Putting on a diaper on a bedridden patient

  1. Prepare diaper:

ü take it out of the package,

ü Shake vigorously several times, pull the ends so that the absorbent layer fluffs up and the side protective frills take a vertical position.

  1. Turn the patient on his side again, slightly bending his knees, and place the diaper under his back so that the Velcro fasteners are on the side of the head, and the filling indicator (the inscription on the outside of the diaper in its central part, directed along the diaper) is along the spine line.
  2. Turn the patient on his back, his legs should be slightly bent at the knees.

4. Gently spread the diaper under the patient’s back

  1. Pull the front of the diaper between the patient’s legs on the stomach and straighten it. We straighten the diaper and protective cuffs to eliminate wrinkles and prevent chafing in places where the diaper is in closest contact with the patient’s skin (waist, hips, legs)
  2. Lower the patient’s legs.
  3. Fasten Velcro:

ü First, fasten the bottom Velcro in sequence, first the right one, then the left one, or vice versa, tightly covering the legs, directing the Velcro across the patient’s body, slightly from the bottom up;

ü then fasten the upper Velcro, in the direction across the body of the patient.

The indicator of moisture saturation helps to control the filling of the diaper: when the diaper is filled with moisture, the inscription darkens and blurs. The diaper should be changed after the inscription along the entire length has changed its original state.

When changing a diaper, it is necessary to carry out a wet treatment of the inguinal and gluteal areas, then sprinkle the skin with fragrant talc or baby powder, leave it open for airing for 30-40 minutes, and then put on a new diaper.

Do not use a diaper on existing bedsores.

Washing up in bed

If the patient is unable to shower regularly or suffers from urinary and fecal incontinence, they should be washed. The procedure is carried out in the morning, in the evening, when changing the diaper, after each act of defecation.

ü Washing a woman

1. Spread a protective oilcloth / diaper and place the vessel under the sacrum.

2. Ask the patient to bend her knees and slightly spread them apart.

3. Stand to the right of the patient.

4. With the right hand, moving from front to back, if necessary, remove fecal contamination with paper or gauze napkins. To clean the inguinal folds and genitals contaminated with secretions, rinse with a gauze napkin with a solution in the following sequence:

ü pubic area,

the external genitalia,

ü perineum, anus area in the direction from the external genitalia to the anus, changing successively napkins.

5. Wipe the skin dry in the same sequence and direction, changing paper towels.

6. Remove the vessel and the used protective sheet

ü Washing a man:

  1. Put on a protective sheet and place the vessel under the sacrum.
  2. Ask the patient to bend the knees and slightly spread them apart.
  3. Stand to the right of the patient.
  4. With the right hand, moving from front to back, if necessary, remove fecal contamination with paper or gauze napkins.
  5. Take the penis with one hand, pull the foreskin.
  6. Wash the solution, using cotton swabs, the head of the penis in a circular motion in the direction from the urethra to the pubic area, changing successively napkins.
  7. Dry the patient’s penis.
  8. Return the foreskin to its natural position.
  9. Carefully treat, rinse and dry the rest of the penis, the skin of the scrotum, anus.
  10. Wipe the skin dry in the same sequence and direction, changing wipes.
  11. Remove the vessel and used protective sheet.
  12. Dispose of used material.

Washing with a special foam for washing without the use of water
Special foam for washing Menalind is used:

1. For cleaning areas of the skin where the skin has irritation and redness. It is allowed to use the foam for minor damage to the epidermis: microcracks, redness, irritation, bedsores of 1 and 2 degrees (without damage to the dermis). But in case of deep damage to the dermis itself (skin ulceration), special treatment should be carried out and foam or other detergents should not be used in these areas!

  1. For washing men and women, so as not to lay a vessel. When washing, you can leave it on the skin for 1-2 minutes to soften dried secretions. Remove fecal contamination with paper or gauze napkins. Repeat if necessary.
  2. Foam for washing can be used to treat all parts of the body. Keep the sequence of treatment of the patient’s body and the change of disposable gloves, gauze and paper napkins.
    Before use, the foam can should be shaken vigorously several times, turned upside down and the valve pressed. Apply the foam from a distance of about 10 cm from the surface to be treated. After applying a portion of the foam to the skin, spread it over the contaminated skin using a washcloth mitt.

Washing with wet sanitary napkins or gloves
To save time, facilitate hygiene and in the absence of visible contamination, Menalind, No-Rinse wet wipes or AQUA mittens can be used. The wipes are ready to use and do not require the use of water or detergents. They do not contain alcohol, refresh the skin of the patient, giving a feeling of comfort. These wipes can be used to wipe the entire body of the patient. For a more comfortable procedure, No-Rinse wipes or Aqua mittens can be heated in the microwave.
It is allowed to use wipes in areas with microcracks and slight reddening of the skin (epidermis). If there are infected wounds on the patient’s body, it is recommended that the patient’s hygiene be carried out with No-Rinse wipes (the antibacterial formula works effectively against Escherichia coli, staphylococci, streptococci, salmonella).

QUESTIONS FOR SELF-CONTROL.

1. Basic principles of care.

2. Definition of the concept of personal hygiene.

3. Basic principles of patient care

4. What are bedpans?

5. How to change bed linen for a patient on strict bed rest?

6. How is underwear changed?

7. How are nappies/nappies used for seriously ill patients?

2. After studying the theoretical material, complete the phrase

1. ___________________________ are activities aimed at maintaining the cleanliness of one’s own body and carefully caring for it.

2. General care defines patient care regardless of _______________ and _______________ illnesses.

3. The success of treatment and adaptation to a new quality of life provides adequate ____________ for the patient.

4. Basic principles of care: safety, _____________________, respect for dignity, _______________________, infectious safety

5. Change of bed linen for all patients in the medical department is carried out by the nurse ____________________________.

6. The ability to give the patient the most comfortable and functional position, depending on his disease and condition, the main purpose of __________________________________.

7. Depending on his condition, the patient can take a position in bed ____________________, ____________________, ____________________.

8. When the patient can be turned on its side apply ________________________ _____________ change of bed linen

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