MindMap Gallery Care of patients on admission and discharge (1)
Basic nursing, medical students, mind map, summarizes the nursing services received by patients during admission and discharge, including lying position management, environment preparation, discharge guidance and other aspects.
Edited at 2024-10-27 16:37:04Diese Vorlage zeigt die Struktur und Funktion des Fortpflanzungssystems in Form einer Mind Map. Es führt die verschiedenen Komponenten der internen und externen Genitalien ein und sortiert das Wissen eindeutig aus, um Ihnen dabei zu helfen, mit den wichtigsten Wissenspunkten vertraut zu werden.
Dies ist eine Mind Map über die Interpretation und Zusammenfassung des Beziehungsfeldes E-Book, des Hauptinhalts: Überblick über die Essenzinterpretation und Übersicht über das Feld E-Book. "Relationship Field" bezieht sich auf das komplexe zwischenmenschliche Netzwerk, in dem ein Individuum andere durch spezifische Verhaltensweisen und Einstellungen beeinflusst.
Dies ist eine Mind Map über Buchhaltungsbücher und Buchhaltungsunterlagen.
Diese Vorlage zeigt die Struktur und Funktion des Fortpflanzungssystems in Form einer Mind Map. Es führt die verschiedenen Komponenten der internen und externen Genitalien ein und sortiert das Wissen eindeutig aus, um Ihnen dabei zu helfen, mit den wichtigsten Wissenspunkten vertraut zu werden.
Dies ist eine Mind Map über die Interpretation und Zusammenfassung des Beziehungsfeldes E-Book, des Hauptinhalts: Überblick über die Essenzinterpretation und Übersicht über das Feld E-Book. "Relationship Field" bezieht sich auf das komplexe zwischenmenschliche Netzwerk, in dem ein Individuum andere durch spezifische Verhaltensweisen und Einstellungen beeinflusst.
Dies ist eine Mind Map über Buchhaltungsbücher und Buchhaltungsunterlagen.
Care of patients on admission and discharge
Bed Unit Preparation
bed making method
spare bed
pillow lay flat
Purpose
Keep the ward tidy and ready to receive new patients
Temporarily vacant bed
The pillow is placed flat and the quilt cover is folded in three places at the end of the bed (to facilitate the patient's movement in and out of bed)
Purpose
Keep the ward clean and tidy for new patients or those who leave the bed temporarily
anesthesia bed
appearance
Pillows bunched against the head of the bed
Don’t let the patient sleep on the pillow (after anesthesia, it can easily cause vomiting🤮), but don’t let him hit it
The quilt cover is folded in three on one side of the back door
Allows the patient to be moved to bed after surgery
Nursing pad for center bed
Anti-pollution
Purpose
Facilitate the reception and care of patients after anesthesia
Things to note
The middle seam of the bed sheets should be flush with the center line of the bed, and the four corners should be flat and tightly tied.
The quilt head is full, the cover is flat, and both sides are folded in symmetrically.
Pillow is flat, full and has an open back door
Pay attention to time and efforts
Neat and beautiful environment
Four precautions and two precautions
Four defenses: Prevent falling out of bed, preventing tube removal, preventing infection, and preventing colds
Two things to note: Pay attention to the patient’s condition and apply the principle of energy saving.
graduated care
level of care
Special care
Severely dependent patients, ICU patients
Dedicated personnel provide 24-hour nursing care and implement bedside exchange shifts
primary care
Severely dependent patients, patients whose condition becomes stable, and patients who require strict bed rest after surgery or during bed rest period
Patients per hour
secondary care
For patients with mild or moderate dependence, their condition tends to be stable or
subtopic
Tertiary care
Lying position
Classification
Active lying position
Seen in mild patients, pre-operative and recovery patients (patients can move freely)
Passive lying position
Seen in patients who are extremely weak, comatose, and paralyzed (the patient is unable to change his position and is left to others to position him)
forced to lie down
Seen in patients with bronchial asthma and dyspnea (the patient is conscious and has the ability to change his position, but is forced to take a recumbent position due to the need for treatment)
Common lying position
supine position
Supine position without pillows
Lie on your back with your head tilted to one side and the pillow at the head and foot of the bed.
Applicable
Those who are unconscious or unconscious from general anesthesia (to prevent vomitus from accidentally entering the trachea and lungs)
Those undergoing neuraxial anesthesia or spinal puncture (to prevent headaches caused by intracranial hypotension)
Mediolateral decubitus (shock decubitus)
The head and trunk are elevated 10°~20°, and the lower limbs are elevated 20°~30°.
Applicable
Shock patient. Elevating the head and chest will help keep the airway open; raising the lower limbs will help the venous blood return.
Supine position with knees bent
The patient lies on his back with a pillow under his head, his arms at his sides, his knees bent and slightly apart.
Applicable
Thoracic and abdominal examination, urinary catheterization, perineal flushing, etc.
Side decubitus position
The patient lies on his side with his hips moved back, his arms bent at the elbows, one hand beside the pillow and one hand on the chest, the lower legs are slightly straightened and the upper legs are bent.
Applicable
Enema, anal examination, gastroscopy, colonoscopy, etc.
When injecting intramuscularly into the buttocks, bend the lower leg and straighten the upper leg to relax the muscles at the injection site.
semi-sitting position
Shake the bedside stand until the patient is at an angle of 30° to 50° to the bedside, and then shake the under-knee stand to prevent the patient from sliding down. If necessary, a soft pillow can be placed at the end of the bed.
Applicable
Patients after certain facial and neck surgeries (to reduce local bleeding)
Patients who have difficulty breathing due to chest disease, chest trauma, or cardiopulmonary disease (improve breathing)
Patients after thoracic and pelvic surgery or with inflammation (to facilitate wound healing)
Frail patients recovering from illness
sitting position
subtopic
Applicable
Patients with left heart failure, pericardial effusion, and bronchial asthma attacks
prone position
subtopic
Applicable
Lumbar and back examination or combined with pancreatic and cholangiography examination
Patients who cannot lie flat or on their sides after spinal surgery or with wounds on their waist, back, or buttocks
Patients with abdominal pain due to flatulence
Arm intramuscular injection (toes facing each other, heels apart)
Head down and feet high
The patient lies on his back with his head tilted to one side and a pillow placed across the head of the bed to prevent head injury. Elevate the end of the bed by 15°~30° so that the patient's body is in a tilted position with the head down and the feet up (cannot be used for a long time)
Applicable
Bronchiectasis (making it easier to cough up phlegm)
Duodenal drainage (facilitates bile drainage)
When the calcaneus or tibial tubercle is traction (using the body's gravity as an anti-traction force to prevent sliding)
Premature rupture of membranes during pregnancy
Head high and feet low
The patient lies on his back, with the head of the bed elevated 15°~30° so that the patient's body is in a head-high, low-slope position.
Applicable
Patients with cervical spine fractures (used as counter-traction force when performing skull traction)
Reduce intracranial pressure and prevent cerebral edema
Patients after craniocerebral surgery (those with intracranial hypertension)
Knee-chest position
The patient lies on his knees with his legs flat on the bed and slightly apart; his thighs are perpendicular to the bed, his chest is close to the bed, his abdomen is suspended, his buttocks are raised, his head is turned to one side, and his arms are bent at the elbows and placed on both sides of the head (pregnant women) When correcting the fetal position in this lying position, you should keep warm and should not exceed 15 minutes each time)
Applicable
Anal, rectal, sigmoidoscopy or treatment
Correct fetal malposition or uterine retroversion
Promote postpartum uterine recovery
Relieving hypoxia in patients with tetralogy of Fallot
lithotomy position
The patient lies supine on the examination table, with his legs spread apart and placed on the leg frame. A soft pad is placed on the leg frame. The buttocks are flush with the edge of the table, and his hands are placed on both sides of the body or on the chest (pay attention to keeping warm)
Applicable
Examination, treatment or surgery of the perineum and anus (cystoscopy, obstetrics and gynecology examination, vaginal lavage, etc.)
maternal delivery
Swap lying positions
Assist the patient to move the end of the bed
Assist patients who slide towards the end of the bed and are unable to move on their own to move to the head of the bed and return to a safe and comfortable lying position
Assist the patient to turn over and lie on his side
Assist patients who cannot get up to change their lying position; prevent complications (pressure ulcers, pneumonia, etc.)
Things to note
Save energy, move gently, keep warm and prevent falling from the bed, reasonably arrange the frequency of turning over, and treat special circumstances
transport