老年痴呆病人安全护理课件.ppt

Safety Care For The Client With Senile Dementia老年痴呆病人的安全护理仪征市人民医院　宰宇 随着人口老龄化的加速，老年痴呆病人的发病率有上升趋势。据预测到2030年，全球患老年痴呆的人数将达到6000万，仅我国就将有1200万。 Recently,it is advocated that nursing for senile dementia should be people-oriented.We should take measures to prevent possible mental and physical obsessions to avoid all kinds of accidents effectively. 近年来，对老年痴呆的护理提倡“以人为本”，防止病人可能产生的一切心理和生理的困扰，有效避免各种意外的发生。 心理护理Psychological Implementation 1 亮出你自己——不要让患者猜疑。简单地说明来意。 Identify yourself—do not make the client guess.Tell the person what you are going to do in simple language. 2 语气缓慢柔和，声音清晰。避免问“为什么” 。 Make your voice slow,soft and clear.Avoid asking“Why did you…” 3 不和生气的病人理论。 Don’t reason with client who is aggressive. 4 注意非语言交流：微笑、点头、抚摩等。 Be aware of nonverbal language:smile,nod head, gently touch the person,etc. 5 鼓励家属和朋友来医院看望。 Encourage family members and friends to visit. 防止跌倒Prevent Falls A comprehensive assessment is necessary after admission.? For the person with history of fall,we must strengthen daily care. A striking sign above the bed is needed. 老年痴呆病人入院后应进行全面评估。对有“跌倒”病史的病人应加强生活护理。在病人床头贴一醒目标志。 Bathrooms can be equipped with anti-slip surfaces,hand bars,and rails. 卫生间里可配防滑地面，扶手和护栏。 Help the client to stand up slowly to avoid postural hypotension or dizziness. 帮助病人缓慢地站起身以避免体位性低血压或眩晕。 Prevent the client from falling off the bed. 防止病人坠床 Keep the bed in low position. 床铺位置要低。 Side rails on both sides of the bed can be used. 床两边的护栏可以防止病人跌落。 饮食护理Nursing Of Diet The clients are not well aware of hungry and full, or may have difficulty in ingesting,so the diet should be soft but digestible,containing enough nutrition. 病人不能自知饮食饥饱，或有摄食困难者，食物应软而易消化，保证足够的营养。 Eating position should be comfortable,sitting or semi-supine is advisable.The feeder should be patient and careful,making it few and frequent. 进食的体位要舒适，尽量采取坐位或半卧位，喂食者要耐心、细心，少量多餐。 防窒息Prevent Asphyxia Warm water