Caring for Recumbent Patients

Answer

Caring for Recumbent Patients

When caring for recumbent patients, the first thing to look out for is pressure sores. The decubital ulcers are a common complication that relates to patients who are sedated or paralyzed. It is often advisable to prevent the bed sores rather than treat them. Hence, the heavier the patient, the thicker the bed padding should be. Also, the size of the cage matters and should be equally proportional to the size of the patient (Zeltzman & Serfas, 2015). The patient should be rotated every two to four hours to ensure that one side is not bruised. Care should be taken to ensure that confusion is avoided and that the patient side down is identified. The skin should be inspected frequently to check for any bruising and first signs of bed sores. In case a bed sore occurs, they should be treated promptly and aggressively.

            Urination and defecation is another area to consider when caring for these patients. Every time the bedding becomes soiled, it should be changed immediately. This means that it should be checked frequently. The soiled skin should be washed thoroughly with soap and water before being dried (Zeltzman & Serfas, 2015). If the patient is unable to urinate naturally, aspiration with a urinary catheter should be used to prevent infections and bladder wall damage.

            The patient needs to eat and drink effectively. An IV fluid can be used to administer enough fluids to the patient (Zeltzman & Serfas, 2015). However, managing the caloric intake is more complicated since the patient may not be interested in eating. Thus, the enteral route may be preferred or even feeding tubes. Food and water should be administered when the patient is in lateral recumbence.

            The patients need help in maintaining their body temperatures. Thus, heating pads and heating blankets should be used. In addition, the patient should be assisted in standing and walking to enhance mobility (Zeltzman & Serfas, 2015). This will aid in muscle strength and blood circulation. Massage and passive range of motion exercises should also be considered. Proper respiration should be promoted by ensuring the patient is in sternal recumbency. Coupage should be performed to remove any secretions that could cause pneumonia.

            Lastly, pain management must be considered even though the patient is sedated. It is important to take care so as to avoid overdosing them and prolonging their recumbency duration (Zeltzman & Serfas, 2015). Tender loving care is important as it ensures the care giver does everything possible to keep the patient comfortable.

Caring for Recumbent Patients at Home

            To avoid bed sores, the patient should be supported with pillows and rolled up blankets or towels. Also, they should be rotated every four to six hours to a different position (Jurney, 2015). Also, to make the cleaning process easier after defecation and urination, the layering of towels and water proof sheets may make it easier for the pet owner.

            To assist the pet to use the bathroom, take them to their usual spot and give them time to try. If they are unable to do so, and the veterinarian instructed on how to assist them, then this is the time to do so (Jurney, 2015). If the veterinarian did not instruct on how to do so, the owner should take the pet back to bed and try again after some time.

            After any bathroom accidents, the pet should be cleaned with the waterless shampoo and a soft towel. While doing so, be sure to check for pressure sores thoroughly along the hip shoulders, and elbows (Jurney, 2015). During feeding times, the owner should assist the pet to stay upright. Let the pet do so willingly, do not try to force the meal. Physical therapy is a must to ensure proper circulation and muscle strength (Jurney, 2015). However, it should not be painful. The exercises should be assisted in a gentle manner while focusing on joints and massaging muscles.