How to take care of the elderly who can't take care of themselves?

When the elders are old, their bodies are no longer so healthy, their hands and feet are no longer flexible, and they are even inconvenient to move and confused. What we can do is to do our part in filial piety, try our best to take good care of the elderly, restore their health, alleviate the pain caused by illness, and let them spend their old age peacefully. What about the elderly who can't take care of themselves at home? Sick old people need to be taken care of by others. If they can't take care of themselves, they need everyone's patience and careful care. The following will bring you the relevant knowledge and precautions of elderly care.

Health care and body care for the elderly: eat less and eat more meals, mix them in a balanced way, eat more fruits and vegetables, and properly supplement nutrients such as calcium tablets; Spend more time with the elderly in sports, such as shopping malls and park rivers; Encourage the elderly to participate in social activities and enhance their self-confidence, such as dancing in square dance, playing chess, kicking shuttlecock and playing Tai Chi. Old people often massage and soak their feet, which can promote blood circulation of limbs. More+.

Psychological care: often accompany the elderly, have more affection, have more fun, or cook them several meals; We should listen to the opinions of the elderly patiently and give them appropriate responses. Some old people are inexplicably grumpy, lonely and stubborn due to physical illness and other factors. We should respect the elderly more and don't criticize and refute them at will. Try to meet the psychological needs of the elderly (health needs, dominance needs, value needs, harmony needs, courtship needs, etc.). )

Nursing attention: the immune function of the elderly is low, so attention should be paid to preventing disease infection and regular physical examination; Old people are inconvenient to move and easy to bump and fall. It is necessary to improve the safety of the home environment, such as laying anti-slip mats, not piling up too many sundries, wrapping sharp corners with soft bags, and not making the room too dark to avoid accidents. Prepare a mobile phone and anti-slip ring for the elderly. If something goes wrong, let the elderly have a channel to ask you or others for help. More+.

Caring for the sick and paralyzed elderly 1. Attach importance to and do a good job in patients' ideological work, and encourage patients to establish confidence in overcoming diseases.

2, adhere to the exercise of paralyzed limbs, prevent joint deformity and muscle atrophy, and take patients out to bask in the sun on sunny days.

3. Turn over and massage regularly to clean the patient's body and prevent the paralyzed patient from getting bedsore; The bed should be dry and soft, keep warm to prevent colds; When the patient turns over, he should buckle his back to encourage expectoration to prevent falling pneumonia; The patient's head and neck position should pay attention to avoid obstruction and reflux.

4. Eat more fruits and vegetables to ensure adequate nutrient intake, especially water, vitamins and cellulose. Give a cup of hot drink (such as hot water, tea, milk, etc.). ) Promote gastrointestinal peristalsis before breakfast.

5, develop bowel habits to prevent constipation. In order to promote defecation, you can also massage the abdomen, from the lower right to the upper right, to the upper left, and then to the lower left, 5- 10 times each time.

6. When paralysis improves, patients should actively exercise daily life skills, such as undressing, washing face and eating.

7. Regularly measure the records of body temperature, blood pressure, eating, drinking, urination and defecation, and provide first-hand information for doctors when patients are abnormal. More+.

Nursing care of the elderly with urinary incontinence 1, psychological care: the elderly with urinary incontinence often have a heavy sense of inferiority, so we should respect and understand the elderly and don't talk and laugh in front of others.

2. Exercise of micturition function: According to the types of urinary incontinence in the elderly, pelvic floor muscle exercise, bladder training, repeated micturition training and other micturition function training are carried out in a targeted manner.

3. Keep the skin of perineum clean and dry: change clothes and trousers in time, wash perineum frequently, and use a urine pad if necessary. At the same time, strengthen the support function of the support system, assist in life care, prepare enough clothes and drying facilities.

4, get rid of the reasons for urinary incontinence: actively treat chronic cough, urinary tract infection, avoid strenuous exercise, wear loose clothes, it is best to use elastic bands at the belt to facilitate urination. Avoid irritating drinks, such as coffee, strong tea, carbonated drinks, etc. Provide good and convenient toilet facilities.

5. Drink plenty of water during the day and control the amount of water at night, but don't control the amount of water if the elderly are at risk of thrombosis.

6. Assist the elderly to write a urination diary: In order to evaluate the cause, degree and treatment effect of urinary incontinence, assist the elderly to record the urination time, urination volume, drinking time, drinking volume, accompanying symptoms of urination and urinary incontinence time. More+.

Nursing care of senile dementia

1, life care: try to program the steps of dressing and eating, patiently explain the steps, and constantly strengthen the patient's memory. Choose tableware that is convenient for patients to use, feed them when necessary, pay attention to drinking water regularly and have reasonable nutrition. If necessary, ensure that patients are accompanied when eating, grooming and going to the toilet to prevent danger. Wear a card or famous brand with name and contact number written on it to prevent patients from getting lost.

2. Strengthen cognition: due to the lack of cognitive ability of patients, it is necessary to fix the patient's life law and family environment. Patients can be patiently guided and explained, and words or photos can be posted at various locations in the home to strengthen patients' memory.

3, psychological care: do not use violence to control violence, to maintain enough confidence and patience for patients, do not publicly accuse patients of indecent behavior, you can choose to divert attention to guide. If the bad behavior is serious, you can seek professional guidance, seek medical advice in time and give drug control. More+.

Semi-self-care nursing for the elderly

1, living room environment: the room is often ventilated and ventilated to keep the air fresh and the indoor items neatly arranged. Sheets and quilts should be changed at least once every two weeks.

2. Personal hygiene: bathe the elderly at least/kloc-0 times a week (wipe the body for the elderly according to the weather or the physical condition of the elderly); Shave every 3 days, get a haircut every 2 weeks, and cut your nails as you grow; Go to the room to fetch water twice every morning and evening.

3, dressing care: the underwear of the elderly should be replaced at least once every 2 to 3 days, and the coat should be replaced once every 5 days; Wash dirty clothes as soon as possible. Clothes soiled by excrement need disinfection.

4. Safety care: install handles at the bedside and toilet, keep a nightlight at night, keep the ground dry, and wear appropriate clothes and shoes to prevent accidents such as falling. More+.

How to hire a suitable live-in nanny for nanny's home care: gentle and steady, considerate, articulate, patient and meticulous, preferably with a certain culture; Don't choose a nanny who loves to play with mobile phones or make up; Understand their family background and past work experience; Understand the nanny's physical condition and see if there is mental illness or infectious disease; Communicate more ways and solutions to care for the elderly;

Babysitter's escort fee: The price for a nanny to take care of the elderly ranges from 2,500 yuan to 6,000 yuan. The price will be different according to your region. The factors that affect the nanny price include whether the nanny lives at home, the physical care of the elderly and so on.

Matters needing attention in finding an elderly nanny: a nanny who knows nursing knowledge is preferred; Secondly, there must be a careful and responsible nanny; Finally, a nanny who knows the dialect of her hometown; Install monitors to prevent the elderly from being abused by nannies. More+.

Nursing items in nursing homes: according to the physical condition of the elderly, there are different levels of nursing services and nursing items. Some old people can't take care of themselves at all, some need help from others, some can take care of themselves, and those who can take care of themselves just need to help them do housework and tidy up chores. Semi-self-care elderly people need help to monitor their health and deliver meals. People who can't take care of themselves need help in going to the toilet, taking a bath and feeding. More+.

Nursing home expenses: Nursing home expenses are generally divided into: room expenses, meals, service fees and nursing fees, medical expenses, heating and air conditioning fees, etc. Fees range from several hundred yuan to several thousand yuan, and some even reach more than 100 thousand yuan; Fees include membership fees, monthly fees and annual fees. The fees charged by old-age care institutions in different regions are different, and the fees charged by old-age care institutions in different grades in the same region are also different. More+.

Nursing-level mobile service in nursing homes

Mobile services include three meals a day, regular cleaning of coats, sheets and quilts; Purchasing daily necessities; Mobile services are not supervised by special personnel.

Three-level nursing

Do a good job of "mobile nursing" full set of nursing work; Supervise the elderly to do personal hygiene (including bathing, gargling, washing face, combing hair and personal cleaning, etc.). ); Do a good job in indoor and sheet hygiene for the elderly; Wash the bedding once a month.

Secondary nursing

Do a good job of "three-level nursing" full set of nursing work; Wash old people's coats regularly, help them cut their nails, have a haircut and shave regularly, and disinfect all kinds of daily necessities; Assist the elderly to go to the toilet and do night care; Encourage the elderly to eat independently and participate in outdoor activities.

First-class nursing

Provide "secondary care" full set of nursing work; Washing clothes, bathing, cleaning the body of the elderly, and cleaning the summer mat; Help the elderly walk and go to the toilet; Use safety belts, bed rails and other sleep protection devices for the elderly with poor ability; Help the elderly eat out and carry out various rehabilitation and heart-to-heart activities.

Super nursing

Provide "first-class nursing" full set of nursing work; Do a good job in nursing the mouth, skin and urine of the elderly; Provide 24-hour service, carefully observe and master the diet, daily life, mood and mental state of the elderly; Establish a turn-over card for the elderly in bed, closely observe the sick elderly, and deal with any abnormalities in time; Carry out targeted individual rehabilitation activities for the elderly.

Specialist care

Provide "super care" full set of nursing work; Nursing staff live in the same room with the elderly and take care of them at any time; Provide meals and tea at the bedside, and feed meals, water and medicine on time as needed; Chatting with the elderly and giving psychological counseling to the elderly; Old people's clothes are washed with dirty things; Take care of the affairs of the elderly and be responsible for managing the change, clothes and medicines around the elderly.

Morning nursing work flow of nursing home nurses (6: 30-7: 30)

Greet the elderly in the morning to find out their situation → open the window for air → assist the elderly to wash or scrub in bed in the morning → assist the elderly to drink empty stomach water → assist the nurse to do the first vital sign monitoring.

Breakfast care (7: 30-8: 00)

Help the elderly to take a correct posture to eat or help the elderly in bed to eat → observe and record the dining situation of the elderly, record emergencies → do a good job of cleaning after meals.

Shift change time (8: 00-8: 30)

Staff handover meeting (summarizing the previous day's work and arranging the work of the day) → patrol key elderly people.

Tidy up the house (8: 30-9: 30)

After obtaining the consent of the elderly, you can enter the room as needed, clean up the room → communicate with the elderly to understand their health, diet and psychological status → help the elderly turn over regularly and adopt a correct posture. If abnormal or damaged skin is found, handle and record it in time → implement case nursing and temporary medical advice.

Rehabilitation training or participation in activities (9: 30- 1 1: 30)

Organize the elderly in need to go to the rehabilitation center for treatment → organize the elderly to participate in various cultural and sports activities according to their physical condition → implement case nursing and temporary medical advice.

Lunch service (11:30-12: 30)

Take care of breakfast.

The elderly rest at noon (12: 30- 14: 30)

Patrol during lunch break → case nursing and temporary doctor's advice

Tidy up the house (14: 30- 15: 00)

Same as above, and assist the nurse to do the second vital sign monitoring for the elderly.

Rehabilitation training or participation in activities (15: 00- 16: 30)

be the same as the above

Dinner Care (17: 00- 18: 00)

Take care of breakfast.

Night shift handover meeting (18: 00- 18: 30)

Staff day shift and night shift meeting (work summary)

Ps: 8:00- 18:30 in the day shift, 0/8: 30-8: 00 in the evening shift, and the ratio of night shift personnel is about 2: 1.

Choose institutions for nursing homes 1, considering their own economic strength.

The price of state-owned pension institutions is relatively low, but it is easy to find beds. Private pension institutions have uneven hardware and software facilities and polarized prices, so they should be selected according to their needs.

2. Field visits to old-age care institutions

It is necessary to understand the credibility of the old-age care institutions. On-the-spot investigation, pay attention to check whether the relevant licenses of the old-age care institutions are complete, whether the facilities of the old-age care institutions meet the provisions of the Service Specification for Old-age Care Institutions, and whether they have the conditions to carry out preventive health care and diagnosis and treatment of chronic diseases. In addition, it depends on the safety, comfort and cleanliness of the old-age care institutions, and whether the supporting facilities are in line with the physical and mental health of the elderly and their ability to enjoy life.

3. Consider the geographical location of the nursing home.

It is best to choose an old-age care institution close to home or children, which is convenient for the elderly to adapt to the new environment and for children to visit nearby. In addition, it depends on whether the transportation of the old-age care institutions is convenient and whether the surrounding service facilities can meet the needs of the elderly.

4. Consider the level of support in combination with the situation of the elderly.

For the elderly who can take care of themselves, we should focus on the entertainment facilities and living environment of nursing homes, and also see whether the types of elderly people accepted by nursing homes are suitable for them. Semi-self-care elderly people should choose old-age care institutions with daily basic care and good environment. Old people who can't take care of themselves at all should focus on nursing ability. More+.

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