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Intertrochanteric femoral fractures Nursing

Slow and falls due to poor stability. Case of the disease,[link widoczny dla zalogowanych], the treatment of long-term bed rest, not only can cause muscle and bone changes in disuse,[link widoczny dla zalogowanych], and possible complications. Therefore, a good old femur fracture clinical care of patients is essential, now I Section lO 1994 ~ October 1995 on, patients were treated 32 cases of intertrochanteric fractures of nursing experience are described below. l in men and 32 cases of clinical data of 18 cases. Female 14 down. 60 ~ 70 years of age in 23 cases, 7 cases of 71 to 80 years, 8l years old in 2 cases. Surgical treatment of 21 cases, simple U-line treatment of patients with skeletal traction. Asked the 10 hospitalized 123 days, average 49 days, in addition to l cases with groan pulmonale. Died of heart failure, the rest were cured or improved and discharged. 2 Nursing 2. I do basic care, prevention of complications occurring well. (1) good psychological care. Elderly due to metabolism and the physiological dysfunction of various organs, physical decline, accident trauma the elderly is not only physical pain to bear, and to consider whether such an increase to their loved ones maimed and the sick sleep soundly and economic burden of worry about the other. We mastered the elderly because of illness resulting from a variety of adverse psychological, with compassion, caring words and deeds to the warmth and comfort to the elderly. Wells patiently explained to them. More concern for their lives, according to Yi, to the best physical and mental state for treatment. (2) Note that a reasonable diet to ensure adequate nutrition. In each period after fracture and in accordance with old eating habits and hobbies, nutritious and easily digestible rations and high in calcium, low cholesterol diet. (3) and oral and skin care. Because the elderly reduced secretion of saliva, oral secretions stick sculpture, but also a large number of broad-spectrum antibiotics combined with cable applications prone to stomatitis. We were at the hospital the patient to take the following measures k-Lu: originally used to help patients brush their teeth, gargle increase the number of times a small amount of water, if necessary,[link widoczny dla zalogowanych], daily street 0.015% ~ 0.02% peracetic acid mouthwash Java mouth, 2 times a day to prevent stomatitis. Because the elderly less subcutaneous fat, sweat gap shrink, the skin dry, wrinkled skin and nutrition due to lack of thinning, stretch and resistance is poor, a long time after the fracture bed is easy to cause skin damage and the formation of bedsores. We explain to patients and their families to do the work, turn over 1 time every 2 hours, well the end of the sacral massage and other pressure areas to guide the patient to do Taitun action, with measures such as air-cushion foot bed, in 32 patients, no cases of l bedsores occur. (4) do the two will care. Those of catheterization, 2 times daily with l: 4OOO Nitrofurazone bladder irrigation, 1 day replace the drainage bag. 1 week replacement catheterization arm,[link widoczny dla zalogowanych], daily cleaning the perineum. Will maintain the vulva clean and prevent urinary tract infections. Encourage patients to drink more water. Eat more fruits and fiber containing foods bear to prevent constipation. (5) in the prevention wells complications occurred. Instruct patient to do deep breathing exercise, 1 or 2 times a day, every 10 to 20 minutes, to encourage patients to cough, to maintain airway patency, if necessary, inhalation. Assist in turning over, shot back, etc., to prevent lung infection, control fluid velocity, 40 to 60 drops / into appropriate. With bed movement, and promote blood circulation and prevent thrombosis. Early functional exercise guidance. If both upper limbs, lower limb flexion and extension lateral frog. Abdomen exercise, massage limbs, as the case of patients after internal fixation after 3 months of bed activity, preventing muscle disuse atrophy. 2.2 specialist care (1) the patient to take Chung supine,[link widoczny dla zalogowanych], limbs 20 to 30 degrees abduction. The affected foot was in neutral position, to prevent internal and external rotation. (2) traction skeletal traction patients 2 times a day at the eye of a needle drop of alcohol to prevent infection. Note to local pressure on skin traction situation. (3) raise the foot of the bed l0 ~ 15em, to keep the limb traction. 'We are through the 32 cases of elderly patients with intertrochanteric fractures of clinical care and observation, care and appreciate the good job the right to conduct appropriate early functional exercise is the key to residual anti-residue antagonists.

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