Giving a back massage
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Giving a back massage

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Giving a back massage Giving a back massage Presentation Transcript

  • PREVENTION OFPRESSURE ULCERwww.drjayeshpatidar.blogspot.comwww.drjayeshpatidar.blogspot.in
  • PRESSURE ULCERDEFINITION:-Any lesion caused by unrelieved pressurethat results in damage to underlying tissuewww.drjayeshpatidar.blogspot.in
  • SYNONYMSDecubitus ulcerBedsoreswww.drjayeshpatidar.blogspot.in
  • PATHOLOGYPressureBlood vessel collapseNecrosis (tissue death)www.drjayeshpatidar.blogspot.in
  • MECHANISMExternal pressure –compress bloodvesselsFriction and shearing forces-tear andinjure blood vesselwww.drjayeshpatidar.blogspot.in
  • EXTERNAL PRESSUREwww.drjayeshpatidar.blogspot.in
  • FRICTION AND SHEARING FORCES Friction-two surfacesrub against eachother Shearing-one layer oftissue slide overanotherwww.drjayeshpatidar.blogspot.in
  • FACTORS AFFECTING PRESSURE ULCERDEVELOPEMENTAgingImmobility-paralysed,unconscious,lengthysurgery,tranquilizersNutrition-malnourished,vit-c deficiancywww.drjayeshpatidar.blogspot.in
  • FACTORS AFFECTING PRESSURE ULCERDEVELOPEMENTHYDRATION-DEHYDRATION,OEDEMAMOISTURE-SWEATINGWARMTH-FEVERPOOR HYGIENEINCONTINENCEwww.drjayeshpatidar.blogspot.in
  • PRESSURE ULCER STAGING STAGE I - NonblanchingErythema With Skin Intact.STAGE II - Partial Thickness SkinLoss(epidermis)- Blister / Abrasionwww.drjayeshpatidar.blogspot.in
  • PRESSURE ULCER STAGINGSTAGE III – Fullthickness Skin Loss -Necrosis Of Hypodermic TissueSTAGE IV - Fullthickness Skin Loss -Extensive Damage To Muscle,boneorSupporting Structureswww.drjayeshpatidar.blogspot.in
  • STAGE Iwww.drjayeshpatidar.blogspot.in
  • STAGE IIwww.drjayeshpatidar.blogspot.in
  • STAGE IIIwww.drjayeshpatidar.blogspot.in
  • STAGE IVwww.drjayeshpatidar.blogspot.in
  • PREVENTING PRESSURE ULCER1. Identify at risk patients2. Assess their skin daily3. Keep skin clean & dry always keeppressure off skin4. Avoid massage over bony prominenceswww.drjayeshpatidar.blogspot.in
  • PREVENTING PRESSURE ULCER5. Minimize injury from friction6. Nutritional interventions7. Improve mobility8. Document measures usedwww.drjayeshpatidar.blogspot.in
  • GIVING A BACK MASSAGE/BACK RUBwww.drjayeshpatidar.blogspot.in
  • ACTION1. Explain the procedure and offer backmassage to the patient.www.drjayeshpatidar.blogspot.in
  • RATIONALEBack massage can facilitatecirculation and promoterelaxation.www.drjayeshpatidar.blogspot.in
  • ACTIONWASH YOUR HANDS.Hand washing detersthe spread of micro –organisms.www.drjayeshpatidar.blogspot.in
  • ACTIONCLOSE THE CURTAIN ORDOOR.Privacy increases relaxation.www.drjayeshpatidar.blogspot.in
  • ACTIONAssist the patient to the proneposition or side – lying position withthe back exposed from the shouldersto the sacral area.www.drjayeshpatidar.blogspot.in
  • RATIONALEThis position exposes anadequate area for massage withprivacy and warmth maintainedwww.drjayeshpatidar.blogspot.in
  • ACTIONUse the bath blanket to drape thepatient. Raise the bed to the highposition and lower the side rail closestto you.www.drjayeshpatidar.blogspot.in
  • RATIONALE. Having the bed in the highposition reduces back strain forthe nurse.www.drjayeshpatidar.blogspot.in
  • ACTIONWarm the lubricant or lotion in thepalm of your hand or place thecontainer in warm water.www.drjayeshpatidar.blogspot.in
  • RATIONALECold lotion causes chilling anduncomfortable sensation.www.drjayeshpatidar.blogspot.in
  • ACTIONUsing light gliding strokes(effleurage), apply lotion topatient’s shoulders, back , andsacral area.www.drjayeshpatidar.blogspot.in
  • SUGGESTED MOVEMENTSwww.drjayeshpatidar.blogspot.in
  • RATIONALEEffleuragerelaxes thepatient andlessens tension.www.drjayeshpatidar.blogspot.in
  • ACTIONPlace your hands beside each otherat the base of the patient’s spine andstroke upward to the shoulders andback downward to the buttocks inslow, continous strokes. Continue forseveral minutes.www.drjayeshpatidar.blogspot.in
  • RATIONALEContinous contact is soothing andstimulates circulation and musclerelaxation.www.drjayeshpatidar.blogspot.in
  • ACTIONMassage the patient’s shoulders, entireback, areas over iliac crests, and sacrumwith circular stroking motion. Keep yourhands in contact with the patient’s skin.Continue for several minutes, applyingadditional lotion as necessary.www.drjayeshpatidar.blogspot.in
  • RATIONALEA firmer stroke with continouscontact promotes relaxation.www.drjayeshpatidar.blogspot.in
  • ACTIONKnead thepatient’s skin bygently alternatinggrasping andcompressionmotions(petrissage).www.drjayeshpatidar.blogspot.in
  • RATIONALEKneading increases bloodcirculation to areas.www.drjayeshpatidar.blogspot.in
  • FRICTIONwww.drjayeshpatidar.blogspot.in
  • ACTIONComplete the massage withadditional long strokingmovements.www.drjayeshpatidar.blogspot.in
  • RATIONALELong stroking motion is soothingand promotes relaxation.www.drjayeshpatidar.blogspot.in
  • ACTIONDuring massage, observe thepatient’s skin for reddened oropen areas. Pay particularattention to the skin over bonyprominences.www.drjayeshpatidar.blogspot.in
  • RATIONALEPressure may interfere withcirculation and lead todevelopment of decubitus ulcers.Back rub stimulates circulation tothese areas.www.drjayeshpatidar.blogspot.in
  • ACTIONUse the towel to pat the patientdry and to remove excess lotion.Apply powder if the patientrequests it.www.drjayeshpatidar.blogspot.in
  • RATIONALEThis provides additional comfortfor the patient.www.drjayeshpatidar.blogspot.in
  • ACTIONWASH YOUR HANDS.www.drjayeshpatidar.blogspot.in
  • RATIONALEHand washing deters the spreadof micro – organisms.www.drjayeshpatidar.blogspot.in
  • ACTIONAssess the patient’s responseand record your observations onthe patient’s chart.www.drjayeshpatidar.blogspot.in
  • RATIONALEThis provides accuratedocumentation of the procedureand condition of the patient’s skin.www.drjayeshpatidar.blogspot.in
  • Thank youwww.drjayeshpatidar.blogspot.in