“Popular Science” recovery guidance of patients with hemiplegia

First, how to turn over in bed is correct?

A. Turn over to the affected side

(1) Ten fingers of both hands, double -handed right, the thumb of the hand must be placed above the nominic thumb.

(2) Bend your knees.

(3) First place your hands on the healthy side, then swing against the affected side in the opposite direction.

B. Turn over

(1) Insert the healthy side lower limbs below the lower limbs.

「科普」偏瘫患者的康复指导

(2) While turning the upper body, use the healthy side lower limbs to hook the affected lower limb to move the affected lower limb and turn to the healthy side.

Second, how to help patients sit up from bed?

(1) First of all, patients who stay in bed for a long time cannot sit up directly, otherwise it will easily cause symptoms such as upright hypotension, blood pressure dizziness, nausea and other symptoms. Practice from the bed in the bed, shake the bedside for 30 °, 60 °, and finally to 90 °. The patient practice daily. When there is no symptoms of discomfort, you can guide the method on the bed.

(2) Sitting method: The family supports the patient’s shoulders on the patient’s health side, and the patient’s healthy side limbs insert below the calf. With the help of the family, the patient’s healthy legs drive the affected legs to the healthy side, and use the healthy elbow to support the upper body. Under the support of the family, the patient hooked his legs to the bed with a healthy leg, and hanged on the edge of the bed, and then sat up with a healthy limb support; remember that he could not pull the hand.

Third, how to transfer from a wheelchair to the bed?

「科普」偏瘫患者的康复指导

(1) Drive the wheelchair near the bed, so that the wheelchair and the bed are 30 ° ~ 45 ° angle, stop the wheelchair, and remove the foot trap.

(2) Use healthy and healthy hands to support your body.

「科普」偏瘫患者的康复指导

(3) Hold the bed surface and turn the body with a shaft.

(4) Sitting slowly on the bed.

「科普」偏瘫患者的康复指导

Fourth, how to move from the bed to the wheelchair?

(1) The wheelchair is placed on the edge of the bed, and the wheelchair and the bed are 30 ° ~ 45 °.

(2) Stroke the car and move away the feet.

(3) Use healthy and healthy hands to support the body.

(4) Support the outer handrail with Jianjian, use healthy as a shaft, turn the body, and make the hips facing the chair.

(5) Sitting in a wheelchair steadily.

Fifth, how to transfer from wheelchairs to ordinary seats?

(1) Drive the wheelchair, facing the chair, stop at 50 to 60cm from the chair, stop the wheelchair, and remove the foot.

(3) Taking the healthy as the axis, turn the body, put it on the chair surface with Jianjian, and sit down slowly.

Six, how to transfer from ordinary seats to a wheelchair?

(1) First pull the wheelchair to the chair, and the chairs are clipped at 30 ° ~ 45 °.

「科普」偏瘫患者的康复指导

(2) Support the handrail of the wheelchair with Jianjian and support the body with health.

(3) Move your hands to the other handrail, use the healthy as the axis, turn the body, and sit on the wheelchair.

「科普」偏瘫患者的康复指导

Seven, how to wear and take off the front placket clothes?

(1) How to wear: first wear the affected side, then wear the healthy side.

(2) Removal method: Take off half of the affected side, then remove the entire sleeve on the side, and finally exit the sleeve on the affected side.

「科普」偏瘫患者的康复指导

Eight, how to wear a take -off cubs?

(1) How to wear: first put the shirt on the knees; insert your hand into the sleeve and stretch your wrists out of the cuffs; then insert your Jianshong into the sleeve, and extend the entire forearm out of the cuffs; use healthy health; Pull your clothes as much as possible to the affected side shoulder; put your head in and get out of the neckline; finally pull the clothes.

(2) Remove method: Use your hands to pull your clothes back up, quit your head first, and then exit your shoulders and hands.

Nine, how to wear pants?

「科普」偏瘫患者的康复指导

(1) Put on the bed: first wear the affected lower limbs, and then wear the healthy side of the lower limbs; use the healthy side of the lower limb to support the hips, lift the pants, and tie the belt with a healthy hand.

(2) Put on the chair: first wear the affected lower limbs, then wear the lower limbs of the healthy side, hold the waist of the pants with your hands, stood up, lift the pants, and then sit down with a healthy belt.

Ten, how to move from a wheelchair to the toilet?

(1) Drive the wheelchair to the toilet, so that the wheelchair and the toilet into an angle of 30 ° ~ 45 °.

(2) Stop the wheelchair, move away the feet, bend down and support the Jianshong on the handrail or the toilet lid on the handrail. Sit on the toilet.

「科普」偏瘫患者的康复指导

(3) Return to the wheelchair from the toilet and can be carried out in the opposite direction.

Eleven, how to take a sedan in patients with hemiplegia

「科普」偏瘫患者的康复指导

(1) First, use the health side to close the door, hold the door or grab the armrest above the car.

(2) Turn the body with the lower limbs of the healthy side as the branch, so that the hips are aligned with the seat, and slowly sit down.

(3) Properly promote the lower limbs of the healthy side, and then advance to the affected lower limb.

「科普」偏瘫患者的康复指导

Twelve, how to care for the skin of bed patients?

The skin of bed patients should be given a bed on the bed in a regular basis. The face and neck should be cleaned first, and then take off the clothes and scrub the upper limbs, chest, abdomen, back, lower limbs and perineum. The movement should be fast and the power is appropriate. Water temperature should be prevented from being too high or too low, preventing burns or cold. Replace the sheets, quilts and underwear in time. Pour nails in time to avoid infection caused by itching and scratching skin. Cool incontinence should often change the mattress. Do not wipe the bath immediately after meals, so as not to hinder the vomiting of patients when they are digested or turning the patient.

Thirteen, how to care for the patient with gastric tubes?

Before eating, you should extract the gastric juice to determine whether the gastric tube is in the stomach. After determining it, the warm water of 10-20 mL is first in the gastric tube, and then the appropriate amount of heating nasal feed is slowly injected into the stomach, the injection is completed, and then 20ml into 20ml. Tube warm water. Remember that the gastric tube should be replaced regularly, and it is usually replaced every 30 to 45 days. Turn over before nasal feeding. When nasal feeding and nasal feeding, half -bedroom position should be taken or raised at the bedside 30 ° ~ 60 ° to prevent food reflux. The amount of nasal feeding should be 4 to 6 times per day, no more than 200ml/time, and the temperature is controlled at 38-40 ° C. It can also test the temperature in the inner side of the forearm before nasal feeding. Excessive cold or overheating can cause patients with stomach discomfort. The nasal feeding diet should be available for preparation, and the unused refrigerator is stored.

Fourteen, how to ensure the safety of patients with hemiplegia?

The items in the ward are as little as possible, and there is a certain space for patient transfer and activity. The ground should be kept dry without water stains to prevent slipping; the shoes are best for the deducted tourist shoes. The soles are relatively hard and skid. It is forbidden to wear slippers to prevent falling. If there is sensory disorders on the affected side, the use of hot water bottle is prohibited to prevent burns. Patients using wheelchairs should brake their hands when they are on the upper and lower wheelchairs for walking training. Family members should be protected on the affected side. Patients with disorderly disease should be accompanied by people 24 hours a day, and the house reminds the patient with a striking sign. Patients with cognitive impairment prevention when going out, we must wear information contact cards, including names, age, address, contact telephone number, etc.

The content is selected from the book “External Injury Rehabilitation 300 Questions”

(2) Use healthy and healthy hands to support your body.

Author: ArticleManager