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Implementation of the inevitable pressure sore prediction system on the prevention of pressure sores inevitably experience


Sorting and handling change. Red due to soft tissue pressure is normal protective response of skin to relieve the pressure after the normal 30 - 40min fade, will not form a pressure sore, so we have measures to stop the use of massage, focusing on the method of intermittent discharge pressure, the establishment of stand up cards, at least to help turn over and sign every 2h, and according to the specific circumstances of the patients use water pad or cushion to avoid pressure on parts of the local temperature increased the incidence of pressure sores. In addition, the skin was strictly shift change, classes in the practical implementation of preventive measures. Nurses to do health guidance, as guidance to family members of patients to keep beds clean and tidy, clean the excrement, keeping the skin clean and dry, to avoid dragging, pulling, pushing, rubbing and other activities; guidance Taitun fracture patients for chest or abdominal Taitun reduced quite pressure action to prevent occurrence of pressure sores, which will help fracture healing; under the condition of patients to guide their consumption of high nutrition, high calorie, high protein and easily digestible food,[link widoczny dla zalogowanych], for patients with tube feeding can be enteral nutrition or intravenous nutritional support, according to doctor's orders . 1.3 Results with pressure sores were 65 cases, Ⅲ degree of pressure ulcers 104, Ⅱ pressure ulcers 80 degrees below. Ⅲ degree by taking pressure ulcer debridement, dressing, application of the mixture closed wet packing l5J, 1I degrees below the usual pressure ulcer care, hospital cured 30 cases, 31 cases improved, no change in 4 cases. Inevitable pressure sores in 31 cases, except for age (> 70 years), forced posture, cachexia, incontinence, pressure ulcers occur engineering degree is inevitable,[link widoczny dla zalogowanych], Ⅲ and 1 degree of pressure ulcers is inevitable exceptions, the other patients in the hospital without pressure ulcer, it is inevitable that in this group the incidence of pressure ulcers was 6.4% (2 / 31) 2 discussions pressure sores in nursing work has always been a very difficult clinical problem _6], it is common clinical complication of I it is easy to concurrent infections, once degradation will bring great pain patients, severe cases can cause death [. General hospitals has been reported _8J incidence of pressure ulcers of 2.5% ~ 8.8%, or even as high as 11.6% of patients with spinal cord injury pressure ulcer rate of 25% to 85%, the group will inevitably pressure sores The incidence rate of 6.4%, so the nursing staff to improve the attention and pressure sore prevention and treatment of pressure sore prevention awareness is the foundation of our science inevitably through the implementation of pressure ulcer reporting system,[link widoczny dla zalogowanych], no high-risk patients with pressure sores in nursing prior to Department of forecasting, enhanced sense of responsibility of nurses, the practical implementation of effective interventions to effectively control the incidence of pressure ulcers is inevitable. The group, 1 case of 79-year-old patient, diagnosed with right upper quadrant neural membrane tumor necrosis after the cut infection, patients with persistent fever, abdominal pain, abdominal purulent fluid oozing, fetid, progressive weight loss, anorexia, fatigue, a result of timely reporting , Department of Nursing is recognized as inevitable pressure sores, the enhanced care, intensive care length of stay for up to 210d of the question is no pressure ulcer, her condition improved and was discharged. Control risk factors, make the right judgments, the implementation of effective care is the key to pressure ulcer prevention, and effective health education is a good means of prevention of pressure sores. The group at high risk of pressure sore inevitably more in neurology, neurosurgery, orthopedics, diabetes and other specialist nurses in these high-risk groups not only the implementation of effective preventive care measures are targeted to patients and their family members the pressure ulcer ,[link widoczny dla zalogowanych], development and prevention, treatment and other care general knowledge, to give a balanced diet, increased protein, vitamin and trace elements intake of cable and other dietary guidance to the family to participate with the care plan,[link widoczny dla zalogowanych], effective control of the inevitable pressure sore occurred.
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