answer: ok. Thank you for cooperating with me.

03. Assessment. This is an old man in bed, with clear consciousness, stable condition and no catheter, and can be operated.

3. Five elements+1

Close the window, move the cabinet (20cm), close the door, move the chair (flush with the end of the bed), loosen the end of the bed (only under the mattress) and turn on the air conditioner for 26 degrees.

3. Bathing process: three parts-three, three and three solutions (face, arms, chest; Abdomen, back and buttocks; Perineum, legs, feet)

Part 1: face, arms and chest

0 1. Help grandma urinate. Pull grandma's pants down to her knees (note: they should be tucked up), then take out the bedpan, turn the towel on the bedpan over and cover the chair, hold the old man's hips with your left hand, and put the toilet under the old man with your right hand (note: be quick and interesting, the toilet should be flat inside and outside, and the towel will still face down when covering).

02. Wash your hands.

03. Put the bath towel under the old man's head (the right hand gently holds the old man's shoulder and neck, the left hand puts the bath towel in the center of the pillow, and then the burr is up or so. Then, tuck the quilt under the collar of the old man.

04. Pour water (immediately cover the warm bucket) and test the water temperature (at the same time, dictate that the water temperature is appropriate, 45-50 degrees).

05. Twist the towel dry (note: do it above the basin) and fold it in the palm of your right hand.

06. Wipe your face.

Hold grandma's forehead gently with your left hand, and dictate at the same time (grandma: close your eyes), then wipe eight parts of her face:

00 1. eyes (wipe the lower eyelid, first wipe the opposite eyelid with the index finger, and then wipe the inner eyelid with the little finger).

002. Eyebrows (method as above)

forehead

nose

cheek

006

007. Binauras (front and back of ears)

neck

Final dictation: Wipe it twice in the same way, and then put the towel into the basin.

07. Take off your coat:

00 1. First unbutton all the buttons (to keep warm, pull up the clothes), and cooperate with your left and right hands. Lift your shoulders and neck slightly with one hand, and take off your coat with the other hand (as far as possible).

002. Take off your sleeves (note that you can only pull down your sleeves, and you can't bend or drag the old man's arms at will to ensure safety), and at the same time dictate (take off the healthy part first, then take off the sick part).

08. Fold out the bath towel under the old man's head (hold the old man's right shoulder and neck with the right hand, and hold the towel with the left hand), then open it in a double layer, fold the light edge upwards, and cover the bath towel on the old man from under the quilt (the standard is to cover the chest below the neck to keep warm, and grandma's upper body should cover the side to the part excluding the left arm, and the inside is flush with the edge of the bed), and then wrap the inner arm with a bath towel in the quilt.

09. Wipe your arms.

Fold the quilt inside a little, revealing the arm wrapped in a bath towel. Then, rub the towel in the basin, wring it out, fold it in the palm of your hand, hook the wrapped towel with your hands to expose your arms, and start to rub the bath in circles (principle: wipe the outside first, then the inside, from top to bottom, the outside from the shoulder to the back of your hand, and the inside from the armpit to your fingers). After wiping, put the towel into the basin conveniently. Wrap your arm in a bath towel, massage gently, and dictate at the same time (wet and dry, wipe the opposite side in the same way).

10. Wipe the chest.

Spread the bath towel on the opposite side and center it (ensure that the bath towel covers the whole upper body), and at the same time, the quilt can be folded over a little. Then, rub the towel in the basin, wring it out and fold it in the palm of your hand, and operate it under the bath towel, zigzag, zigzag, zigzag.

1 1. Then, put the towel in the basin. Change the basin, water and towel (cover the warm bucket immediately).

12. Gently massage the chest and dictate at the same time.

Part II: Abdomen, Back and Hip

13. Wipe the abdomen. Rub the towel in the basin, wring it out, fold it in the palm of your hand, operate under the towel, wipe the navel and abdomen (first wipe the navel, then wipe the abdomen clockwise twice), put the towel in the basin, gently massage the abdomen and dictate at the same time.

14. Pull the bath towel inward until the exposed edge only covers the inner arm.

15. Pull the quilt inside, put the old man's hand on his abdomen, dictate at the same time (grandma: put his hand on his abdomen), hold his left arm to the old man's shoulder and neck, gently pull the corner of the quilt on the other side with his left hand, hook the old man's left leg with his right hand, and help the old man turn over (try to keep the old man close to the inner edge of the bed for easy operation at the back), and dictate at the same time (pay attention to the old man's face and breathing when turning over, if any)

16. Lift the quilt and fold it at an angle. Then take out an off-the-shoulder towel from under the quilt and cover it. At the same time, tuck in one side of the towel hanging by the bed.

17. Wipe your back. Rub the towel in the basin, wring it out and fold it in your hand. Fold the towel that covers your back in half and spread it on the bed. Hold the quilt with your left hand, lunge, face the old man with your right hand, and wipe your back from bottom to top (five times in all, the third time after wiping your neck, you must stick to your skin).

18. Then turn around and wipe your ass (lunge, hold the quilt with your left hand, turn your right hand counterclockwise and clockwise on both sides of your ass twice, and finally wipe out a butt ditch), put the towel into the basin, cover it with a towel, gently massage your back, and dictate at the same time.

19. Pour some talcum powder and rub it evenly on your hands. Then, fold the towel that covers your back in half and spread it on the bed. Facing the elderly, lunge from bottom to top, massage powder, and dictate at the same time (grandma: good skin). Take off the bath towel and cover the quilt.

20. Pick up a clean coat, hold a quarter of the clothes in your hands, push the clothes at the waist of the old man to the opposite side, and push out the dirty clothes at the same time (note: put the clothes inside on the bed, don't drag them on the ground).

2 1. Put the old man flat, at the same time, lift him up, center him, and put his body, arms, legs and feet in place.

22. Pull the dirty clothes out from the inside and put them under the special car (therapeutic car).

23. While dressing the elderly, dictate (wear the affected side first, then the healthy side, as mentioned above, the buttons can be fully buckled, or one or two buttons can be buckled first).

24. Fold the bath towel in half several times (be careful not to twist it up), hold a quarter of the bath towel with both hands and push it from below the waist (or buttocks) of the elderly to the opposite side (note: the bath towel should be placed on the bed and not dragged on the ground). Observe the position of the bath towel inside so that the edge of the bath towel is basically flush with the edge of the bed, and then spread it out.

25. Pour out the second basin of dirty water that has wiped the navel and back, but the towel is still in the basin, and then pour the third basin of water (immediately cover the warm bucket).

The third part: perineum, legs and feet.

26. Wipe the perineum with a third towel. Wet the towel a little, wring it dry and fold it in half, then hand it to the old man (note: the light edge is facing the palm of the old man's hand), and dictate at the same time (grandma: wipe the perineum, from top to bottom). Take it out, turn it around, hand it to the old man, and dictate at the same time (grandma: wipe it again). After taking it out this time, put it directly under the treatment car.

27. Hold up the hips of the old man, pull down the bath towel (the upper edge of the bath towel can wrap the thigh root) and smooth it. Take off the old man's pants and put them under the treatment car.

28. Wrap the old man's leg in the quilt, then fold the quilt in to reveal the right leg wrapped in a bath towel.

29. Wipe your legs.

Wipe the towel in the basin (the towel that was left in the basin to wipe the navel and back) and fold it in the palm of your hand. The bath towel covered on the leg is folded in half and spread on the bed, facing the old man's left hand, and the right hand lunges around the bath from bottom to top. Then, hold the old man's knee joint with his left hand and take a bath from bottom to top (three sides in total). Put the towel in the basin. Then, put your legs flat, wrap them in a bath towel, massage them gently, and dictate at the same time (wet and dry them, wipe the opposite side in the same way).

30. wear pants. Put the clean pants in the right hand in a figure of eight, first put them on the opposite side (the open bath towel should be covered with the quilt), then put them inside, put them on and tidy up the clothes and pants.

3 1. Lift the old man's feet, then pull down the bath towel (the lower edge of the bath towel should be flush with the end of the bed) and smooth it.

32. Roll the old man's trousers to his knees. Open your legs.

33. wipe your feet

00 1. Put the washbasin on the bed, between your feet.

002. Division of labor between left and right hands: First bend the old man's legs, and then put them into the basin.

003. Hook the basin with the little finger of your left hand, and wipe your feet with a towel with your right hand (up, down, left and right twice, a total of eight times), squeeze out the water with a towel, and then wipe it from the foot surface to the bottom surface. Same method for left and right feet.

004. After wiping, pour out the water in time.

005. Wrap your feet in a bath towel and gently massage them to dry them.

006. Open the bath towel and pull down the trouser legs.

007. Take scissors (the sharp part faces away from the old man's feet) and dictate at the same time (don't cut the nails if they are not long).

008. Put the scissors away, take off the bath towel and put it on the lower floor of the treatment car.

34. Pick up the old man and sleep in the middle. Tidy the quilt.

35. Look at the hand opposite the old man and dictate at the same time (nails are not long, no need to cut). Then, scissors hand tuck the quilt; In the same way, look at the inside hand and tuck the quilt inside; Finally, wrap all the quilts at the end of the bed (or wrap them separately).

36. comb your hair.

37. Wash your hands

38. Turn the old man's head to his side, then feed him twice, and then straighten his head.

Communication. Grandma: I'm ready to take a shower. Is it comfortable? (answer: comfortable). You have a good rest and ring the bell if you need anything.

Step 4 organize:

0 1. Five elements: opening the window, moving the cabinet, opening the door, moving the chair and turning off the air conditioner.

02. Put the items in the processing tray on the upper floor of the processing vehicle, immediately pour out the dirty water, put the changed clothes in a small bucket, stack the buckets and basins on the upper floor of the processing vehicle, and put the bedpan on the upper floor of the processing vehicle.

03. Report to the teacher: If there are infectious diseases, the replaced items should be disinfected before cleaning. If there is no infectious disease, clean it directly. I want to wash my hands after the operation.