Care of the Recumbent Patient
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What do we need to monitor and watch for with a recumbent patient?
- monitor breathing and temperature
- watch for vomiting, aspiration
Should we use heating pads under a recumbent patient?
no because it can easily cause thermal burns due to the patient not being able to move
How often should we turn a patient who is in a recumbent position for a short period of time? Why do we turn them?
- turn every 10 - 15 minutes
- to prevent hypostatic congestion, atelectasis
Why do we turn a patient feet under instead of feet over?
to prevent gastric torsion
What would cause a patient to be recumbent for a long period of time?
Besides treatment of original condition, we need to prevent new problems due to lack of ability to move. What new problems could occur?
decubital ulcers, bladder, and bowel problems
How do we keep a recumbent patient clean? Why do we need to keep them clean?
- bathe frequently, dry completely
- if patient has urinary or fecal incontinence, clip or shave perineal area
- helps prevent decubital ulcers and skin infections
What are decubital ulcers?
pressure sores, bed sores
Where and how do decubital ulcers develop?
develop over bony prominences due to continuous pressure and local ischemia - lack of blood flow
Which areas of the body are most likely affected by decubital ulcers?
- lateral sides of 5th digits
How quickly can decubital ulcers develop?
within 2 or 3 days
How can we manage small decubital ulcers?
- donut bandages
- topical antibiotics - water based cream not oil based oinment which can harbor bacteria
How can we manage deep, serious decubital ulcers?
- debride, may place drains, closure
How can we prevent decubital ulcers?
- bladder and bowel maintenance
How frequently should we turn a long term recumbent patient?
every 2 - 4 hours
What kind of padding can we use for long term recumbent patients?
- fleece pads
- egg crate type foam
- can place absorbent items in plastic bags to use as padding
How long can a urinary catheter be left in at a time?
no more than 3 - 4 days - risk of infection
What can using a urinary catheter help prevent?
How can we prevent urine scalding?
- keep clean and dry
- apply desitin ointment or powder
What would you like to do?
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