Bed flapping making and Bathing the Patient

Making a Bed
1. Why do we need to know how to make an unoccupied and occupied bed?
-We need to know how to make an unoccupied and occupied bed so that we will be aware on how to make a bed, and we will be able to make the patient comfortable.

2. How does making a bed help in the fast recovery of our patient?

• It will help the patient feel comfortable and when we change the bed sheets, it will be able to avoid the accumulation of dirt.

3. As a good home nurse, how will you be able to render your services to your patient through bed making?

• I will be able to render my services by keeping the patient comfortable and secure.

 Bathing the Patient
1. Why do you need to give a bath to the patient?
   

• So that we will not be ignorant, and so that the patient will be comfortable. We also need to know these so that we will be able to make the beds presentable for the patients. 

The following reasons:

• To refresh the patient.
• To serve as an exercise for the patient
• To stimulate the circulation of the blood flow of the patient
• To cleanse the patient
• To relax the patient

2. What are the materials needed for bed bath or sponge bath?

-When sponge bathing babies, a small baby bathtub is often used. The baby sits in a small amount of water, and a sponge or washcloth is used to clean the baby. The sponge bath can be a scary process for new parents, since infants are very wriggly, may not appreciate being naked, and are slippery when they get wet. Having a smaller bathing surface is usually easier than trying to immerse a small baby in a bathtub. In between baths, parents may simply use a small basin of warm water with a little bit of gentle soap to bathe the baby or wash its hair.

In earlier days, it was quite common for a washtub to be used for family bathing. Unless a small child was in the tub, the most convenient way to use the tub was to take cloths or sponges to bring up water to the rest of the body, in a standing or kneeling position. People also often used a pitcher to rinse off soap and dirt. This was a typical sponge bath.

Things You Will Need For Bed Bath

• Towels
• Wash Cloths
• Basin of Warm Water
• Blanket
• a Sheet
• Disposable Gloves
• Mild Soap
• Powder

ref:  http://www.infobarrel.com/How_to_Give_a_Complete_Bed_Bath#UVWwK4PqdHOUSr6Y.99

http://www.wisegeek.com/what-is-a-sponge-bath.htm


3. What’s the importance of using a urinal or bedpan?
-

• It can serve as a substitute in case the patient needs to pee but is having a hard time to move around.

4. What do you mean by back rub?

 -The rubbing or kneading of the back especially to aid circulation, relax the muscles, or provide sensual stimulation.

ref: http://www.thefreedictionary.com/Back+massage

5. How do you differentiate cold compress from hot compress?

The application of hot or cold compresses is an effective way to manage pain resulting from an injury. Typically, cold or ice is used directly after an injury. Heat is useful in the management of chronic issues.

Ref: Differences Between Cold & Hot Compress | eHow.com http://www.ehow.com/about_5369873_differences-between-cold-hot-compress.html#ixzz2LaTmKRAe

Home Nursing Techniques; Signs & Symptoms of Illnesses & Diseases

1.  If you are a good home nurse, what are the various home nursing techniques that you need to apply that will make the patient feel comfortable and speed up the recovery?

-First of all, I have to provide the patient's need carefully and patiently. I also need to have the characteristics of a Home Nurse. It would help the patient feel comfortable. Such as being cheerful, and responsible.

2.  Why should the home nurse monitor the vital signs of the patient?

-So that the home nurse will be aware of past illnesses that the patient has experienced or whether it was the first time the patient had experienced it. It will also keep the doctor in track of the patient's health status.

3.  How do you take the body temperature, pulse rate, respiratory rate and blood pressure of the patient?

-Rectal temperature is the most accurate. This method does have a slight chance for injury to the rectum or of losing the thermometer into the rectum.

To take an oral temperature, make sure the person has not had anything to eat or drink within the last 10 minutes.  Place the thermometer under the tongue so that it sits down in the small "pouch-like" area on either side of the piece of tissue that holds the tongue down
The person must hold their mouth closed and keep the thermometer in place for a certain period of time.

To take the temperature in the armpit, Make sure the "reading" part of the thermometer is centered in the middle of the arm pit.  Have the person hold their arm firmly against their body for one minute, (or until thermometer beeps).  *Add* one degree to an axillary temperature to make it accurate.

To get the pulse rate, there are only 3 steps:

Locate the pulse. Have the victim hold his or her hand out, palm up. Use two fingers (index and middle) to locate the pulse on the wrist at the base of the thumb. The pulse feels like a rhythmic thumping.
Count the beats. Using a clock or watch with a second hand, time yourself counting the pulsating beats for 15 seconds.
Calculate the pulse rate. Multiply the pulses you counted in 15 seconds by 4 to get the pulse rate.
For the respiratory rate, The rate is usually measured when a person is at rest and simply involves counting the number of breaths for one minute by counting how many times the chest rises. Respiration rates may increase with fever, illness, and with other medical conditions. When checking respiration, it is important to also note whether a person has any difficulty breathing.

Lastly, for the blood pressure, you use a spygmometer. Two numbers are recorded when measuring blood pressure. The higher number, or systolic pressure, refers to the pressure inside the artery when the heart contracts and pumps blood through the body. The lower number, or diastolic pressure, refers to the pressure inside the artery when the heart is at rest and is filling with blood. Both the systolic and diastolic pressures are recorded as "mm Hg" (millimeters of mercury). This recording represents how high the mercury column is raised by the pressure of the blood


4.  What are some practices that the home nurse must follow that will
           promote comfort to the patient?

If we take care of them and make them feel taken care of, they will feel comfort.


5.  How will you differentiate signs from symptoms of illnesses and
           diseases?

A symptom is subjective from the patient point of view. A symptom is what the patient experiences about the illness, injury or disease. Symptoms can only be experienced, they are not able to be observed or measured objectively.

A sign is an objective physical manifestation of illness, injury or disease. It is an objective finding, something one can observe and measure. A rapid pulse, a high temperature, a low blood pressure, an open wound, bruising, etc. are all signs. Signs give a more definite indication of the presence of a particular disease to the physician. Signs may be described as the current 'showcase' that the doctor observes in the patient and in the diagnostic testing and measurements.

So in the simplest form, signs are observations of the doctor and symptoms are the experiences of the patient.


6.  If you are the doctor, what will be your basis in giving the diagnosis for your patient?
The basis will be the symptoms of the patient that he or she is experiencing.

Administering of Medicines to the Patient

1. What significant insights have you learned from the topic?

-I have learned that it is important to be careful in giving medicines to a patient. It usually has to be right. Right medicine, right patient, right dosage, etc. because it might worsen the state of the patient if you do something wrong.

2. How does proper administering of medicines help our patients in their recovery?

-If you give the proper medicines, the patient will be able to get the nutrients at the right time, and they will be able to get well earlier. If you don't, their case will worsen.