Newsy Odleżyny Pod sliderem

Pozycjonowanie chorego w profilaktyce odleżyn – najważniejsze zasady

Marta1 901 komentarzy
Ten tekst przeczytasz w 2 min.

Jednym z istotnych elementów profilaktyki odleżyn jest regularne zmienianie pozycji pacjenta w celu odciążania miejsc narażonych na nadmierny ucisk. Jakie są najważniejsze zalecenia dotyczące prawidłowego pozycjonowania pacjenta z odleżynami?

Jak często trzeba zmieniać pozycję chorego?

Zmiany pozycji powinny następować nie rzadziej niż co 2 godziny w ciągu dnia i co 4 godziny w nocy. Eksperci podkreślają jednak, że czas, w którym pacjent może bezpiecznie przebywać w jednej pozycji, jest indywidualnie zmienny i mają na niego wpływ zróżnicowane czynniki ryzyka rozwoju odleżyn. W związku z tym u pacjentów obarczonych większym ryzykiem tego rodzaju ran (np. z powodu podeszłego wieku, niedożywienia, występowania choroby nowotworowej) zmiany pozycji będą musiały odbywać się częściej.

Jakie pozycje są odpowiednie dla pacjenta z odleżynami?

Wyróżnia się trzy podstawowe sposoby ułożenia ciała dla pacjentów z występującymi odleżynami lub zagrożonych ich wystąpieniem.

  1. Pozycja leżąca na plecach

Kończyny dolne powinny być ułożone prosto, bez rotacji zewnętrznej w stawach biodrowych. Kończyny górne powinny być uniesione na poduszkach, by uniknąć obrzęku, i lekko zgięte w stawach łokciowych. Głowa powinna stanowić przedłużenie tułowia.

  1. Pozycja leżąca na boku

W tej pozycji zagłówek łóżka powinien być ułożony płasko. Plecy należy podeprzeć wałkiem, klinem lub poduszką, a głowę ułożyć na poduszce w taki sposób, by nie występował ucisk na staw mostkowo-obojczykowy. Kończyna górna i dolna, które nie mają kontaktu z łóżkiem, powinny zostać ułożone na poduszkach na równej wysokości z tułowiem i zgięte w stawach pod kątem 90 stopni. Spodnia kończyna dolna powinna być ułożona prosto, natomiast górna powinna być wysunięta lekko do przodu.

  1. Pozycja leżąca na brzuchu

Ten rodzaj ułożenia może być stosowany tylko u tych chorych, u których nie występują zaburzenia oddechowe. W tej pozycji głowa powinna być zwrócona lekko w bok. Kończyny górne powinny być lekko odwiedzione, pod podudziami należy umieścić poduszki w celu uniknięcia podwijania palców.

Jakich zasad należy przestrzegać przy zmienianiu pozycji chorego?

  1. Unikać w jak największym stopniu dodatkowego uszkadzania delikatnej skóry pacjenta poprzez tarcie i ucisk. W tym celu należy korzystać ze specjalistycznego sprzętu do zmiany pozycji (maty i chusty ślizgowe, podnośniki, pasy transmisyjne i stabilizujące, łóżka rehabilitacyjne z wbudowanym systemem pozycjonowania).
  2. Dbać o stabilizację ułożenia chorego. Aby zapobiec zsuwaniu się pacjenta i ograniczyć działanie bocznych sił ścinających, przy pozycjonowaniu należy korzystać z wałków, klinów i poduszek.

Źródło: B. Włodarczyk, „Profilaktyka i leczenie odleżyn u pacjentów z chorobami układu krwiotwórczego”, w: „Hematologia” 2011, tom 2, nr 4, 349-362.

Przeczytaj także: Pierwsza pomoc przy oparzeniach dróg oddechowych

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Chirurgia Plastyczna i Oparzenia”:

Zastosowanie autogenicznych przeszczepów skórnych w pełnym ubytku – opis przypadku

Podobne artykuły

Znaczenie podologii w zespole stopy cukrzycowej (WYWIAD)
Diagnostyka Leczenie ran Newsy Wywiady Zespół stopy cukrzycowej

Znaczenie podologii w zespole stopy cukrzycowej (WYWIAD)

Natalia Janus
Newsy Nowe technologie Obok slidera Opatrunki

Powstał plaster pooperacyjny, który uwalnia środki przeciwbólowe bezpośrednio do rany

Marta
Newsy Obok slidera

Zgorzel gazowa – rana zagrażająca życiu pacjenta

Marta

1 901 thoughts on “Pozycjonowanie chorego w profilaktyce odleżyn – najważniejsze zasady”

  3. This is the best blog for anyone who wants to search out out about this topic. You realize a lot its nearly arduous to argue with you (not that I truly would need…HaHa). You definitely put a new spin on a topic thats been written about for years. Great stuff, just great!

    Odpowiedz

  4. I’m really impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you customize it yourself? Anyway keep up the excellent quality writing, it is rare to see a great blog like this one these days..

    Odpowiedz

  5. cialis online purchase Discontinue hair grease that may migrate to forehead and other potential occlusive agents Outside the Box Treatment Options Topical 5 zinc sulfate for mild moderate acne 7 Oral zinc sulfate or zinc gluconate in moderate to severe acne 7 Light therapy 8 Blue light 1 2 times per week for 4 weeks Red blue light 15 min daily for 12 weeks PDT 8

    Odpowiedz

  7. 298499 839827This is a appropriate weblog for would like to uncover out about this subject. You realize a great deal its almost challenging to argue along (not that I personally would wantHaHa). You truly put the latest spin with a subject thats been discussed for a long time. Wonderful stuff, just amazing! 810986

    Odpowiedz

  9. Thanks for sharing superb informations. Your site is very cool. I’m impressed by the details that you have on this web site. It reveals how nicely you understand this subject. Bookmarked this website page, will come back for more articles. You, my friend, ROCK! I found just the info I already searched everywhere and simply couldn’t come across. What a perfect website.

    Odpowiedz

  12. What¦s Happening i am new to this, I stumbled upon this I have discovered It absolutely helpful and it has aided me out loads. I hope to contribute & help other users like its helped me. Great job.

    Odpowiedz

  14. Hello! I could have sworn I’ve been to this blog before but after browsing through some of the post I realized it’s new to me. Anyways, I’m definitely happy I found it and I’ll be book-marking and checking back frequently!

    Odpowiedz

  16. Hi, Neat post. There’s a problem along with your site in internet explorer, could check this?K IE still is the market leader and a good component to people will pass over your fantastic writing because of this problem.

    Odpowiedz

  19. I am typically to blogging and i actually appreciate your content. The article has actually peaks my interest. I’m going to bookmark your site and hold checking for brand spanking new information.

    Odpowiedz

  20. You can definitely see your enthusiasm in the paintings you write. The sector hopes for more passionate writers like you who are not afraid to say how they believe. Always follow your heart.

    Odpowiedz

  21. obviously like your website but you have to check the spelling on quite a few of your posts. Several of them are rife with spelling problems and I find it very bothersome to tell the truth nevertheless I’ll surely come back again.

    Odpowiedz
  22. Pingback: therapist bergen county nj
  23. Pingback: Buy Adderall Online

  24. I simply could not leave your web site before suggesting that I actually enjoyed the standard information a person provide in your guests? Is gonna be again regularly to investigate cross-check new posts

    Odpowiedz

  28. Gorilla Flow is a non-toxic supplement that was developed by experts to boost prostate health for men. It’s a blend of all-natural nutrients, including Pumpkin Seed Extract Stinging Nettle Extract, Gorilla Cherry and Saw Palmetto, Boron, and Lycopene.

    Odpowiedz

  29. TerraCalm is an antifungal mineral clay that may support the health of your toenails. It is for those who struggle with brittle, weak, and discoloured nails. It has a unique blend of natural ingredients that may work to nourish and strengthen your toenails.

    Odpowiedz

  30. SonoVive™ is an all-natural supplement made to address the root cause of tinnitus and other inflammatory effects on the brain and promises to reduce tinnitus, improve hearing, and provide peace of mind.

    Odpowiedz

  31. TropiSlim is a unique dietary supplement designed to address specific health concerns, primarily focusing on weight management and related issues in women, particularly those over the age of 40. TropiSlim targets a unique concept it refers to as the „menopause parasite” or K-40 compound, which is purported to be the root cause of several health problems, including unexplained weight gain, slow metabolism, and hormonal imbalances in this demographic.

    Odpowiedz

  32. The Quietum Plus supplement promotes healthy ears, enables clearer hearing, and combats tinnitus by utilizing only the purest natural ingredients. Supplements are widely used for various reasons, including boosting energy, lowering blood pressure, and boosting metabolism.

    Odpowiedz

  33. Sight Care is a daily supplement proven in clinical trials and conclusive science to improve vision by nourishing the body from within. The Sight Care formula claims to reverse issues in eyesight, and every ingredient is completely natural.

    Odpowiedz

  61. ReFirmance is an outstanding lift serum that highly supports skin firmness and elasticity, smooths the presence of wrinkles, and provides deep rejuvenation properties.

    Odpowiedz

  198. 879994 213359This put up is totaly unrelated to what I used to be looking google for, however it was indexed on the very first page. I guess your doing something right if Google likes you adequate to location you at the very first page of a non related search. 363535

    Odpowiedz

  251. An interesting dialogue is value comment. I feel that it’s best to write more on this matter, it won’t be a taboo topic however generally persons are not enough to talk on such topics. To the next. Cheers

    Odpowiedz

  356. Whats Happening i’m new to this, I stumbled upon this I have discovered It absolutely useful and it has aided me out loads. I am hoping to give a contribution & aid other customers like its aided me. Good job.

    Odpowiedz

  370. Thank you for sharing excellent informations. Your web-site is very cool. I’m impressed by the details that you’ve on this blog. It reveals how nicely you understand this subject. Bookmarked this web page, will come back for extra articles. You, my pal, ROCK! I found simply the info I already searched all over the place and simply couldn’t come across. What a perfect website.

    Odpowiedz
  402. Pingback: เช็คบัญชีมิจฉาชีพ

  409. Magnificent goods from you, man. I have understand your stuff previous to and you’re just extremely wonderful. I really like what you’ve acquired here, certainly like what you’re stating and the way in which you say it. You make it enjoyable and you still take care of to keep it smart. I cant wait to read far more from you. This is really a great site.

    Odpowiedz

  590. Simply wish to say your article is as astonishing. The clearness in your post is just spectacular and i could assume you are an expert on this subject. Fine with your permission let me to grab your feed to keep updated with forthcoming post. Thanks a million and please carry on the enjoyable work.

    Odpowiedz

  594. Thank you for sharing superb informations. Your web site is very cool. I’m impressed by the details that you have on this site. It reveals how nicely you understand this subject. Bookmarked this website page, will come back for extra articles. You, my pal, ROCK! I found just the information I already searched everywhere and just could not come across. What a great website.

    Odpowiedz

  613. I have been surfing on-line greater than 3 hours lately, but I never discovered any interesting article like yours. It is beautiful price enough for me. Personally, if all website owners and bloggers made just right content material as you probably did, the net will probably be a lot more helpful than ever before. „Nothing will come of nothing.” by William Shakespeare.

    Odpowiedz

  614. An impressive share, I just given this onto a colleague who was doing a little bit analysis on this. And he in reality purchased me breakfast because I discovered it for him.. smile. So let me reword that: Thnx for the treat! However yeah Thnkx for spending the time to debate this, I feel strongly about it and love studying extra on this topic. If possible, as you develop into expertise, would you thoughts updating your weblog with more details? It is highly helpful for me. Big thumb up for this weblog publish!

    Odpowiedz

  748. I am not sure where you’re getting your info, but great topic. I needs to spend some time learning much more or understanding more. Thanks for excellent info I was looking for this information for my mission.

    Odpowiedz

  750. I am curious to find out what blog platform you are utilizing? I’m experiencing some minor security problems with my latest website and I would like to find something more safe. Do you have any recommendations?

    Odpowiedz

  1055. I have to convey my appreciation for your kind-heartedness giving support to those who must have assistance with the field. Your real commitment to getting the message throughout ended up being rather practical and have all the time helped ladies just like me to get to their ambitions. Your valuable advice denotes a whole lot a person like me and especially to my peers. Many thanks; from everyone of us.

    Odpowiedz

  1138. Hi! I understand this is kind of off-topic however I had
    to ask. Does running a well-established website such as yours take a massive amount work?
    I am brand new to running a blog however I do write in my
    journal every day. I’d like to start a blog so I will be able to share my
    personal experience and views online. Please let me know if
    you have any recommendations or tips for new aspiring bloggers.
    Thankyou!

    Here is my website – vpn code 2024

    Odpowiedz

  1266. I was very happy to seek out this web-site.I wished to thanks to your time for this wonderful learn!! I undoubtedly enjoying every little bit of it and I have you bookmarked to take a look at new stuff you weblog post.

    Odpowiedz

  1290. I haven’t checked in here for a while since I thought it was getting boring, but the last few posts are great quality so I guess I will add you back to my everyday bloglist. You deserve it my friend 🙂

    Odpowiedz

  1301. I’m really impressed together with your writing skills and also with the structure to your blog. Is that this a paid theme or did you modify it your self? Anyway stay up the nice quality writing, it’s rare to peer a great weblog like this one nowadays..

    Odpowiedz

  1329. Hello there! This is my first comment here so I just wanted to give a quick shout out and say I genuinely enjoy reading your blog posts. Can you recommend any other blogs/websites/forums that deal with the same topics? Appreciate it!

    Odpowiedz

  1334. I love your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you? Plz answer back as I’m looking to create my own blog and would like to know where u got this from. thanks

    Odpowiedz
  1369. Pingback: grandpashabet
  1419. Pingback: child porn
  1446. Pingback: child porn
  1523. Pingback: child porn

  1626. Neuro-Thrive is a brain health supplement that claims to promote good memory and thinking skills and better quality sleep. This nootropic supplement achieves its cause with its potent blend of natural compounds and extracts that are proven to be effective in sharpening mental acuity. https://neurothrive-web.com/

    Odpowiedz

  1637. Cerebrozen is an excellent liquid ear health supplement purported to relieve tinnitus and improve mental sharpness, among other benefits. The Cerebrozen supplement is made from a combination of natural ingredients, and customers say they have seen results in their hearing, focus, and memory after taking one or two droppers of the liquid solution daily for a week. https://cerebrozen-try.com/

    Odpowiedz

  1648. What i do not understood is in reality how you are now not actually a lot more neatly-favored than you might be right now. You are so intelligent. You know thus considerably in relation to this topic, produced me individually consider it from so many varied angles. Its like women and men are not involved unless it is something to accomplish with Lady gaga! Your own stuffs outstanding. Always deal with it up!

    Odpowiedz

  1682. PotentStream is designed to address prostate health by targeting the toxic, hard water minerals that can create a dangerous buildup inside your urinary system It’s the only dropper that contains nine powerful natural ingredients that work in perfect synergy to keep your prostate healthy and mineral-free well into old age. https://potentstream-web.com/

    Odpowiedz

  1805. Pretty part of content. I simply stumbled upon your web site and in accession capital to assert that I get in fact enjoyed account your blog posts. Anyway I’ll be subscribing in your feeds and even I achievement you access consistently fast.

    Odpowiedz

  1838. Having read this I thought it was very informative. I appreciate you taking the time and effort to put this article together. I once again find myself spending way to much time both reading and commenting. But so what, it was still worth it!

    Odpowiedz

  1855. Your post is a beacon of positivity this beautiful Monday. The insights provided are invaluable and uplifting. Adding more visuals might just be the cherry on top for future posts.

    Odpowiedz

Dodaj komentarz

Twój adres e-mail nie zostanie opublikowany.