1. The document discusses nursing care for unconscious and bedridden patients, including assessment, prevention of complications from immobility, and specific care needs.
2. Key aspects of care include regular repositioning to prevent pressure sores, management of the skin, bladder, and bowels, providing proper nutrition, and implementing rehabilitation and recreational therapies.
3. Close monitoring is also needed to watch for potential complications like pneumonia and manage conditions like pain, incontinence, or delirium.
Care of unconscious patient
1.Introduction
2. Conditions of immobility
3. Impaired consciousness
4. Assessment of unconscious patient
5. Complication of immobility
6. Nursing diagnosis for unconscious patient
7. Managment of unconscious patient
8. Specific needs and care of unconscious patient
9. Nursing managment of unconscious patient
10. Care of skin and prevention of bed sore
11. Points to be remember while during care of unconscious patient
12. G.C.S
13. Communication skills required in critical care
care of unconscious patient Med surg pptNehaNupur8
detailed information about care of unconscious patient in the hospital , neurological ward, contain introduction, definition, levels of unconsciousness , causes, clinical manifestations, pathophysiology diagnostic evaluation, assessment of patient, medical magement, nursing management, surgical care, emergency care ,complications, summary ,research.
Care of unconscious patient
1.Introduction
2. Conditions of immobility
3. Impaired consciousness
4. Assessment of unconscious patient
5. Complication of immobility
6. Nursing diagnosis for unconscious patient
7. Managment of unconscious patient
8. Specific needs and care of unconscious patient
9. Nursing managment of unconscious patient
10. Care of skin and prevention of bed sore
11. Points to be remember while during care of unconscious patient
12. G.C.S
13. Communication skills required in critical care
care of unconscious patient Med surg pptNehaNupur8
detailed information about care of unconscious patient in the hospital , neurological ward, contain introduction, definition, levels of unconsciousness , causes, clinical manifestations, pathophysiology diagnostic evaluation, assessment of patient, medical magement, nursing management, surgical care, emergency care ,complications, summary ,research.
Communication with ICU patients: Knowing their needsPrabhjot Saini
Need and barriers in Communication among ICU patients who are aphasic. Consequences of failed communication. Discussion on various methods and assistive devices to communicate. Discussion on the development & usability of a self structured communication chart as method of easy communication with ICU patients on ventilators.
Nursing management of critically ill patient in intensive care unitsANILKUMAR BR
Critical care nursing: it is the field of nursing with a focus on the utmost care of the critically ill (or) unstable patients.
Critically ill patients : critically ill patients are those who are at risk for actual (or) potential life threatening health problems.
Admission QGeneral appearance (consciousness)
Airway: Patency Position of artificial airway (if present)
Breathing: Quantity and quality of respirations (rate, depth, pattern, symmetry, effort, use of accessory muscles) Breath sounds Presence of spontaneous breathing.
Circulation and Cerebral Perfusion: ECG (rate, rhythm, and presence of ectopy) Blood pressure Peripheral pulses and capillary refill Skin, color, temperature, moisture Presence of bleeding Level of consciousness, responsiveness.
quick Check Assessment in CCU.
This is a very simple presentation prepared for nurses. It will help nurses to understand the need of monitoring and the available methods. The presentation has been constructed on a clinical case base scenario and gradually different methods of monitoring has been introduced.
A "bundle" is a
group of evidence-based care components
for a given disease that, when executed together, may result in better outcomes than if implemented individually.
Communication with ICU patients: Knowing their needsPrabhjot Saini
Need and barriers in Communication among ICU patients who are aphasic. Consequences of failed communication. Discussion on various methods and assistive devices to communicate. Discussion on the development & usability of a self structured communication chart as method of easy communication with ICU patients on ventilators.
Nursing management of critically ill patient in intensive care unitsANILKUMAR BR
Critical care nursing: it is the field of nursing with a focus on the utmost care of the critically ill (or) unstable patients.
Critically ill patients : critically ill patients are those who are at risk for actual (or) potential life threatening health problems.
Admission QGeneral appearance (consciousness)
Airway: Patency Position of artificial airway (if present)
Breathing: Quantity and quality of respirations (rate, depth, pattern, symmetry, effort, use of accessory muscles) Breath sounds Presence of spontaneous breathing.
Circulation and Cerebral Perfusion: ECG (rate, rhythm, and presence of ectopy) Blood pressure Peripheral pulses and capillary refill Skin, color, temperature, moisture Presence of bleeding Level of consciousness, responsiveness.
quick Check Assessment in CCU.
This is a very simple presentation prepared for nurses. It will help nurses to understand the need of monitoring and the available methods. The presentation has been constructed on a clinical case base scenario and gradually different methods of monitoring has been introduced.
A "bundle" is a
group of evidence-based care components
for a given disease that, when executed together, may result in better outcomes than if implemented individually.
physically ans mentally challenged children has diffirent and special needs that to be addressed definitely in health care which usually doesnt happens
End-of-life care refers to health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks.
Stroke rehabilitation and its aspects to work with patients with hemiplegia and other effects of stroke, other than that you will see some pictures of the used interventions and adaptive equipment used with stroke patients
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
2. Care of unconscious patients.
(Unconscious, Bedridden, Critically ill, terminally ill)
• Person who has no control upon him self or his
environment.
• Is fully dependent upon others for monitoring
his/her vital functions.
Conditions of immobility: -
• Patient on traction, CVA, chronically ill,
terminally. ill, post –operative, unconscious
patients, #, accident, injury etc.
2
Prof. Dr. RS Mehta, BPKIHS
3. Stages and causes of impaired
consciousness: -
Acute stage: - Caused by intra cranial diseases
and metabolic upset.
• Clouding of consciousness.
• Contusion, hyper excitability and irritability.
• Delirium.
• Illusion and hallucination,
• Delusions (persistent misperceptions).
• Stuper: aroused only by vigorous stimuli.
• Coma: Pt. totally unaware.
3
Prof. Dr. RS Mehta, BPKIHS
4. Chronic stage: -
• Dementia–memory, thinking, motor loss,
cortical tissue degeneration
• Vegetative – total lack of cognitive
function, eye open-no response.
• Akinetic mutism – silent immobility.
Damage of cerebral frontal lobe.
• Locked in syndrome – Paralysis of 4
limbs and cranial nerves.
4
Prof. Dr. RS Mehta, BPKIHS
6. Assessment of bedridden patients:
G.C.S. (eye + verbal + moter).
• Emergency assessment: A.B.C.
• Atonic bowel: Paralytic illius, dist., N/V, pain.
• Orthostatic hypotension
• Neurogenic status: Hypotension, cold, temp.
• Skin: pressure sore, bruise, wound.
• DVT: Pain, tenderness, pulse, temp. etc.
• Psychological: Sad, depression, agitated,
anxious, critical, fear etc.
6
Prof. Dr. RS Mehta, BPKIHS
7. Care of unconcious / terminally
ill or bed ridden patients.
Nsg. Aims: -
• Identify problems.
• Prevent secondry complications.
• Maximise functional recovery.
• Support patient and relatives.
• Care of psychological aspects,
7
Prof. Dr. RS Mehta, BPKIHS
8. Care of unconscious Pt: -
• Emg. Management: - ABC.
• Air – way clearance: - suctioning / positioning.
• Prevention of risk of injury: -
– Altered cognitive status.
– Strain, padding and support.
– Side rails, foot splint / board.
• Maintanance of fluid volume: -
– I/O, IVF, N/G feeding, orally.
• Care of oral cavity – mouth care 4 hrly.
• Maintain tissue integrity of cornea: -
– / abscent corneal reflex, eye care, pad.
8
Prof. Dr. RS Mehta, BPKIHS
9. • Prevention from cold: -
– Damage of hypothalamic center.
– Warm clothing / protection.
• Catheter care / VS urinary care.
– Incontinence care,
– Catheterized.
– Retention care,
– Stimulation intemittat
– Catheterization, folly’s.
• Bowel care: -
• Constipation care – fluid / fiber / laxatives.
• Diarrhea – fluid / ors.
• Impaction – digital removal.
9
Prof. Dr. RS Mehta, BPKIHS
10. • Prevention of pressure ulcer: -
• Back care, positioning, air / water matters etc.
• Skin care: - Positioning, bed bath, hair wash, nail.
• Nutritional care: - N/G, TPN, IVF, I/O.
• Pyrexia: - room cold, ventilation, TPR, cold.
• Promoting sensory stimulation: -
– To prevent from sensory deprivation.
Care: - Touching the Pt., communicating with Pt., avoid
negative comments near Pt., Orient Pt. about: time,
place, person ev.8 hrly. Divertional therapy: radio, music
etc.
• Monitoring and managing potential comp: -
e.g. Pneumonia, aspiration, respiratory failure.
Care: - TPR, BP, blood count, ABG, suctioning, chest
physio., C/S – blood and secretions.
10
Prof. Dr. RS Mehta, BPKIHS
11. Specific needs and care: -
• Care of skin and prevention of bedsore.
• Bowel management.
• Prevention of physical detormities.
• Nutritional needs of patient.
• Care of urinary pladder.
• Different therapies to the bed-ridden Pt.
– Recreation games, Phone, paper, pray, radio.
etc.
– Divertional Relax. ex., meditation, touch. etc.
– Oceupational th. Typing / phone/computer tee.
(esp. handicap).
11
Prof. Dr. RS Mehta, BPKIHS
12. The components of basic nursing care for bed
ridden patients are: -
14 principles of V. hendersons
• Respiration, eating and drinking,
elimination, maintain desirable posture,
rest and sleep, dressing and undressing,
maintain body temperature, keep body
clean and well groomed, avoid dangers of
environment, communicate effectively,
practice his religion, work or productive
occupation, recreational activity and to
learn.
12
Prof. Dr. RS Mehta, BPKIHS
13. Specific needs and care:
Care of skin and prevention of bed-sore:
– Position change 2 hrly.
– Back care.
– Air/water mattress. (if need).
– Care of pressure points.
– Avoid friction.
– Nutrition diet.
– Family teaching.
13
Prof. Dr. RS Mehta, BPKIHS
14. Bowel management: -
Complication: - Constipation, impaction, diarrhea, atonic
dysreffexia (SCI), etc.
• Bowel history: - Frequency, consistency and stimulus.
• Physical stat us: - reason, activity, age, G.I. pre.
• Privacy: - Sound, smell, cartons, commod.
• Positioning: - upright with pillows, SCI-no bed pan.
• Intra abdominal pressure: - Massage, deep breathing.
• Oral medications: - laxative, sedatives ,
– Suppositories.
– Diet/fluid/exercise.
• Digital stimulation: - Index finger (1/2” – 2”) (nerve
stimulatory.
14
Prof. Dr. RS Mehta, BPKIHS
15. Prevention of physical deformities: -
• Wrist drop: - Quadriplegia, disuse syndrome.
– Due to pressare on radial nerve.
• Care: - Soft ball on hand, use of splint, slab,
exercise, skin care.
• Foot drop: j- Para plegia, Quadriplegia.
– Due to peroneal nerve damage.
• Care: - Position change 2 hrly, Rom = 1-2 hrly,
use of splint, foot board, sand bag.
• Use of bed cradal: - pressure on tre.
• External rotation of hip: -
• of folled towel unaer buttock to knee.
15
Prof. Dr. RS Mehta, BPKIHS
16. Nutritional needs of patient: -
• Assess nutritional needs of patients: - food habit,
preference, appetite, bowel sound, flatus, constipation,
HB%, serum protein, Wt.,
• Consultation with dietician mean planning.
• Develop rapport with patients.
• Plenty of fluid 2-3 cit/24 hrs.
• Diet: - protein , iron rich, vitamins, minerals, fiber, low
calcium diet etc.
• Avoid gas forming food: - onion, radish, cabbage.
• Avoid spicy foods.
• Care of environment: j- clean, foul smell , quit, free from
distractions.
• Meal secure: - small quantity, digestible tasty, low fat,
delicious.
• Maintain I/O, Wt. vitals.
16
Prof. Dr. RS Mehta, BPKIHS
17. Care of urinary bladder: -
• Assess urinary status: - retention, incontinence,
UTI, calculi etc.
• Adequete fluid intake: - 2-3 lit/day.
• Indewling catheter – SOS.
• Maintain – I/O, fluid balance.
• Skin care.
• Pelvic muscle exercise.
• Supra pubic stimulation. etc.
17
Prof. Dr. RS Mehta, BPKIHS
18. Different therapies to the bed ridden Pt.
Recreational therapy: - as per need.
• games, phone, paper, pray, radio etc as per hobby.
Divertional therapy: - Relaxation exercise, meditation,
therapeutic touch, wheel chair use. etc.
• Occopational therapies: -
– Help in physical, mental and social development.
– Therapy: - according to intrest and skill of Pt.
– Help – from other govt. or training insti.
• E.g.: - computer work, typing, telephone, teaching.
• Preparation of family: -
• Family is backbone of Pt’s support.
• Family: - type, income, education, IPR etc.
• Be non-Judgmental and realistic.
18
Prof. Dr. RS Mehta, BPKIHS
19. Points to remember: -
• Put air way if Pt. is unconscious.
• Tracheostomy – if air way obstruction.
• Suction equipment available.
• Assess breath sound 1-2 hrly.
• Never give fluid / food to shallow.
• Lateral position.
• Perineal care.
• Examine abdomen for distention.
• Involve family in care (general wards).
19
Prof. Dr. RS Mehta, BPKIHS
20. Nursing Care of Bed Ridden Patients
( Summary)
1.Regular change of position.
2.Care of skin and pressure sore,
3.Bladder management.
4.Care of bowel.
5.Management of diet.
6.Chest physiotherapy.
7.Rehabilitation & physiotherapy.
8.Recreational and Divertional therapy.
9.Occupational therapy.
21. Discharge teaching:
• Discharge Pt. only after sure that there is no
neurological or circulatory interferences with
plaster.
• Date and time of next visit/follow up.
• Report hospital immediately if: Swelling, feel
tight, cold, blue, numb, pain. Etc., plaster cracks.
• Plaster lcup dry. No F.B. put inside eg. Coins.
• Exercise all joints except immobilized.
• Elevate the plaster limp.
22. Answer all the queries of Pt.
and their relatives before
sending home.
Thank you