For caregiver with a wheelchair user patient,most of the caregiver patient are wheelchair user, due to the limited mobility,and some various reason that the patient needed the wheelchair for reasonable reason,some of the reason is due to disabilities or invalid,some of those patient
unfortunately are in born disabilities,and wheelchair is the source of answer for disable patient to ease their life in day by day activities such as traveling from one place to another in a short distance,or even just to be able to have some time outdoor to be with friends or have some family gathering or friends bonding,wheelchair is the source for this wheelchair user patient to obtain this things or activities in daily cycle of their lives.
As a caregiver with a wheelchair user patient,it's very important to have the safety knowledge on how to handle wheelchair for the patient safety and for the good sake for both the caregiver and the patient as well,in this case,both caregiver and patient are maintaining the safety,to be able to get rid of unwanted injuries, due to good safety or proper safety handling of the caregiver in using the wheelchair.
One thing for the caregiver to keep always in mind at all times,before placing or putting the patient to the wheelchair,always be sure to check at all times,if there's any sign of possible problem or either some sign of cracks in the wheelchair frame,wheel,or in any parts of the wheelchair,this simple safety measure is a helpful way to prevent any injuries for the patient due to some broken frame in parts of the wheelchair or loose bolts,or any problem from the
wheelchair that can cause an injuries ,and as a caregiver it's your duty and your responsible to any act that you made,so in order to avoid future problem,always at all times by all means,be responsible enough to do your duty,and always put in priority the safety of your patient before putting the patient seated in the wheelchair,also bear in mind likewise,that wherever you both the patient and you the caregiver go,always be sure to lock the rear wheel of the wheelchair when the patient is in standby mode.
Always be in advance to check the wheelchair of any possible problem,before putting the patient into the wheelchair seat,and if there will be a sign of any crack in the metal frame of the wheelchair or any sign that can be the result of a problem that can cause injuries,always call for any available repair shop to fix it as soon as possible,repair shop that specialize on wheelchair
repair or contact the son or daughter of the patient, or who is the assigned family or relatives of the patient,that can arrange the schedule to the repair shop in fixing the wheelchair.
Always be in advance for safety and never put the patient into the wheelchair seat if there's any problem that can cause any unwanted injuries due to some cracks,loosen bolts or some parts of the wheelchair,this simple tips for safety, can make your day as a caregiver ease likewise for the patient,free from any injuries. BY:J.LE
Bed bathing is very important, specially for a patient disabilities to a regular bath,bed bath
keeps the patient protected from infection, and good hygiene is one of the key to good
health. before engaging to give a bed bath to a patient, the caregiver first must to
distinguish the patient abilities to move from left to right and side to side or in any angle,
in this case the caregiver can determine if there will be any movement
for the patient that he or she can manage to maneuver,and any movement
that can cause any pain for the patient, caution
is always be made, prior to any bed bath, to avoid any further problem, cause
by movement, check patient skin for any sensitivities, mostly old patient are candidate
for skin sensitivity figured out where the skin redness location all over he body of the
patient,usually the pressure spot is located at the back,buttocks,toe and back of the head,
this sign of redness spot and the area mention is prone to this case, we called it BED SORE.
Tips! To prevent bed sore. the caregiver must constantly check the patient and able to act. asfollow.
Monitor the patient position whether in wheelchair,bed, or sofa. don’t let the
the patient stay in one position for a long period of time this can cause bed
sore in any area where the pressure is.
When the patient is in bed,the caregiver must always change patient position every
4 hours from one side to the other, then center position where the patient lying on his/her back.
When the patient is in the chair or wheelchair,this position distribute the
pressure to the buttock and slight at the back. in this case you can't change the
position of the patient side by side while the patient is in sitting position, except, assist the patient to stand. Or if the patient can walk, much better, every 4 hours, let the patient walk with your assistance to give the walk,in fact is good for the patient health to engage in walking. walking is a good exercise for the patient. Question comes?how if the patient can't stand? so you can think now that, HOW?,well this day there are good pillow intended and design just only for the buttock when patient is in sitting position,some of the pillow are designed filled with water inside nor air pillow that eliminates
bedsore even the patient is on the position of sitting. whether in wheelchair or regular chair, sitting for long period of time,with the special pillow underneath the buttock of the patient, nothing to worry.
THINGS TO PREPARE PRIOR TO BED BATH.
6 WASH CLOTH'S
LINEN WITH BATH BLANKET
CLOTH,SUCH AS PATIENT GOWN OR REGULAR CLOTHING,UNDERWEAR .
(OPTIONAL) DIAPER FOR PATIENT WITH THE CONDITION OF
UNCONTROLLABLE BOWEL OR URINE DISCHARGE.
LOTION,CREAMS SPECIALIZE FOR RASHES IS A MUST.
PRIOR TO BED BATH
introduced yourself to the patient,let the patient know what you will do and explain that you will give him /her a bed bath.
Place all bed bath things near or accessible to you to grab when needed.
close all windows and door for privacy reason. and be sure to properly
lock the bed bar in bothside before starting to give the bed bath.
(ALWAYS) to prevent the patient from falling.
turn on heater to keep the room warm not much
heat just a bit warm. keep it close until bed bath
Fill the basin with warm water, be cautious to
check it with your elbow if it is comfortable
warm not burning the skin just warm water.
Place the blanket below the patient neck then
roll until it reach to the patient feet.
Remove patient clothing by grabbing under the blanket
this procedure keep the patient comfortable & privacy.
blanket will cover the patient to keep warm until the last
step of the bed bath.
GIVING BED BATH
Wear the disposable gloves,keep in mind that before
doing bed bath always wear gloves ,this will protect
your hand from any germs or bacteria and from any draining
wounds of the patient. and by just throwing it quickly into
the trash can as often as needed to change
for new one, session after session of the bed bath.
towards the front hand which is the palm, first the right side follow by the
left side, then fold the folded wash cloth upper
towards your palm,you can see the result of the folded wash cloth
created a packet in your palm, then insert and secure it into the packet
between your palm and washcloth.
Wet the washcloth with warm water in the basin, afterward
rub the mild soap,then just leave it for a moment not using it in first step. Because you start in the face and eye so you willjust use plain water to wipe patient face as well as the eyes. Just use the other washcloth even not folded for this area,wet the washcloth with plain warm water.
First wipe the patient whole face with the wet washcloth gently beginning around the area of the eye with plain warm water just wiping around the surface of the eye, not to put excess force to avoid any breakdown of the skin, Repeat the same procedure on the other eye, afterward. wipe the neck area including the both ear and the head then wipe it dry with clean dry towel.
After wiping clean the area of the whole face,eyes,ears,head and neck,place
a dry & clean towel under the patient arm prior to washing the underarms. put the
washcloth with mild soap into your hand then wipe the underarms, do it the same way on the other
underarm then rinse it thoroughly,afterward wipe it with a dry & clean towel,to dry thearea.
Roll down the blanket until it reach the waist of the patient,this will give access to wash the chest and stomach, do the same procedure by wash wipe with washcloth with a mild soap rubbed on it, then after put it aside the washcloth with soap,take the another washcloth without a soap,deep into the basinwith plain warm water on it,then rinse it well thoroughly,
wipe it dry with a dry clean towel.
After washing patient chest and stomach be sure to wipe it dry always in all parts that you wash,wipe it up with a clean dry towel to dry the area after rinsing.
Roll back the blanket until it reach the patient neck.
Go to the opposite location of the blanket which is located down,where the feet is. grab the blanket and roll it up until it reach the kneeof the patient, then do the same washing wipe procedure,wash first the calf then roll up the blanket until it reach the lower waist,afterward after the same procedure done,make sure always to wipe it dry with a dry towel after rinsing.
Now you can wash the foot left or right,depending what you preferred,deep in the foot into the basin then wash it with mild soap by gently wiping it, then rinse it well and wipe it to dry with a dry clean towel,be sure to wipe it dry properly specially the portion between all fingers of the foot.
Empty the basin into the sink, be sure to wash with soap before filling it with new warm water.
Prior washing patient back neck,back,thighs,buttocks and back
of the legs be sure the arm bed is well locked to prevent from falling.
Ask the patient to lie on his/her side, facing the arm bed or lock bar, left side
or right side and ask the patient to hold the bar of the bed, by
holding the bar, this can be helpful to maintain the side position.
Your position will be at the back of the patient, then place
the towel at the back, from the back of the neck until where
it reach depending the length of the towel,wash wipe the back
of the neck and back the same procedure,then rinse it well and after
that,wipe it with dry clean towel to dry the area.
After washing the back of the neck and back, pull down the towel
until it reach the back of the toe, then do the same procedure
be sure to wipe it up dry again after rinsing, as I have said, ALWAYS.
Now you will wash the sensitive part of the patient, whether the
patient is male or female, always wash it gently with caution,
because this area it is prone to any infection if not done with
proper care,before washing the female/male part, first things
and must not to forget. (Is) again empty the basin into sink
then wash the basin with water and soap then fill the basin
with new warm plain water. this time, use the clean washcloth
and towel,all used washcloths and towel you must to put it into
the hamper. then change the disposable gloves for new one
and the used gloves throw it into the trash can.
Do the same procedure with the washcloth in securing and
folded to your palm,put the clean towel between the legs
near in the male/female part then ask the patient to spread
his or her legs to give you the access to wash the area,
again, rub the soap into the washcloth with warm water
then gently wipe the area, in up down motion then rinsing
it well then wipe it dry. With the clean towel.
NOTE:Wipe gently the male/female area, in up down motion or side motion, make sure
not reaching the area of the anus, this can cause infection.
After washing the male/female area,again be gentle to wash
the anus not reaching the male/female area,do the same
procedure in washing wipe gently then rinsing it
well afterward wipe it to dry with a clean dry towel.
Now your done.giving bed bath,before dressing up the patient or
put the diaper and change the bedding,apply lotion at the back
of the patient, arms, hands,legs,chest and calf also the foot.
THING TO DO AFTER BED BATHING THE PATIENT
After bed bathing the patient, ask the patient to stay on his/her
position prior changing the patient bed gown and bedding's,whether
the patient is in the left or right position, you must always position
yourself on the opposite side positionor facing patient back .
From that position, the bed sheet from your side, from upper
edge to lower edge of the bed, grab it by removing it and roll it
towardspatient back, then from the upper rolled edge until the
loweredge of the rolled bed sheet, insert it a bit to the patient
back,then put the new or clean bed sheet the same arrangement
where you remove the unclean bed sheet, then roll the same, next
to the unclean bed sheet about inch the distance.
from that position ask the patient to remain on his/her position,
now put the patient bed gown or cloth. By assisting the patient to
insert patient hand into the bed gown or cloth sleeves, left or right
depending the position of the patient, if lying on the left side,
so the point of hand to enter the sleeve should be the right hand
and if lying right side the entry will be left. the gown is much easier
because it is button designed and cut half and easy to wear it for the
patient,Continue to put it,then insert a bit of it at the back of the patient
theopposite sleeves, then roll the patient towards you and ask the patient
to hold on the arm bed or bar, go to the opposite location to remove the used
and unclean bed sheet or bedding's, grab the new or clean bed sheet,
arrange it from upper edge to lower edge of the bed,after the bed sheet
is arrange in place, back to the location of the patient. then pull upward
the gown sleeve of the patient then assist the patient hand to wear it,
ask again the patient to remain on his/her position.
Now change the unclean pillow cover to clean one, then place it
aside. then position yourself at the back of the patient,then
roll the patient towards you. putting the patient lying
on his/her back. then put the pillow. position underneath
the patient head. cover the patient with the clean blanket,
the bedding is change and all clean and arrange. place all unclean
bed sheet, pillow cover, linen,washcloths into the hamper for washing. BY: J.LE