How to take care of the disabled elderly? Nursing content for the disabled elderly

1.Oral care The elderly have a higher prevalence of periodontal disease, and the temperature and humidity of the oral cavity and the residues of food are suitable for the growth of microorganisms. Caregivers can wipe the oral cavity with saline cotton balls in the morning and evening, pay attention to the dry humidity of the cotton balls to avoid dripping, to prevent aspiration caused by excessive humidity, and the elderly who are conscious and have no swallowing disorder can use mouthwash to remove oral odor.

2.**Nursing Most of the disabled elderly are accompanied by mobility disorders, and the common complication of the elderly who have been bedridden for a long time is pressure ulcers, because of local long-term compression, tissue ischemia and hypoxia lead to ulceration, that is, bedsores. Once there is a rupture of the disease, it is undoubtedly worse for the disabled elderly, and it is particularly important for caregivers to master the prevention methods.

The mattress should be moderately soft and hard, you can use an anti-pressure ulcer air cushion to assist the elderly to turn over every 2 hours and 4 hours, and an air cushion can be placed at the bone carina of the elderly's whole body, such as the sacrococcygeal, hip, elbow, etc., to keep the local ** clean and dry.

3.Pipeline care Some disabled elderly people carry gastric tubes, urinary tubes, etc. for a long time, and the tubes should be properly fixed to prevent the tube from slipping due to reverse folding and traction when turning over. Make a record of the replacement date and make an appointment with the community hospital in advance for the tubing replacement.

4.Feeding care The elderly should eat light and digestible food, eat slowly, and do not talk to the elderly during eating to prevent aspiration. The bedridden elderly should elevate their upper body by 30 degrees to 45 degrees for about 30 minutes after eating to prevent aspiration and suffocation caused by food regurgitation.

1.Psychological care. For the disabled elderly, it is necessary to observe words and looks, be good at discovering the difficulties in their lives, and take the initiative to help them get up and groom, eat and sleep, relieve bowel movements and urinate in a timely manner.

Relieve the mental burden of the disabled elderly, take the initiative to care for them enthusiastically, do not dislike them, do not get tired of frequent, and do not show the slightest disgust in front of them, so that they can truly experience the sincere care of their families.

2.Dietary care. Dietary care is also the key to home care for the disabled elderly.

It is necessary to ensure that the nutrition and intake are appropriate. Because the disabled elderly are often accompanied by aphasia, unable to express their wishes correctly, or have difficulty in coughing and swallowing, they cannot guarantee to eat, and the amount of food is often insufficient or excessive, and family members should pay enough attention. It is necessary to set the recipe, the amount of input, and the time to supply, eat less and eat more often, and it is not appropriate to use frying, frying, and barbecue cooking; Avoid fatty, sweet, greasy, spicy, and overly salty products; Quit smoking and drinking.

People with constipation should eat high-fiber foods, such as vegetables and fruits; People with hyperlipidemia should avoid eating animal offal and eat less peanuts and other foods that contain a lot of fat and high cholesterol. If the disabled elderly have severe coughing, they should go to the hospital immediately for symptomatic treatment**.

3.Keep your stool smooth. The disabled elderly who have been bedridden for a long time are prone to constipation, and if they exert too much force during defecation, they can induce bloody stroke and cerebral embolism.

In order to keep the stool smooth, you should have regular bowel movements and eat celery, carrots, fruits, etc. appropriately. If necessary, drugs can be used, such as senna soaked in boiled water, hemp seed intestinal pills, lactulose, kassellu, etc.

4.Functional exercises. Through a certain way of exercise, promote the functional recovery of the limbs, prevent the muscle atrophy of the limbs, enhance the physical fitness, prevent the occurrence of complications, and enable the disabled elderly to treat the disease with a positive attitude and improve their mental state.

The main methods used are massage, passive movement with the help of others, and active movement with one's own participation. **Exercise should be gradual according to the actual situation of the elderly, not in a hurry. The small progress of the exercise function of the elderly should be affirmed and encouraged, so as to further mobilize the enthusiasm of the elderly to participate in exercise.

5.Strengthen disease observation to prevent complications and accidents. Careful observation must take the initiative to understand, familiar with the changes in the condition of the elderly, feel abnormal should be asked in detail, after the general ** effect is not obvious should be sent to the hospital for examination**, so as not to delay the condition, miss the ** opportunity.