Tips to facilitate inpatient care at home


gave | Sunday, March 07, 2021 – 17:10 | Last Updated: 07 03 2021 – 17:11

First and Emergency Aid Specialist Tanya Agopyan, who explained the key points in the care of elderly and disabled patients at home during the pandemic process, said, “Nutrition, individual hygiene, positioning and tight bed linen are the most important factors in preventing pressure sores (bed sores). Stating that constipation will also be prevented as the intestines work with regular leg exercises, Agopyan said that as the patient moves, the pressure sore is saved and swelling is reduced.

Head of Istanbul Ayvansaray University First and Emergency Aid Program Lecturer. See. Tanya Agopyan made suggestions to facilitate the care of elderly and disabled patients at home.

“GET PHYSICIAN SUPPORT”

Stating that both sides of the patient bed should be open, Agopyan said, “The relatives of the patients should be conscious, so I definitely recommend them to get physician support. 15 exercises can be done for each leg 3 or 4 times a day. Since the patient cannot walk, he moves with leg exercises. It is also very important for bowel movements, you will see that the patient goes to the toilet within half an hour after exercise, and prevents constipation. “As you move the patient, you save the pressure sore and reduce the swelling.”

CLEANING THE BED WITH SIMPLE MOVEMENTS

Agopyan said, “One of the problems faced by patients with movement restriction due to falls or neurological diseases is toilet habit, the other is individual hygiene, and the third is positioning. We can do these with very simple movements in the bed. “We can easily clean the patients who are not able to hold their toilet by giving simple positions in the bed.”

THE PATIENT’S WEIGHT IS NOT IMPORTANT

Stating that the patient’s weight would not make it difficult to care, Agopyan said, “Whether the minister is 50 kilos and the bedridden patient is 200 kilos, it doesn’t matter. With 2 very simple positions in the bed, we can easily turn it to the left or right, regardless of the weight of the person. We can easily pull the person up or down with an intermediate sheet that we will put under the patient. “We can turn it to the right or left with the same intermediate sheet,” he said.

ACTIONS THAT PREVENT HEALTH

Stating that pressure sores occur in both thin and overweight people, Tanya Agopyan said, “Weight is not a factor that affects the formation of pressure sores. Nutrition, individual hygiene, positioning and a stretched bed sheet are important factors here. If we remove these four factors at the same time, there will be no pressure sores. “There are patients who have been completely bedridden for 10 years and have never had any wounds.”

CHANGE THE PATIENT’S POSITION EVERY 2-3 HOURS

Pointing out that the body hygiene of the person should be done every other day in the bed, Agopyan said, “It is necessary to pay attention to the tension of the bed linen at regular intervals. Change the bed sheet of the patient, who is unable to contain his urine and feces, every 2 days. Urine or feces that come into contact with the sheet causes an infection. As the bed sheet is gathered, it creates an extra sharpness on the body. So it cuts the patient’s body. In areas where circulation is difficult, there is no blood flow, there is no oxygen, so pressure sores occur. Change the position of the patient every 2-3 hours so that it is not exposed to heat and moisture. If you ventilate the area, there will be no pressure sore ”he said.

They need to drink 1.5-2 liter of water

Emphasizing the importance of nutrition, Agopyan said, “If you feed the patient with the right vitamins and minerals, the nutrients in the food will make the body healthier. It will reduce the risk of developing bedsores. Fluid intake of patients is also very important, they need to drink 1.5-2 liters of water daily. If they eat healthy, their immune systems are also strengthened. A bedridden patient should consume 1,500, 2,000 calories per day. If he takes more, his weight increases. Swelling occurs in the feet and throughout the body. Swelling in the feet occurs due to immobility. “Passive exercises should be done in the bed,” he said.


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