VI. The Rough basis of activity Arrangement of a bed of the patient.

As the sick person, especially after an operative measure, killing part of time is in a bed, it is very important, that it was convenient, and bed clean; and convenient, dry, equal. The correct arrangement lay also the check of its state is a making a comfortable standing to the patient, it is prophylaxis of development of intertrigoes, decubituses and other complications. In an early postoperative period of the patient it is desirable to figure on the functional bed which can be transformed. On the matrass that has transited disinfection in a disinfection chamber, put on a clean; mattress-case. The matrass put on a bed with well tensioned grid. Make the a bedsheet which edges on all length turn in under the matrass so that it was not agglomerated in cords. A pillow put on a clean; pillowcase. A blanket put on a blanket cover. To provide sick with two towels.

It is desirable to apply a bedsheet or a diaper to the seriously ill patient of the patient with a superadsorbent which does not soak through. At their absence it is necessary to lay on the matrass an oilcloth, and atop of an oilcloth - a diaper (to prevent contamination of the matrass by eductions of the person). It is recommended to seriously ill patients and people of advanced and senile age to use pampers.

Complex prophylaxis of decubituses.

At the attenuated, immobile patients, especially at what borrow a passive standing in bed, the delivery of the soft tissues therefore decubituses can be formed is broken. Occurrence of decubituses testifies to insufficient care of the patient.

Devices of prophylaxis of decubituses:

 To learn the patient to care of itself how much it probably.

 To learn relatives to receptions of care by the seriously ill patient with the purpose of prophylaxis of decubituses.

 To dispose the patient comfortably in a bed. To recommend to use one of matrasses: porolon, inflatable, water or the matrass filled by seeds of millet.

 To variate a standing of the patient in bed each 2 hours, to encourage the patient to variate a standing in bed by means of girders, a handrail and other gadgets.

 To use the gadget for relief of a body on the defective soft tissues (porolon interleafs in baffles, the saccules filled by seeds of millet or flax).

 To check a state lay during replacement of a standing of the patient (each 2 hours). The bed-clothes should be clean, dry, without cords, cicatrixes-buttons.

 After each reception of meal - to shake a bedsheet that in a bed there were no crumbs.

 To do easy massage during change of a standing of the patient, it is impossible to do massage in places of performances of bones.

 Once for day fields, the most vulnerable concerning originating decubituses to wash warm water, to wipe the soft towel a method “wet”, and then to handle 10 % a solution of camphoric alcohol, 40 % ethanol, or a weak solution of Acetum.

 To check the regular bleeding an intestine.

 To recommend patients of advanced and senile age, and also to patients with an incontience of urine to use pampers. Pampers exchange each 4 hours, each time washing away the patient. At an incontience of a feces pampers exchange at once after the certificate of a defecation, bindingly having washed away the patient.