01. Treatment tray on the bedside cabinet, the left side of the stacked bath towels, shirts, shirts, pants, the upper right corner of the cups, straws (straws toward the elderly), cups, the left side of the talcum powder, the lower left corner of the curved tray, curved tray with scissors, combs, curved tray on the left side of the folded piece of small towels.
02. Two buckets (carrying bucket handles to the outside), two pots (pots were placed in a folded piece of towel) put (pay attention to the location of the matter, to avoid moving stools, walking when encountered knocked over).
03. Potty on the shelf under the end of the bed, set up.
2. Three elements:
01. Teacher: I am groomed and ready to request an operation.
Hand washing (7 links): inside, outside, clip, bow, big, stand, wrist
02. Communication. Granny: It's a nice day, let me help you scrub the bath, okay? (Self-answer: Okay.) Thank you for cooperating with me.
03. Assessment. This is a bedridden elderly, conscious, stable, no catheter on the body, can be operated.
3.Five elements +1
Close the window, move the cabinet (20 centimeters), close the door, move the chair (flush with the end of the bed), loosen the end of the bed (just loosen up the pressure under the mattress), and turn on the air conditioning 26 degrees.
3. The process of scrubbing the bath: three major parts ------ three three three three solutions (face, arms, chest; abdomen, back, buttocks; perineum, legs, feet)
Part I: face, arms, chest
01. Assist the granny to urinate. Take the grandmother's pants down to her knees (note: the blouse should also be tucked upwards), then take out the potty, turn the towel on the potty on a chair, hold the old man's buttocks with your left hand, and put the potty under the old man with your right hand (note: faster and more interesting, in addition, the potty should be flat in and flat out, and the towel should be covered with the original face down).
02. Wash your hands.
03. Put the bath towel pad in the elderly under the head (the right hand gently support the elderly shoulder and neck, the left hand to place the towel in the center of the pillow, and then the woolen side of the face up left and right to open. Then, tuck the old man's collar down slightly.
04. Pour water (instantly cover the warm water bucket), test the water temperature (while dictating: the water temperature is appropriate, 45-50 degrees).
05. Wring out the towel (note: to do over the basin), folded in the palm of the right hand.
06. Wipe your face.
The left hand gently hold the granny above the forehead, while mouthing (granny: close your eyes for a moment), and then wipe the eight parts of the face:
001. eyes (wipe the lower eyelids, first use the index finger to wipe the opposite eyelid, and then use the little finger to wipe the inner eyelid)
002. eyebrows (the same method as above)
003. forehead
004. nose
005. cheeks
006. mouth
007. both ears (in front of the ear, behind the ear)
008. neck
Finally, dictate: the same method twice, and then put the towel into the basin.
07. Take off the top:
001. Unbutton all the buttons first (pull up the shirt for warmth), and work with your right and left hands, holding the shoulders and neck up slightly with one hand, and with the other hand, take the top off from the shoulders (as far as you can, halfway down the waist).
002. Take off the sleeve (note that you can only pull the sleeve downward, you can't bend or tug the old man's arm at will to ensure safety), and at the same time, dictate (take off the healthy part first, and then take off the affected part).
08. The bath towel padded under the head of the elderly folded out (right hand to support the right shoulder and neck of the elderly, the left hand to take the towel), and then open to the double, the light side of the upward folded up a part of the bath towel from the quilt under the cover of the elderly (the standard is below the neck of the chest all should be covered to keep warm, the upper body of the elderly on the opposite side of the cover to do not include the left arm of the part of the inside and the bedside edge of the flush), and then, the quilt with the towel to the inner arm wrapped up.
09. Wipe the arm.
Fold up the inner quilt a little to reveal the arm wrapped in the washcloth. Then, the basin of the towel rubbed and wrung out folded in the palm of your hand, hands hooked a wrapped towel to reveal the arm, began to circle the bath (principle: first wipe the outside, wipe the inside, from top to bottom, the outside from the shoulder to the back of the hand, the inside from the armpits to the fingers). After rubbing, smooth hand towel into the basin. Wrap the arm with a bath towel, light pressure massage, while oral (two wet and one dry, the same method to wipe the opposite side).
10. Wipe the chest.
Spread the towel to the opposite side again, centered (make sure the towel covers the entire upper body), while the quilt can be folded over a little more. Then, rub the towel in the basin and wring it out and fold it in the palm of your hand, and work it under the bath towel, zigzag, figure 8, zigzag.
11. Then, the towel into the basin. Change the basin and water for the towel (instantly cover the bucket of warm water).
12. Light pressure massage chest, while oral (two wet and one dry).
Part 2: Abdomen, back, buttocks
13. Rub the abdomen. Towel in the basin rubbed a rubbed and wrung out folded in the palm of your hand, operating under the bath towel, rubbing the navel, rubbing the abdomen (first rub the navel, and then the small stomach on the clockwise direction of the rub two circles), towel into the basin, gently press the massage of the abdomen, at the same time orally (two wet and one dry).
14. Pull the towel to the inside, until the light side only covered to the inner arm.
15. Pull the quilt to the inside, put the old man's hand on the abdomen, while dictating (granny: hand on the abdomen), the left arm to the old man's shoulder and neck, the left hand gently pull the opposite side of the corner of the quilt, the right hand hooked on the old man's left leg, to assist the old man to turn over (to let the old man try to get close to the inner edge of the bed, in order to facilitate the operation of the back), while dictating (the process of turning over to pay attention to the observation of the old man's face and respiration, if there is any abnormality, stop), and then tucked up the quilt. Stop), and then tuck in the quilt.
16. Lift the quilt up, fold it into a corner, and then take the shoulder light side of the bath towel from under the quilt to cover the quilt, and at the same time tuck it inward to drape over the side of the bath towel on the bed.
17. Rub the back. Basin towel rubbed and wrung out folded in the palm of your hand, cover the back of the bath towel folded two folds spread on the bed, left hand quilt, lunge, facing the old man's right hand from the bottom up to wipe the back (*** five, the third to wipe to the back of the neck, and wipe must be close to the skin),
18. and then turn around and wipe the buttocks (lunge, the same left hand quilt, the right hand, respectively, in the buttocks on both sides of the counterclockwise and clockwise), the last wipe a hand in the direction of two rounds, and then turn to wipe the buttocks. Direction to play two circles, and finally wipe a handful of buttock grooves), towel into the basin, cover the bath towel, light pressure massage back, while oral (two wet and one dry).
19. Pour a little talcum powder, rubbed in the hands, then, cover the back of the bath towel folded two folds on the bed, facing the old man bowing from the bottom up to the bottom again, massage, side of the powder, while dictating (Granny: good skin). Remove the bath towel and cover the quilt.
20. Pick up a clean blouse, hold a quarter of the clothes in each hand, and push the clothes to the opposite side from the old man's waist, while topping out the dirty clothes (note: the inner clothes on the bed, do not drag on the floor).
21. Put the old man flat, while holding the old man up a bit, centered, body, arms, legs, feet are put.
22. Pull the dirty clothes out from the inside and put them on the lower level of the special cart (therapy cart).
23. Help the old man to put on the clothes, while dictating (first wear the affected side, then wear the healthy side, the precautions are as mentioned, the buttons can be all buttoned up, or one or two can be buttoned up first).
24. Fold the towel a few folds (pay attention not to wring it up), hold a quarter of the towel in each hand, and push it to the opposite side from the waist (or hips) of the elderly underneath (note: the inner towel is placed on the bed, do not drag it on the ground), and the inner side pay attention to the position of the towel, and the towel side and the edge of the bed are basically flush for the appropriate, and then unfolded, and paved the way.
25. Wiped the navel, back of the second pot of dirty water poured, but the towel remains in the basin, pour the third pot of water (instantly covered with a bucket of warm water).
Part 3: Perineum, legs, feet
26. Take the third towel and wipe the perineum. Wet the towel a little, wring it out and fold it in half again, hand it to the old man (note: the light side against the palm of the old man's hand), while mouthing (granny: wipe the perineum, from top to bottom). Remove it, turn it over and fold it again, and hand it to the elderly person while dictating (Granny: Rub it again). This time remove and place directly on the lower level of the treatment cart.
27. Lift up the old man's buttocks, pull the towel down a little (to the upper edge of the towel can wrap around the base of the thighs is appropriate), lay flat. Take off the old man's pants in the process and put them on the lower level of the treatment cart.
28. Wrap the legs in the quilt, then fold up the inner quilt to reveal the right leg wrapped in the bath towel.
29. Wipe the legs.
The towel in the basin (the original stay in the basin to wipe the navel, the back of the towel) rubbed and wrung out and folded in the palm of your hand, the towel over the legs folded two folded and laid on the bed, facing the old man's left hand to support the old man, the right hand bowed from the bottom upward to the outside of the inside to the outside of the circle rubbing the bath, and then, the left hand holding the old man's knee joints, rubbing the bath from the bottom to the top (a **** three sides). Towel into the basin. Then, flatten the legs, wrap the towel, light pressure massage, while oral (two wet and one dry, the same method of rubbing the opposite side).
30. Wear pants. Clean pants zigzag set on the right hand, first wear the opposite side (open bath towel to cover the quilt), and then wear the inner side, wear good, finishing clothes, pants.
31. Support the elderly feet, and then pull the bath towel down a pull (to the lower edge of the bath towel and the end of the bed flush as appropriate), lay flat.
32. Jerk the old man's pants up to his knees. Spread the legs.
33. Wipe the feet.
001. Put the basin on the bed, between the feet.
002. Split the right and left hands, first bend the old man's legs and then put them in the basin.
003. Hook the basin with the little finger of the left hand, take the towel with the right hand to wipe the feet (upper, lower, left, right four sides, each wipe two, **** eight), the towel squeezed a bit of water, and then rubbed from the top of the foot to the bottom of the foot. Left and right feet the same way.
004. After wiping, the water is poured out in time.
005. Wrap your feet in a bath towel and press lightly to dry.
006. Open the towel, pull down the pants leg .
007. Take the scissors (with the sharp part of the back to the foot of the old man), and at the same time dictate (nails are not long enough to cut).
008. Put the scissors, pull off the bath towel and put it on the lower level of the treatment cart.
34. Hold the elderly person upwards and sleep in the center. Organize the quilt.
35. Look at the hand on the opposite side of the old man, at the same time oral (nails are not long do not need to cut), then, scissors hand tucked quilt; the same way to view the inner hand and tucked inside the quilt; the last cut to the end of the bed quilt wrapped in (or left and right respectively wrapped in).
36. Comb your hair.
37. Wash your hands.
38. Turn the old man's head sideways, and then feed water twice, and then hold the head upright.
39. Communicate. Granny: Is the scrub bath ready and comfortable? (Self-answer: comfortable). You have a good rest, if something happens, call the bell.
4. Finish organizing:
01. Five elements: open the window, move the cabinet, open the door, move the chair, turn off the air conditioning.
02. Put the items of the treatment tray on the upper level of the treatment cart, dirty water is poured out instantly, the changed clothes are stuffed into small buckets, buckets, pots stacked up on the lower level of the treatment cart, and the bedpan is placed on the lower level of the treatment cart.
03. Reporting. Teacher: If the changed items have infectious diseases, first disinfected and then cleaned, if there is no infectious disease, directly cleaned. Operation completed, I go to wash my hands.