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Content-Location: file:///C:/B0565F13/Dekubitus-Dateien/pres.xml
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Content-Type: text/xml; charset="utf-8"
![](3D"master10_image001.jpg")
![](3D"master10_image002.jpg")
![](3D"master10_image004.gif")
Dekubitus
Dekubitusprophylaxe
Dekubitusprophylaxe
Alexandra
Huber-U=
dermann
DGKS, ZWM®
Transaktionsanalytische Psychotherapeutin
=
;
in Ausbildung unter Supervision
=
Mob=
il:
0664 8327 966
3. April 2008 © Alexandra Huber-Uderman=
n
2
Dekubitus?
•Definition:
Ein Dekubitus ist eine Gewebeschädigung, die durch=
hohen und länger anhaltenden Druck entsteht=
. Dieser
Vorgang kann durch Reibung oder Scherkräfte
zusätzlich negativ beeinflusst werden.
Ist eine W=
unde,
die von den oberflächlichen Hautschichten
bis tief in den Knochen reichen kann.![](3D"slide0003_image006.jpg")
![](3D"slide0003_image007.gif")
3. April 2008 © Alexandra Huber-Uderman=
n
3
Anatomie der Haut:
![](3D"slide0029_image008.gif")
![](3D"slide0029_image009.gif")
0,1
– 0,2 mm
1
– 2 mm
![](3D"slide0029_image010.gif")
mm bis c=
m
3. April 2008 © Alexandra Huber-Uderman=
n
4
Wie entsteht ein Dekubitus?
![](3D"slide0030_image011.gif")
•Einwirken eines konstanten Druckes über einen längeren Zeitraum (mind. > 2 Std.)
<=
/span>
ISCHÄMISCHE Drucknekrose
Chronischer Sauerstoff- bzw. Nährstoffmangel führt zur Unterernährung des Gewebes
DEKUBITUS
3. April 2008 © Alexandra Huber-Uderman=
n
5
OHNE DRUCKFAKTOR UND OHNE <=
span
style=3D'font-size:106%;visibility:hidden'>•
•Die Druckwer=
te
nehmen mit zunehmender Tiefe bis zum 6fachen zu. &=
#13;
<=
span
style=3D'mso-special-format:bullet;mso-bullet-image:"master10_image001\.jp=
g"'>Gewebedruck =3D
Auflagedruck x 3
Gewebedruck =3D
Auflagedruck x 3
•Vgl. KAMMERLANDER, Gerhard: Lokaltherapeutische
Standards für chronische Hautwunden, Springer Wien New York, 1998 und 2001. ISBN – Nr.3-211-8362=
1-7
3. April 2008 © Alexandra Huber-Uderman=
n
6
Ursachen?
Intrinsische Extrinsische
Intrinsische Extrinsische
<=
span
style=3D'font-size:93%'>•Ernährungszustand – BMI
<
18, Mangelernährung
<=
span
style=3D'font-size:86%'>•Stoffwechsel, Erkrankungen
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•Medikamente
=
;
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•Feuchtigkeit=
3;
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•Körperhygiene&#=
13;
•Hebe- und Lagerungstechnik
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•Lagerung
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•Scherkräfte
=
;
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•Reibung
<=
span
class=3DHBB style=3D'position:absolute;left:-9.7%'>•u.v.m.
3. April 2008 © Alexandra Huber-Uderman=
n
7
Gefährdete Stellen:
![](3D"slide0059_image013.jpg")
3. April 2008 © Alexandra Huber-Uderman=
n
8
Dekubitusprophylaxe:
•=3D alle gesetzten Maßnahm=
en, die
eine Dekubitusentstehung verhindern.
•Um die Entstehu=
ng eines
Dekubitus zu verhindern ist es aus Sicht der Diplomierten
Fachpflege wichtig ein Dekubitusrisiko des/der
KlientenIn richtig einzuschätzen (Skalen).
<=
span
style=3D'visibility:hidden'>•
3. April 2008 © Alexandra Huber-Uderman=
n
9
Ziel
der Dekubitusprophy= laxe?
der Dekubitusprophy= laxe?
•Verbesserung und Erhaltung
der Lebensqualität
•Erhaltung der intakten
Haut
•Verhinderung von Hautschä=
den
durch Veränderungen des äußeren Milieus
•Druckentlastung:
=
–bei bereits bestehenden
Druckgeschwüren
–Vermeidung von Gewebeschädig=
ung
•u.v.m.
3. April 2008 © Alexandra Huber-Uderman=
n
10
Durchführung
der Dekubitusprophylaxe:
der Dekubitusprophylaxe:
•Aktivierende Pflege
(Reaktivierung nach Böhm – „Pflegen mit der Hand in der =
Hosentasche“
– Ressourcenorientiert)
•Risikofaktoren ausschalten à Ursache erforschen
<=
span
class=3DBB style=3D'position:absolute;left:-4.21%'>•Aktive D=
ekubitusprophylaxe
<=
span
class=3DBB style=3D'position:absolute;left:-3.59%'>•„Passive“
Schriftliche Dekubitusprophylaxe
<=
span
style=3D'visibility:hidden'>•
<=
span
style=3D'visibility:hidden'>•
3. April 2008 © Alexandra Huber-Uderman=
n
11
Durchführung
der Dekubitusprophylaxe:
der Dekubitusprophylaxe:
•Schriftli=
che
Dekubitusprophylaxe, wie:
•=
Führen von Skalen:
–=
Siehe anschließende Folie
•=
Dokumentation und Übergabe an zuständige Pflegefachkraft, auch der gesetzten =
Prophylaktischen Maßnahmen. Pflegeprozess, -diagnose: Problem, Ziel, Durchführung
<=
/span>
•
•<=
/span>Bsp.: Dekubitus Risk Score I (Vgl. KAMMERLANDER, Gerhard: Lokaltherapeutische Standards für chronische Hautw=
unden,
Springer Wien New York, 1998 und 2001. ISBN – Nr.3-211-83621-7)
–=
Formular, genaue Dokumentation
<=
/div>
•
–
3. April 2008 © Alexandra Huber-Uderman=
n
12
Skalen:
Braden Skala=
von
Nancy Bergstrom und Barbara Braden =3D anerkannteste
=
;Norton Skala
von Doreen Norton =3D verbreitetste
<=
span
style=3D'mso-special-format:bullet;mso-bullet-image:"master10_image001\.jp=
g"'>Medley Skala
(England)
Medley Skala
(England)
<=
span
style=3D'mso-special-format:bullet;mso-bullet-image:"master10_image001\.jp=
g"'>Abruzzese
Skala
Abruzzese
Skala
<=
span
style=3D'visibility:hidden'>•
3. April 2008 © Alexandra Huber-Uderman=
n
13
Durchführung
der Dekubitusprophylaxe:
der Dekubitusprophylaxe:
•Aktive
Dekubitusprophylaxe:
•
<=
span
class=3DBB style=3D'position:absolute;left:-4.24%'>•Schulung des Pe=
rsonals
<=
span
class=3DBB style=3D'position:absolute;left:-4.24%'>•Mobilisation (Rücksprac=
he und
Anordnung vom Hausarzt)
<=
span
class=3DBB style=3D'position:absolute;left:-4.24%'>•Lagerung
<=
span
class=3DBB style=3D'position:absolute;left:-4.24%'>•Hautpflege
=
<=
span
class=3DBB style=3D'position:absolute;left:-4.24%'>•Ernährung
3. April 2008 © Alexandra Huber-Uderman=
n
14
Dekubitusgraduierung / Wundklassifikation:
Einteilung nach:&#=
13;–=
AVLON
von G. Kammerlander
–=
Seiler
–=
Wagner
(4 Grade)
–=
Daniel
(5 Grade)
–=
Armstrong,
NPVAP, Phillips, Wülser
3. April 2008 © Alexandra Huber-Uderman=
n
15
Wundkla=
ssifikation
nach Wagner
Dekubitus Grad 1 =3D Scharf begrenzte Hautrötu=
ng bei intakter Haut,
die sich nicht wegdrücken lässt. Merkmale sind auch: =
Übererwärmung der Haut, Ödem oder eine Verhärtung,=
bei =
Menschen mit dunkler Hautfarbe kann sich eine Entf=
ärbung
der Haut zeigen. Bei
konsequenter Druckentlastung verblasst die =
Rötung nach Stunden bis Tagen.
<=
/div>
Dekubitus Grad 2 =3DTeilverlust der Epidermis bis hin zur Dermis. Es Dekubitus Grad 3 =3D Schädigung aller Gewebsschichten. Klinisch imponiert der Dekubitus als tiefes, offenes Geschwür mit oder ohne
Unterminierung des umliegenden Gewebes.
Dekubitus Grad 4 =3D Alle Hautschichten mit
ausgedehnten Gewe=
bs-nekrosen,
Schädigung der Muskeln, Sehnen und Knochen sind betroffen. 3. April 2008 © Alexandra Huber-Uderman=
n
16
Was tun?
•=
1.
DEKUBITUSPROPHYLAXE
•beginnt ab Grad 1
=
•3
Säulen der Dekubitusprophylaxe
=
•=
2.
MODERNE WUNDVERSORGUNG
•
![](3D"slide0071_image015.gif")
3. April 2008 © Alexandra Huber-Uderman=
n
17
3 Säulen
der Dekubitusprophylaxe:
der Dekubitusprophylaxe:
•Als die 3 Säulen der
Dekubitusprophylaxe werden
–Druckminderung,
=
–guter Ernährungszustand
und
–gute Hautpflege
bezeichnet.
–
•Das Ziel ist die Erhaltung
und Verbesserung der Lebensqualität ….
<=
/span>
•
•
3. April 2008 © Alexandra Huber-Uderman=
n
18
1. Säule =3D Druckminderung:<=
/div>
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t.UserAction =3D action
t.ChgState =3D _IBUI
t.mObjId =3D oId
t.mBorderId=3D bId
t.mWidth =3D w
t.mIsOn =3D t.mCurState =3D 0
}
function _IBSetA()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
obj.style.posTop=3D0
}
}
function _IBSetI()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
obj.style.posTop=3D0=20
}
}
function _IBSetP()
{
if( this.mIsOn ) {
obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 )
obj.style.posLeft+=3D1; obj.style.posTop+=3D1
}
}
function _IBSetD()
{ =20
obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 )
obj.style.posTop=3D0=20
}
function _IBSetE( state )
{
var t=3Dthis
GetObj( t.mBorderId ).style.visibility=3D"visible"
if( state !=3D t.mIsOn ) {
t.mIsOn=3Dstate
if( state )
t.SetInactive()
else
t.SetDisabled()
}
}
function _IBP()
{
var t=3Dthis
if( t.mIsOn ) {
if( t.UserAction !=3D null )
t.UserAction()
if( t.ChangeIcon ) {
obj=3DGetObj(t.mObjId)
if( t.ChangeIcon() )
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth
else
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth
}
t.SetActive()
} =20
}
function _IBUI( clr1,clr2,nextState )
{
var t=3Dthis
SetBorder( GetObj( t.mBorderId ),clr1,clr2 )
obj=3DGetObj( t.mObjId )
obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj=
.style.posTop
t.mCurState=3DnextState
return obj
}
//-----------------------------------------
function TxtBtn( oId,oeId,action,chkState )
//-----------------------------------------
{
var t=3Dthis
t.Perform =3D _TBP
t.SetActive =3D _TBSetA
t.SetInactive=3D _TBSetI
t.SetPressed =3D _TBSetP
t.SetDisabled=3D _TBSetD
t.SetEnabled =3D _TBSetE
t.GetState =3D chkState
t.UserAction =3D action
t.ChgState =3D _TBUI
t.mObjId =3D oId
t.m_elementsId=3D oeId
t.mIsOn =3D 1
}
function _TBSetA()
{
var t=3Dthis
if( t.mIsOn && !t.GetState() )
t.ChgState( gHiliteClr,gShadowClr,0,0 )
}
function _TBSetI()
{
var t=3Dthis
if( t.mIsOn && !t.GetState() )
t.ChgState( gFaceClr,gFaceClr,0,0 )
}
function _TBSetP()
{
if( this.mIsOn )
this.ChgState( gShadowClr,gHiliteClr,1,1 )
}
function _TBSetD()
{ =20
this.ChgState( gFaceClr,gFaceClr,0,0 )
this.mIsOn =3D 0
}
function _TBSetE()
{
var t=3Dthis
if( !t.GetState() )
t.ChgState( gFaceClr,gFaceClr,0,0 )
else
t.ChgState( gShadowClr,gHiliteClr,1,1 )
t.mIsOn =3D 1
}
function _TBP()
{
var t=3Dthis
if( t.mIsOn ) {=20
if( t.UserAction !=3D null )
t.UserAction()
if( !t.GetState )
return
if( t.GetState() )
t.SetPressed()
else
t.SetActive()
} =20
}
function _TBUI( clr1,clr2,lOffset,tOffset )
{
SetBorder( GetObj( this.mObjId ),clr1,clr2 )
Offset( GetObj( this.m_elementsId ),lOffset,tOffset )
}
function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle=
ft }
function SetBorder( obj, upperLeft, lowerRight )
{
s=3Dobj.style;
s.borderStyle =3D "solid"
s.borderWidth =3D 1=20
s.borderLeftColor =3D s.borderTopColor =3D upperLeft
s.borderBottomColor=3D s.borderRightColor =3D lowerRight
}
function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] }
function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() }
function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() }
function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() }
function BtnOnUp()
{
b=3DGetBtnObj()
if( b !=3D null )
b.Perform()
else
Upd()
}
function GetNtsState(){ return parent.gNtsOpen }
function GetOtlState(){ return parent.gOtlOpen }
function GetOtlTxtState(){ return parent.gOtlTxtExp }
function NtsBtnSetFlag( fVal )
{
s=3Ddocument.all.item( this.m_flagId ).style
s.display=3D"none"
if( fVal )
s.display=3D""
else
s.display=3D"none"
}
function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etActive() }
function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etInactive() }
function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S=
etPressed() }
function _BSetA_BorderImg()
{=20
b =3D gBtnArr[this.mBorderId]=20
if( b !=3D null && this.mIsOn && !b.GetState() ) {
obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 )
obj.style.posTop=3D0
}
}
function _BSetI_BorderImg()
{=20
b =3D gBtnArr[this.mBorderId]
if( b !=3D null && this.mIsOn && !b.GetState() ) {
obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 )
obj.style.posTop=3D0
}
}
var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"=
THREEDFACE"
var gBtnArr =3D new Array()
gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan=
e,GetOtlState )
gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt=
lPane,GetOtlState )
gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN=
tsPane )
gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg;
gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg;
gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.=
ToggleNtsPane,GetNtsState )
gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To=
ggleNtsPane,GetNtsState )
gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n=
b_prevBorder",30,parent.GoToPrevSld )
gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n=
b_nextBorder",30,parent.GoToNextSld )
gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent=
.FullScreen )
gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa=
rent.FullScreen,null )
gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent=
.FullScreen,null )
gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border;
gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border;
gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice=
","nb_voiceBorder",18,parent.ToggleVNarration )
gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT=
xt","nb_otlTxtBorder",23,parent.ToggleOtlText )
gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts"
gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag
gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState
/*********************************************
Context menu implementation
_CM() is the function that's hooked up to
the oncontextmenu event. Once we're asked to
show the menu, we first build it by creating
DIVs on-the-fly. Then we position it=20
within the screen area so it doesn't get
clipped.
Creating the DIVs using createElement() means
we don't have to write out any extra HTML
into the slide HTML files.
**********************************************/
var sNext=3D"Weiter",sPrev=3D"Zurück",sEnd=3D"Präsentation beenden",sFont=
=3D"Arial",sArrow=3D"Pfeil",sFreeform=3D"Freihandform",sRect=3D"Rechteck",s=
Oval=3D"Oval"
function ShowMenu()
{
BuildMenu();
var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y=
=3DPPTSld.event.clientY+doc.scrollTop
m =3D PPTSld.document.all.item("ctxtmenu")
m.style.pixelLeft=3Dx
if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) )
m.style.pixelLeft=3Dx-m.scrollWidth
m.style.pixelTop=3Dy
if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) )
m.style.pixelTop=3Dy-m.scrollHeight
m.style.display=3D""
}
function _CM()
{
if( !parent.IsFullScrMode() ) return;
if(!PPTSld.event.ctrlKey) {
ShowMenu()
return false
} else
HideMenu()
}
function BuildMenu()
{
if( PPTSld.document.all.item("ctxtmenu") ) return
var mObj=3DCreateItem( PPTSld.document.body )
mObj.id=3D"ctxtmenu"
mObj.style.visibility=3D"hidden"
var s=3DmObj.style
s.position=3D"absolute"
s.cursor=3D"default"
s.width=3D"120px"
SetCMBorder(mObj,"menu","black")
var iObj=3DCreateItem( mObj )
SetCMBorder( iObj, "threedhighlight","threedshadow" )
iObj.style.padding=3D2
CreateMenuItem( iObj,sNext,M_GoNextSld,M_True )
CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld )
=09
CreateSeparator( iObj )
CreateMenuItem( iObj,sEnd,M_End,M_True )
mObj.style.visibility=3D"visible"
}
function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa=
lue=3Dfalse }
function Highlight() { ChangeClr("activecaption","threedhighlight") }
function Deselect() { ChangeClr("threedface","menutext") }
function Perform()
{
e=3DPPTSld.event.srcElement
if( e.type=3D=3D"menuitem" && e.IsActive() )
e.Action()
else
PPTSld.event.cancelBubble=3Dtrue
}
function ChangeClr( bg,clr )
{
e=3DPPTSld.event.srcElement
if( e.type=3D=3D"menuitem" && e.IsActive() ) {
e.style.backgroundColor=3Dbg
e.style.color=3Dclr
}
}
function M_HasPrevSld() { return( parent.HasPrevSld() ) }
function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() }
function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();=
PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() }
function M_True() { return true }
function M_End() { window.close( self ) }
function CreateMenuItem( node,text,action,eval )
{
var e=3DCreateItem( node )
e.type=3D"menuitem"
e.Action=3Daction
e.IsActive=3Deval
e.innerHTML=3Dtext
if( !e.IsActive() )
e.style.color=3D"threedshadow"
e.onclick=3DPerform
e.onmouseover=3DHighlight
e.onmouseout=3DDeselect
s=3De.style;
s.fontFamily=3DsFont
s.fontSize=3D"9pt"
s.paddingLeft=3D2
}
function CreateSeparator( node )
{
var sObj=3DCreateItem( node )
SetCMBorder(sObj,"menu","menu")
var s=3DsObj.style
s.borderTopColor=3D"threedshadow"
s.borderBottomColor=3D"threedhighlight"
s.height=3D1
s.fontSize=3D"0px"
}
function CreateItem( node )
{
var elem=3DPPTSld.document.createElement("DIV")
node.insertBefore( elem )
return elem
}
function SetCMBorder( o,ltClr,rbClr )
{
var s=3Do.style
s.backgroundColor=3D"menu"
s.borderStyle=3D"solid"
s.borderWidth=3D1
s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr
}
------=_NextPart_01C89891.8CD135A0
Content-Location: file:///C:/B0565F13/Dekubitus-Dateien/fullscreen.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="windows-1252"
Dekubitus Dekubitusprophylaxe
------=_NextPart_01C89891.8CD135A0--
•=
Die
Druckminderung erfolgt durch
☺<=
/span>das Verwenden weicher
bzw. spezieller Au=
flagen
<=
/div>
------=_NextPart_01C89891.8CD135A0
Content-Location: file:///C:/B0565F13/Dekubitus-Dateien/slide0057.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="windows-1252"
☺<=
/span>eine Umlag=
erung, je nach Zustand 1 – 2
stündlich und niemals auf die Dekubitusseite,
☺<=
/span>das Verwen=
den
spezieller We=
ichlagerungssysteme
(Antidekubitusmatratze Spezialbetten,…).
☺<=
/span>Einsatz moderner Hilfsmittel (Pflegebett, spezielle Pölster, Lagerungskissen, …)
→ACHTUNG: G=
latt
gespanntes Leintuch –Auflagedruck
J
☺
•
3. April 2008 © Alexandra Huber-Uderman=
n
19
2. Säul=
e =3D Ernährungszustand:
•=
BMI =3D
Indikator für den Ernährungszustand (Nahrungsergänzung
notwendig?)
•=
BMI =3D Körpergewicht in kg : (Körpergröße in m)²&=
#13;
•=
Es sollte auf:
–hochkalorische Ernährung =
(40
kcal/kg KG),
–proteinreiche Ernährung (=
1,5
g/kg KG),
–vitamin- und
spurenelementreiche Ernährung,
–Verabreichung von Eisen und
Zink mit Rücksprache des Hausarztes,
–Vitaminzufuhr, v=
.a.
Vit. A, C, E,
•=
geachtet werden.
•
3. April 2008 © Alexandra Huber-Uderman=
n
20
3. Säule =3D Hautpflege:
•Eine gute Hautpflege wird durch das Verwenden =
von Pflegeprodukten, sichergestellt. Bei der Auswahl
von Pflegeprodukten sollte auf alk=
alifreie Seifen
geachtet werden.
•Auf alkoholische
Einreibungen und antibiotische Zusätze
(Allergieauslöser) sollte verzichtet werden.
•Ideal sind Sy=
ndets
mit ph < 6. Cremen mit Inhaltsstoffen
wie
–Urea=
3 – 5
%, - Glycerin 3 – 5%&=
#13;
–Vita=
min A,
C, E, - Panthenol 3 –=
5
%
–Aloe=
vera,
- Ceramide
3. April 2008 © Alexandra Huber-Uderman=
n
21
Inkontinenzprodukte:
•Richtiges
Produkt anwenden, individuell auf Klient abgestimmt
(Beratung bei KGKK)
•Nicht
mehrere Schichten übereinander à Hitzestau -> feuchtes Milieu!!
–=
So
wenig wie möglich
–=
So
viel wie nötig
DANKE
FÜR IHRE AUFMERKSAMKEIT!
3. April 2008 © Alexandra Huber-Uderman=
n
23
Literatur:
•Kammerlander, G. (1998, 2001): Lokaltherapeutische
Standards für chroni=
sche
Hautwunden, Ulcus cruris, Dekubitus, Kompressionstherapie, <=
span
style=3D'position:absolute;top:31.0%;left:9.73%;width:86.7%;height:4.25%'>=
Weichlagerung, 2. Auflage, Springer-Verlag/Wien,
2001.
www.dekub=
itus.de/dekubitus-microstimulation.htm
12.09.2007
www.mediz=
in.fuberlin.de/nursing/pflege/Abstract%20komplett.p =
df
<=
span
style=3D'font-size:59%'>•Kursunterlagen 2002 Kammerlander Gerhard
•Quelle: IGAP Institut für Innovationen im
Gesundheitswesen und
angewandte Pflegeforschung. <=
span
style=3D'font-size:69%'>•Quelle: dline. =
www.dline.ch 12.09.200=
7
•vgl. <=
span
style=3D'font-size:59%'>•DGKS Krammel Michaela, Unterlagen 2007
=
‹Kopfzeile›
‹Datum/Uhrzeit›
Textmasterformate durch Klicken bearbeiten
Zweite Ebene
Dritte Ebene
Vierte Ebene
Fünfte Ebene
‹Fußzeile›
‹Nr.›
------=_NextPart_01C89891.8CD135A0
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Content-Transfer-Encoding: quoted-printable
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' + ENDSHOW_MESG + '
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