Home care for the disabled elderly

With the deepening of China's aging degree, the number of elderly population is rising year by year, and the long-term care of the disabled elderly has gradually become the most concerned part in the field of pension in recent years. In the environment of the family as the main body of the elderly, "one person is disabled, the whole family is unbalanced", this sentence has become a reality in more and more families, then how to do a good job of disabled elderly care? Here are some tips for you to correctly care for disabled elderly people, and the best way to scientifically answer disabled care!

(1) Establish a comfortable living environment

The living environment of the disabled elderly must be clean, neat and quiet, the room should open the window regularly every day to ventilate, keep the air fresh, the sunlight should be sufficient, the bed is smooth and clean, the clothes are clean and comfortable, the elderly clothes should be wide and soft, the collar buckle and the belt should be loose and easy to understand, and do not affect breathing. Families with conditions can place flowers and plants indoors. If the conditions are limited, plastic flowers can also adjust the mood of the elderly in bed and enhance the confidence and courage of the elderly to survive. A good living environment will make the elderly energetic and look better.

(2) Diet care

Disabled elderly people have poor physical resistance, should strengthen nutrition in the diet, give high nutritional value, light and easy to digest high-protein diet. Because the elderly are in bed for a long time, the amount of activity is small, and the intestinal peristalsis is reduced, it is easy to cause constipation, so, while supplementing nutrition, pay attention to the supplement of crude fiber food and water. When eating, the speed should be slow, after eating should raise the upper body 30 to 45 degrees, maintain about 30 minutes, to prevent food reflux caused by aspiration asphyxia.

(3) Oral care to prevent lung infection 

For elderly people in bed, sometimes gargling is more important than brushing. Therefore, the elderly who are required to stay in bed must gargle after a meal, the elderly who are seriously ill or have difficulty swallowing cannot gargle, and the caregivers need to do oral care for the elderly 2-3 times a day to thoroughly remove the bacteria in the mouth. The elderly in bed for a long time, respiratory secretions are not easy to cough up, therefore, the elderly should be encouraged to take deep breaths and effective expectoration, knock on the back to promote sputum discharge each time, knock on the back of the hand is empty, gradually knock from the bottom of the lung to the direction of the trachea, from the bottom up, from the outside to the inside, 10 remaining each time.

(4) Skin care to prevent pressure sores  

For the elderly in bed for a long time, the mattress should be soft and hard, you can use the anti-pressure ulcer air cushion, turn over every 2 hours, you can place the air cushion in the elderly body bone protuberance, such as the sacrotail, hip, elbow, etc., to keep the local skin clean and dry. For the elderly with urinary incontinence, urinary catheters can be indurated according to the actual situation, urethral disinfection is carried out 1-2 times a day, and routine care is provided according to the indurating catheter. The stool should be cleaned in time, and the tannic acid ointment should be applied appropriately to protect the perianal skin.

(5) Postural care

Disabled elderly people are mostly hemiplegia, one side of the limb activity is unfavorable, the affected limb is in a state of disability, if not given the correct placement, the elderly's future functional exercise, functional recovery has irreversible damage. Taking supine position as an example, pillows should be placed outside the knee of the hemiplegic side of the elderly to prevent muscle strain caused by sudden rotation of the kneeling position; Keep the toes pointed upward to prevent foot droop resulting in functional disability. When in bed, it is necessary to elevate the affected limb, higher than the level of the heart, in order to reduce the edema of the affected limb, the nursing staff should help it carry out functional exercise, massage the whole body limb every day, and the method should be gentle.

In short, special attention should be paid to the care of the long-term bedridden elderly, to minimize the pain of the elderly, so that they can improve the quality of life as much as possible in a comfortable and warm environment.

Author: