发布日期 : 2020-01-16 预览次数 : 4221
Evaluating elders' existing capabilities through a functional therapist, even when bedridden may be used through life rehabilitation care and assistive devices, reducing bedtime, achieving no more diapers for 24 hours, and even getting rid of diapers and leaving the bed to go to the toilet. Let's see what Wang Zhiyuan's functional therapist says and how to do ...
When elders are incapacitated and stay in bed for a long time, turning over, back cleaning, body cleansing and excretion will become daily routine work items for the caregiver, especially the errand of changing diapers. Let me not talk about the types and functions of commercially available diapers. It can reduce the caregiver's energy. If you encounter an uncooperative elder every time you change the diaper, the carer will often be physically and mentally exhausted. In the long term, the elders will lose their driving force because they feel that they have lost their dignity. .
The so-called functional therapist's function means life. The functional therapist teaches the caregiver to the caregiver according to the elders' existing abilities, so that the elders can continue to practice daily living abilities at home and improve physical functions. The key to recovering the ability to live independently is to allow caregivers to get adequate rest.
The diaper is an aid for life
Wang Zhiyuan's functional therapist emphasized: "Don't cause inability to decline due to incontinence and don't want to wear diapers." In addition to continuing to exercise related muscle groups and delay the deterioration of incontinence, you can also use disposable high-absorption underwear and related living aids to maintain Elders' dignity and vigor can prevent disability from declining!
[Description of Family A] Dementia mothers who stay in bed for more than 20 hours do not like to wear diapers. How to solve the problem of frequent urination and emotional irritability after diapers?
[Jointly Establishing Care Goals] It is found that the mother still has the "ability to turn over", so solving the problems of frequent urination and physical strength of the mother is a priority.
First of all, reducing the frequency of drinking water is not to limit the amount of drinking water, but to quantify it regularly. It can not only predict the toilet time, but also does not need to change diapers frequently.
At the same time, a reclining wheelchair and an electric bed are used to help guide the bed to get up and sit up, reduce the bed time, and gradually increase the mother's sitting time, and then perform standing exercises to maintain basic physical strength.
However, Wang Zhiyuan's functional therapist added the precautions for getting up: "The elders who have been in bed for a long time practicing lying down may cause dizziness due to" postural hypotension ", so the angle and time of sitting up should be gradually increased. "At the same time, observe whether the elders have whiteness, decreased blood pressure, dizziness, and increased pulse."
Self-recovery through self-practice
Don't let care become the ability to obstruct all the elders' autonomous activities. Try to let the elders do what they do on their own. This is the principle of resumption. Wang Zhiyuan's functional therapist emphasizes four phrases for restoring self-ability: "If you can sit, don't lie, if you can stand, don't sit, if you can, go as far as you can, and if you can, you can come by yourself!"
In particular, being able to leave the bed and go to the toilet can not only maintain the dignity of the elders, but also reduce the burden on the caregiver. Wang Zhiyuan's functional therapist gives three major focuses on resuscitation care for urinary incontinence:
Reduce bedtime: Generally, people stay in bed for a week and have 12-15% less muscle function. In particular, the anti-gravity muscles used by standing or sitting will be lost faster, which will indirectly affect the overall decline of body functions, including the digestive system and nervous system (cognitive ability) Therefore, taking the daily life before bedridden as a reference value, it increases the time spent sitting out of bed and improves the autonomy of bedridden people.
Increase sitting tolerance: When performing reclining to sitting exercises, you must pay attention to postural hypotension, and make good use of posture change assistive devices, including electric beds, posture-changing wheelchairs, and standing wheelchairs. The shifting process is safe and labor-saving; in addition, you can adjust the posture by lying and sitting alternately to avoid skin pressure injuries caused by sedentary.
Increase physical activity and muscle endurance: With the help of a third person, step-by-step exercises from standing to sitting, induce high-intensity daily life of multi-muscle group cooperative contraction, such as putting on and taking off clothing by yourself, practicing sitting or bending Wash your feet to keep your body in balance.
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