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Salon 1 15 kasim 09.30 10.30 nuran aydin-türkçe
- 3. Prone Posizyonu yararları: reflect improved lung compliance, tidal ventilation, diaphragmatic excursion and FRC, and reduced air way closure
- 4. •Bilgi , beceri ve tecrübe eksikliği
- 6. Pozisyonlamanın yararları ile ilgili bilgi …
- 7. Güçlüklerin Nedenleri • Çalışma koşulları ( Hasta – kaynaklar ile ilişkili) • İnsan Kaynaklarında kısıtlılık ( sayı- deneyim) •Finans • Bilgi eksikliği ( pozisyonlar, beceri) •Deneyim eksikliği
- 8. Güç koşullar - Hasta
- 9. Güç koşullar - hasta
- 12. NAZAL ALANI DESTEKLEMEK İÇİN
- 13. Hypoallergenic* Pressure Sensitive Adhesive for Nasal Bridge Protection
- 14. YATAKLAR
- 15. YATAKLAR
- 16. Sürtünmeyi en aza indiren Sentetik olmayan Hassas ciltlere uygun Yıkanabilen Kolay kullanımı olan ürünler seçilmeli
- 18. Sürünmeye bağlı el yaralarını önleyen ve katetr kullanım kolaylığı sağlayan aparatlar
- 19. Sürtünme riski olan hastalar için Help provide anti-contracture hand therapy
- 21. PADS Jel P padler Pozisyonlama Yükseltme Destekleme için kullanlabilirler Basıyı azaltırlar , Kolay temizlenirler Çoklu kullanıma uyundur
- 22. PADS
- 23. Patients who need repositioning and/or requiring an absorbent underpad. Durable quilted polyester laminated pad designed for liquid retention. Nylon handles make turning or repositioning easy. Machine washable.
- 24. DİKKAT Hastayı pedlerin ve havalı yatakların içinde unutmayın SEÇİM NASIL OLMALI… • Hastay özel • Latex içermeyen, elastik • Ucuz • Kullanıcı kolaylığı • Kolay temizlenebilen mümkünse makinada yıkanabilen
- 25. TEŞEKKÜRLER
Editor's Notes
- contraindications Raised intracranial pressure (review with neurosurgery before proning) Massive hemoptysis (requiring intervention) Tracheostomy or tracheal surgery Severe facial trauma Eye trauma or injury Unstable C spine New pacemaker insertion (within 2 days) Pregnancy Anterior chest tube with air leak ECMO Open abdomen/recent abdominal surgeryThe prone position has considerable physiological justification in patients with cardiopulmonary compromise. The beneficial effects of prone position on arterial oxygenation may reflect improved lung compliance, tidal ventilation, diaphragmatic excursion and FRC, and reduced air way closure. A variant of prone position, prone abdomen free, has shown additional benefit over prone abdomen restricted. In the prone abdomen free position, the patient is positioned such that the movement of abdomen is unencumbered by the bed. This can be achieved either by raising the patient body in relation to the bed so that abdomen falls free, or using the bed by a hole cut out at the level of abdomen. Despite compelling evidence to support the prone position, this position may be poorly tolerated in some patients, or may be contraindicated in the haemodynamically unstable patients. In these situations, intermediate positions approximating prone may produce many of the beneficial effects and minimize any potential hazard.
- Although the negative effects of supine position have been well documented for several decades, supine and recumbent positions are frequently assumed by the patients in hospitals. These positions are associated with significant reduction in lung volumes and flow rates, and increased work of breathing. This decrease in functional residual capacity contributes to the closure of dependent air ways and reduced oxygenation. This effect is accentuated in older patients and patients with cardiopulmonary disease. The haemodynamic consequences of the supine position are also very remarkable. The gravity dependent increase in central blood volume may precipitate vascular congestion, reduced compliance and pulmonary oedema, and the commensurate increase in stroke volume increases the work of heart. Within 6 hours a compensatory diuresis can lead to a loss of circulating blood volume and orthostatic intolerance, i.e. haemodynamic intolerance to upright position. Bed rest deconditioning has been attributed to this reduction of blood volume and the impairment of volume regulating mechanism rather than physiological conditioning per se.
- RECOMMENDED USE: Helps protect elbows against external forces and reduce friction burns. Hollow core microfiber filling helps provide extra comfort and protection. Breathable-brushed polyester fabric cover helps promote air circulation. Secures easily with a soft cotton strap. One size fits all. Machine washable.