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Giving a back massage

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Giving a back massage

  1. 1. PREVENTION OFPRESSURE ULCERwww.drjayeshpatidar.blogspot.comwww.drjayeshpatidar.blogspot.in
  2. 2. PRESSURE ULCERDEFINITION:-Any lesion caused by unrelieved pressurethat results in damage to underlying tissuewww.drjayeshpatidar.blogspot.in
  3. 3. SYNONYMSDecubitus ulcerBedsoreswww.drjayeshpatidar.blogspot.in
  4. 4. PATHOLOGYPressureBlood vessel collapseNecrosis (tissue death)www.drjayeshpatidar.blogspot.in
  5. 5. MECHANISMExternal pressure –compress bloodvesselsFriction and shearing forces-tear andinjure blood vesselwww.drjayeshpatidar.blogspot.in
  6. 6. EXTERNAL PRESSUREwww.drjayeshpatidar.blogspot.in
  7. 7. FRICTION AND SHEARING FORCES Friction-two surfacesrub against eachother Shearing-one layer oftissue slide overanotherwww.drjayeshpatidar.blogspot.in
  8. 8. FACTORS AFFECTING PRESSURE ULCERDEVELOPEMENTAgingImmobility-paralysed,unconscious,lengthysurgery,tranquilizersNutrition-malnourished,vit-c deficiancywww.drjayeshpatidar.blogspot.in
  9. 9. FACTORS AFFECTING PRESSURE ULCERDEVELOPEMENTHYDRATION-DEHYDRATION,OEDEMAMOISTURE-SWEATINGWARMTH-FEVERPOOR HYGIENEINCONTINENCEwww.drjayeshpatidar.blogspot.in
  10. 10. PRESSURE ULCER STAGING STAGE I - NonblanchingErythema With Skin Intact.STAGE II - Partial Thickness SkinLoss(epidermis)- Blister / Abrasionwww.drjayeshpatidar.blogspot.in
  11. 11. 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
  12. 12. STAGE Iwww.drjayeshpatidar.blogspot.in
  13. 13. STAGE IIwww.drjayeshpatidar.blogspot.in
  14. 14. STAGE IIIwww.drjayeshpatidar.blogspot.in
  15. 15. STAGE IVwww.drjayeshpatidar.blogspot.in
  16. 16. 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
  17. 17. PREVENTING PRESSURE ULCER5. Minimize injury from friction6. Nutritional interventions7. Improve mobility8. Document measures usedwww.drjayeshpatidar.blogspot.in
  18. 18. GIVING A BACK MASSAGE/BACK RUBwww.drjayeshpatidar.blogspot.in
  19. 19. ACTION1. Explain the procedure and offer backmassage to the patient.www.drjayeshpatidar.blogspot.in
  20. 20. RATIONALEBack massage can facilitatecirculation and promoterelaxation.www.drjayeshpatidar.blogspot.in
  21. 21. ACTIONWASH YOUR HANDS.Hand washing detersthe spread of micro –organisms.www.drjayeshpatidar.blogspot.in
  22. 22. ACTIONCLOSE THE CURTAIN ORDOOR.Privacy increases relaxation.www.drjayeshpatidar.blogspot.in
  23. 23. ACTIONAssist the patient to the proneposition or side – lying position withthe back exposed from the shouldersto the sacral area.www.drjayeshpatidar.blogspot.in
  24. 24. RATIONALEThis position exposes anadequate area for massage withprivacy and warmth maintainedwww.drjayeshpatidar.blogspot.in
  25. 25. 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
  26. 26. RATIONALE. Having the bed in the highposition reduces back strain forthe nurse.www.drjayeshpatidar.blogspot.in
  27. 27. ACTIONWarm the lubricant or lotion in thepalm of your hand or place thecontainer in warm water.www.drjayeshpatidar.blogspot.in
  28. 28. RATIONALECold lotion causes chilling anduncomfortable sensation.www.drjayeshpatidar.blogspot.in
  29. 29. ACTIONUsing light gliding strokes(effleurage), apply lotion topatient’s shoulders, back , andsacral area.www.drjayeshpatidar.blogspot.in
  30. 30. SUGGESTED MOVEMENTSwww.drjayeshpatidar.blogspot.in
  31. 31. RATIONALEEffleuragerelaxes thepatient andlessens tension.www.drjayeshpatidar.blogspot.in
  32. 32. 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
  33. 33. RATIONALEContinous contact is soothing andstimulates circulation and musclerelaxation.www.drjayeshpatidar.blogspot.in
  34. 34. 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
  35. 35. RATIONALEA firmer stroke with continouscontact promotes relaxation.www.drjayeshpatidar.blogspot.in
  36. 36. ACTIONKnead thepatient’s skin bygently alternatinggrasping andcompressionmotions(petrissage).www.drjayeshpatidar.blogspot.in
  37. 37. RATIONALEKneading increases bloodcirculation to areas.www.drjayeshpatidar.blogspot.in
  38. 38. FRICTIONwww.drjayeshpatidar.blogspot.in
  39. 39. ACTIONComplete the massage withadditional long strokingmovements.www.drjayeshpatidar.blogspot.in
  40. 40. RATIONALELong stroking motion is soothingand promotes relaxation.www.drjayeshpatidar.blogspot.in
  41. 41. ACTIONDuring massage, observe thepatient’s skin for reddened oropen areas. Pay particularattention to the skin over bonyprominences.www.drjayeshpatidar.blogspot.in
  42. 42. RATIONALEPressure may interfere withcirculation and lead todevelopment of decubitus ulcers.Back rub stimulates circulation tothese areas.www.drjayeshpatidar.blogspot.in
  43. 43. ACTIONUse the towel to pat the patientdry and to remove excess lotion.Apply powder if the patientrequests it.www.drjayeshpatidar.blogspot.in
  44. 44. RATIONALEThis provides additional comfortfor the patient.www.drjayeshpatidar.blogspot.in
  45. 45. ACTIONWASH YOUR HANDS.www.drjayeshpatidar.blogspot.in
  46. 46. RATIONALEHand washing deters the spreadof micro – organisms.www.drjayeshpatidar.blogspot.in
  47. 47. ACTIONAssess the patient’s responseand record your observations onthe patient’s chart.www.drjayeshpatidar.blogspot.in
  48. 48. RATIONALEThis provides accuratedocumentation of the procedureand condition of the patient’s skin.www.drjayeshpatidar.blogspot.in
  49. 49. Thank youwww.drjayeshpatidar.blogspot.in

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