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造口基础护理及产品指导2003课件

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造口基础护理及产品指导ppt课件 造口基础护理及产品指导 造口基础护理ppt课件 基础护理造口 护理及基础护理 造口护理基础
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The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 造口联谊会 •玫瑰之约,让笑容从容绽放 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 帮您解除烦恼 健康教育讲座 —— 学习 认识新朋友 —— 交流 成为老朋友 —— 分享 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 3 正常的造口 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 4 造口护理的意义 提高每一位造口人士的生活质量,是造口护理 最重要的意义。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 5 结肠造口的形成 结肠造口是造口中最常见的。 一般为圆形或椭圆形,大约突出腹部皮肤表面 0.5~1cm。结肠造口一般开口于腹部的左侧。 大便的性状一般取决于造口开在大肠的哪个位 置,一般会是正常的或近似正常的大便。 有了造口以后,您就需要用造口袋来收集失去 控制的便液。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 8 尿路造口的形成 尿路造口:一般是用回肠代膀胱或直接用输尿管做造口。 因为这一段回肠容量有限,不像原来的膀胱储存量较大,而且本身没有 肌肉控制,所以尿液是连续排出的,需要每天佩戴造口袋来收集尿液。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 9 尿路造口的特点 •位于右下腹,突出腹壁1.5-2cm,直径约约2-2.5cm •排泄物对对皮肤的腐蚀蚀性很强,手术术初期容易污污染伤伤口 •尿液持续续流出,对对造口袋黏贴贴技巧要求比较较高 •尿路造口皮肤问题发问题发 生率比较较高,一定要正确护护理 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 10 手术初期造口的特点 •手术术后造口黏膜水肿肿属于正常情况 •伴有手术伤术伤 口的疼痛 •造口用品的选择选择 : •应应以较较大直径底盘盘为为主,防止摩擦黏膜, 引起出血和不适 •选择选择 扣合系统统最好为为黏贴贴式的造口产产品 ,防止扣合底盘盘与袋子造成压压痛 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 11 手术初期护理重点 •严严密观观察造口血运情况,防止缺血坏死并发发症 •需要每天观观察并记录记录 •造口用品的选择选择 : •应应以透明造口袋为为原则则,便于观观察 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 12 随时关注造口的变化 •请请注意: •当造口水肿肿恢复,造口直径缩缩小之后,您必须须重新测测量造口 实际实际 尺寸来剪贴贴造口底盘盘,以防中心孔剪裁不当,使排泄物 浸渍渍皮肤。 •定期测测量造口直径,因为为随着时间时间 的推移,造口形状是会发发 生变变化的。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 13 康复期造口护理 •通过过正确的造口护护理,您完全可以恢复到正常的社交生活当中。 •遵循标标准的造口用品更换换流程,可以更好的帮助您护护理您的造口。 •为为了增加佩戴的安全感,可以换换成特舒两件式产产品并佩戴腰带带。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 14 造口护理的常见问题Q&A •Q:如何清洗造口及其周围围皮肤? •A:用纱纱布或棉球及温开水清洗造口及其周围围皮肤,由内向外擦,再彻彻底 擦干。不需要用碱性肥皂或任何消毒剂剂,它们们容易损伤损伤 皮肤。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 15 造口护理的常见问题Q&A •Q:造口周围围皮肤出现红肿现红肿 等问题问题 会是哪些因素造成的? •A:一般来说说有以下几个原因: •1) 排泄物浸渍渍、刺激皮肤引起刺激性皮炎。 •2) 强行揭除底盘盘造成的皮肤损伤损伤 。应轻应轻 柔慢慢地剥离黏胶。 •3) 造口周围围体毛过过密或多汗,易产产生毛囊炎或湿疹,应应将体毛剃除。 •4) 皮肤对对黏胶成分过过敏,建议议使用保护护皮肤的黏胶。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 刺激性皮炎 •表现现:造口周围围皮肤发红发红 、湿润润,可能会疼痛、出血 •建议议: 1.选择选择 合适的造口护护理用品; 2.常规规使用附件产产品。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 17 机械性损伤 •表现:由于揭除造口底盘用力过猛,或者是清洗造口周围皮肤用力 过大 •建议: 1.轻柔的揭除底盘; 2.选择 合适的造口护理用品; 3.常规使用附件产品。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 18 毛囊炎 •表现:由于剃毛或不当换底盘引起,皮肤出现小红疹 •建议: 1.清理皮肤上的毛发; 2.常规使用附件产品。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 19 造口护理的常见问题Q&A •Q:发发生刺激性皮炎如何处处理呢? •A:可常规规使用造口护护肤粉预预防皮肤问题问题 的发发生,并可使用皮肤保护护膜 隔离排泄物。 •若皮肤已出现溃疡现溃疡 ,可以使用透明贴贴保护护受损损皮肤,促进进愈合。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 20 造口常规附件产品使用三步曲 •第一步: •在干净净,干燥的造口周围围皮肤上均匀 喷喷洒造口护护肤粉,停留几分钟钟后擦掉多 余的护护肤粉。 •护护肤粉可有效缓缓解皮肤轻轻微的红肿红肿 , 刺痛,痒,湿疹,促进进皮肤功能的修复 ,吸收皮肤破溃处溃处 的渗液。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 21 造口常规附件产品使用三步曲 •第二步: •将皮肤保护护膜均匀的涂抹在造口周围围皮 肤上(2—3次),形成一层层透明的保护护 膜阻隔排泄物,防止或减少排泄物同皮 肤的直接接触。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 22 造口常规附件产品使用三步曲 •第三步: •将防漏膏或防漏条涂在造口周围围,用湿 棉签签按压压平整,使防漏膏/防漏条与皮肤 形成平整表面,防止排泄物渗漏到底盘盘 下面引起皮肤问题问题 。最后,佩戴造口底 盘盘和袋子。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 23 造口护理的常见问题Q&A •Q:造口周围围皮肤不平整该该如何黏贴贴造口袋? •A:您可用防漏膏或防漏条将凹陷或疤痕填平,再贴贴造口袋。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 24 防漏膏 •产产品特性和功能: 易塑性好,可有效填充造口与皮肤直接的空隙和褶皱皱 含有少量酒精成份 降低排泄物渗漏风险风险 •使用方法: The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 25 肠造口护理的常见问题Q&A •Q:造口袋经经常充气鼓起,影响外观观,护护理不便,有没有好办办法解决? •A:过滤过滤 片可以很好地帮您解决问题问题 。 •先在造口袋顶顶部的上层层薄膜用针针扎几个小孔(扎穿一层层薄膜),然后 将过滤过滤 片贴贴在造口袋上。 •这样这样 气体可随时时排放出来,并且经经活性炭的吸附作用,异味被消除。 •您也可以直接选择选择 一体化过滤过滤 器的造口袋(如胜胜舒、艺艺舒)。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 26 尿路造口护理的常见问题Q&A •Q:如何观观察尿液? •A:当尿液颜颜色浑浊浑浊 ,有沉淀物或强烈异味,是细细菌感染的征象,应应去 看医生或造口门诊门诊 。造口有时时会排出黏液是正常的,这这是小肠肠的分泌 物。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 27 尿路造口护理的常见问题Q&A •Q:造口或造口周围围皮肤黏附有白色粉末结结晶,这这是怎么回事呢? •A:这这是尿酸结结晶,多因感染或碱性尿液而形成。可用5%醋酸(白醋) 和清水按1:3的比例稀释释后清洗,再用清水清洗。同时时大量饮饮水,每天 2~3升,大剂剂量服用维维生素C,每天4克,使尿液呈酸性。 •正确的更换护换护 理周期可以避免尿酸结结晶产产生。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 28 尿酸结晶 •表现:常见尿路造口,皮肤周围有白色或灰色的隆起 •建议: 1.用稀释了一倍水的白醋溶液局部湿敷、清洗; 2.每日应多饮水; 3.常规使用附件产品。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 29 尿路造口护理的常见问题Q&A •Q:夜间间如何处处理尿液? •A:夜间为间为 了避免您频频繁起床处处理尿袋中的尿液,您可以使用夜间间引流 袋。 大容量引流袋 更换造口袋的正确顺序 正确的造口用品选择让生活更轻松 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 31 1、打开锁扣 用指尖向身体方向轻压锁扣的中间部位,即可打开锁扣。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 32 2、取下造口袋 确认锁扣被打开后,向上提起造口袋手柄将其拉离底盘即可取下造口袋 。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 33 3、揭除底盘 用一只手按住皮肤,另一只手小心缓慢的自上而下轻柔揭除底盘。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 34 4、清洗 •用生理盐水清洗造口及周围皮肤,保持皮肤的干净和干燥。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 35 5、测量造口 •使用康乐保造口尺测量造口大小,然后选择适合您造口的底盘。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 36 6、剪切造口底盘 •根据所测量造口的大小,在造口底盘上剪出大小合适的开口。 •用手捋顺开口内侧,防止划伤造口。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 37 7、黏帖封口条 •在造口袋开口处黏贴封口条。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 38 8、封闭造口袋 •封闭造口袋开口。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 39 9、喷洒护肤粉 •确保皮肤清洁干燥后,喷洒少许造口护肤粉在造口周围,均匀涂抹,几 分钟后将多余粉末清除。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 40 10、涂抹皮肤保护膜 •将皮肤保护膜均匀的涂抹在皮肤上,待干后形成一层无色透明的保护膜 。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 41 11、使用防漏膏/条 •将防漏膏/ 条涂在造口周围,用湿棉签将其抹平,以使皮肤与防漏膏/ 条 形成平整表面。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 42 12、黏贴底盘 •除去底盘黏贴保护纸,把底盘沿着造口紧密地贴在皮肤上,用手从下往上 按紧黏胶。造口周围部分黏胶可以反复多次轻柔按压,以确保黏合紧密。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 43 13、造口袋的扣合 •造口袋的扣合- 四点操作法:将造口袋连接环的底部与底盘扣紧(第一 点);另一只手向上轻拉造口袋手柄,并压向腹部(第二点);沿着造 口袋连接环在其左右两点向腹部轻压 (第三点、第四点),袋子被轻 松扣合。 1 3 4 2 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 44 14、扣合锁扣 •两指捏紧连接环锁扣,听见轻轻的“咔嗒”声,就证明袋子已经与底盘锁 好了。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. Page 45 15、佩戴腰带 •佩戴腰带增加黏附力增加安全感。 •使用凸面或微凸底盘,必须使用腰带。 造口人的日常生活 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 康复后的饮食 •1、术后少量多餐,注意观察有无腹胀、腹痛、不适,切忌急于求成。 •2、细嚼慢咽 •3、合理搭配——食物多样化,谷类为主。 •4、不需要特别忌口。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 康复后的饮食 •在手术后三周内,选低渣饮食,以免刺激肠道蠕动过剧。三周后饮食可 随个人喜爱而变。 •*低渣食物:去皮、去筋的嫩肉、绞碎肉、加工精制的豆制品、蒸蛋、 豆腐、豆花、各种过滤的蔬菜汁、果汁、去皮去子的水果、木瓜、西瓜 、葡萄….等。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 康复后的饮食禁忌 一、产气食品: • 汽水、可乐、啤酒、嚼口香糖、抽烟、用吸管喝飲 料、及进食说话,以上都要避免。 •胀气处理:1、桔皮泡茶 2、陈皮制品 3、金桔 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and the third Plenary session of the 16th CPC Central Committee. 康复后的饮食禁忌 •二、产臭气食品: • 葱、洋葱、萝卜、韭菜、大蒜、豆类、芦笋。 •解决办法:鲜果汁、酸乳 •三、易引起消化不良、腹泻的食物: •咖喱、奶、辛辣、菠萝、花生、酒类、生菜沙拉、冰淇淋等 。 •四、易引起便秘的食物: •柿子、苹果、米饭、地瓜、花生酱。 The guiding ideology should be guided by Deng Xiaoping's theory, the important thought of “three represents“ and the spirit of the 16th CPC National Congress and
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本文标题:造口基础护理及产品指导2003课件
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