壓瘡護理英語講課

匯報人：xxx20xx-04-02壓瘡護理英語講課IntroductionBasicknowledgeofpressureulcersAssessmentanddiagnosisofpressureulcersPracticeandoperationofpressureulcernumberingPreventionandmanagementofapplicationsSummaryandOutlook目錄01IntroductionToprovideanunderstandingofthenature,causes,andsequencesofpressureulcersTooutlinetheprinciplesofpressureulcerpreventionandmanagementToacquirelearnerswiththeknowledgeandskillsrequiredtoprovideeffectivenursingcareforpatientswithpressureulcersCourseobjectivesandobjectivesPressureulcers,alsoknownasbedsorpressureinjuries,areareasofdamagedskinandunderlyingissuesthatdevelopwhensustainedpressurecutsoffcirculationtovulnerablepartsofthebodyThepreventionandmanagementofpressureulcersistheremorecriticalinensuringoptimalpatientoutesandreducinghealthcarecostsPressureulcerscancausesignificantpain,disfort,anddistresstopatients,aswellasincreasetheriskofseriousplicationssuchasinfectionandprolongedhospitalstaysDefinitionandimportanceofpressureulcersThislecturewillcoverthepathophysiologyofpressureulcers,includingtheriskfactorsandmechanismsthatcontributetotheirdevelopmentWewilldiscusstheassessmentandstagingofpressureulcers,aswellastheprinciplesofroundhealingandrepairPreventionstrategieswillbeemphasized,includingtheuseofpressurereliefdevicesandtheimportanceofregularpositioningandrepositioningOverviewofcoursecontentManagementoptionsforpressureulcerswillbeoutlined,includingwoundcleaning,briefing,dressing,andadvancedwoundcareproductsFinally,wewilldiscusstheroleofthenurseinpromotingholisticcareforpatientswithpressureulcers,includingpatienteducation,psychologicalsupport,andthecoordinationofmultidisciplinarycareOverviewofcoursecontent02BasicknowledgeofpressureulcersProlongedpressureontheskin:Thiscanoccurwhenapersonisbedriddenorusesawheelhair,andthepressurecutsoffbloodcirculationtotheskinMoisture:Excessivemoistureduetoperspiration,continuity,orotherfactorscanweakentheskinandmakeitmoresusceptibletodamagePoornutrition:AlayerofessentialnutrientscanslowdowntheheatingprocessandincreasetheriskofpressureulcersFrictionandshearforces:Thesecanoccurwhentheskinrubsagainstclothing,bedding,orothersurfaces,orwhentheskinispulledindifferentdirectionsThecausesandriskfactorsofpressureulcersStage1Stage2Stage3Stage4ClassificationandclinicalpresentationsofpressureulcersTheskinisredandmayfeelwarmorpaidtothetouchTheulcerdeepensandmayextendintotheunderlyingissue,formingacriticlikewonderTheskinbreaksopen,formingashallowulcerthatmaybemoistandpinkorredTheulneratesdeepintotheissue,potentiallyaffectingmuscles,bones,ortendonsRegularrepositioningForbeddedpatients,changingpositionsatleasteverytwohourscanhelpdistributepressureeverandpreventulcersfromdevelopmentSpecialmattressesandcushionscanhelpreducepressureonvulnerableareasKeepingtheskincleananddry,andapplyingmoisturizersasneeded,canhelpprotectitfromdamageEnsuringequalintakeofnutrientsandfluidscanhelpsupportskinhealthandhealingUseofpressurereliefdevicesSkincareNutritionandhydrationPreventivemeasuresforpressureulcers03AssessmentanddiagnosisofpressureulcersRiskassessmentscales01Theseareusedtoidentifypatientsatriskofdevelopingpressureulcers,basedonfactorssuchasmobility,malnutrition,andmobilitySkinassessment02Thisinvolvesvisualinspectionoftheskinforsignsofredness,blurring,orbreakdownLessonviabilityassessment03Thisassessesthehealthandviabilityofthelesson,includingitscolor,temperature,andtexturePressureulcerassessmenttoolsandmethodsStagingsystemsPressureulcersaretypicallyclassifiedintostages,rangingfromStage1(nonBlanchableether)toStage4(fullhicknessissueloss)WoundbedpreparationThisinvolvescleaningandbriefingofthewontoremovenegativeissuesandpromotehealingMeasurementofroundsizeanddepthAccuratemeasurementiscriticalformonitoringtheprogressofhealingandevaluatingtheeffectivenessoftreatmentDiagnosticcriteriaandproceduresforpressureulcersItisimportanttodifferentiatepressureulcersfromotherskinconditions,suchasdeductions,cellulitis,andvasculitisDifferentialdiagnosisPreventivemeasuresincluderegularrepositioning,useofpressurereliefdevices,andmaintaininggoodnutritionandhydrationPrecautionsPromptidentificationandtreatmentofpressureulcerscanpreventtheirprogressionandreducetheriskofplicationsEarlyinterventionDifferentialdiagnosisandprecautions04PracticeandoperationofpressureulcernumberingPreventivemeasuresRegularlyassesspatients'riskfactors,suchasmobility,malnutrition,andmobility,toidentifythoseatriskofdevelopingpressureulcersearlyonNumberingprinciplesandstrategiesforpressureulcersOffloadingstrategiesUsespecialmatsandcushionstoredistributepressureandreducetheriskoftroubledamagePositioningandturningRegularlyturnandpositionpatientswhoareBedriddenorhavelimitedmobilitytoavoidprolongedpressureonanyoneareaSkincareKeeptheskincleananddry,andapplyemployeestomaintainskinintegrityandpreventdryingoutNumberingprinciplesandstrategiesforpressureulcersWoundtreatmenttechniquesanddressingselectionWonassessmentRegularlyassessthewonforsignsofinfection,suchasredness,switching,anddischarge,andmonitoritsprogressDressingselectionChooseappropriatedressingbasedonthewon'scharacteristics,suchasitssize,depth,andamountofexcessDebridementRemoveneoticissueandforeignbodiesfromthesoundtopromotehealingWoundcareApplytopicalagentsasneededtopromotehealingandreducetheriskofinfectionPainmanagementandcomfortcarePainassessmentRegularlyassessthepatient'spaylevelandidentifyanyfactorsthatmaybecontributingtoitPharmaceuticalmanagementAdministratormanagementasneededtorelievepainanddisfortNonpharmacologicalmanagementUsetechniquessuchasrelaxation,diversion,andpositioningtohelpmanagepaintwithoutmediationComfortcareProvideafortableenvironmentforthepatient,withattentiontofactorssuchastemperature,lighting,andnoiselevels05PreventionandmanagementofapplicationsStrictalkalinetechnologyEnsurethatallhealthcareprovidersheretostrictalkalinetechnologieswhenhandlingpatientswithpressureulcerstominimizetheriskofinfectionRegularroundcleaninganddressingchangesCleantheroundbedregularlyandchangedressingfrequentlytomaintainacleanandmoistroundenvironmentUseofantimicrobialagentsApplytopicalantimicrobialagentsassubscribedbythehealthcareprovidertopreventandtreatinfectionsInfectionpreventionandcontrolmeasuresIsolationpreparationsImplementisolationpreparationsforpatientswithaffectedpressureulcerstopreventthespreadofinfectiontootherpatientsandhealthcareprovidersInfectionpreventionandcontrolmeasuresEncouragepatientstoconsultabalanceddierichinprotein,vitamins,andmineralstosupportwonhealingandoverallhealthBalanceddieProvideproteinsupportasneededtosupportwonhealingandmusclemassmaintenanceProteinsupportRemendvitaminandmineralsupportassubscribedbythehealthcareprovidertocorrectnutritionaldeficienciesandsupportwonhealingVitaminandmineralsupportMonitorfluidintakeandoutputtoensureequalhydrationandpreventdehydration,whichcandelaywoundhealingFluidbalanceNutritionsupportanddietaryadjustmentsuggestionsEmotionalsupportProvideemotionalsupportandcoachingtopatientsandtheirfamiliestohelpthemcoverwiththestressandanxietyassociatedwithpressureulcermanagementRehabilitationguidanceGuidepatientsthroughrehabilitationexercisesandactivitiestoimprovemobility,reducepain,andenhancequalityoflifeEducationandtrainingEducatepatientsandtheircaregiversonpropercaretechnologies,preventionstrategies,andtheimportanceofinheritancetothetreatmentplanPsychologicalcareandrehabilitationguidanceOngoingmonitoringandfollow-upConductregularassessmentsandfollow-upvisitstomonitorprogress,identifyany