Patients with paralysis must receive regular skin care and have routine changes in position if they want to live a normal life.The elbows, lower back, shoulders and heels are places where there is pressure.It's important to learn how to turn and lift paralyzed patients in a way that doesn't cause further injury or damage.
Step 1: The patient's skin should be checked for signs of redness or tenderness on a consistent basis.
You want to check and assess their skin for any redness that may be warm or cool to the touch.If pressure is applied in areas that are irritated, they can become open wounds.The patient should be turned at least every two hours to make sure bed sores don't get worse.
Step 2: If necessary, change their clothes.
A paralyzed patient can urinate and move their bowels involuntarily or voluntarily.The risk of skin breakdown is increased by the moist skin caused by urine.The risk of infections can be increased by the feces entering the cracks and wounds.Before moving a patient, change their diaper or clothing if it's wet.
Step 3: Before moving them, ask for help.
A paralyzed patient can be moved with minimal strength.If the patient is larger than you, always get assistance from a family member or friend.It is very risky to lift larger, heavier patients on your own as this can lead to falls and injuries to yourself and the patient.
Step 4: You should have access to a long bed sheet.
The patient should put the bed sheet on their shoulders.
Step 5: You should wash your hands with soap and water.
The transmission of harmful organisms will be prevented.
Step 6: Explain to the patient what you are going to do.
Establish trust and cooperation by explaining the procedure before turning them.
Step 7: The patient should be turned on their side.
Follow the procedure to turn the patient.The arm should be at a 90 degree angle with the palm facing up.Lift the knee far away from you so the leg is bent and the foot is flat on the bed.Place the freehand under the person's head, so that their cheek is on the back of their hand.When the patient is lying on their side, support the person's head with your other hand and pull the farthest knee towards you.The knee should be bent at a 90 degree angle.
Step 8: Go to the opposite side of the bed.
If the patient is lying on their side, you can put a draw sheet or bed sheet on top of their shoulder.
Step 9: The patient should be on their back.
Slowly pulling their upper shoulder and thigh away from you is how you can do this.
Step 10: The person can be turned onto their other side by following the same steps.
If you first turned the person to their right side, you can easily move the draw sheet to the other side.
Step 11: Pull the draw sheet from their thigh.
Pull the exposed sheet from their shoulder to the middle part of their thigh.The patient should be put on their back by slowly pulling their upper shoulder and thigh away from you.
Step 12: The sheet should be held at their shoulder and lower back area.
Someone should be able to help you with this.
Step 13: The patient is being dragged towards the side of the bed.
Put the patient's arms over their chest and bend their knee.If they can't bend their leg, put one ankle over the other.
Step 14: Lift the sheet and put the patient on their side.
They can be laying down on either side.Ask the patient to bend their knees if they want to maintain this position for at least two hours.If you place a pillow behind the patient's back, they won't roll backwards.If you want to avoid skin irritation, place a pillow between their knees.Check the patient's hips and lower back while they are in this position.Let the patient's doctor know if you see bed sores.
Step 15: The patient needs to be turned once they have been lying on their back for two hours.
After 2 hours, you can turn them to the right and then back to their supine position.After another 2 hours on their back, turn them to the left and then back to their supine position.The procedure can be completed from the left, right, and back to supine with at least 2 hour intervals in each position.
Step 16: You can wash your hands with soap and water.
The transmission of harmful organisms to the patient will be prevented.
Step 17: To establish trust and cooperation, explain what you are going to do to the patient.
When a paralyzed patient is resting in the same position for a long time, they tend to slip down towards the edge of the bed.Lift them up to make sure they are comfortable.
Step 18: If the patient's bed wheels are locked, you should check it.
There are no accidental trips or falls if the bed is stable.
Step 19: Remove the pillow from the patient's head and hold the sheet at their hip level.
To hold the sheet on the other side of the patient, you will need the help of an assistant.
Step 20: Lift the patient with your assistant's help.
To make sure you are lifting the patient out of their original position on the bed at the same time, you and your assistant have to count to three.Place the draw sheet high so that the patient's head can be lifted as the sheet is raised.
Step 21: The patient should be placed back on the bed.
You can put a pillow under their head if you fix the sheets.
Step 22: The symptoms of paralysis can be seen.
If there is a defect in the channel that carries messages between the muscles and the brain, paralysis can happen.Only one side of the body may be affected by this condition.It can be a particular area or a general one.
Step 23: If your patient has aplegia or quadriplegia, you should notice.
There are two ways in which paraplegia can be classified.Paraplegia is a form of paralysis that affects the lower portion of the body, with both legs, while quadriplegia affects both limbs.
Step 24: Understand the development of bed sores on a paralyzed patient.
The circulation of blood in the affected area can become limited if a person develops partial or complete paralysis.Blood supply may be cut off if this pressure isn't managed quickly.This condition may cause the death of body tissues, which then cause a decubitus ulcer or bedsore.Bed sores can be found on the patient's hips, sacrum, heels and buttocks.Infections that are not treated properly can pose serious threats.