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There are nursing precautions.
Maintain the functional position of the limb: the finger joints of the paralyzed limb should be stretched and slightly flexed, and in order to achieve the effect, the patient can put a sponge ball in his hand; The elbow joint is slightly flexed, the shoulder joint of the upper limb is slightly abducted, the joint is avoided from adduction, and the hip and knee joints are extended; To prevent the foot from sagging, make the ankle joint, slightly dorsiflexed; To prevent external rotation of the lower limbs, sandbags or other homemade supports can be placed on the lateral part.
Strengthen paralyzed limb activities: including limb massage, passive movement, and sitting, standing, and walking exercises to prevent limb deformity and twinning.
Prevention of complications: due to the motor and sensory nerve disorders of the paralyzed limbs, the local vascular neuronutrition is poor, and if the compression time is long, bedsores are prone to occur. Usually turn over every two hours and massage with 50% alcohol or bone-setting oil.
The bed should be kept dry and soft, and the patient's body should be kept hygienic, and the water temperature should be kept warm and the water temperature should be appropriate during the bathing process, so as to prevent cold and burns. When the patient turns over, the patient should be stabbed on the back to encourage sputum production to prevent pneumonia. Eat plenty of fruits and vegetables to ensure adequate nutrient intake, especially water, vitamins and fibre.
Make bowel habits and prevent constipation. Give a hot drink (such as hot water, tea, milk, etc.) before breakfast to promote gastrointestinal motility. To promote bowel movements, you can also massage the abdomen, from right down to right up, turn to left up, and then turn to left down, 5-10 times each time.
If you are constipated, you can take medication as prescribed.
Self-care and vocational ability training: When the paralysis improves, the patient should actively exercise daily living skills; Medical staff and family members should give correct guidance and enthusiastic help, and encourage patients to do what they can as much as possible, such as undressing, washing their faces, eating, etc.
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Don't aim too high.
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The care of stroke and hemiplegia patients is first of all to place the good limb position on the affected limb, which can also be called the placement of the functional position, to prevent joint injury or dislocation due to the wrong posture. Patients with stroke and hemiplegia should also be given flexion and extension, rotation and muscle beating and massage of the limb joints at the same time as the functional position is placed to prevent the formation of deep vein thrombosis due to long-term immobility. Secondly, the diet of stroke and hemiplegic patients should be based on a light diet, and at the same time eat less greasy food, but also pay attention to protein supplementation.
If the patient has high blood pressure, they can eat more greens, such as celery. Finally, the patient's life care, dietary care should be good while keeping the stool smooth, it is recommended that constipation should not exceed 3 days, and laxatives can be given if necessary. If the patient's limbs can move on their own, but the muscles are weak, it is necessary to pay attention to the protection of the joints, especially the shoulder joint, when moving, because the posture is not correct or the stretch is too easy to form a dislocation.
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It can be combined with acupuncture**, physical** and limb function exercises of traditional Chinese medicine, and drugs such as B vitamins can be used**.
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The sequelae are basically fixed after more than half a year, and it is difficult to return to normal. It is estimated that hemiplegic patients should turn over and pat their backs frequently to avoid bedsores and respiratory tract infections.
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1.Avoid strong tea, alcohol, coffee and spicy foods. Limit refined sugars and sugary sweets, including snacks, sweets, and beverages.
2) Pay attention to cooking This is also the dietary precautions of hemiplegic patients, in order to increase appetite, you can add some vinegar, tomato sauce, and sesame sauce when stir-frying.
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Patients with hemiplegia should eat less foods with high cholesterol, such as lard, cream, egg yolk, fish roe, animal offal, fatty meat, etc., because the saturated fatty acids contained in these foods can increase blood cholesterol concentration, promote arteriosclerosis, and eat less salt!
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It is recommended that if you are under the age of 55 and have no history of hemiplegia, we will cover **.
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Dietary contraindications for patients with hemiplegia after stroke, low fat. Forbidden foods are: fatty meat, fat duck meat, fat goose meat, poultry skin, animal offal (liver, kidney, heart, brain), egg yolk, fish roe, bacon, sausage, shrimp, whole milk, cheese, chocolate, crab roe, preserved egg yolk, lard, cream, cocoa butter, olive oil, cashew nuts, etc., because its composition mainly contains saturated fatty acids, which can make cholesterol molecules enter the liver and increase the concentration of cholesterol in the blood significantly.
Avoid sucrose, fructose, sweets, sugary drinks, and control calories because sweets can be converted into fat. People with diabetes should be especially careful. In daily life, it is recommended to drink some Amakusa Dan Bao Xin Tea, which can prevent and ** stroke.
Dr. Ma from the Thyroid Diagnosis and Treatment Center of Chongqing National Defense Hospital introduced suggestions: >>>More
Go to bed early and wake up early, exercise appropriately, such as brisk walking, etc.; Be sure to eat breakfast, it is better to eat lightly, not greasy and spicy. It is recommended that people with insufficient cerebral blood supply should eat far from three whites (sugar, salt, lard) and nearly three blacks (black sesame, mushrooms, black rice). In terms of nutritional value, four legs (pigs, cows, sheep) are not as good as two legs (chicken, duck), two legs are not as good as one leg (mushrooms), and one leg is not as good as no legs (fish). >>>More
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You have to be careful.
Put it in a cardboard box, or a small sieve for sieving rice, and if you use a sieve, put some paper on the bottom of the sieve. >>>More