The risk of complications such as ulcers, constipation, atrophied muscles pressed because the movement itself. S: patients say "itchy skin, hip area."Patient: "taken from November 2 2557.": Patient complains of "a tight tummy feeling."O: with cuts, abrasions, 1st grade red buttocks, around the Reed.: There is no excretion of stool since November 2 2557.Rigid stomach: patients: Bowel sound 3-5 times/minDiscussion of diagnostic messagesBecause the patient is injured hip and spine areas make no movements and stick the bed for a long time without flipping on its options for more than 3-4 hours if there are pressures about 70 mm of mercury. Pressed for 1-2 hours can cause a lack of blood. Making the cell and tissue at ischemic death cause pressure sores, which often caused bone button area and destroy the tissue which this patient has a high risk of complications, ulcer and constipation, dementia is a condition which is caused by the movement of the trunk.ส้น้อยก that 3 times per week, and has a small, solid lumps of stool defecation difficulties by promoting factors of this patient, including restricted movement due to patient injury and pelvic bone area of the hip area, making movement and doctors, do B.Rest day ed patients restricted movement, lying on the bed. Abdominal muscle weakness lack of tougher pressure on stools Want to sit on the pot or taking on a bed. Cause discomfort not easy shooting. Anal sphincter and the outer layer not relax Causes of urge When the urge of laxatives cause feces in the intestine, hard and dry. Causes constipation and upThe objective, To prevent pressure sores, and the patient can excrete feces normally.Evaluation criteria. 1. no complications from the bedroom, a long, such as pressure sores constipation and weakness in the muscle or atrophied muscles.2. excretion of stool every day/2 day/time.3. patients don't complain of abdominal/stomach pressed tight soft.4.Bowel sound is 4-6 times/min.Nursing activities.1. assess patient's skin that pathological skin or not. How to plan your treatment, nursing2. assessment of patient's stools every day of shooting. Constipation assessment that occurs in patients with decreased Bowel sound like flatulence, etc.3. recommends to the general body care care patients unable to cleanse the body so that the skin of the patient clean and reduce the risk of pressure sores.4. Flip on its 2. H, especially in patients who do not help themselves. By providing the right basically lie on its left lie semi may alternately as appropriate. Should use a pillow or soft cloth or bone button pressed rongboriwen filed to prevent friction and pressure.5. avoid causing friction with patients, such as bed linen, not smooth to prevent friction and pressure.6. skin care for the patient, clean, dry, not damp because if the skin wet or hot, can cause eczema, skin abrasions, easier later, especially the patient defecate or urinate and then. Must be clean and dry, and if observed that patients with dry, cracked skin is scaly? Should care cream or lotion skin irradiation.7. take care to receive the food that is high in protein and calories along with evaluation receive food, particularly protein, essential to patients whose wounds pressed because the patient. Lose too much toward the wound, protein In addition to care, vitamins, iron. 8. recommends eating foods such as fruit, vegetables, etc. are very residue food residue or fiber has a much greater amount of stool and moves inside the colon faster. 9. teaching patients and relatives. Do Active & Passive exercise to keep muscles, blood vessels, and skin and strong with good blood circulation.10. the urge to drink lots of water, 2000-3000 cc/day of lack of water and minerals make the water back to the colon, the stool is very hard lumps and take difficult. Drinking more water will make the stool soft, easy shooting. 11. listen to the Bowel sound 1-2 times a day, morning and evening) to evaluate the intestinal movement.12. explain the recommendations, including encouraging patients and relatives. To realize the importance of turning on its options• If the patient can be realizing it and flip on your side, try to have the option on its options frequently, every 30 minutes, except during the sleep.• In the case of non-sense should Flip on your side every 2 hours by changing the posture, alternately from the right on its left lie lie on your side (if possible) by relatives. Nurses and physiotherapists1. the soft pillows, Deputy direct button and fold the toe has a wood lathe, to prevent the foot from falling, being careful not to gluteal returns the message that it can no longer comfort walking provides pillows, wrist is in the correct posture is slightly bent, elbows, wrists, and fingers clawed soft rubber balls, and lifted a high end hand to prevent swelling and help exercise every 4-8 hours.3. encourage patients to exercise muscles that are also healthy and nursing assistant working out of every 2 – 4 hours of weakness, to prevent the muscles weaken and shrink, and there has been a growing movement to increase the movement of the bowels and stimulates the excretion.4. send the patient to practice rehabilitation with a physiotherapist. When typical symptoms and disabilities remain.The assessments.November 5 2557A red rash occurs, grade 1 The human coccyx area. Patients complained stomach tightly. Depression, constipation can not excrete and atrophied muscle, or muscle weakness in the motor power = 3.November 6 2557A red rash occurs, grade 1 The human coccyx area. Patients complained stomach tightly. Depression, constipation can not excrete and atrophied muscle, or muscle weakness in the motor power = 3.November 7 2557A red rash occurs, grade 1 The human coccyx area. Patients complained stomach tightly. Depression, constipation can not excrete and atrophied muscle, or muscle weakness in the motor power = 4.
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