B ai 3
CHAM SOC - VE SINH CHO NGl/Cfl BENH
Myc TIEU
1. Trinh bay diidc cac muc dich ve sinh rang mieng, goi dau va tarn cho ngiidi benh.
2. Trinh bay diidc cac triidng hap dp dung va khong dp dung ve sinh cho ngiidi benh.
1. VE SINH RANG MIENG
1.1. Muc dich ve sinh rang mieng
- Gitf r&ng mieng luon sach se giup ngtfdi benh thoai mai de chiu, an ngon mieng.
- Phong chong viem rang, ldi din tdi cac nhilm khuan khac, nhat la trong
trtfdng hop co ton thtfdng d mieng.
1.2. San soc thong thtfdng
1.2.1. Ap dung
Ngtfdi benh tinh tao nhtfng khong di lai dtfdc.
1.2.2. Quy trinh ky thuat
• Chuan bi ngiidi benh
Bao va giai thich cho ngtfdi benh rd ve tac dung cua viec ve sinh rang mieng.
• Chuan bi ngiidi dieu diidng
- Dieu dtfdng co du ao, mu, khau trang.
- Rijfa tay thtfdng quy.
• Chuan bi dung cu
- Ban chai danh r&ng mieng (ban chai mem), kem danh rfing.
- KhSn mat, coc ntfdc xuc mieng.
- Khay qua d&u, khan bong to.
• Ky thuat tien hanh
- Giup ngtfdi benh ngoi hoac nam ttf the dau cao, mat nghieng ve phia dieu
dtfdng.
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Quang khan bong vao co de tranh lam tfdt ao, hung khay qua dau dtfdi
mieng ngtfdi benh.
- Lam tfdt ban chai va boi kem danh rang len mat ban chai.
- Dtfa ntfdc va ban chai cho ngtfdi benh.
- Htfdng dan ngtfdi benh ttf danh rang.
+ Danh mat ngoai hai ham rang: ham tren ttf tren xuong. ham dtfdi ttf
dtfdi len.
+ Danh mat trong ham tren, danh mat trong ham dtfdi.
+ Danh mat nhai theo chieu ngang.
- Dtfa ntfdc cho ngtfdi benh sue mieng, lau mieng cho ngtfdi benh.
- Bo khay qua dau, thao khan quang d co ngtfdi benh.
- Dat ngtfdi benh n&m lai ttf the thoai mai.
• Thu don dung cu - ghi ho sd.
- SSp xep dung cu gon gang.
- Ghi ho sd: ngay gid lam thu thuat, tinh trang ngtfdi benh, dieu dtfdng
ky ten.
Chu y: neu ngtfdi benh co rang gia phai thao rang gia cho vao coc de
danh riia, nhtfng rang lanh danh rang nhtf binh thtfdng.
1.3. Ve sinh rang mieng dac biet
1.3.1. Ap dung
- Ngtfdi benh hon me (mat phan xa nuot)
- Ngtfdi benh ton thtfdng d mieng.
1.3.2. Qui trinh ky thuat
• Chuan bi ngiidi benh
- Bao va giai thich cho ngtfdi nha ngtfdi benh.
• Chuan bi ngiidi dieu diidng
- Dieu dtfdng co du ao, mu, khau trang.
- Rtfa tay thtfdng quy.
• Chuan bi dung cu
- Dung dich natriclorua 9°/00 de lau nia vdm mieng.
- Coc dtfng dung dich natriclorua 9°/^.
- Kim Kocher, thanh dd ltfdi, gang tay cao su, gac mieng, gac cu ^u de
tham dung dich riia.
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- Bong cau, vaselin boi moi de tranh niit ne.
- Khan bong to quan trtfdc ngtfc ngUdi benh, 2 khay qua dau.
• Ky thuat tien hanh
- Dieu dtfdng di gang.
- Dat ngUdi benh n&m dau b&ng, nghieng ve phia dieu dtfdng.
- Do dung dich natriclorua 9°/00 ra coc.
- Quang khan vao co ngtfdi benh, dat khay qua dau dtfdi ma, quan gac vao
dau thanh de ltfdi de md mieng ngtfdi benh.
- Dung kep Kocher g&p gac cu au tham vao dung dich natriclourua 9"/ou
lau sach rang cho ngtfdi benh, lau ham tren, ham dtfdi, mat trong, mat
ngoai ldi, thay gac lau vom mieng mat tren mat dtfdi ltfdi, thay gac va
tham dung dich lau nhieu lan den khi sach.
- Bo khay qua dau, thao bo khan bong, boi vaselin vao moi cho ngtfdi benh,
dat ngtfdi benh nam lai ttf the thoai mai.
• Thu don dung cu
- Riia xa phong ntfdc sach lau kho dung cu roi tra ve cho cu, gtii hap say
nhtfng dung cu can vo khuan.
- Ghi ho sd: ngay gid san soc rang mieng cho ngtfdi benh, tinh trang rang
mieng cua ngtfdi benh, ten dieu dtfdng thtfc hien.
2. RITA MAT CHO NGLTOI BENH
• •
2.1. Chuan bi ngtfdi benh
- Bao cho ngtfdi benh biet viec s&p lam.
- Hoi tham dong vien ngtfdi benh, an ui de biet dtfdc y muon cua ngtfdi benh.
2.2. Chuan bi ngtfdi dieu dtfdng
- Dieu dtfdng co du ao, mu, khau trang.
- Riia tay thtfdng quy.
2.3. Chuan bi dung cu
- Chau sach, ntfdc am, khan mat, xa phong, dao hoac may cao rau neu
ngtfdi benh nam co nhu cau cao rau.
- Tam bong de ve sinh mui.
2.4. Ky thuat tien hanh
- Mang dung cu den gitfdng benh, cho khan mat vao chau ntfdc sau do lay
ra vat het ntfdc quan kh&n vao bon ngon tay; (Hinh 3.1).
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- Lau ttfng mat ttf trong ra ngoai, nhung khan vao ntfdc vo sach khan vat
het ntfdc cuon vao tay, lau mat ttf tran, 2 ma, quanh mieng, cam, co. gav.
- Vo lai kh an lau mat cho ngiidi benh den khi sach.
- Neu ngiidi benh can cao rau, giup ngtfdi benh cao rau.
+ Lap dao cao hoac lap may de cao rau cho ngtfdi benh.
+ Cao rau xong vo khan am lau sach cam, mat cho ngtfdi benh.
Hinh 3.1. Cach cuon khan rfra mat cho ngudi benh
2.5. Thu don dung cu - ghi ho sd
- Dung xa phong rtfa sach, lau kho dung cu roi tra ve cho cu, gtfi hap say
nhtfng dung cu can vo khuan.
- Ghi ho sd: ngay gid rUa mat cho ngtfdi benh, ten dieu dtfdng thtfc hien.
3. GOI DAU CHO N G l/P l BENH
• •
3.1. Muc dich
- Lam cho toe va da dau sach (gau...).
- Each thich tuan hoan da dau giup ngtfdi benh thoai mai di chiu.
- Phong benh ve toe va da dau.
3.2. Ap dung
- Tat ca ngtfdi benh nam lau khong ttf goi dau dtfdc.
3.3. Khong ap dung
- Ngtfdi benh sot cao, me sang co giat.
- Ngtfdi benh dang trong cdn dau.
- Ngtfdi benh dang trong tinh trang truy mach.
3.4. Ky thuat tien hanh
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Chuan hi ngiidi benh
Bao cho ngiidi benh biet viec minh sap lam
Chuan bi, ngtfdi dieu dtfdng
- Dieu dtfdng co du, ao, mu, khau trang.
- Rtfa tay thtfdng quy.
Chuan bi dung cu
- Khay chut nhat to, hai khan bong
to, mot khan bong nho.
- Hai chau, xo dtfng ntfdc, ntfdc
am, ca muc ntfdc.
- Dau goi dau hoac ntfdc bo ket, xa
phdng, kim bang, cap toe, ltfOc
thtfa, ltfdc mau, may say toe (neu
cd), hai tam nilon.
- Mang chii U cd boc nilon hoac
ban goi dau, goi, bong cau (bong
khong tham ntfdc de nut lo tai),
khay qua dau, tui dtfng do ban.
Tien hanh
- Dem dung cu tdi gitfdng ngtfdi benh.
- Dong cOa, tit quat tranh gid lua, giup ngtfdi benh n&m sang mot ben gitfdng.
- Dat goi, trai 1 khan bong to, trai nilon len tren gdi, dat mang chtf U len
1/3 goi, trai nilon neu mang khong boc nilon.
- Nang nhe nhang dau ngtfdi benh dat len tren long mang chtf U, dau thap
hdn vai.
- Neu dung ban goi dau hai dieu dtfdng chuyen ngtfdi benh sang ban.
- Quang kh&n bong d gay va co, cai kim bang lai, gap khan mat dat tren
tran che mat ngtfdi benh, nut bong vao hai lo tai de phdng ntfdc vao tai.
- Dat chau d phia dtfdi de hiing ntfdc thai, dat xo ntfdc am ndi thuan tien
de goi dau cho ngtfdi benh.
- Chai toe (neu toe dai goi tiifng ben mot, toe ngan goi ca dau luon).
- L&y d&u goi diu vao ca ntfdc roi hoa tan, xoa dau goi dlu hoac xa phong
chk xat t6c va da dau cho ngtfdi benh, neu ban phai lam nhieu lan cho tdi
khi sach, ltfu y tranh l&m xay xat da d&u ngtfdi benh.
- Chai ltf^c bl n^u c6 ch&'y, chai nhieu l^n cho sach, doi ntfdc nhieu lan
cho sach.
Hinh 3.2. Ky thuat goi dau cho
ngudi benh tai giudng
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