Assistance at independent movement of the patient

If the victim has not contraindications, i.e. in the presence of light injury, he can move independently, relying on the hand of the attendant.

Retention by method of “capture through the hand”

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Figure 30

Capture through the hand

The procedure:

· Ask the patient to cross his arms and to press them to his chest (if one hand is weakened, the patient covers the wrist of weak hand by stronger one).

· Go on from the back of the patient (behind the chair or stool on which he sits).

· Put your hands in the armpits of the patient from back, grasp the patient's hand at the wrist

· Move the patient(Fig. 30)

Supporting patient during walking

Figure 31.

Supporting patient during walking

· Procedure:

· Stand next to the patient

· Apply the “grip with thumbs”: keep the right hand of the patient in your right (or left hand in left) hand, the patient's hand is straight, relies by palm on the palm of nurse at closed in lock thumbs

· Support by other patient's hand at the elbow or armpit, or to clasp the patient's waist.

· Get closer to the patient as close as possible, keeping his knees by your right leg (if the nurse stands to the right)

· Move near the patient (Fig. 31).

Supporting patient by

method of

“grip at raised elbow ”

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Figure 32

Supporting patient by method of “grip at raised elbow”

Procedure:

· Stand to the side facing the patient sitting on a chair (low bed), facing him

· Put one leg close to chair, put another one slightly expanding the foot in front of the patient’s legs, locking by your leg his knees

· Ask the patient (or to help him), bend forward from the hips so that his shoulder closest to you, firmly relies in your body

· Bend forward across the back of the patient and hard cover his elbows, as if supporting them from below.

· Place your shoulder so that the far shoulder of the patient relies on your hand

· Move the patient to the desired location (Fig. 32).

· Supporting patient by method of “underarmpit grip”

·

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Figure 33

Underarmpit grip

Procedure:

· Stand to the side facing the patient sitting on a chair (low bed)

· Put one foot next to chair, put another one slightly expanding the foot in front of the patient’s legs, locking his knees by your leg

· Shove wrists in the armpit of the patient: one wrist is in the direction from front to back, palm up, thumb is out of the armpit, the other is in direction from back and forward, palm up, thumb is outside of the armpit.

· Ask the patient (or to help him to bend forward from the hips so that his shoulder closest to you, firmly relies on your torso

· Move the patient to the desired location (Fig. 33). In any way of transportation of the patient medical staff should conduct relevant training for the procedure. For this purpose it is necessary to establish a trust relationship with the patient, to explain to the patient the purpose and process of the procedure, to obtain his consent. To select the method of transportation it is necessary to evaluate the patient's condition and the possibility of assistance from his side, and to assess the environment (humidity of the floor, presence of foreign objects on the floor, the bed height and others). With the purpose to comply with infection safety wear gloves.

· Before moving or lifting the patient, you need to help him to lie down or to get a comfortable position, taking into account the biomechanics of the body at following movement. Therefore, at transporting, moving or transferring patients, it is important to know how to use the techniques, which is designed to reduce pressure on the spine and torso of the worker and to choose the best method of treatment with the patient.

Section IV

FUNCTIONAL EVALUATION OF PATIENT'S

CONDITON

To assess the functional state of a patient in hospital, you must define the

following parameters:

Ø Violet Patients Need

Ø General state

Ø State of consciousness

Ø Position in bed

Ø Anthropometric data

Ø Body temperature

Ø Condition of integumentary system

Ø Pneusis

Ø Pulse

Ø Arterial pressure

Ø Water balance

Дата добавления: 2015-10-29