翻身预防压疮

Body Turning for Pressure Sore Prevention

沈奶奶，79岁，左侧肢体乏力，卧床，不爱活动锻炼，请健康照护师协助完成翻身预防压疮。

At 79 years old, Grandma Shen is experiencing weakness in her left limb and spends most of her time in bed. Despite recommendations for activities and exercises, she prefers to remain sedentary. To prevent pressure sores, a health care provider assists her in turning over regularly.

步骤1：工作准备

Step 1: Preparation

1、环境准备：室内清洁，温湿度适宜

1. Environment preparedness: maintain a clean environment; ensure the temperature and humidity are comfortable and suitable

2、照护人员准备：着装整洁，洗净并温暖双手。

2. Caregiver preparedness: dress up neatly, wash and warm hands.

3、老年人准备：老年人平卧于床上

3. Elder preparedness: make the elder lie flat in the bed

4、物品准备：治疗车上放置软枕4个、脸盆1个、热水壶（内盛40-45℃温水）、毛巾1条、记录单、笔。

4. Articles preparedness: 4 soft pillows, 1 washbasin, 1 hot water kettle (filled with warm water at 40-45 ℃), 1 towel, a record sheet and a pen on the treatment vehicle.

步骤2：评估与沟通

Step 2: Assessment and communication

5、评估老年人营养状态、身体受压部位皮肤情况

5. Assess the nutritional status of the elderly individual and evaluate the skin conditions of the compressed area

6、向老年人解释操作方法，取得配合

6. Explain to the elder how to cooperate and obtain cooperation

步骤3：协助侧卧

Step 3: Side lying

7、照护人员将手伸进盖被内轻握老年人右侧手臂放于近侧枕边，左侧手臂放于胸前。

7. The caregiver gently takes the right arm of the elder from under the cover quilt and puts it on the pillow nearby, and places the left arm on the chest of the elder.

8、在盖被内将左侧下肢搭在右侧下肢上、双手分别扶住老年人的肩和髋部向近右侧翻转，呈侧卧位。

8. Put the left lower limb on the right lower limb under the cover quilt, hold the shoulders and hips of the elder with both hands and turn the body over to the right side; make the elder lie on their side.

9、双手环抱住老年人的臀部移至床中线位置。

9. Hold the buttocks of the elder with both hands and move him/her to the middle of the bed.

10、在老年人颈肩部垫软枕，在老年人胸前置软枕，左侧手臂手心向下搭于软枕上，左侧小腿中部垫软枕，保持体位稳定舒适

10. Put a soft pillow on the neck and shoulder of the elder, put a soft pillow on the chest, put the palm of the left arm down on the soft pillow, put a soft pillow under the middle part of the left calf to keep the body stable and comfortable

11、掀开老年人背部盖被，检查背臀部皮肤情况

11. Lift the quilt cover on the back of the elderly person and carefully examine the condition of their skin on the back and buttocks

12、照护人员用温热毛巾分别从上向下螺旋擦拭老年人双侧背臀部、拉平上衣，用软枕支垫背部，盖好盖被。

12. To properly clean the elderly person, use a warm towel and wipe their back and hips from top to bottom in a spiral motion. Afterward, flatten their jacket and support their back with a soft pillow. Finally, cover them with a cozy quilt for added comfort.

步骤4：整理床铺

Step 4: Bed making

13、整理床铺；加装床挡。

13. Make the bed; install bed rails.

步骤5：记录

Step 5: Recording

14、洗手，记录翻身时间、体位、皮肤情况，发现异常及时报告。

14. Wash hands, record the body turning time, body position and skin condition; report any problems. 

注意事项

Precautions

1、翻身时将老年人抬起，避免拖、拉、推，以免挫伤皮肤。

1. Lift the elder when turning them over, avoid dragging, pulling and pushing them to avoid skin injury.

2、卧床老年人，一般情况下2小时翻身一次，必要时1小时翻身一次。

2. Elderly individuals who remain in bed for extended periods of time should be repositioned every two hours, or once every hour if deemed necessary.

3、记录准确、全面。

3. The records must be accurate and comprehensive.