General indications for the simplest physiotherapy procedures. Physiotherapy in Kiev

F iziotherapy (Gretz. physis - nature, natural power) - the field of clinical medicine, political powers natural and piecewise physical facts and development methods for the treatment and prevention of ailments, as well as for medical rehabilitation.

Vpliv fіzichnih faktorіv (cold, heat, mehanіchnogo podraznennya) on shkіrnі crooked dіlyanok tіla - so been called to come segmental-reflex vіdvolіkayuchy terapіya - viklikaє Pevnyi funktsіonalnu reaktsіyu vіdpovіdnih organіv i systems pіdvischuєtsya abo znizhuєtsya tone gladkoї muscle vіdbuvayutsya spasm abo dilatatsіya sudin scho stimulyuyut ruyutsya exchange processes in the body. In addition, in the whole physiotherapeutic procedures, they create a gallant effect, reduce sleep, and improve mood.

Prior to the "temperature" methods of physiotherapy, admit compresses, grilka, bladder with ice - all of them come in, as they allow for additional cooling, or to prevent the expansion of the system, or to accelerate the function of blood supply to the system. , the intensity of the exchange of speech and input. Gyrchichniki and banks, krim z-greval efektu, nadayut and modulate the receptor of the shkiri injected into the essential oil of the girchitsi and stem the banks of a negative grip on the local distribution. Likuvannya p'avkami, I want to look in the whole chapter as one of the methods of physiotherapeutic treatment, in its own way є medicamentous procedure, some of the main activity of occupational therapy is supplemented by the vision of patients with special treatment.

suckingcold

The essence of the cold procedure (compress, michur with ice) is in the ice cold of the ice, which is very close to the blood-bearing vessels of the skin and the inner organs. Organism as a result of the flow of cold undergoes three main stages of reaction.

1. Reflex sound of the winds of the wind: the blunder of the winds, the lowering of the temperature of the wind, the change in the heat output; blood overgrowth to internal organs.

2. Reflector expansion of the sudin shkiri: the shkira acquires a horny-chervone zabarvlennya, becomes warm to the dot.

3. Capillaries and venules of expansion, arterioles - sounds;
the speed of blood flow is trustworthy; shkira nabuva crimson-chervonia
vidtinok, cold on the dot. Zvuzhennya sudin to produce to the regional
reduced blood flow, trusting the exchange of words and
zhenya sopzhivannya sisnyu.

Cycles of cold treatment:

Flush enclosure.

Zmenshennya (obmezhennya) traumatic nabryak.

Zupinka (trust) bleeding.

The sickly effect (as a result of the decrease of sensitive
nerve fibers).

compress

Compress (lat. compression - Squeeze, squeeze) - a lykuvalny bagatosharova bandage with gauze or іnshoi fabric, call it at one with cotton wool, waxed with paper or waterproof floss.

Shown: the first years of the birth of blows and injuries, nasal and hemorrhoidal bleeding, other period of fever.

Necessary equipment: cold water with ice, stored in a ball of gauze balls.

The order of the procedure (fig. 7-1):

1. Soak cooked cheesecloth in cold water, lightly see it.

2. Apply a compress to the outside of the door.

3. Remove skin gauze 2-3 minutes (in the world of development).

NS uzirsiice

Puzir with ice is used for more trivial ice cooling. Wine is a flat gumy bear with a wide opening with a crumb, to fill the ice with pieces of ice in front of the vicars.

Shown: the first years of injury, internal bleeding, other period of feverishness, the cob stage of deeds Gostrich Zahvoryuvan black empty, clogged misce.

Prototype indications: spastic abdominal pain, collapse, shock.

Necessary equipment: ice, ice cream, towel (sterile glue).

The order of the procedure (fig. 7-2):

1. Memorize the mikhur for 2/3 of the volume with shmatochki ice and shitlno zakryti.

2. Pidvіsiti mіkhur over іdpovіdnuyu dіlyanka tіla (head, belly and іn.) At the standpoint 5-7 cm, or, having wrapped him with a towel, put it to the sickly mіtsya.

3. If necessary trivial procedures kozhn_ 30 minutes robiti interrupt in cooling-women for 10 minutes.

suckingheat

The essence of the thermal procedure (compress, poultices, grilka) polyanga in the muscular heating-bath of a dilyanka tila, which is a trivial expansion of the blood-bearing vessels of the skin and in the tissues of the inner organs, strengthened

Cycle of procedures:

Stimulation of the ignition process;

Pain relief (muscle spasm of internal organs).

Зігріваючіcompress

Zigrivayuchі compressi zasosovuyut at the use of muscular infiltrates, deterioration of microbial apparatus. See compress:

Dry cold compress;

Vologiy winter compress;

Vologiy hot compress. Dry compress (cold)

A dry compress to dry out for the sake of the cold. Then apply a cotton-gauze bandage. Compress for the thermal procedure of the viglead by the first rank:

The first ball (call) is cotton wool (batting, flannel).

Another ball (middle) is a glue, polyethylene ply or wax papir; Dovzhina and the width of the whole ball is 2-3 cm smaller than those of the first ball (vati).

The third ball (internal, to be imposed on the shkіra) - vologa servetka (m'yaka fabric); for the size of the won, she is guilty of being smaller than the other ball by 2 cm.

Vologiy winter compress

Shown: місцеві ignition processes in school and child cells, postin'єktsіynі infiltration, arthritis, injuries.

Prototype indications: shkirnі zvoryuvannya(Dermatitis, gnіynichkovі and allergic visipannya), temporal fever, malignant new conditions, deterioration of the sanity of scurvy curves.

Necessary equipment:

Room temperature water;

. weak roschin otstu abo alcohol (etilovium abo camphorium, alcohol rozchin sali tsilic acid);

M'yaka servetka (gauze), cotton wool (flannel), glue (waxing papir), bandage, towel.

1. Pidgotuvati rozchin [heat water, weak roschin otstu (1 tsp. 9% roschin per 0.5 l
vodi) either a bottle, cologne or 96% alcohol, diluted with warm water at spіvvіdnoshennі 1: 2].

Zastosuvannya unbroken cologne or alcohol can be viclikati opik.

2. Soak a servet in a prepared dish, vijati її.

3. Attach the servette to the vologue until it is completely squeezed.

4. At the top of the layer there are two shari compress: waxed papir, then - cotton wool.

5. Zafiksuvati compress with a bandage.

6. Take the compress in 8-10 years, wipe the shkіra with water (alcohol), dry the polo-tentsіі.

Vologiy hot compress

Innocently, in the name of the monstrous zealous efect, the hot com-press is stagnant. At the same time, the servet is soaked in hot water (50-60 ° C), pressed and applied for 5-10 minutes to the top of the dilenka, having covered the top with glue and fabric.

poultices

Poultices are a trivial procedure, like a polyaga in the program of a dilyanka with a walk, applying a heated, effervescent, or cash-like speech, placed in a special teddy bear. The poultices become stagnant when not getting wet with infiltrates, severe hematomas, radiculitis. Razrіznyayut dry poultices (from the pickles of the heated dry sand-ka, іvsa, steamed llyannya sіnnya, woolen in mіshechki) і vologі (hanging and oats, flax-ve today, Icelandic mossі ін., diluted with sprinkles to kashkopodіbny stun). In case of su-ХІХ poultices of rosіgrіtiy mіshechok put to the bottom, close it with glue, fіk-sіut, cover it with a carpet from above.

Prototype indications: vague abdominal pains, malignant chills, persistent injuries, external and internal bleeding, ruined sensitiveness, the unconscious camp of a sick person.

grilka

Grilka should be brought before dry thermal procedures; won’t get to the mistssevuyuchiy viz-diyu. Grіlku stasis as a disease and spasmolytic zasіb. In case of frequent і pro-triviality і triviality іnkіrіstannі grіlki shkіrnі pokryvі for augmentation of opіkі and hy-perpіgmentation in front of vaseline.

Indicated: ignited infiltration, neuritis, neuralgia.

Prototype indications: hospitality in the belly of an unclear walk, hospitals in the middle of the disease (appendicitis, pancreatitis, cholecystitis, etc.)

Grilki buvayut єmnistyu from 1 to 3 years. Isnu kіlka options for grіlok. ... Gumova (vodyana).

. Electrothermic syn. - thermophore (Thermo- + walnut phoros- uncooperative).

Khimichna.

If necessary, during the daytime, the grill can be replaced with a dance filled with hot water (self-contained grill).

Necessary equipment: gum grilka, hot water (close to 50 ° C), towel, vase-lin.

The order of the procedure (fig. 7-3):

1.Lubricate the shkіrnі pokrivіvіdnogo dіlyanka tіla vaseline (for prophylaxis opіkі and hіperpіgmentation).

2. Make a 2/3 grill with hot water.

3. Gently wiggle from the neck of the mouth, squeezing it with your hands right up to the neck.

4. Cover the grilka with a crust (crust).

5. Change the grilka for tightness, turning it over.

6. Wrap the grilka with a towel and stick it up to the fold-out frame.

banks

Banks are glassware, shaping the shape of housekeepers with rounded edges and a round bottom, with a volume of 30-70 ml. Banks to shake off strong blast-expanding і anti-firing diy; It often becomes stagnant with bronchitis, pneumonia, neuralgia, neuritis, myositis.

Mechanism of Diya

Half of the burning nest in the bank. For rakhunok folded into a jar of negative vice (vacuum), you get wet - yak to shkіri, so і to a lot of fabrics; at the same time, there is a surge of blood and lymph, but the wicked reflexive effect on the judgment of internal organs - the blood lymphoma is accepted, the trophism (harvesting) of the tissue is observed,

The mechanism for pouring cans is also the largest component. The capillaries of the shkiri, re-filled with blood, grow, and there are not much bloodshed in the shkira (sinci), that the shkira is filled with yaskravo-chervon or scarlet. In the bloodstream, products of blood loss and autolysis (self-digestion) of blood are formed, which are biologically active words, which spread the blood flow through the body and create a beneficial (stimulating) tissue.

In such a rank, pouring into the body through the formation of the syncytic is actually in the form of a variant often responding to the services of earlier autohemotherapy. Autohemotherapy (Greek. autos- myself, haima- shelter, therapeia- lіkuvannya) - internal or internal introduction of ailing own blood (taken from the vein) with the help of stimulation of the internal functions of the body and the improvement of communication processes; the whole method of stagnation for lіkuvannya mlyavo іnfektsіynyh and other diseases (for example, furunculosis). Preparation of the sick and equipment

For setting the cans, the sick person should be put in a sack on his back (in the case of placing cans on his back); at the same time, the head of the yogi is guilty, but it is turned to the side, his hands are clawing at the pillow (Fig. 7-4). Like a shkіra covered with hair, їkh shave, a shkіra watered with warm water with a cute and vitiated towel.

Apply a thin ball of Vaseline on the skin with your hand (the edge of the jar was nestled up to the surface of the tin and it did not penetrate into the jar, and it also didn’t penetrate the jar).

Razrіdzhennya povitrya in the jar and put into it a burning alcohol swab (Fig. 7-5). Tsia manipulation vimaga navik and singing right, so yaknot trivialThe tampon miner cannot be used to dissolve the tampon, and the bank does not go to the shkiri, so that the overheating of the jar can be brought to the fore. It is important to think that it is necessary to heat only a drink in a jar, but not to the region, in which case it will be necessary to pay attention to the shkiri. Krim

In addition, if you take alcohol from a tampon, you need to see about the edge of the bottle with alcohol (you can unicuti the drop of burning alcohol on the shkiru of the sick person). When you drink a tampon, a bottle of alcohol should be closed and put into place.

Banks should be placed on tіlаnki tіla, de-swerving tins and fatty balls, to smooth out the folds - the region breast cancer(Behind the vinyat of the region of the heart, milky vines, ridge; Fig. 7-6).

It is not possible to put cans on the heart, milk zone, ridge zone, birthplaces.

Indicated for setting cans: firing up the organs of the breast tissue - processes in the lesions (bronchitis, pneumonia), neuritis, interneural neuralgia, myositis.

Prototype indications before setting the cans: visoka temperature, malignant novelty, hemoptysis, an active form of tuberculosis, legeneous bleeding, if not without a problem, when a sick person appears, when a sick person is sick with a third stiffness, sensitiveness and soreness of curvatures is sharply adjusted.

The technique of setting cans

Necessary equipment: a tray (for emelling wood), in which it is necessary to put cans (10-16 pieces), a box with vaseline, a bottle with 96% ethyl alcohol, oppression (metal-metal probe with a pin on the end on nyogo wadding), or a jam of Kocher (with a covered wadding), sirniks, wadding.

The order of the vikonannya procedure:

1. Banks before vzhivannyam retelno vimiti hot water, wither dry.

2. The edges of the cans should be converted for the appearance of chips and small items and vaseline with a thin ball.

3. Lay the sick person in a zychnu pose.

4. Shkiru before setting the cans with the hand of vaseline.

5. A cotton swab on a metal probe (bend) or in a Kocher sludge, soak in a spir ti i vijati.

Vikoristovuvati efir for setting cans categorically zaboronyatsya!

6. Close the bottle with alcohol and put it into place.

7. Pidpality oppression.

8. At the right hand take a probe with a burning swab, in lіvu - 1-2 cans.

9. In the middle of the bank, trimming not far from the til, for a very short hour to make a burning there-pon; at the same time, there is no need to cover the edge of the bank and overheat (an hour, sufficient for the completion of the distribution of all the banks, is 1 s).

10. Bank (banks) shvidko, energіynym rukh put to shkіri.

11. Patient ukrit kovdroyu.

12. Fill banks for 10-15 minutes.

13. To take the banks: for the knowledge of the banks, lightly push the edge of the can on the edge of the can with the fingers of your left hand, while sliding the bottom to the opposite side with your right hand.

14. Pislya of the end of the procedure to the shkiru with a towel for the vaseline, the patient, ukriti kovdroyu. For the procedure of ailments, he was guilty of lying quietly at a minimum for 1 hour.

15. Victoria banks soaked in hot water and dry wet.

hotspots

Dіyucha hіrchichnykіv - efіrne hіrchichne (allyl) oil, which goes to the storehouse of hіrchitsі and is seen from it at a temperature of 40-45 ° С. for the rakhunok of whom to reach the disease, the disease will be affected, to be quickened by the rosmoktuvannya of the igniting processes. Hirchichniki stagnate in case of catching colds ailments, fiery illnesses of the upper dikhalnyh nobles(Rhinitis, pharyngitis), inflammation of the processes in the lungs (bronchitis, pneumonia), neurological ailments (myositis, neuralgia), with angina pectoris, hypertensive crisis.

zagalnyhouses

Standard girders - sheets of a fillet paper 8 x 12.5 cm, covered with a ball of greasy hot powder (the term should be 8-10 m / sec.) The adherent for vicoristannya girchichnyk gives the smell of girchic oil and does not crumble. Before yo-koristuvannyam it is necessary to reconsider the quality.

Before implantation, the girchichnyk snakes in warm water (40-45 ° C). at more high temperature gіrchichne oil runnuts. Apply girchichniki for 10-15 min; with a lot of ailments, it is guilty of seeing warmth and not great sorrow, and the shkira is guilty of being hyperemic (pohervonilia). With more trivial inflow of grychnyk, there is a lot of opiq of shkiri. Mice of installation of hoppers (fig. 7-7):

Potilitsyu (gostry rhinitis, hypertensive crisis).

The upper part of the sternum (gostry tracheitis).

Interscapular region and under the shoulder blades (bronchitis, pneumonia).

Litkovi m'yazi (effective for stately fired upper dichal nobles).

Small. 7-7. Mystsya of staging girchichniks.

Gyrchichniki can only put on a non-smart school. Slid unique performances of girchichniks on the dairy zone, nipple area, ridge, birthplaces.

Shown before the setting of the hypochondriacs: igniting the upper respiratory paths (rhinitis, pharyngitis), ignition processes in the lungs (bronchitis, pneumonia), myositis, neuralgia, hypertensive crisis (due to support).

Prototype indications before carrying out the procedure: incapacitation of shkiri (pioderma, neurodermatitis, eczema), temporal fever (38 ° C viscera), bleeding of Legenea, or malignancy of its development, malignancy of new development.

Methodologystaginggirchichnikiv

Necessary equipment: heat water (40-45 ° C), tray (or tartar), hoppers, poles, flannel pelushka, carpet. The order of the vikonannya procedure:

1. Prepare warm water.

2. Lay the sick person in a hand for a new pose, then look around the skin.

3. Zanuriti hot water for 5-10 s in warm water at a temperature of 45 ° C.

4. Attach the chirchichnik with the side, covered with chirchitseyu, to the shkiri (in case of advanced sensitivities, the chirchichnik should be attached through the gauze).

5. The area of ​​setting the girchichniks is covered with a towel, then there is a carpet.

6. After 5-10 mins at the moment, the witness of the chirchichniki appears with a vologo sal-fetka from the shkiri.

7. To see the surplus of hot powder - gently wipe the skin with a servet, soaked in warm water.

8. Dry viterti shkiru, cover the ailing one with a carpet.

hіrchichnіbaths

can you suck hot tubs from the filling of hot powder (with a bottle of 50 g per 10 liters of water). The stench can be stinky (with colds) І muscle - scissors (in case of hypertensive ailments). Triviality of the warehouse bathє 20-30 min. To wash the baths, they wrap the ailments in clean warm water, they wrinkle them, and then they burnish them with a blanket or carpet.

Prototype indications before the vicoriancy of the hot baths: the temporal fever, the temporal sensitivity of the fever to the fever, the incapacitation of the fever, the bleeding of the disease, malignant neoplasms, the active form of tuberculosis, the unhealthy camp of the sick.

waterprocedure (balneotherapy)

Before aquatic procedures (balneotherapy; lat. balneum - bath, bath) take a shower, bath, douche, wiping, vologі obgortannya.

Cold (up to 20 ° С) and cold (20-30 ° С) water wiklica - spasm of sudin shkiri, increase in heart rate, increase in arterial pressure, increase in the tone of skeletal muscles, smooth muscles of internal organs. Vodolіkuvannya with such a temperature of water and zastosovuyut with zagalnozmіtsnyuyuchih and hardening purposes, to stimulate the function of the central nervous system, to promote the exchange of words.

The water is indifferent (34-36 ° С).

Heat (37-39 ° C) and hot water (at 40 ° C), the water will break down the pressure, increase the heart rate, increase the heart rate, decrease the arterial pressure, decrease the organ muscle tone, loose the inner muscles sweaty.

Baths are developed for the characteristics (hygienic and water-based), (for the aroma), for the storage area - "perlinny" conifers, shavlіevі etc.), mineral (sirkovodnevі) and іn. For trivial baths, procedures can be short-term (up to 5 minutes), medium-trivial (10-20 minutes) and trivial (up to decilkoh years).

Prototypical indications: important reversal of atherosclerosis, heart failure, hypertension crisis, impaired cerebral and coronary blood circulation, active tuberculosis.

When carrying out the liquid baths and water procedures it is necessary to keep pace with the camp of ailments, as through the adjustment of the arterial vise, increase the frequency of the heart rate (HR) and dichotomy in one way or another.

bloodletting

Blood letting down is a visualization of the circulatory system and blood volume for reducing the volume of circulating blood (BCC), arterial and venous vise. Bloodfallen-Kania stasis in case of grievous livoshlunochkovo deficiency (a set of legends, which are signs of shock or collapse), hypertensive crisis, legacy hypertension, polycіtemov (swollen large numbers of erythrocytes), cut off with small spits, which three-kovі are absorbed in the blood. In this hour, with the presence of highly effective lykarsky-darsky zasobіv, blood letting is infrequent. Protest in singing situations only blood letting can be done by the sick person, or to wind up a life.

Prototype indications: decrease in arterial grip, hypovolemia (decrease in the volume of circulating blood), anemia (little shelter), swelling of the collapse of the larynx of blood, zhovtyanitsya.

Blood letting go for additional venipuncture or venesection; at the same time see 200-400 ml of blood. The procedure should be carried out as often and carefully as possible, so that it will be quicker (obscurity, loss of arterial vise, etc.).

Necessary equipment: heads for venipuncture, gum jgut, graded box for blood, sterile servetki, alcohol, iodine, special roller with glue, mittens.

The order of the vikonannya procedure:

1. Pid a lіktyovy zgin under the surface of the roller, cover with a glue and sterile servetka.

2. Douse the bloodletting mischief with alcohol (vikoristovuvati iodine is not possible). The hands of the medical foreman, who are to carry out the procedure, shave (lastly: mittya, alcohol, mittens).

3. Before the introduction of the golki, tighten the patient's hand with a gum jgut in the eye of the likta zgin by 1-3 min (the pulse is guilty to be felt, to squeeze the guilty butti only to the veni).

4. Conduct venipuncture (div. Nizhche razdil "Taking blood for a long time from veni" in Rozdil 9), enter the golka through the blood flow, sparingly uphill.

5. Venous jgut do not know! Having seen 200-400 ml of blood from the bloodstream (in the fallowness as indicated), the vityagti golku, the znyaty chgut.

6. At the end of the procedure at the place of blood letting, apply a sterile servet and
aseptic bandage.

7. Take mittens, wiggle your hands.

hirudotherapy

Hirudotherapy (lat. hirudo - p'avka), or bdelotherapy (Greek. bdella- p'avka); Hirudotherapy should be performed for muscular hemorrhage, as well as for lowering the throat of blood (antihypertensive activity). At the same time, with the secret of the sleepy mouths of the appearance in the body of the people, they use the hips (a straining anticoagulant -protective anti-speech) and the histamine-like speech, which expands the education of other blood vessels and the discharge. In the extracts of general manifestations of manifestations, there is also the enzyme hyaluronidase, which lays down penetration into the organism of young rivers, as well as the penetration of tissues and walls of capillaries. Such a rank, lіkuvannya p'avki, I want to look at it as one of the methods of physiotherapeutic treatment, according to the day of the I will proceed.

Likuvanna ailments (even without symptoms) stagnate and vasno hirudin - like visions from symptoms, as well as synthetic drugs ("Girulog", "Piyavit").

show: hypertensive crisis, hypertensive ailments, ischemic ailments of the heart (angina pectoris, myocardial infarction), venous congestion in the liver, venous thrombosis and thrombophlebitis, hemorrhoids.

Prototype indications: anemia, decreased health of thickened blood, reduced blood pressure, decreased arterial grip, severe septic and allergic ailments, caused by sensitive children, vagina.

May be expedited:

Sverbіzh shkіri (for the yo іkvіdatsії slіdіt sіsmachuvati wіskіru around the wound sumіshshu our-Tirnov alcohol with vaseline oil in equal proportions);

When staging a p'yavka on the superficial vein - bleeding (for the soreness of the bleeding, you must apply pressure);

Pioderma, furunculosis, which can be detected when the rules of asepsis and antisepsis are not tamed;

Bloodshed in the child's nursery.

Description of p'avok. For the procedure of vikoristovuyt p'avok medical - Hirudo medicinalis(Class of major worms; Fig. 7-8). Misce їkh living - with water. The type of medical attendance includes more than 10 types; She has a knack, a spine with a flattened body and two suckers - a mouth and a hindquarters. On the vidminu of the other species, in the medical p'yav on the back є two orange-colored cheeks. Healthy p'avka maє dark olive zabarvlennya, characteristic blisk. P'yavka smokche roofs only behind the aid of the front sucker, in yak є hitting the teeth, zavdyaki yakim p'yavka pryzaє shkiru on a depth of up to 1.5 mm.

When approached (lat. applicatio - supplement, application) on a shkіra people, one individual has grown up, maybe 10-15 ml of blood, which borrows from 20 to 90 min. The triviality of bleeding from the wound becomes 6-24 years old, with a total amount of vivid blood - 10-40 ml. Apply 8-10 times at once.

Ways to save p'avok. P'yavok sberigati in clean well, dzherelnoy or piped water at temperatures from 10 to 18 ° C in wide-necked jars, which are securely covered with gauze (to prevent access to the late afternoon) Water slid minyati 1 time to add: the banks are brought out from the slid and filled with water by half. I will supply water for the collection of p'avoks, and then add it to the enamel for the visualization (recovery) of chlorine and precipitation of salts from the surface of the house. It is necessary to vibrate and see ailments for the offensive signs: vuzluvate, v'yali, slime with licks, the characteristic blinking, swerving to the last appearance, the loss of aggressiveness, activity. Signs of a great p'avki, attached to the procedure, such.

1. Smoothly blisky tilo without breasts slime.

2. The reaction to the dot is reversed - the spring is fast, short.

3. Aggressiveness - it is not safe to wet it until it is dropped into the jar with the help of the ruts.
4. Activity - pragmatic to leave the bank.

P'avka can be victoristovuvati only one time!

Basic methods of treatment

Applikatsiya p'avok before self-relieving (tobto with hemorrhage).

P'yattya p'avok pislya prismoktuvannya (that is, without hemorrhage).
The mice of staging p'avok(Fig. 7-9)

The area of ​​the nipple-like outgrowth is 1 cm to the back of the inner edge of the ear shell (with thrombosis of cerebral vesicles, hypertensive ailments).

In the area of ​​the third-fifth intercostal space, 1 cm is called from the left edge of the sternum (styo-cardio, myocardial infarction).

The area of ​​the right edge (venous congestion in the liver).

In the course of the urazhenoia vein 1 cm to the sides of the land through the skin 5 cm in a regular order (thrombophlebitis).

Near kuprika (haemorrhoids).

Method of staging p'avok(Fig. 7-10) Equipment Needed:

I clean a vessel (test tube, jar);

Sterile tray, tweezers;

Alcohol, 5% alcohol-grade iodine, water peroxide, glucose-grade; formalin or liquid ammonia;

Hot water;

Sterile servetka, tampons, cotton sticks, bandaging material.

It is not possible to put p'yavok on that place, you can see the pidshkirny veni or the artery, so as p'yavki can bite you, but the bleeding is not strong.

The order of the procedure for occupational therapy for hemorrhages

1. Pidgotuvati sick (the position of the sick - lying or sedentary in the fallen asleep during the application of p'avok).

2. Wash the shkіru: shave the hair, wipe it with alcohol (water peroxide), wipe it with a swab, wipe it with hot water; Signs for aplіkatsії dіlyanka are more colorful with a crackle of glucose (for a good wetness).

3. Three cans are taken in a small, clean dish of appearances in a number, which I change the necessary for 2-3 pieces; P'avok pick up watercolors with a butterfly net, or by dropping your hand into the jar - p'yavka zapovzaє to the warmth of the valley, but not reaching for it, so like a shkira on the valley is coarse.

It is not possible to take p'avka with pincers, as it is possible to transmit the nervous system of p'av-ki and viklicati її parallich.

4. Viymati from the vessel from one test and put into a test tube; Bring the test tube up to the dilenka til and in the world of letting it go with a tampon soaked in hot water (the temperature of the water is not guilty of changing 90 ° C).

5. If the bite is accepted (to bite through the skin and rather sickly ruffs), pick up the test tube and on the back of the suction cups of the servet.

6. P'yavok must be rostashovuvati vіlno, without overlapping one on one; with the early fixation of the nasal (zasipanny p'yavki) to carry out on її tіlu cotton wool, warm water; in the world of nasasivan_yu blood p'yavki come by themselves.

It is not possible to withdraw p'avok, as it is not possible to bleed.

7. Apply a dry aseptic bandage with a small amount of hygroscopic cotton wool; if necessary (if the dressing is squeezed with blood), the dressing is tied; To carry out the change of the bandage through the doba.

8. Znischiti vicorian p'yavok in the form of formalinu (aka liquid ammonia).

The order of the procedure for occupational therapy without hemorrhage

1. Viconati step by step nos. 1-5 procedures of hirudotherapy with hemorrhage (Div. Vishche).

2. To get a good feeling, to grow up to a sick person in the moment of getting wet with a tamper, soaked with one of the coming breakdowns: alcohol, alcoholic solution to iodine, 10% solution to calcium chloride and about 10% (hypertonic) sodium chloride.

3. Apply a dry aseptic bandage (bandage change - through the doba).

4. Znischiti vicorian p'yavok in the form of formalinu (aka liquid ammonia).
Wounds from bites will start to develop in 2-3 days. Yakshcho pislya zyattya bandages of the wound pro

should bleed, then apply a bandage and press. I can zupiniti bleeding with a solution of kaliyu permanganate. When there is bleeding, it is necessary to cut the wounds and the wounds around the wounds with 5% alcohol solution of iodine, alcohol or peroxide, apply a dry bandage.

MDK 04.03. Technology of providing medical services.

vicladach Chaplina Galina Yuriyivna

m Simferopol 2015r

Topic: "Methods of simple physical therapy".
physiotherapy (Gr. Physis - nature і therapeia - lіkuvannya) call the trickle flowing into the body of a man with lіkuvalnoy meta by different natural physical factors: water, heat, cold, light, electricity, electro-magnetic field, ultrasound.

The procedures for warmth and cold will give you a feeling of fun and excitement on the body of people.

Thermal injection:

Adjusts the temperature of the tissue in the case of muscular drainage;

Increased blood flow to the affected area, increased blood flow / lymphatic circulation in the singing area until people and changes

Stagnation of blood of internal organs;

Stimulate the intensity of communication processes.

Heat procedures can be vicious and unpleasant effect:

Mistsevo - opikas, embryos;

Systemically - anteropositic stump, unpredictability (appearance of blood from the head, internal organs to the periphery).

Freezing cold:

Change in intensity of blood circulation and increase in metabolism;

Viklikaє the ringing of blood-bearing vessels;

Enhanced bacterial activity in case of a threat of information;

Spriy weakening of congestive appearances;

I lower the temperature of thila;

Yes, it has an hourly anesthetic effect.

Mistseve zasosuvannya cold A change in pain sensitivity is a blockage, or in order to ensure the conduction of nerve impulses, as well as an increase in muscle spasm as a result of a decrease in nerve conductivity. Tryvala for the cold to produce up to the deterioration of blood circulation (lymph circulation), tissue through a deficiency of sourness.
Zastosuvannya girchichnikiv, grilki, mikhura with ice, compress. Effect of physiotherapy zooming procedures їх reflex infusion on the receptor of the shkiri.
Zastosuvannya hіrchichnikіv.
The stagnation of the powder of hirchits is based on the one that can be seen when it is stuck with water Etherne (allyl) oil, viklikayuchi depletion of receptors in the school and in the background, leads to a reflex expansion of the blood-bearing vessels of the internal organs. For a rakhunok tsiogo reach a disease effect, to be quickened by the rosmoktuvannya of deyakie ignition processes.

Another thing is to become hіrchitsi - phytoncidi. From the injected water and the stench is seen from the mirozin enzyme. Efirna olia and phytoncidi є by the dominant powers of the girchits.

It is necessary to get ahead of the patient, for the hyperemia and soreness of the children there, de bully hirchichniki, they can be trimmed for a few years, for a few days. Due to the frequent stagnation of hіrchichnikіv іnodі there is a pigmentation of the shkіri.

Shown to vicoristannya girchichnikiv viznacha likar. Often it stinks to get stuck without consulting a doctor, the nobility needs to know about the contraindication, which would be good, not a little procedure.

Prototype indications:

It is not possible to put gіrchichniki at :

- ailing shkiri,

- high temperature (38 ° С),

- legacy bleeding,

- a sharp decrease, for the duration of the school's sensitivity,

- evil affirmation.

- tuberculosis of legends
Algorithm of manipulation setting of girchichniks
meta: lіkuvalna (volatile, disease-causing effect, stimulation of dehydration during ignition processes).

Mechanism injected with girchits: Penetrating into the patient's skin, the essential oil is draining and expanding the blood vessels of the blood vessels, to bring about the reflex expansion of the blood vessels of the internal organs.

show: in case of pain, hospitality ignition processes of the organs of dichannya: pneumonia, bronchitis, pleurisy. Injury of myaziv, nervous system, neuralgia, neuritis, osteochondrosis, hypertensive crisis, with pain in the heart.

The mice of the performance of the girchichniks:

1.Bronchitis, pneumonia in the stage of dehydration - on the chest front and back.

2. In case of a hypertensive crisis - to the commissary zone and lithic mucus.

3. For pain in the heart - on the area of ​​the heart.

unicati: the area of ​​nipples, milk frogs, ridge and native beaches.

Prototype indications: bleeding; zhvoryuvannya shkiri; puffs of pink etiology; allergic reactions to essential oils; failure of the integrity of the school currents; hyperthermia; tuberculosis legen.

Prepare:

Girchichniki (before the stasis, it was necessary to reconsider the quality of the girchichniks, the term of availability; the adjunct girchichnik might smell of hot oil and not get dirty).

Tray with water temperature 40-45 ° С,

Tray for used materials,

-thermometer for measuring the temperature of the water,

Possible patient problems: opik shkiri; feeling a strong liver before the hour of the procedure.

Preparation before the procedure:

Wimiti hands.

Take a look at the shkіrnі curse the patient at the stage of staging the hіrchichnikіv (visibility of the ear, gnіynikіv, visipu). Clarify the status of the alarm for hirchitsu.

To reconsider the adherence of the grids: the term of the attribution of the 10th grids to the skin, the grizzly is not guilty of obscuration from the paper and the mother's specific (sharp) smell. In case of victorious girchichniks, who are corrupted by other technologies (for example, the package is in girchitsa), reconsider the term of conformity on the package. Pidgotuvati is necessary equipment.

Viconannya procedure:

1.Help the children take a shirt, get on their backs (if they are placed on their backs). Ask him to hunt for a pillow with his hands, and turn his head around.

2.Put a servet at the place of setting the hotspots.

3.Measure the temperature of the water for the hot water supply (40-45 ° С).

At higher low temperatures efirne oil not to see, but with a lot of visibility - to ruin.

5.Moist the chirchichniki in water for 5 seconds for leather, scruff and apply on the required dilyanka shkiry chirchitseyu down on the servette; put a towel on top.

6. Ukrit the patient with a carpet.

7. After 2-3 hours, clarify the patient's view.

8.Take 10-15 khvilins.

9. Take out the hips in case of severe hyperaemia after 10-15 hilin, or earlier, in the case of unbearable heat, and put them in the tray for vicarious materials.

10. Wipe the patient's skin with a vologo warm gauze servetka.

11. Viterti shkіru dry with a towel. Help the patient to put on a shirt, cover him with a carpet and get in front of him, so he wins in a lazy not less than 20-30 khvili.

12. Power up the patient's self-esteem

Completion of the procedure:

13. Vikinuti girchichniki. Vimiti and dry your hands.

14. Zrobiti record about the procedure and reaction to her patient in the medical documentation.

Memorize! With more trivial inflow of girchichniks, the young opyk of the shkiri from the statements of the puffs.

zasosuvannya grilki
Grіlka (dry heat) wiklikє reflexive relaxation of smooth muscles, strengthening of blood supply to internal organs, nadaє disease and dehydration. As a memory slid, it’s not effective because of the temperature of the grill, but because of the triviality of the inflow.

The stationary has standard grilles, electric fences.
Algorithm for managing the storage of the grilka
meta: lіkuvalna (reduction, reduction of pain, stimulation of dehydration during ignition processes).

Mechanism of the arts: reflex relaxation of smooth muscles, stimulation of blood circulation in internal organs (locally enlarged sudin).

show:

Miscellaneous ignition processes of shkiri, fodder cells and loam;

hypothermia;

Chronic ignition processes in the black empty (chronic gastritis and in.) For the signs of the drug.

Prototype indications:

Gostri firing processes and pain in the black emptying (gostry appendicitis, cholecystitis, pancreatitis, peritonitis, etc.);

chubby;

Internal bleeding;

Strike in the first year;

Informations of wounds;

Visoka is a feverish woman;

mastiti,

thrombophlebitis;

Destruction of the integrity of the school curvatures.

equipment:

Grilka gumov 1.5-2 l;

Water - 60-70 ° С,

towel,

- a range of disinfecting solutions,

Two servvettes for disinfection of grilka,

Thermometer for vimir water temperature
Possible patient problems: Rizik vyniknennya opіkіv in connection with a decrease in sensitiveness of shkіri among important ailments, or in connection with її відсутністю; pigmentation of the shkiri in conjunction with the frequent filling of the grilka on the same place; Stronger security in the area of ​​protection of children with grain.

Preparation before the procedure:

Check with the patient about the details and progress of the procedure and correct the year.

Viconannya procedure:

1.Pour hot water (60-70 ° C) into a grill for 2/3 of the time, cooked in a glass of water. Vipustiti povitra squeezed the upper third of the grill, screw on the stopper.

2.Tip the grill with the crust down, wipe the grill dry.

3. Wrap the grilka in a towel.

4. Put the grill up to the required area for 15-20 minutes (with a trivial consumption of 10-15 minutes for the signs of the drinker, break off the water).

5. Remove the grilka.

6. To inspect the patient's school in the area of ​​detention.

7. Power up the patient about his self-respect. Satisfied, it’s okay.

Completion of the procedure:

8. Whiten water from the grill. Dezinfіkuvati grіlku.

9. Vimiti and dry your hands.

Zasosuvannya Mikhura with ice
Dry cold vikoristovuyu to put on the surface of the body for the additional application of a glass with ice or a one-time cooling package.

With the help of cooling vikoristovoy to add additional ice when the equipment is stored, or a cooling package with chemical reagents.

Pour into the cooling package with a mechanical way (blow, press down) with the activation of the components in the chemical reaction and the determination of the cold effect.

Algorithm for Manipulation of Storing Mikhura with Ice
meta: lykuvalna (cooling, bleeding reduction, pain reduction, tissue swelling).

Mechanism of the arts: coldness to the sound of the blood-bearing vessels of the skin and weak organs, lowering the sensitivity of the nerve receptors. Nada disease, blood-back, anti-firing diy.

show:

Internal bleeding;

Gostri firing processes in the black emptying;

Hit (persha doba);

Visoka fever (other period);

Bite coma; mastitis; pislyaoperats_yny period;

Strus on the brain.

Prototype indications: chronic ignition processes; getting sick of shkiri.

equipment:

• 
  mikhur for ice, in front of transformations into purity,
• 
  lid shmatochkami,
• 
  water (14-16 ° С),
• 
  towel (pelushka),
• 
  A range of disinfectants,

Possible patient problems: overcooling; risik v_drirozhennya in a link with trivial injected cold on the shk_ra; intolerance to cold.

Obov'yazkova umova: organization of post-control procedures.

Memorize! If you have frozen food for ice frozen in freezers, you can freeze it for ice cream.

Preparation before the procedure:

Check with the patient about the details and progress of the procedure and correct the year.

Pidgotuvati is necessary equipment.

Vimiti and dry your hands.
Viconannya procedure:

1.Store the ice cream for the ice with other pieces of ice up to half, fill it cold water.

2.Put the glass on a horizontal surface, screw on the plug.

3. Wrap the mikhur in a towel (pelushka).

4.Put on the required dilyanka tila (head area for 5 quills (with an interval of 5 quills), on the area of ​​the quill for 15-20 quills with an interval of 30 quills).

5.In the world of ice melting, pour water and add pieces of ice.

6. Make a note of the hour of setting the mikhur in the ice (the last hour is innocently overwhelming for 2 years with the intervals).

7.At the end of the procedure, the water from the mikhura is angry.

8.Ask the patient about self-esteem.

Completion of the procedure:

9.Prodezinfіtsіtsіvіt mіkhur, then squeeze it with water and hang. Zberigati mikhur slid in a dry viglyad with an open crush.

10.Warm and dry your hands.

11. Make a sign about the procedure and reaction to her patient in the medical documentation.
setting compress
compress (Lat. Compressum - zdavlyuvati, squeeze) - lіkuvalny bagatosharova bandage. Rizrіznyayut compresses dry and vologі, zagalnі and mіstsevі. Vologi - cold, hot, cold and lukars. Zagalny kompressi - vologue wrapping, mіscevі - locally on the bordering dilyanka tila people.
Cold compress setting
cold compress , Yak and mikhur with ice, wicked cold shkiri and ringing of blood-bearing vessels. Yogo stagnate for the first time after a blow, with nasal bleeding, in another period of fever, etc. The triviality of all procedures - from 5 to 60 min.

Memorize! With a victorious process of manipulation, you are not guilty of seeing a patient, so as a servet is a change of skin 2-3 minutes.

Cold compress viklikє spasm of blood-bearing vessels of the shkiri to the adjacent dileantsi of the internal organs, which is surrounded by hot and traumatic tissue swelling, changing the bleeding.
Algorithm for managing cold compress
meta: lykuvalnaya (mice cold and ringing of blood vessels, reduction of blood pressure, pain and tissue swelling).

Mechanism of the arts: cooling of the shkiri with the ringing of the blood-bearing vessels, lowering the sensitivity of the receptors. I need a disease.

show:

Another period of a feverish woman,

Nose bleeding

First years of the day for a blow, etc.

Prototype indications: injuries і hit a friend dobu.

equipment:

• 
  
• 
  razches for sniffing fabrics (water - 14-16 ° C);
• 
  a piece of ice;
• 
  thermometer for vim_ryuvannya water temperature.

Preparation before the procedure:

Check with the patient about the details and progress of the procedure and correct the year.

Pidgotuvati is necessary equipment. Vimiti and dry your hands.

Viconannya procedure:

1. Wet the servet in cold water, vidzhati.

2.Put the servet to the surface of the shkiri.

3. Soak the servet in the pool of cold water, vijati.

4. Change servet of skin 2-3 chilini.

5. The triviality of all the procedure is to lie down as a patient.

Completion of the procedure:

Hot compress
A hot compress wiklikє intensively improves blood circulation, which is reduced to dehydration and disease.
Manipulation algorithm for setting a hot compressor
meta: lykuvalna (reduction of pain, reduction of pain).

Mechanism of the arts: rosmoktu і disease dіyu.

show: miscellaneous ignition processes of shkiri, fodder cells and loams.

Prototype indications: injuries and strikes forward to dob; temporal fever; chubby; shkodzhennya shkіrnykh pokrivіv.

equipment:

• 
  two gauze or calico servetka, stored in 6-8 balls;

racks for sniffing fabrics (water - 60-70 ° C);

• 
  glue;
• 
  towel (pelyushka), godinnik thermometer for measuring the temperature of the water

Preparation before the procedure:

Check with the patient about the details and progress of the procedure and correct the year.

Vimiti and dry your hands.

Viconannya procedure:

1.Put a piece of glue on the top of the bag, on top of it - a pelyushka (towel).

2. Fold the servet into 8 balls, soak the servet in hot water, vidzhati. 3.Put the servet to the surface of the shkiri.

4. Wrap the cake in a towel, wrap it with glue.

5. The triviality of all the procedure for making a license.

Completion of the procedure:

6. Remove the wet servetka, dry the skin with dry servetka.

7.Utilize servet vikoristani. Vimiti and dry your hands.

8. Make a sign about the procedure and reaction to her patient in the medical documentation.
Algorithm for setting a cold compress
meta: lіkuvalna (rosmoktu, illness, disease, meats spasm).

Mechanism of the arts: viklikє trivale і rіvnomіrne enlargement of the sudin, the growth of blood circulation in the tissues, nadaє disease and dehydration.

show:

Lіkuvannya mіstsevіh іnfіltratіv (postіn'єktsіynі);

Ignition processes in m'yaz and slopes,

ENT disease;

Hit a friend to dob.

Prototype indications:

bloodshed;

Гнійні avenged shkіri;

Deterioration of the integrity of the school curves;

Pukhlini of ryznoi ethology;

Injury and strike forward to dob.

equipment:

• 
  gauze servetka a, folded in 6-8 balls;
• 
  razchin for zmochuvannya fabric (water at room temperature, alcohol 40 ° or razchin otstu 6% - 1 teaspoon otstu per pivlitra of water);
• 
  glue chi Voschanov papir;
• 
  knives.

Preparation before the procedure:

Check with the patient about the details and progress of the procedure and correct the year.

Pidgotuvati is necessary equipment.

Vimiti and dry your hands.

Viconannya procedure:

1.Cut off with knives the necessary (in the left area from the area applied to the compressor) piece of gauze for the compress and the area of ​​that in 8 balls. Virizati shmatok compress the paper along the perimeter 2 cm more than the servet. Pidgotuvati cotton wool around the perimeter is 2 cm more, lower compression papir.

2. Fold the ball for the compress on the table, fixing it from the last ball: at the bottom - cotton wool, then - compress paper.

3.Pour alcohol (camphor oil) into a beaker, or water at room temperature, soak. I will fold the gauze servet, lightly see it and put it on top of the compress paper.
Note: when staged compress for vuho servetka and compressor papier slides into the center.

4. All shari to the compressor last (servetka - compressor papir - ball of cotton wool) for the required dilyanka tila.
Note: do not put a compress on the shkіra, covered with iodine. Mozhlivy opik !

5.Fix the compressor with a bandage as long as possible until desmurgy, so that you will lie down to the shkiri, or do not torture your rucks. When a compress is applied to the small pelvis, fix it with leukoplastir abo kleol.

6. To remind the patient about an hour to apply to the compressor. Water compress should be put for 8-10 years, semi-alcohol - for 4-6 years, oil - for 24 years.

7.Warm and dry your hands.

8. After 1.5-2 years, after applying the compress with a finger, without knowing the bandage, reconsider the steps of the servet. Make a compress with a bandage.

9.Make and dry your hands.

10.Remove the compress after the proper hour and place the vicoristan banding material in the tray.

11. Apply a dry bandage.

12Ask the patient about self-esteem.

Completion of the procedure:

13. Utilizuvati vicoristany material.

14. Vimiti and dry your hands.

15. Create a report about the procedure and reaction to her patient in the medical documentation.
vodolikuvannya
vodolikuvannya - tse zovnіshnє zasosuvannya vodi zіkuvalnoy i proіlacticheskogo metoyu).

Water procedures (bath, shower, deceiving, wiping, dousing, wrapping, bathing) are used for a rotated thermal, mechanical (water grip, її ruh) and chemistry flowing into the numerical receptor for the brain, pouring into the nerves , grass and іnshі systems and organisms. Nybіlsh extended water procedures є lіkuvalnі baths.

There are baths in the warehouse:

• 
  on the spot (from the plain water);
• 
  aromatic (from the addition of aromatic words);
• 
  lykarski (added to the fresh water of lykarsk rivers);
• 
  mineral (with additional supplements of mineral salts and gases: sirvodnev, kisnev, radon and in.)

The temperature of the bath:

• 
  cold - up to + 20C;
• 
  cool - up to + 21-33C;
• 
  indifferent - + 34-36C;
• 
  warm - +37 - 39C;
• 
  hot - +40 - 42C.

Note: Indifferent bathtubs do not nadayut swivel in infusion on the body, viklikayut only a slight tonic effect, triviality їkh 20-30 min. Cold and cold baths produce a tonic effect, promote the exchange of words, stimulate the function of the heart-vascular and nervous systems, triviality from 1-3 min. Warm baths change bіl, know myyazovuyu spill, lull overflowing on the central nervous system, sleep, triviality іх 5-10 min. Hot baths increase the amount of time and exchange of words, triviality 5 min.

For a month of the day of the bath, go:

• 
  on the outside (all the dust is covered in the water);
• 
  mіscevі (into the water, pour the edges of the soil into the water);
• 
  napivann (pour the lower part of the body into the water);
• 
  hand (only hands are drawn into the water);
• 
  scabbard (only feet are covered in water).

Algorithm for manipulation of carrying out gully baths.
meta: I will pour on nerves, heart-sudinna, myazovu, dizzy system organism.

show: baths are a series of water procedures, as they become stagnant with a hygienic, prophylactic and personal treatment.

Razr_znyayut such baths:

• 
  cold - zastosovovatsya during gosstry ignition processes, critical injuries for the first time і dobu;
• 
  cool - priznachayutsya when driven stanі, apathy, nasty appetite;
• 
  indifferent and warm - recommended for neuroses with increased sleepiness, neurasthenia, sleeplessness;
• 
  hot - give a good effect in chronic ailments of loam, peripheral nerves (radiculitis, polyneuritis), depleted speech disorders (obesity, gout), attacks of nirkovy colic.

Prototype indications:

Gostrі heart-sudinnі ailing;

Colds;

Shkirnі ailing;

Malicious new solutions.

equipping:

Water thermometer;

dezrozchin;

towel;

Gum's pillow;

Shop for nig.

Preparation before the procedure:

Check with the patient about the details and progress of the procedure and correct the year.

Pidgotuvati is necessary equipment. Vimiti and dry your hands.

Drain the bathtub with disinfectant 2 times with an interval of 15 quilins, then rinse it with cold water.

Viconannya procedure:

1. Replenish the bath with water or likarsky razchinami required temperature.

2. Chi will help the sick person to take some clothes (which is necessary) and go to the bath.

3. Under the head of the child put a gum pad, under the feet - a bench.

4. Once again, re-adjust the temperature of the water.

5. By the way, the hour of the patient's stay at the bath.

6. Upon completion of the procedure, assist the patient to get out of the bath, wipe off and strap on.

7. They are interested in the patient's self-awareness, control the heart rate, and help to get to the ward.

Completion of the procedure:

9. Vimiti and dry your hands.

10. Create a report about the procedure and reaction to her patient in the medical documentation.
zasosuvannya p'avok
Medical p'avki zasosovyat yak hemorrhage and muscle against the throat.

Lіkuvannya p'avkami - hirudotherapy ... The secret of sleek vines to revenge hirudin - a speech, which will help to build up blood galmuvati and to advance the development of thrombosis.
Hungry p'avka can be vismoktati 10 ml of blood ... Having sat down, won out, ale bleeding from early to continue in Stretching 6 - 24 years ... In such a rank, 8-10 p'avok can wicked blood loss up to 300-400 ml.

Medical messages may be a small shlunka and a mouth sucker, the zavdyaki who actively attach themselves to the shkiri people.

Krim hirudin, come through the wound into the roof of the people, p'avka vidіlyaє gistaminopodibnu speech I will expand the capillaries, I will bleed for a while. Some people have an inappropriate sverbіzh in the moment of staging a message.

P'yavok vyroshuyut on biofabrication, the stench sounds come to the pharmacy, they take it in plastic utensils in plastic containers in a standing water supply. P'yavki to finish primhlivi, do not tolerate sleepy light, sharp odors, noise, cake.

A number of calls can be taken at room temperature, in a cold place, or on the lower police station of a side-by-side refrigerator.

For a specific procedure in the surroundings, it is safe to use soft tweezers with gum tips, it’s not healthy, you will need to change the number of signals. P'avki, which were stored in the refrigerator, before the procedure, will be lost at room temperature not less than 5-8 hours.

The mice of setting the p'avok signifies the lykar-hirudotherapist, protest vrahovuvati, when the p'avok is wet only on reflexogenic points. It is necessary to give the ability to "vibrate" a point in the radius of 2-3 cm in the form designated by the doctor.
The place of staging the p'avok:

1. 
   In case of hypertensive crisis - on the nipple-like outgrowth, having entered 1 cm from the ear shell.
2. 
   When the eyes become bogged down - on the skrone area on the level of the eyes.
3. 
   With an attack of angina pectoris, peredinfarction stania - on the area of ​​the heart (3-4-5 mіzhreber'i).
4. 
   In case of venous congestion in the liver, the right pidrabery is bridged.
5. 
   In case of thrombophlebitis - having entered 1 cm of the ugly vein in the check order.
6. 
   With hemorrhoids - near the anal opening.

Zapam'atati! When we hear a sign, we get a bite of an eye-catcher, we get a little bit overwhelmed, it means that it’s overwhelming, which appears in the coming 2-3 days.

For the priznachennya lіkarya slіd zastosovuvati lіkarski zasobi, wіll change sverbіnnya, oskіlki rozchuh shkіri can lead to infіkuvannya wounds.

For some people, the sverbіzh of shkіri, the discovery and untimely change of dressings can be a reason to finish off the serious gnіo-septic quickening: pioderma, furuncles, carbuncles .
Algorithm of manipulation of storing p'avok (hirudotherapy)
meta: lіkuvalna, pro_lactic.

show: hypertensive crisis, glaucoma, impaired cerebral circulation, myocardial infarction, stenocardial attack, congestive symptoms in the liver, hemorrhoids, thrombophlebitis, radiculosis.

Prototype indications: stiffness to bleeding, illness, allergic and septic illness, anemia, hypotension, anticoagulant abuse.

equipment:

• 
  sterile bags and servet;
• 
  waterproof pelushka (glue);
• 
  hot boiled water (temperature 40-50 ° C);
• 
  70% of the range of ethyl alcohol;
• 
  3% solution to water peroxide;
• 
  40% glucose distribution;
• 
  mn_st with p'avkami;
• 
  a medical jar or a test tube;
• 
  tweezers;
• 
  year-old;
• 
  mittens;
• 
  Disinfectant;
• 
  cotton wool;
• 
  ammonia alcohol;
• 
  bandage abo leukoplastir;
• 
  knives;
• 
  5% difference to iodine;
• 
  Tray.

I. Preparation before the procedure:

1. Enter the patient, explain the meta and go of the maybutnoi procedure. Reconsider in the presence of an informed patient for the maybutny procedure.

2. Help the patient to lie down by hand for the procedure.

3. Optimize your hands in a hygienic way, dry them.

4. Pidgotuvati is necessary to possess and establish.

5. Vibrati mіsze staging p'avok. Pidsteliti a glue, if necessary, or a one-time pellet before transferring to the area.

6. Put on mittens.

II. Viconannya procedure:

7. Opratsyuvaty shkіru (mіsce, setting p'avok) with a sprinkle of 70% alcohol (for the area, not required for the procedure), sterile servetka or a cotton sack, soaked in hot boiled water, wipe the wedge until 2-3 times razi. Dry the shkira with sterile servetka.

8. Soak the place of setting p'avok with a sterile solution of 40% glucose.

9. Lead with a pincer (the tip of the pincer plates are guilty of being torn with gauze servet) and put it in the test tube or the jar with the tail tip down.

10. Bring the test tube to the bottom of the can, or to the slush, open the test tube, or put the cans up to the point of contact (as soon as the message is visible, a bad ruch will appear in the front part).

11. Place the servet on the rear suction cup.

12. Repeat p.p. 7-11 until quiet feast, as long as there will be no delivery of all the appearances.

13. Sposter for the activity of p'avok: if you do not collapse, lightly slide your finger over the surface.

14. Take a cotton-gauze tampon after 20-30 khvili (for the sign of the lykar) all the p'yavki.

15. Pomistiti the nobility of a p'yavki in the department with a disinfecting solution for a later disposal.

III. The end of the procedure.

16. Put a pair of tweezers in the box for disinfection.

17. Treat the shkіra near the wound with alcohol or 5% alcohol solution to iodine.

18. Apply an aseptic cotton-gauze bandage to press with a ball of cotton wool, you cannot remove the bandage by pulling it out.

19. Fiksuvati bandage with a bandage or leukoplastir.

20. Bring the glue to the department for disinfection.

21. Obrobiti vikoristani p'avki, perekonatisya, but the number of p'yavkas, delivered to the patients, and the number of p'yavki, which perebuyut in the capacity for disinfection to get out.

22. Take gloves and put them in the department for disinfection.

23. Wash your hands in a hygienic way, dry them.

24. Create a report about the Viconan procedures in the medical documentation.

Note: If the bandage is wet, take off the top ball of the bandage and put on a new ball of aseptic cotton-gauze bandage. A bandage in 24 years old or not.

For an hour, you will be able to support the activity of the showings: if you do not collapse, lightly run your finger over the surface, or with a cotton bag, soaked with water.

If after 2-3 days the wounds are bleeding, then a sterile bag is applied to them, soaked with a small amount of potassium permanganate, or crystals are applied to the potassium permanganate. If the bleeding was pinched, the wounds were blotted with a 3% solution of peroxide water and a dry aseptic bandage should be applied.

P'avki vikoristovatsya one-time.

Vikoristan literature:
1.T.P. Obukhovets "Foundations for Nursing Help"

Rostv-on-Don "Fenix" 2004; pg. 331-350;

2.S.A. Mukhina "A great look for ailments"

Moscow "Medicine" 1986; pg. 100-115;
3. "Foundations for Nursing Help"

algorithms of manipulation

Navchalnyi assistant for medical schools and colleges

Moscow "GEOTAR-Media" 2013p.50-64;
4. N.V. Pasuchko "Foundations of Nursing Help"

Ternopil "Ukrmedkniga" 2002; stor 241-258;

5.Internet https://www.google.com/

At the call of the tim, how the great number of children has been cared for nerve end It is possible to inject into the blood circulation according to the principle of reflex reactions from the school to the internal organisms. On a whole principle, the stasis of the so-called volatile functions (girchichniki, banks, compresses, grilki, p'yavki, baths) is motivated.

zasosuvannya hіrchichnikіvє one of the ways to infuse blood circulation into the bloodstream of a sick person with essential hot oil (Fig. 15).

Small. 15. Statement of girchichniks.

Shown before the registration of hіrchichnikіv:

1. Ignition processes in the organs of the breast cancer (bronchitis, pneumonia, laryngotracheitis).

2. Hypertensive crisis.

3. Spasm of blood vessels.

4. Pain in the heart.

6. Mіzhreberna neuralgіya

Prototype shown.

1. Zahvoryuvannya shkiri.

2. Rise of bleeding.

3. Increased sensitivity of shkiri to hirchitsi.

4. Visoka temperature.

5. Malicious new solutions.

The girchichnik of the factory vygotovlenya is a piece of paper, size 12x18 cm, dry girchitsa is applied to the yak in a special way. Before implantation, the girchichnyk slid in warm water (not at 35 ° C), scruffy and put it on the required dilyanka shkiri on the other side, covered with girchitse, for 10-15 minutes. Having known the girchichnik, wrap the shkіra with warm water, wrinkle it dry, dress it up and wry it well.

It is necessary to remember that on one and the same place it is not recommended to put a girchichnik, so it is not to wipe the pigmentation shkiri. It is not possible to grind a hot pot in okrip, because okrip is a hot enzyme, so hot oil is not seen and a hot pot is not viroblya of the required product.

banksє In the world of physical inflow into the skin for reflex infusion into the blood circulation of the light tissues and organs with the help of the improvement of the reduction of inflammation and pain relief (Fig. 16).

Small. 16. Setting cans.

Banks open the vacuum and get wet to the skin. It is necessary to produce up to the muscular rush of blood and lymph, break out the capillaries, punctuate the hemorrhages, so that a reflex inflow into the blood supply of small tissues and organs, change the volume, accelerate the development of the process of arthritis When products are absorbed in blood loss and autolysis (self-digestion), it is also necessary to produce biologically active words before entering the bloodstream, which are spread by the flow of blood and stimulate the exchange of words and blood.

show:

1. Ignition processes in the organs of the breast.

2. Arterial hypertension.

3. Interneural neuralgia.

4. Radicality.

5. Statements and chronicles.

Prototype indications:

1. Legeneva is bleeding for some reason.

2. Tuberculosis is a disease.

3. Puffy breast cells.

4. Ailments of school and sensitivity.

5. Visnazhennya.

6. The camp of the zalny zbujennya.

7. Sudomi.

8. Visoka temperature.

You should put the banks in the range of 10 to 20 in the position of the sick bed. Before vzhivannyam їх it is retaliatory to wash hot water, to dry, to change the integrity of the land. Then we wind up absorbent cotton wool on the metal shear of the head of 12-15 cm and sniff it, albeit not clearly, with easy-borrowed (alcohol) ridinoy. Do not get around the sick, you need to be afraid to take the line from the tampon and only to ignite it. The shkіru was covered with vaseline, or even fat, and the edge of the jar was nestled up to the surface of the tin, and it was not clear. The jar is trimmed not far from the sick person with the left hand, and with the right hand, for a short hour, insert a burning swab into the jar, so that it is quickly put to the door. Banks are located on shkіrі 15-20 min. As soon as the bank is well placed, then before it there is a dark beach - blue.

To take a jar, do not give a pain, you need to slightly lift it to the side with one hand, and press the finger of your hand onto the pile from the opposite side of the jar to the edge of the jar. The bank itself is seen from the inside, as it is only penetrated into the middle. Having seen the cans, mark the ball with vaseline with a cotton swab and soaked with alcohol. The ailing one is warmly burnt and laid to lie with a stretch of pivgodini. It is possible to place cans on the area of ​​the ridge, sternum, heart, milk pricks, nirok and vdovzh of the central nerve.

Mistseviy cold compress is one of the most advanced procedures. At the core of yogo lіkuvalnoї dії lie flat on the fabric (fig. 17).

Zigrivayuchy compress wiklikak trivale expansion of blood-bearing vessels. The whole blood rush to the deep and deep tissues, which can lead to the dehydration of ignition processes and a disease-causing effect.

Small. 17. Applying cold compress.

show:

1. Ignition processes of the larynx, suglob, pleurisy, milk frogs in year-old mothers, shkiri, middle vuh.

2.Infiltraty of the letter

3. Raztyaguvannya zvyazok and blows (through additional injuries).

Prototype indications:

1. Gnіine zapalennya middle vuha (otitis media).

2. The destruction of the integrity of the school.

3. Allergic і gnіynichkovі visipannya on skіrі (furunculi, carbunculi).

4. Visoka temperature.

Compress is stored from chotiroh sharіv. The first ball is a piece of linen, folds double or three, which sniffs with water at a temperature of 12-16 ° C, press and put it to the shkiri, put a piece of glue on the whole ball, or a waxed paper, the size of which is 2-3 cm larger, less than 2-3 cm ball - cotton wool, for sizes it is bigger, lower than the other. All three balls are scrupulously fastened to the ground with a bandage, albeit so, so that they did not hit the court. Inodi, to help power the compressor and change the maceration of the shkiri, the inner ball is soaked not with water, but with 5% alcohol, 3-4% with sodium bicarbonate or camphor oil.

The triviality of zasosuvannya compress is to blame for no more than 12 years. Minutes compressions in the evenings. Schob uniknuti razdratuvannya shkіri mіsce applied to the compress during the winter wipe with warm water, wipe with a warm washcloth and wipe the break for 2 years.

Mistseviy hot compress robs strong disease. Then I put a ball of servet in a necklace and sniff at the water temperature of 50-60 ° C, press and put it on the urazhene area, cover it with glue and outer fabric from above. Such compresses for skin repair 5-10 min.

grilku zasosovyut m_scevo for zigr_vannya. Vona viclikaє reflexive relaxation of smooth muscles, strengthening of blood supply of internal organs, nadaє disease and weakness (Fig. 18).

Small. 18. Freezing of grilki.

show:

1. The home is about m_stseve zigr_vannya.

2. Chronically ill organs of worm emptying (gastritis, colitis, unresolved swelling ailment of the shlunk and 12-gut).

3. Hypertensive crisis.

4. Ignition information.

Prototype indications:

1. Gostrі firing processes in cherevnіy empty (appendicitis, cholecystitis, pancreatitis, peritonitis).

2. Puffs, bleeding, sickness in the first years and I will add traumas.

3. Information of wounds.

Most often custard with gum grilkami. Їх fill with hot water 50-60 ° to half the amount, or maybe more, turn from the upper part, turn it off with a cork. Let's turn over the grilka, inverting, which is not enough for the flow of water. This is the rank that will help you to learn about the shkiri. I don’t want to put the hot grilka on top of the middle, її must be torn with a towel; Є and electric grilki.

Puzir with ice

Mechanism of enumeration of sounds of blood-bearing vessels of the skin and deep-lying tissues and organs, reduction of sensitivity of nerve receptors. Cerebral bleeding, relieving and intermittent ignition processes, lowering the temperature of the body, relieving pain.

show:

1. Gostri firing processes in the black hole (appendicitis, cholecystitis, etc.).

2. Bleeding.

3. The temple is feverish.

4. Hit (dobu pershu).

5. Pislyaoperats_yny period.

6. Bite the coma.

Ice puddle є gum moushok with a wide opening and good to be screwed up with a cork. Lead in ganchirtsi on other little pieces and fill them half-way. Do not wick the overwhelming coldness of the shkiri, put the mikhur with ice on the towel, folds four times. Yaksho mіkhur becoming wet, yogo slіd viterti. When a sharp pain appears, the clutches of the mikhur come and go over the sick person. In the world of ice melting, water is poured and new pieces of ice are added. Puzir with ice can be trimmed by pulling it out, ale through the skin 20-30 minutes, 10-15 minutes.

zasosuvannya p'avok

One of the found ways to infuse into blood circulation is the consumption of p'avoks. For drug use, it’s important to get medical and pharmacy, as there is no time to go to China. P'yavki may podovzhene flat-opucle tilo, which is stored in kіlets; look very fast. The p'avka has grown to a length of 3-6 cm, a wagon - 1.5-2 m. At the bottom there are three slots, and in the new one there are three slots, which spread out along the radii in the form of small files with 90 teeth, like a bite to bite on the curve. On the tail thickening є of the other sucker of a larger size, for the help of which, you can bury itself or push forward. Live p'avki in simple stagnant waters (swamps, stakes, ditches). The triviality of their life is a bit of rock.

With a stretch of baguch to capitalize on medical p'yavki stasovuvali at the likewise of naiyznomanitnіh ailments. The stench was one of the lovers of folk medicine and drugs. Protest in the other half of the nineteenth century in the world of development of scientific medicine folk medicineїх prodovzhuvali live. Zastosuvannya p'yavok pochalo vіdrozhuvatisya in the 20-ies rock of the whole century. In the current minds, the cabinet of hirudotherapy is organized. The development of doctors and physiologists showed that, while penetrating shelter, they let the secret of their lingering vines into the wound, so that they could avenge a special enzyme. hirudin It’s not just a guttongue of blood, and it’s not just at the moment when it’s wet, but in circulating blood. In such a rank, they are opposed to thrombin, hirudin ruin thrombi, so that clots of blood have become established, and before the throat of blood in the vessels. There is also a change in the viscosity of blood as a result of the change in the dispersity of white coloids, so that blood circulation can be improved. Accelerate because of limfi. The blood grip under the inflow of hirudin step by step decreases, which will decrease the tone of the sudin.

Reconsideration of p'avoks in some way with the other methods of the field in the fact that it is possible to fix on such occasions, de іnshі ways of storing it is important, but for the sake of vuha, in the area of ​​kuprika, as well as on the fabrics, the school is already worn out. ...

Stagnate p'yavki for muscular hemorrhage and for lowering the hypopharyngeal blood.

show:

1. Arterial hypertension.

2. Thrombosi of cerebral vascular disease.

3. Infarction of myocardium and peredinfarction stan.

4. Thrombophlebitis.

5. Hemorrhoids.

Prototype indications:

1. Bleeding.

2. Bleeding is increased.

3. Anemia.

4. Sepsis (blood infection).

5. Decreased blood circulation.

It is not possible to place a sign:

1. At times, de veni, or arteries, go through the very school, so you can bite you.

2. De shkira is subtle and sensitive.

3. De pidshkirna klitkovina douzhe pukhka.

4. In visible places, especially on the face, the splinters from the bites of the appearance often become even more wrinkled.

5. At times, the shkira is dusky, especially on the valleys and downsides - here the nicholas don't get wet.

Stagnate only for signs of a drug, and in some cases - in his presence. To put a p'yavki call for an announcement, a paramedic or a medical nurse. A sick person doesn’t need to show it, so it’s possible to show it to someone else, or to build an uncomfortable camp.

P'yavki get from the pharmacy and take it from the river or tap water in banks, covered with gauze, so that you will not have access to the food. Water needs to be mined. The bank is trimmed on a window, at low temperatures at temperatures of 10-15 ° C. Until the implantation of good health, hunger p'yavka, so quickly collapse. Mlyavi ruku, vuzliki, slaughter, gluing on the surface of the p'yavok vkazuyut on your sick camp and non-adherence to implantation.

Technique of storing p'avok

To set the pavok, it is necessary to prepare a sterile tray and tweezers, a bottle of water peroxide, salt water, beakers, glucose solutions, sterile tampons, servetka, dressing material. Shkіru on the mісці of wetness needs to be poured, kindly watered with water and wiped dry. For a short wetting of p'avok, the shkіru sniff with licorice water (glucose). It is not possible to consume the scent of butter, efir and make the shkir with iodine, for that one cannot get wet. P'yavkuyuyut with a pincer and put it into a test tube or a beaker with the tail end down, and with the head end up to the required moment and check it out, as long as it is not in sight. When a test tube is inserted and quit, the test will not come in. If you bite through the skin and if you are wet, you will see the sickly ruffs of the front part of the body. Call the show to trim from 30 to 60 minutes and the fall itself. As soon as the need arises earlier, the skirts are sniffed with salty water. As soon as the p'avka ceases to smoktati, then to touch it, and then again, it will be smoktati. It is not possible to wake up, because at the same time she might see a gap, like to get lost in a knapsack, or, navpaki, it is possible at once with a gap to open a gut of a sick person, as a result of a bleeding. From shkіrnoї wounds can vitekti from 10 to 40 ml of blood. The bite can also bleed with a stretch and more. At the time of bleeding, it is necessary to apply an aseptic bandage, in order to press. Wounds start to go out in 2-3 days.

To avoid the transmission of infection from one sick person, to drink it once, and then put some water in salt, break the formalism, or let ammonia run into the channel.

accelerating

1. Bil at the moment of a bite in sensitive people can be strong.

2. In case of zasosuvannya zasosuvannya p'avok can lead to an uncomfortable camp or to the court.

3. Infection of wounds with damaged asepsis.

4. Ridko - trivial bleeding.

5. Shkіryaniy sverbіzh near the wound, for liquidation of sverbіnnya it is possible to make a sverbіn near the wounds of sumy ammonia alcohol with vaseline oil in rіvnyh quantities.

Watching for ailments, like putting p'avki, є in one of the most important moments in the robot of a medical nurse. Vona is guilty of steadily following the camp of the sick person and for the time that they didn’t start. It is necessary to follow the pulse and the arterial grip of the sick person, so that the p'yavoks go down. If after 2-3 days, the wounds will bleed from the bites, and you will not be able to squeeze them, and you can burn the calcium permanganate with crystals. Put a ball of cotton on sterile servvet. The medical sister is guilty of stitching for ailments, as before the hour of setting up p'avok, so if the nobles are up to the illumination of the little ones in the region.

Practical tips

1. Zmіna natіlnoy and postіlnoy mischief.

2. Watching for ailments with bedsores.

3. Pidmivannya sick, douching.

4. Submission of the vessel.

5. Conducting the empty company to the toilet.

6. Zakapuvannya speck in the eyes, at the wuh, nis.

7. Carrying out the toilet vuh, nose.

8. Participation in the distribution of the newsletter in the newsletter.

9. Years of grievous illness.

10. Vimіryuvannya temperature tіla.

11. Graphical registration of the temperature sheet.

12. Watch out for the ailments to fever.

13. Setting of cans, gіrchichnikіv.

14. Carrying out cold and cold compressors.

15. Preparation and serving of grill and food with ice.

Physiotherapy (Greek physis - nature, natural power) is a field of clinical medicine, which is a field of clinical medicine, which is responsible for the development of natural power and piecemeal physical factors and methods of health care for professional health care.

Vpliv fіzichnih faktorіv (cold, heat, mehanіchnogo podraznennya) on shkіrnі crooked dіlyanok tіla - since been called to come segmental reflex vіdvolіkayuchy terapіya - viklikaє Pevnyi funktsіonalnu reaktsіyu vіdpovіdnih organіv i systems pіdvischuєtsya abo znizhuєtsya tone gladkoї muscle vіdbuvayutsya spasm abo dilatatsіya sudin, stimulyuyutsya obmіnnі Process in the body. In addition, in the whole physiotherapeutic procedures, they create a gallant effect, reduce sleep, and improve mood.

Prior to the "temperature" methods of physiotherapy, admit compresses, grilka, bladder with ice - all you come in, as you allow for the additional cooling, or to prevent an increase in the enlargement of the vessels, accelerate the function of blood vessels in them, exchange of speeches і ін. Warm-takers and banks, in addition to improving the effect, put on and adapt the receptor for the drink injected into the essential oil of the drink and put the banks into a negative grip on the local distribution. Likuvannya p'avkami, I want to look in the whole chapter as one of the methods of physiotherapeutic treatment, according to its own medication procedure, some of the main activity of occupational therapy is accompanied by the vision of p'yavkami with a special treatment.

cold sucking

The essence of the cold procedure (compress, michur with ice) is in the ice cold of the ice, which is the ringing of the blood-bearing vessels of the shkiri and the inner organs. Organism as a result of the flow of cold is known for three main stages of reaction.

1. Reflector sound of the winds of the wind: the blaze of the winds, the lowering of the temperature of the wind, the change in the heat output; blood overgrowth to internal organs.

2. Reflector expansion of sudin shkiri: shkira nabuva rozhevo-chervone zabarvlennya, warm on a dot.

3. Capillaries and venules expanded, arterioles - sounds; the speed of blood flow is trustworthy; shkira nabuva crimson-red vidtinok, cold on the dot. Zvuzhennya sudin to produce up to regional changes in blood flow, trusting the exchange of words and decreasing longevity.

Cycles of cold treatment:

Flush enclosure.

Zmenshennya (obmezhennya) traumatic nabryak.

Zupinka (trust) bleeding.

A zealous effect (due to a decrease in the sensitivity of nerve fibers).

compress

Compress (Latin Compression - zdavlyuvati, squeeze) - lіkuvalna

bagatosharova bandage with gauze or іnshoї fabric, wrap it up with cotton wool, waxed with paper or water-impermeable velvet.

Shown: the first years of the birth of blows and injuries, nasal and hemorrhoidal bleeding, other period of fever.

Necessary equipment: cold water with ice, stored in a ball of gauze balls. The order of the procedure (fig. 7-1):

1. Soak the cooked gauze in cold water, lightly see it.

2. Apply a compress to the side of the door.

3. Remove skin gauze 2-3 min (in the world of її zіgrіvannya).

Puzir with ice

Puzir with ice is used for more trivial ice cooling. Wine is a flat gumy bear with a wide opening with a crumb, in front of the vicarians to be remembered with pieces of ice.

Shown: the first years of injury, internal bleeding, another period of a fever, the cob stage of deyakie gostryk sick of black empty, clogged up mischief.

Prototype indications: spastic abdominal pain, collapse, shock.

Necessary equipment: ice, ice cream, towel (sterile glue). The order of the procedure (fig. 7-2):

1. Memorize the mikhur by 2/3 of the volume of ice with shmatochki and shіlno yogo zakryti.

2. Pіdvіsiti mіkhur overіvіdnuyu dіlyanka tіla (head, belly and іn.) 5-7 cm, or, having wrapped it in a towel, apply it to the ailing place.

3. If necessary, a trivial skin procedure 30 minutes, interrupt in cooling for 10 minutes.

sucking in warmth

The essence of the thermal procedure (compress, poultices, grilka) is in the muscle heating of the tila, which is a trivial expansion of the blood-bearing vessels of the skin and the emerging adherent internal organs, tissue.

Cycle of procedures:

stimulation of the ignition process;

reduction of pain (zyattya muscle spasm of internal organs).

cold compress

Zigrivayuchі compressi zasosovuyut at lіkuvannі mіstsevіh іnfіltraіv, uzhennі target-loam apparatus. See compress:

dry cold compress;

vologiy winter compress;

Vologiy hot compress.

Dry compress (cold)

A dry compress to dry out for the sake of the cold. Then apply a cotton-gauze bandage. Compress for the thermal procedure of the viglead by the first rank:

The first ball (call) is cotton wool (batting, flannel).

Another ball (middle) is a glue, polyethylene ply or wax papir; dovzhina and the width of the whole ball blame it on 2-3 cm less than those of the first ball (vati).

The third ball (internal, to be imposed on the shkіra) - vologa servetka (m'yaka fabric); for the size of the won, she is guilty of being smaller than the other ball by 2 cm.

Vologiy winter compress

Shown: miscellaneous ignition processes in schools and children, postin'єktsіynіinfiltrati, arthritis, injuries.

Prototype indications: dermatitis (dermatitis, dermatitis and allergic symptoms), feverish viscera, malignant new problems, deterioration of the sanity of school curvatures.

Necessary equipment:

room temperature water;

weak roschin otstu abo alcohol (etilovium abo camphorium, alcohol rozchin salicylic acid);

m'yaka servetka (gauze), cotton wool (flannel), glue (waxing papir), bandage, towel. The order of the vikonannya procedure:

1. Pidgotuvati rozchin [heat water, weak roschin otstu (1 tsp. 9% roschin per 0.5 l

vodi) either a bottle, cologne or 96% alcohol, diluted with warm water at spіvvіdnoshennі 1: 2]. Zastosuvannya unbroken cologne or alcohol can be viclikati opik.

2. Soak a servet in a cooked rose, vijati її.

3. Report to the servant before the final date and shine and tight.

4. On top of the lining there are two shari compress: waxed papir, then - cotton wool.

5. Zafiksuvati compress with a bandage.

6. Take a compress through 8-10 hours, wipe the skin with water (alcohol), wither dry

Vologiy hot compress

Inodi, with the help of the muscular sun-sickle effect, it is necessary to stop the hot compress. At the same time, the servet is soaked in hot water (50-60 ° C), pressed and applied for 5-10 minutes to the top of the dilenka, having covered the top with glue and fabric.

poultices

Poultices are a tricky procedure, like a polyagus in the program of a dilyanka with a walk, applying a heated, effervescent, or cash-like speech, placed in a special linen mouse. The poultices become stagnant when not getting wet with infiltrates, old hematomas, radiculitis. Rise dry poultices (from hot dry sands, rolls, steamed meat, pickles) and vology (hanging and oats, mushrooms, Icelandic moss and cereals., Rosebones) In case of dry poultices of rosіgrіtiy of linen, apply the little mouse to the floor, close it with a glue, fix it, cover it with a carpet over the top.

Prototype evidence: unclear abdominal pain, malignant puffiness, persistent injuries, internal bleeding, ruined sensitivity, lack of awareness of the sick person.

Grilka should be brought before dry thermal procedures; vona maє mіstsevu zіgrіvayuchy infusion. Grіlku stasis as a disease and spasmolytic zasіb. With frequent and trivial vicious grilka shkіrnі twist the sick for an increase in the detection and hyperactivity in front of the front with vaseline.

Indicated: ignited infiltration, neuritis, neuralgia.

Prototype indications: hospitality in the belly of an unclear walk, hospitals in the middle of the disease (appendicitis, pancreatitis, cholecystitis, etc.)

Grilki buvayut єmnistyu from 1 to 3 years. Isnu kіlka options for grіlok.

Gumova (vodyana).

Electrothermic syn. - thermophore(Thermo- + Greek phoros -

unsuitable)].

Khimichna.

V If there is a need for a grill, it can be replaced by a dance filled with hot water (self-made grill).

Necessary equipment: gum grilka, hot water (close to 50 ° C), towel, vase-

The order of the procedure (fig. 7-3):

1. Make up the shkirnі pokrivіvіdnogo dіlyanka tіla vaselinom (for the prevention of opіk and hіperpіgmentation).

2. Make a 2/3 grill with hot water.

3. Gently wiggle from the neck of the mouth, squeezing it with your hands right up to the neck. 4. Cover the grilka with a crust (crust).

5. Change the grilka for tightness, turning it over.

6. Wrap the grilka with a towel and stick it up to the fold-out frame.

Banks are glassware, shaping the shape of housekeepers with rounded edges and a round bottom, with a volume of 30-70 ml. Banks to shake off strong blast-expanding і anti-firing diy; It often becomes stagnant with bronchitis, pneumonia, neuralgia, neuritis, myositis.

Mechanism of Diya

Half of the burning nest in the bank. For a rakhunok, folded into a jar of negative vice (vacuum), you will get wet - yak to shkіri, so to glibshe roztasvannyh fabrics; at the same time, there is a surge of blood and lymph, as well as a reflex inflow to the vessels of the internal organs - blood lymph circulation is felt, a trophism (harchuvannya) of tissue appears, as well as an increase in the amount of growth.

V the mechanism of pouring in cans is also one of the main components. Capillaries of shkiri, replenished with blood, grow up, and there are not much bloodshed in the shkira (sinci), that shkira nabuva yaskravo-chervonu or crimson zabarvlennya. At the time of blood loss, the products of blood loss and autolysis (self-digestion) of blood are established, which are biologically active by the day, as they spread by the flow of blood through the body and as organically (stimulating tissue).

In such a rank, pouring into the body through the formation of the syncytic is actually in the form of a variant often responding to the services of earlier autohemotherapy. Autohemotherapy (Greek. Autos - itself, haima - shelter, therapeia - lykuvannya) - internal''yazov or a child's introduction to the sickly blood (taken from the vein) with the help of stimulation of the functions of the general body of the process and polypheny; the whole method of stagnation for the prevention of infection against infectious and other

khvoryuvan (for example, furunculosis).

Preparation of the sick and equipment

For setting the cans, the sick person should be put in a sack on his back (in the case of placing cans on his back); at the same time, the head of the yogi is guilty, but it is turned to the side, his hands are clawing at the pillow (Fig. 7-4). Like a shkіra covered with hair, їkh shave, a shkіra watered with warm water with a cute and vitiated towel.

Apply a thin ball of Vaseline on the skin with your hand (the edge of the jar was nestled up to the surface of the tin and it did not penetrate into the jar, and it also didn’t penetrate the jar).

Razrіdzhennya povitrya in the jar and put into it a burning alcohol swab (Fig. 7-5). Qia manipulation vimaga navik and singing right, so as a lack of triviality

The tampon miner cannot be used to dissolve the tampon, and the bank does not go to the shkiri, so that the overheating of the jar can be brought to the fore. It is important to think that it is necessary to heat only a drink in a jar, but not to the region, in which case it will be necessary to pay attention to the shkiri. Krim

In addition, if you take alcohol from a tampon, you need to see about the edge of the bottle with alcohol (you can unicuti the drop of burning alcohol on the shkiru of the sick person). When you drink a tampon, a bottle of alcohol should be closed and put into place.

Banks should be placed on tіlianki tіla, de-swerving ointments and іnkіrny fatty balls, so to smooth out the bristles іtvorennya - the area of ​​the breast tissue (behind the blame area of ​​the heart, milk vines, ridge; Fig. 7-6).

It is not possible to put cans on the area of ​​the heart, milk frogs, the ridge zone, birth

Indicated for the setting of cans: ignition of the organs of the breast cancer - processes in the lungs (bronchitis, pneumonia), neuritis, interneural neuralgia, myositis.

Prototype indications before setting the cans: hanging temperature, sickness of new disease, hemoptysis, active form of tuberculosis, leaking bleeding, for some reason, if you have a problem, when you are sick at home, you are sick at home, severe ailment of curvatures.

The technique of setting cans

Necessary equipment: a tray (for dewings about wood), in any required packing of jars (10-16 pieces), a box of vaseline, a bottle of 96% ethyl alcohol, gnit (a metal probe with a pin on the end and tightly screwed on Abo Kocher's jam (with rolled cotton wool), syrniks, cotton wool.

The order of the vikonannya procedure:

1. Banks before vzhivannyam retelno vimiti hot water, wither dry.

2. The edges of the cans are converted for the appearance of cleavages and the largest costs and the appearance of a thin ball

vaseline.

3. Lay the sick person in a zychnu pose.

4. Shkira in front of the setting of cans with a hand of vaseline.

5. A cotton swab on a metal probe (gnit) or soak in alcohol and vijati in Kocher's lash.

Vikoristovuvati efir for setting cans categorically zaboronyatsya!

6. Close the bottle with alcohol and release the ubik.

7. Pidpality oppression.

8. Take a probe with a burning swab at your right hand, in lіva - 1-2 cans.

9. In the middle of the jar, trimming not far from the wall, add a burning swab for even a short hour; at the same time, there is no need to cover the edge of the bank and overheat (an hour, sufficient for the completion of the distribution of all the banks, is 1 s).

10. Bank (banks) shvidko, energіynyi rukh put to shkіri.

11. Patient ukrit kovdroyu.

12. Load banks on 10-15 min.

13. To take the banks: for the knowledge of the banks, lightly press the edge of the bank with the fingers of your left hand on the edge of the bank, while you are extending the bottom to the opposite side with your right hand.

14. Pislya the end of the procedure for the shkiru viterti with a towel for vazelinu, the patient is shielded by the carpet. For the procedure of ailments, he was guilty of lying quietly at a minimum for 1 hour.

15. Vikoristani cans be washed with hot water and dried dry.

hotspots

Dіyucha hіrchichnykіv - efіrne hіrchichne (allyl) oil, which can enter the storehouse of hіrchitsі and see from it at temperatures of 40-45 ° С. what to reach for the disease, to be quickened by the rosmoktuvannya of the igniting processes. Hilarity stagnation in cases of cold sore throats, acute dysfunction of upper dichlorocytes (rhinitis, pharyngitis), ignition processes in lesions (bronchitis, pneumonia), neurological diseases of neural stenosis (myositis)

Country houses

Standard girders - sheets of a fillet paper 8 x 12.5 cm, covered with a ball of greasy hot powder (the term should be 8-10 m / sec.) The adherent for vicoristannya girchichnyk gives the smell of girchic oil and does not crumble. Before yogo victorious, it is necessary to reconsider the quality.

Before implantation, the girchichnyk snakes in warm water (40-45 ° C). At higher temperatures, the oil will ruin. Apply girchichniki for 10-15 min; with a lot of ailments, it is guilty of seeing warmth and not great sorrow, and the shkira is guilty of being hyperemic (pohervonilia). With more trivial inflow of grychnyk, there is a lot of opiq of shkiri. The mice of setting the hobbyists (fig. 7-7):

Potilitsyu (gostry rhinitis, hypertensive crisis).

The upper part of the sternum (gostry tracheitis).

Interscapular region and under the shoulder blades (bronchitis, pneumonia).

Litkovi m'yazi (effective when the upper dichny nobles are fired).

Gyrchichniki can only put on a non-smart school. Slid unique performances of girchichniks on the dairy zone, nipple area, ridge, birthplaces.

Shown before the setting of the hypochondriacs: firing up the upper dyshly paths (rhinitis, pharyngitis), firing processes in the lungs (bronchitis, pneumonia), myositis, neuralgia, hypertensive crisis (at the expense).

Prototype indications before carrying out the procedure: incapacitation of shkiri (pioderma, neurodermatitis, eczema), temporal fever (38 ° C viscera), bleeding of Legenea, or malignancy of its development, malignancy of new development.

Method of setting girchichnikiv

Needed equipment: warm water (40-45 ° C), tray (or tartar), towels, towel, flannel pelushka, carpet. The order of the vikonannya procedure:

1. Prepare warm water.

2. Lay the sick person in a zruchnu pose for a new position, then look around the skin.

3. Zanuriti girchichnik on 5-10 s in warm water at a temperature of 45 ° C.

4. Report the girchichnik with the side, covered with the girchitse, to the shkiri (when the sensitiveness of the shkiri is increased, the girchichnik should be applied through gauze).

5. The area of ​​setting the girchichniks is covered with a towel, then there is a carpet.

6. After 5-10 mins at the moment, the witness of the chirchichniki appears by the vologo servetka from the shkiri.

7. If you see surplus of hot powder - gently wipe the skin with servetka, soaked in warm water.

8. Dry the shkira, cover the ailing one with a carpet.

hot tubs

You can use hot water baths from hot water powder (50 g per 10 liters of water). The stench can be stinky (for colds) and scabbards (for hypertensive ailments). Triviality of the warehouse bathє 20-30 min. To wash the baths, they wrap the ailments in clean warm water, they wrinkle them, and then they burnish them with a blanket or carpet.

Prototype indications before the vikorstannya of hot baths: the temporal fever, the temporal sensitivity of the shkiri to the hypochondriac, the incapacitation of the shkiri, the legacy of bleeding, malignant new conditions, the form of tuberculosis is active, the sickness is not seen.

Aquatic procedures (balneotherapy)

Before aquatic procedures (balneotherapy; lat. Balneum - bathtub, bathing), take a shower, bath, douche, wiping, vologi obgortannya.

Cold (up to 20 ° C) and cold(20-30 ° C) water wiklikє spasm of sudin shkiri, increase in heart rate, increase in arterial vise, increase in the tone of skeletal muscles, smooth muscles of internal organs. Vodolіkuvannya with such a temperature of water and zastosovuyut with zagalnozmіtsnyuyuchih and hardening purposes, to stimulate the function of the central nervous system, to promote the exchange of words.

Indifferent (34-36 ° C) water is given a lukewarm sedative, relaxed efek

Heat (37-39 ° С) and hot water (at 40 ° С), the water will become unhealthy, increase the temperature of the skin, increase the heart rate, decrease the arterial tension, decrease the muscle tone, weaken the smooth muscles,

Baths are approved for recognition (gіgієnіchnі and lіkuvalnі), areas

і miscev), warehouse - "perlinnі" (bulbs in a grip), pіnistі (foam-forming speech), vіbratsіynі і vikrovі (strengthening the mechanical factor of water), aromatic (conifers), shavlіvі іnera etc. for a trivial bath, procedures can be short-term (up to 5 minutes), average triviality(10-20 min) and trivial (up to decilcox years).

Prototype indications: important reversal of atherosclerosis, heart failure, hypertensive crisis, impaired cerebral and coronary blood circulation, active tuberculosis.

When carrying out medical baths and other water procedures, it is necessary to stitch after the camp of the ailments, as through the adjustment of the arterial vise, to increase the frequency of the heart rate (HR) and to dichotomous one can rapt.

bloodletting

Blood letting down is a visualization of the circulatory system and blood volume for reducing the volume of circulating blood (BCC), arterial and venous vise. Blood letting go in the presence of a hostile livoshlunochkovy deficiency (a set of legends, as with a whole day, signs of shock or collapse), hypertensive crisis, legacy hypertension, poly-

cytemіі (swirling over a large number of erythrocytes), cut off by some scraps, as it is a trivial hour to be covered in blood. In this hour, with the presence of highly effective lykarsky zasobiv before blood letting go infrequently. Protest in singing situations only blood letting can be done by the sick person, or to wind up a life.

Prototype indications: reduction of arterial grip, hypovolemia (change in the volume of circulating blood), anemia (incomplete tissue), swelling of the collapse of the larynx of blood, zhovtyanitsya.

Blood letting go for additional venipuncture or venesection; at the same time see 200-400 ml of blood. The procedure should be carried out as often and carefully as possible, so that it will be quicker (obscurity, loss of arterial vise, etc.).

Necessary equipment: heads for venipuncture, gum jgut, graded box for blood, sterile servetki, alcohol, iodine, special roller with glue, mittens.

The order of the vikonannya procedure:

1. On the left side of the wedge, on the surface of the roller, cover it with glue and sterile servet.

2. Douse the bloodletting mischief with alcohol (vikoristovuvati iodine is not possible). hands medical doctor, Yakiy to carry out the procedure, shampoo (lastly: mittya, alcohol, mittens).

3. Before the introduction of the golka, tighten the patient's hand with a gum jgut with a gum of a lyktyovy zgin on 1-3 min (the pulse is guilty to be felt, to squeeze the guilty butti only to the veni).

4. Conduct venipuncture (div. Lower razdil "Taken blood for a long time from veni" in Rozdil 9), enter the golka through the blood flow, inwardly.

5. Venous jgut do not know! Seeing from the bloodstream 200-400 ml of blood (in the fallow as indicated)

6. After the end of the procedure, apply a sterile servette and aseptic dressing on the bloodletting site.

7. Take mittens, wiggle your hands.

hirudotherapy

Hirudotherapy (lat. Hirudo - p'yavka), or bdeloterapy (Greek bdella - p'avka), - stasis of medical p'avka with a personal sign. Carry out hirudotherapy for muscle hemorrhage, as well as for lowering the throat of blood (antihypertensive action). Along with the secret of sluggish gullets, people get into the body of the hipsters (a straining anticoagulant - antihypertensive speech) and histamine-like speech, which expands other blood vessels and discharges. In the extracts of general manifestations of manifestations, there is also the enzyme hyaluronidase, which lays down penetration into the organism of young rivers, as well as the penetration of tissues and walls of capillaries. In such a rank, lіkuvannya p'avki, I want and look out as one of the methods of physiotherapeutic treatment, according to the day it starts with a medication procedure.

Likuvanna ailments (even without symptoms) stagnate and vasno hirudin - like visions from symptoms, as well as synthetic drugs ("Girulog", "Piyavit").

Indicated: hypertensive crisis, hypertensive ailments, ischemic ailments of the heart (angina pectoris, myocardial infarction), venous congestion in the liver, venous thrombosis and thrombophlebitis, hemorrhoids.

Prototype indications: anemia, decreased health of thickening blood, treatment with anticoagulants, decreased arterial grip, hypo-septic and allergic sickness, increased sensitivity of children, vaginism.

May be expedited:

sverbіzh shkіri (for the yo іkvіdatsії slіdіt sіsmachuvati shkіru around the wound of sumy ammonia alcohol with vaseline oil in equal proportions);

when staging a pause on the superficial vein - bleeding (for bleeding, apply a bandage, press it);

pioderma, furunculosis, which occurs when the rules of asepsis and antisep-

bloodshed in the pediatric Klitkovin.

Description of p'avok. For the procedure, vikoristovuyt p'avok medical -Hirudo medicinalis (class of many worms; Fig. 7-8). Misce їkh living - with water. The type of medical admission includes more than 10 types, if only one is stagnant, it is a medical admission. She has a knack, a spine with a flattened body and two suckers - a mouth and a hindquarters. On the vidminu of the other species, in the medical p'yav on the back є two orange-colored cheeks. Healthy p'avka maє dark olive zabarvlennya, characteristic blisk. P'yavka smokche roofs only for help

The middle sucker, in the yak hitting the teeth, zvdyaky yakim p'yavka pryaє shkіru on a depth of up to 1.5 mm.

When aplication (lat. Applicatio - supplement, applied) on a shkiri people, one person grew up, maybe 10-15 ml of blood, which borrowed from 20 to 90 min. The triviality of bleeding from the wound becomes 6-24 years old, with a total amount of vivid blood - 10-40 ml. Impose 8-10 times at once.

Ways to save p'avok. P'yavok sberigati in clean well, dzherelnoy or tap water at temperatures from 10 to 18 ° C in wide-necked cans, properly covered with gauze (to secure access to the weather). Water slid minnyati 1 time to add: the cans are lifted out of the way and half filled with water. I will supply water for the collection of p'avoks, but not less than add it in an enamelled container for the visualization (recovery) of chlorine and precipitation of salts from the surface of the house. It is necessary to vibrate and see the ailments for such signs: vuzluvate, v'yali, slime with the breasts slime, the characteristic blinking, swerving to the last appearance, the loss of aggressiveness, activity. Signs of great p'avki, attached to the procedure, such.

1. Smoothly blische tіlo without breasts slicker.

2. The reaction to the dot is swiveled - the spring is fast, short.

3. Aggressiveness - it is not safe to wet it until it is dropped into the jar with p'avka rutsi.

4. Activity - pragmatic to leave the bank.

P'avka can be victoristovuvati only one time!

Basic methods of treatment

Applikatsiya p'avok before self-relieving (tobto with hemorrhage).

P'yattya p'avok pislya prismoktuvannya (that is, without hemorrhage).

The moment of setting the signals (Fig. 7-9)

The area of ​​the nipple-like outgrowth is 1 cm to the back of the inner edge of the ear shell (with thrombosis of cerebral vesicles, hypertensive ailments).

In the area of ​​the third-fifth intercostal space, 1 cm is called from the left edge of the sternum (angina pectoris, myocardial infarction).

The area of ​​the right edge (venous congestion in the liver).

In the course of the urazhenoi vein 1 cm to the sides of the land through the skin 5 cm in the check order (thrombophlebitis).

Near kuprika (haemorrhoids).

Method of staging p'avok(Fig. 7-10) Equipment Needed:

I clean a vessel (test tube, jar);

sterile tray, tweezers;

alcohol, 5% alcohol solution to iodine, water peroxide, glucose solution; formalin or liquid ammonia;

hot water;

sterile servetki, tampons, sticks with cotton wool, bandaging material.

It is not possible to put p'yavok on that place, you can see the pidshkirny veni or the artery, so as p'yavki can bite you, but the bleeding is not strong.

The order of the procedure for occupational therapy for hemorrhages

1. Pidgotuvati sick (the position of the sick - lying or sitting in the fallow as a result of the aplication of p'yavok).

2. Wash the shkіru: shave the hair, wipe it with alcohol (water peroxide), wipe it with a tampon, wipe it with hot water; Signs for aplіkatsії dіlyanka are more colorful with a crackle of glucose (for a good wetness).

3. From banks, return to a small, clean vessel of appearances in a number of 2-3 pieces; P'avok pick up watercolors with a butterfly net, or by dropping your hand into the jar - p'yavka zapovzaє to the warmth of the valley, but not reaching for it, so like a shkira on the valley is coarse.

It is not possible to take p'avku with tweezers, as it is possible to turn on the nervous system of p'yavka and viclikati її parallich.

4. Viymati from a vessel from one test and place in a test tube; Bring the test tube up to the dilenka til and in the world of letting it go with a tampon soaked in hot water (the temperature of the water is not guilty of changing 90 ° C).

5. If the puddle occurs (to bite through the skin and almost sickly ruffs), pick up the test tube and on the side of the servet (back) of the suction cups.

6. P'avok must be rostashovuvati vіlno, without overlapping one on one; when the completion of the deadline is completed, carry out the filling with cotton wool, soaked in warm water; in the world of nasasivan_yu blood p'yavki come by themselves.

It is not possible to withdraw p'avok, as it is not possible to bleed.

7. Apply a dry aseptic bandage with a small amount of hygroscopic cotton wool; if necessary (if the dressing is squeezed with blood), the dressing is tied; To carry out the change of the bandage through the doba.

8. Znischiti vicorian p'yavok in the form of formalin (aka liquid ammonia).

The order of the procedure for occupational therapy without hemorrhage

1. Viconati step by step nos. 1-5 procedures of hirudotherapy with hemorrhage (Div. Vishche).

2. Shcheb znyati p'yavku, slid zmastiti shkiru a sick person in the mice of prismoktuvannya p'yavki there-

Then, we wet one of the onset of solutions: alcohol, alcoholic solution to iodine, 10% solution to calcium chloride, or 10% (hypertonic) solution to sodium chloride.

3. Apply a dry aseptic bandage (bandage change - through the doba).

4. Znischiti vicorian p'yavok in the form of formalin (aka liquid ammonia). Wounds from bites 2-3 days Yakshcho pislya zyattya bandages of the wound pro

should bleed, then apply a bandage and press. I can zupiniti bleeding with the help of kaliyu permanganate. When there is bleeding, it is necessary to cut the wounds and the wounds circumference with 5% alcohol solution to iodine, alcohol or peroxide, apply a dry bandage.

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State Autonomous Educational Institution SPO TO "Yalutorovsk Medical College"

pm07 (PM.04) VICONANNYROBITONONEABOspaghettiPROFESSIONROBITNIKIV,PosadaSLUZHBOVTSIVMDK.07.03 technologynadannyamedicalserviceROZDIL2. zd_ysnennyaseeperpatients.nadannyamedicalservicevmezhakhtheir ownmore important

methodssimplestphysiotherapy.

Initially methodicalHEYSETFORSTUDENTIV060101 LIKUVALNEON RIGHT060501 SisterON RIGHT

Yalutorovsk2013

Topic: Methods of simple physical therapy

І. Introducedpart

tsіlіbusy:

Navchalnі:

Formation of professional competencies (PC)

PC 1.1. Effectively coping with the patient and his dedication in the process of professional performance

PC 1.3. Zdijsnyuvati, look after the children of the children of the vikov groups in the minds, install the protection of health and at home

PC 1.5. Prepare medical documentation

PC 1.6. Nadavat medical servants in their borders more important

PC 2.1. To protect the infection

PC 2.2. I will be able to provide a safe environment for patients and staff.

PC 2.5. Zabepchuvati vyrobnichu sanitary and special hygien.

With the method of rejuvenation, we mean the type of performance and the appearance of PCs in the course of mastering those teaching

MATIPRACTICALDOSVID:

· Carrying out the simplest physiotherapeutic procedures.

VMITI:

· Deliver medical banks;

· Put the girchichniki;

· Prepare і zastosuvati grіlki, mіkhura with ice;

· Prepare і zastosuvati cold, hot, cold and lіkarski compresses;

· Dezinf_kuvati vikoristan equipment.

KNOW:

· Understanding of "nayprostisha physiotherapy";

· Vidi and tsіlі of the most simple physiotherapeutic procedures;

· Prototype indications for thermal physiotherapeutic procedures, cold storage;

· Possibility of accelerated physiotherapeutic procedures and prophylaxis.

vikhovni і developing:

Formation of foreign competencies (OK)

OK 2. Organize the activity, go through the methods and methods of reaching

OK 3. Analyze the working situation, check the flow and control, assessment and correction of power efficiency, bear witness to the results of your robot

OK 8. Following the rules of protection, anti-fire safety and technology of safety

1. A practical guide to the subject of OSD. S.A. Mukhina, І.І. Tarnovska / Moscow /. GEOTAR-Media / 2008 /.

2. Standards of Practical Manipulations for OSD / Tyumen Medical College / 2007 /.

"Foundations of Nursing Help" ed. S.I. Dvoinikova / Moscow / ANMI / 2005.

"UMP z Fundamentals of Nursing Help" ed. A.I. Shpirniy / Moscow / VUNMTs / 2003.

Basics of nursing help: course of lectures, nursing technologies. L.I. Kuleshova, E.V. Pustovetova / Rostov - on - Don: Fenix ​​/ 2011 /.

The magazines "Medicna Sister", "Sestrinska on the Right".

busy plan

I. Control and consolidation of knowledge according to the previous topic by the test method.

II. Explaining the news by those and demonstration of manipulation by vicladach

III. Self-hosted robot students

Vivchennya theoretical material with synopses, good food for self-preparation

Implementation of practical manipulations, based on algorithms

IV. Control and consolidation of knowledge

Conclusion of practical manipulations, based on algorithms

Individual sleepy sleep, good food for self-preparation

1. Vivchit i zakonspektuvati theoretical material (div. Nutrition for self-preparation)

2. Implementation of practical manipulation, based on algorithms.

3. Advice on nutrition for self-control of knowledge.

4. Expand the obsyag otrimanih knowledge for the rakhunok vivchennya recommended literature

Food for self-preparation

Understanding the simplest physiotherapy, mechanizm of dei

Method of the most simple physiotherapy, zagalny prototype before them

Technique of safety during physical procedures

Ethical and deontological aspects during physical procedures

Ponyattya vodolikuvannya. Bath, wiping, wiping, dousing, compresses

Technique of setting a cold compress

Placing medical cans

Technics of storing mikhura with ice

Technique of filling gum grilka

theoretical material

glossary

term	value
spasm of sudin	sound of the Sudin
infiltrate	Improvement of fabrics and ignition character
neuralgia	Bіl along the nerve stovbur
metabolism	Obmin Rechovin
	Rechovina, which is seen p'yavkoyu. Dropping blood loss
hirudotherapy	Lіkuvannya medical p'avki
balneotherapy	Mineral water treatment method
vacuum therapy	Zastosuvannya medicinal cans with meta lykuvannya (massage, progrivannya)
new solution
tonizuyuchu diyu	Adjusted tone (readiness before the day) of the nervous system, organs and tissues
	bronchial inflammation
pneumonia	Filling legends
	inflamed pleurisy
angina	Bil behind the breastbone, tied with the guest ischemia myocardium
	Reduction of tissue blood circulation to the organ
	M'yazova heart shell
	trouble-free space
	Covered with pus in tissue
Hypertensive crisis	Risky turns of attacks of hypertonic ailments
Hypertensive ailment	Entrapment of the stiff advancement of the arterial vise
poultice	Vologue mistseve program for dilyanka tila
	Chronic recurrent lesions of shkiri
pioderma	Gnijnichkovі urazhennya shkіri
	Gostra, attacked bil
radiculitis	Filling the roots of the spinal nerves
appendicitis	Filling the worm-like outgrowth of the mucous intestine
cholecystitis	Filling the gum mikhura
Myocardial infarction	Heart muscle necrosis
thrombophlebitis	Filling and blockage of veins with thrombus
	nedokriv'ya

physiotherapy I call the flow of water on the body of a person from a personal point of view as physical factors: water, heat, cold, light, electricity, etc.

Before methods simplest physiotherapy refer to:

vodolikuvannya

mikhur with ice

medical grilka

medical banks

hotspots

compress

The simplest methods of physiotherapy give a versatile flow to the body of people. As a result, the following was received:

znikaє pain syndrome

normalize secretory and motor functions of organs

the activity of ignition processes is changing

to polish the trophy of organs and tissues

to accept the reparation processes (renewal)

normalize the exchange of speech

Mechanism of the simplest physiotherapy of training at the anniversary of I.P. Pavlova. Physical factors are responsible for the development of receptors in children and children. In general, there are folding reactions of the reflex type. The stench can booty yak mustsovogo (in case of a short hour in the cold - the sound of the sudin, the heat - the enlargement of the sudin). So and zagalny character (for example: sleep, appetite, mood, praise).

zagalnycontraindicationforthe simplestphysiotherapeuticprocedures:

the visitor's room

tuberculosis of legends

new solution

gnіynichkovі sabotage shkіri

allergic battle of shkiri

the importance of an affliction of the heart-vascular system

impairment of cerebral circulation

high arterial vise

bleeding and stiffness to bleeding

Ethical and deontological protection

Explain the need for nursing

See more information about the procedure

Do not be allowed to talk for an hour with the patient

Perekonayte patient in the effectiveness of nursing engagement

Hurry up to the patient during the viconan procedure only with warm, clean hands

If there are any problems with the patient, who are involved in the procedures, do not react back to it.

Overcome the patient in the power of solving problems simply and surprisingly

Do not overlap the patient alone during the procedure. Perekonetsya, scho the patient sees to himself, the procedure to endure good

Try to accommodate comfort, including psychological, in the event of a procedure (fresh, clean bliss, good illumination). Educate the patient, accept the need for an onset. Unique rukhiv.

Encourage your patients to kindly accept the procedure.

Remember!his ownbehaviorіcleverin andinstillvpatienthopeіsingingvto thatschoyoumuhelpfit insuncomfortable.

Safety technology rules

When the nurses are in the bathtub, pour a little cold water into the bathtub, and then heat the water.

Before bringing the patient into the bath, check the temperature of the water with a thermometer. Take care of the required temperature modes and the hour of emptying the bath.

When setting cans, be careful in terms of delivery to yourself and your patient:

the hair of the nurse is guilty but filled up with the medical cap

turn the head of the patient, cover the hair with a towel

Know the banks accurately, quickly, do not stagnate your strength, and do not injure yourself.

For oppression, pick up only alcohol (efir and other flammable sums of pickle is not possible)

To prepare the bend, pick only a metal object (clamp).

It is necessary to extinguish the fire on the water, and not blow on the water.

When staging girchichniks in a stitch, the essential oils did not drag out the eyes of the patient, propose to the patient to close the eyes and turn the head.

10. Strictly showcase the hour of setting cans, gіrchichnikіv, ice bulb for unique acceleration.

Setting up a cold compress

meta:

Trivale and Rivnomirne Expanded Sudin

blood circulation in tissues

change in the amount of fabric

illness and disease

show:

miscellaneous firing processes of shkiri, pedagogical klitkovini

miscellaneous ignition processes in the slopes

fired in the middle

hit, with injuries (via doba)

hematomy

Prototype indications:

strong fever

allergic and gn_jnichkov_ visipannya on skіrі

deterioration of the integrity of the school currents

equipment:

gauze servet, folded in 8 balls

razchin ethyl alcohol 45%

glue chi compressed papir

expedited:

Feeling a chill when applied to a compress

Stronger oven in the area of ​​compressing

Teasing shkiri.

orderdiy:

etapi	priming
1. preparation	beforemanipulation
1. Set up a date with the patient, explain the procedure and the year for the procedure.	Safeguarding the assimilated dilyanka in procedures, the patient's rights to information.
2. Put on an individual zaist. To spend a little bit of hands with a sweetheart.	Problems with infectious diseases of a medical nurse.
3.Pidgotuvati necessary equipment.	Ensuring a clear procedure.
4. Inspect the screen of the patient at the stage of setting the compressor.	Perekonatisya, scho there is no proof before setting the winter compress.
2. viconannyamanipulation
1.Marly in 8 balls. The size of the gauze servet is guilty of buty 2 cm more than in the middle of the battle. Soak її in alcohol, dobre vіdzhati - fiddlyball. Note: it is possible, it is possible gauze snakes v water rooms temperature (22-25 0 WITH)	Bezpechennya dії razchinu on shkіra and pіdleglі blood-bearing judges stretching out for a regulated hour.
2.To cover the gauze with a shmat, we compress the paper (glue), the yak is 1.5-2 cm wider than the gauze servet - insolubleball.	Schob uniknuti hanging servetka.
3.Put a ball of cotton wool (1.5-2 cm larger than the front ball) - zіgrіvayuchyshari.	Secure registration. tovschina sharu cotton wool 2 cm.
4.Fix the compress with a bandage so that it will lie back to it, or not torture the ruins - ficuyuchyball.
5.3 Book an hour: If the gauze was soaked in alcohol, then the compress should be used for 4-6 years, and then, if necessary, changed; If the gauze was soaked by the water, then the compress was filled for 8-10 years (at night).	Alcohol is distilled, so alcoholic compresses can be distilled more quickly.
6.After 1.5-2 years from the moment of setting, the compress needs to be reconsidered its efficiency: Slide your finger over the bandage, do not damage the integrity of the compress, and pat the gauze servet.	If the compress is applied correctly, then the gauze bandage will be warm and warm. Yaksho servetka is dry, the procedure is not carried out further away.
3. end	procedure
1. Take a compress, wipe the shkіra with warm water, dry it with servetka; warmly wrap up the place of setting the compress.	Zapobіgannya maceration of shkіrnykh pokrivіv; viklyuchennya rozdratuvannya shkiri.
2.Make and dry your hands.	Dotrimannya special hygienia medical sister.
3. Document the visitor's management. Check the patient's mill for manipulation.	unhealthy the offensiveness of the sister's look.

Hot compressor setting

physiotherapeutic procedure

META:

Intensively improving blood circulation;

rozmoktyuchu diyu;

disease.

Shown

do not get wet if ignited infiltration;

old hematomas,

radiculitis.

Prototype indications:

temporal fever;

gnіynichkovі and allergic visipannya on skіrі;

the destruction of the integrity of the school.

EQUIPMENT:

for driving;

the servet is great;

disposable hand towel for personnel.

ORDERDII:

etapi	priming
1. preparationbeforeprocedures
	The motivation of the patient before the spіvpratsі and attention to the rights of the patient.
2. Dress up for an individual zaist. To spend a little bit of hands with a sweetheart.
3. Prepare the necessary equipment.	Bezpechennya clear vikonannya procedure.
2. viconannyaprocedure
1. Fold the servet in 8 balls, soak it in the water (60 - 70 ° C), wiggle and attach the servet to the shkiri - fiddlyball.	Zabechennya thermal effect as a reflex inflow of water.
2. On top of the vology servet, put a glue (1-2 cm more than the servet around the perimeter) - insolubleball	Zabrechennya "greenhouse" to save heat.
3. Place a cotton ball on top of the glue - zіgrіvayuchyball.	Pidtrimuvannya thermal effect.
4. Zafiksuvati compress with a bandage, taking into account the rules of desmurgy, or with warm tissue - ficuyuchyball.	Safeguarding the protective fabric and protecting the heat (the dressing is hermetically sealed.)
5. Vimiti and dry your hands.	Protection of infectious safety.
6. After 10-15 minutes, remember the compress (the triviality of the application to the compressor is made with a likarem).	Baking without interruption of heat inflow
3. endprocedure
1. Viterti dry vologu shkiru. Warmly wrap up the patient.	Zabechennya continued heat efektu.
2. Vimiti and dry your hands.	Dotrimannya special hygienia.
3. Document the visitor's management.

Cold compress setting

META:

Mistseve cooling;

ringing of blood-bearing vices;

change of pain, tissue filling.

Shown

the first time to strike;

with nasal bleeding;

another period of fever.

Prototype indications:

spastic pain in the abdomen;

EQUIPMENT:

mnіst with cold water;

2 pelushki (or 2 towels, or 2 gauze servvet, folded balls).

Rіdke is cute;

disposable hand towel for personnel.

ORDERDII:

etapi	priming
1. preparationbeforeprocedures
1. Explain to the patient about the procedure and correct the year of the patient for the procedure.	The motivation of the patient before the spіvpratsі and attention to the rights of the patient
2. Prepare the necessary equipment.	Preservation of a clear procedure
3. Dress up for an individual zaist. To spend a little bit of hands with a sweetheart.	Protection of infectious safety.
2. viconannyaprocedure
1. The folds of the pelyushka (towels) in the ball of balls, in the cold water... See one pelushka.	Improved efficiency improvement
2. To distribute the fabric and poklasti on the collected dilyanka for 2-3 minutes.	Bezpechennya bezposerednogo cycle cold compress with shkіroyu: heat delivery, take care of reflex inflow through the thermoreceptor.
3. Take a pelushka after 2-3 chilini and zanurit її in cold water.
4. I don’t need a daddy of vijati and put it on the shkіr for 2-3 hvili. With such a rank cherguvati pelushki after 2-3 minutes.	Ensure that the procedure is not interrupted
3. endprocedure
1. Put the pellets into a non-wet mishhok.	Bezpechuєtsya infection safety.
2. Dry the skin after the procedure is over.
3.Hold and dry your hands.	Protection of infectious safety.
4. Document the visitor's management.	Forgetting the offensiveness of a sister's mind

setting cans

META:

give muscular infusion on the blood and lymphoid;

speed up the combustion process in firing and fabrics;

change the bill. Shown

inflammation of bronchial tubes, legends, pleurisy;

Ignition processes in myaz and nerve stoves. Prototype indications:

Legeneva bleeding;

tuberculosis of legends;

evil new affirmations;

zhvoryuvannya shkiri;

visnazhennya in the storeroom;

zbudzhennya;

feverish woman;

getting sick of blood;

sensitivity of shkiri has been adjusted;

it is not possible to play for children up to 5 rocks.

MISTSYASTATEMENTS- guilty banks are placed on the area with a swivel-and-fat ball:

shkіra of the breast plate in front, right-handed;

cross-sectional area;

the posterior surface is quilted with the sinus nerve bridle;

in the practice of reflexotherapy, it is permissible to place cans on the іnshі zone and tіla, with the help of outside counter-indications.

NOT POSSIBLEBET:

on the ridge;

on the area of ​​the heart;

on the nirok area;

at home with beaches;

on the dairy. Folding:

opik shkiri;

massive bloodshed on the scene. EQUIPMENT:

medical cans 10-15 pcs;

70 0 ethyl alcohol;

Water supply for extinguishing oppression;

gauze servet;

Department for disinfection;

A collection of clean medical cans;

mittens;

cute rydke;

disposable towels for the personnel.

ORDERDII:

etapi	priming
1. preparationbeforeprocedures
1. Install dovіrchі vіdnosini s paciєntom.
2. Explain the meta and go of the procedure, clarify the reasoning. Get it off the year for the procedure. Look around the shkiri's camp for a counter-indication.
3. Prepare the necessary equipment.	Ensuring the accuracy and efficiency of the procedure.
4. Dress up for an individual zaist. To spend a little bit of hands with a sweetheart.	Protection of infectious safety.
5. For the help of gauze servette, reconsider the value of the edges of cans.	Improvement of the posture of the shkiri patient.
6. Prigotuvati oppression	It’s not safe to lose weight.
7. Help the patient to lie down manually. When placing the cans on his back, he is guilty of lying on his stomach, his head is turned to the side, his hands claw at the pillow.	Qia pose will secure the fixation of cans. Make sure that the ridge is positioned correctly.
8. Zvіlniti will be needed for a day. As long as the shkira is ailing to the hair, then the manipulation is more beautiful.
9. As soon as the patient has a hair, cover them with a braid, they didn’t take the stench vipadkovo.	Remedy is not safe.
10. Apply a thin ball of Vaseline to the skin. Take surplus vaseline from your hands with servetka.	The elasticity of the patient's school is improved.
2. carrying out	procedure
1. Soak the alcohol with alcohol, remove the excess alcohol on the walls of the bottle, close the bottle, introduce the ubik.	Appreciate the technology when the robot is in the fire.
2. Pidpality oppression.	Necessary steps for carrying out the procedure.
3. Take the jar in your left hand, and with your right hand for a short hour (1 to 2 seconds) introduce burning oppression into the jar, if necessary, put it to the bottom (put the necessary number of cans).	Negatively occurring in the middle of the banks, so it is easy for the jar to burn up to the surface of the tin. Likewise, I didn't heat the edge of the cans.
4. Extinguish oppression in the pool with water	Bezpechennya tekhnіki bezpeki.
5. Cover the patient with a towel, wash the carpet.	Take care of the heat.
6.After 3-5 minutes, reconsider the effectiveness of the staging by turning (1 cm or more) into the empty cans and overstepping near the outside most of the views at the patient. In case of ineffective production of one or more decilkoh cans - znya їkh.
7 .. Ask the patient to lie down quietly 15 -20 hvili.	Achievement of the most common eligible effect.
3. endprocedure
1. Carry out a little bit of hands with a sweetheart.	Protection of infectious safety.
2. Take the jar with one hand lightly in the bik, with the fingers of your hand press on the pin from the opposite side of the bile to the edge of the jar. This is the rite of all the banks.	Once you come across the middle of the bank, the grip of all the middle banks and calls will be necessary, it is easy to know which bank is in charge. Zabezpechennya painless zyattya cans.
3. Shkіru viterti vіd vazelіnu servetka	Providing hygienic comfort.
4. Help the patient to stretch, lie down by hand.
5. Ukriti the patient with a carpet. Guilty for lying down 20 - 30 min.	Preservation of heat.
6. Arrive vicoristan with equipment.
7. Put on mittens.	Nursing safety
8. Vikoristani banks on request disinfection.	Protection of infectious diseases
9. Water, hang and take in a specially introduced message.
10. Take mittens for disinfection, reduce and dry your hands.	Dotrimannya special hygienia
11.Document the publication of the Manipulation.	Bezbezpechennya offensiveness of the sister's look.

FeaturesviconannyaManipulation:

Banks are placed by the head of the rank for children over 7 years old, for older children preschool education... Banks for children young vik There may be a large amount of blood loss in the skin and the adipose-fatty ball, the deterioration of the microcirculation and the decrease in the function of the school.

staging girchichnikiv

meta:

reflex expansion of blood-bearing sudins

ignition processes

pain relief.

show:

fired up sickness of the upper dichal nobles (rhinitis, pharyngitis), bronchitis;

pain in the area of ​​the heart;

pleurisy, lіkuvannya and prophylaxis of legenevs accelerated;

pneumonia;

hypertensive ailment.

Prototype indications:

ailing shkiri

feverish woman

Legeneva bleeding

Rise of decrease, for the visibility of the sensitiveness

evil new affirmation.

miscyaproductions:

* On all dilyanki tila, except for milk frogs.

hotspotsNOTput:

On the area of ​​nipples and milk vines;

On the ridge;

At the birthplace of the beach.

expedited:

opik shkirnykh pokriviv

allergic reaction to the essential oil

Pigmentation of shkiri when victorious one and the same dilyanok tila for setting girchichniki.

equipment:

hotspots

tray with water 40-45 ° С

water thermometer

towel

gauze napkin

cute rydke

disposable towel for the hands of medical personnel.

necessaryumova:

When staging hіrchichnikіv to patients, as there is a mental breakdown, the necessary continuous control from the side of the young medical staff.

orderdiy:

etapi	priming
1. preparationbeforeprocedures
1. Install dovіrchі vіdnosini with the patient	Safeguarding assimilated participation in procedures.
2. Explain the method of the procedure, clarify the reasoning, correct the information about the year for the procedure	Security of the patient's rights to information.
3. Dress up for an individual zaist. Prepare the necessary equipment.	Ensuring the accuracy and efficiency of the procedure.
4. To reconsider the attribution of the girchichniks.	The adherent girchichnik may smell of girchichny oil and will not crumble.
5.Take good luck with a cute hand.	Providing special services.
6. To free the necessary money for every day.
7. Look around the shkіra on the subject of daily life, gnіynikіv, visipu.
7.Help the patients to take up the hand position (lying on their stomachs, or on their backs).	It is necessary to carry out the procedure.
2. viconannyaprocedure
1.Pour water into the tray. Change the temperature of the water for the warmth of the hot water (40-45 ° C).	At higher low temperatures, the essential oil is not visible, at higher temperatures, it breaks down.
2 .. One by one, snake the hoppers in the water for 5 seconds, put the hocks down and put the hooters down on the required dilenka; on top of a towel. Note: at sensitive shkіrі pid hirchichnik it is possible, it is possible thanksgiving papyrusova papir abo fabric on, at tsiomu take care of only heat effective.	Vidіlennya s powder vіyuchih speeches. Bezpechennya їkh reflex infusion.
3.Ukrit the patient with a carpet. Ask him to lie down quietly for 10-15 khilins (with the help of the patient's individual sensitivity to hirchitsi).	Preservation of heat.
4. Clarify the patient's appearance and the degree of hyperaemia after 3-5 minutes.
3.Endmanipulation
1.When a stiff hyperemia appears (after 10-15 chilines) or an unbearable heat of heat, throw them into the tray for the dispensed material. Take girchichniki, throw them into the tray for the material to be taken out.
2. Inspect the shkira.	Shkira is guilty, but she has been changed.
3. Wipe the patient's skin with a vologo warm gauze servetka, wipe it dry. Make up the shkіra with Vaseline.	The view of the young surplus of girchits on the school and the advancement of chemistry.
4.Help nadіti bіliznu, laying down the patient in the hand position. Ukriti yogo, recommend a rest regime of 30-60 hvili.	Preservation of heat and safety for a reason.
5.Warm and dry your hands.	Dotrimannya special hygienia.
Document the visitor's manual. Check the patient's mill for manipulation.	Bezbezpechennya offensiveness of the sister's look.

FeaturesviconannyaManipulation:

For the baby's breast: put the girders on the tiles with the pearls and other balls of the pellet on the girch side up the hill. Hirchichniki roztashuvati so, the stench of the stench filled the spines and the area of ​​the heart. Wrap the pelushka with girchichniki near the baby's breast. For children, an hour of manipulation to become 3-5 hilin.

Крім гірчичників, Vikoristovuyut also hot tubs(3 rosrahunku 50 m hot powder for 10 liters of water), which can be both foreign and musical. Wrap the patient's baths in clean warm water, wrapped in a warm cloth and carpet.

zasosuvannya grilki

meta:

reflex smooth muscle weakness

improvement of blood supply to internal organs

disease rosmoktuyuchu diyu.

show:

mіstseve zіgrіvannya dіlyanok tіla

rosmoktuvannya igniter іnfіltratіv

disease

neurological illness (radiculitis)

1st period of a fever

duodenal probe

Prototype indications:

ushkodzhennya shkiri

bleeding

evil new

pershu dobu pislya hammered

wound

temporal fever

non-svidomy stan of the patient

miscyaproductions:

abdomen

oblast іnfіltratu

area across

area of ​​litkovyh m'yaziv

pechinka area

expedited:

opik shkiri

overload

equipment:

gumova grіlka 1.5-2 l

water t 60-70 ° С

water thermometer

towel abo pelyushka

Department for disinfection

mittens

cute rydke

disposable towels for staff

orderdiy:

etapi	priming
1. preparationbeforeprocedures
1. Install dovіrchі vіdnosini s patient, explain the meta and go of the procedure, correct the year for the procedure	Safeguarding the assimilated participation in procedure, taking into account the patient's right to information.
2. Put on an individual zaist. To spend a little bit of hands with a sweetheart. Pidgotuvati is necessary equipment.	Ensuring the readability of the procedure.
2. viconannyaprocedure
1.Check the integrity of the grill.	Patient safety.
2.Pour hot water (60 ° C) into the grill by 2/3 volume.
3.Vipusit to the squeeze of the upper third of the grill, screw on the cork.	Grilka is guilty of sticking out from the surface of the body all over the surface, but "everyday"
4. Turn the grill upside down. Viterti grіlku dry.	Reconsideration of the tightness of the grilka will be ensured.
6.Wrap the grilka in a towel.	Make sure you are more comfortable seeing the patient.
7.Put the grill to the required area until it gets cold. Note: at trivial stasis on attributions lykarya robiti 10-15 hilinny break, zmіnyuchi water.
9. Keep the grill until cold.	Preserving the effective procedure for storing up all the triviality ..
3. completionprocedure
1. At the brother's grilka, drink water.
	Prevention of health care.
3. Put on mittens.
4.Treat the grilka junk, soaked in a disinfectant rosette dvorazovo with an interval of 15 quilins	Protection of infectious safety.
6.Take off mittens, wipe and dry your hands.	Dotrimannya special hygienia
7.Document the publication of the management.	Bezbezpechennya offensiveness of the sister's look.

FeaturesviconannyaManipulation:

In severely ill children, in the case of a decrease in the sensitivity of the school, it is easy to get rid of it; therefore, the humus grits in children can be replaced by an eclectic grill, rather than under the constant control of a medical nurse.

Particularly sensitive to the new population. Tom їkh zagorayut in the carpet and surround them with grains in such a rank, so they didn’t put a grip on the child. One should be placed before the new-born, two of them are from the skin side on the back of the valley. The medical sister of goiters is bound to keep up with the child's temperature, so that there is no overheating. Grilki wake up.

The water temperature for the grilka is guilty of 40-60 0 С.

Zasosuvannya Mikhura with ice

meta:

the sound of the blood-bearing judgments of the shkiri

cooling of large, highly expanded organs and fabrics

decreased sensitivity of nerve receptors

change of fabrics

show:

internal bleeding

state ignition processes of black emptying

first years of age to strike

temporal fever (2 periods)

early period

bite coma

struma.

Prototype:

a decrease in the sensitivity of dilyanok tila, if the manipulation is carried out

miscyaproductions:

abdomen

breast area

head area (forehead part)

expedited:

* ice cream

ignition processes

equipment:

mikhur for ice

lid shmatochkami

towel

Disinfection box, mittens

cute rydke

disposable hand towel for staff

orderdiy:

etapi	priming
1. preparation	beforeprocedures
1. Install dovіrchі vіdnosini with the patient.	Safeguarding assimilated participation in procedures.
2.Explain the meta and go of the procedure, clarify the reasoning, correct the year for the procedure.	Secure the patient's right to information.
3.To put on an individual zajist. Pidgotuvati is necessary equipment. Carry out a gigiєnichny miti of hands with a cute one.	Ensuring the effectiveness of the procedure.
3. viconannyamanipulation
1. Memorize the mikhur with other pieces of ice by 2/3 of the volume.	If you have frozen food for ice frozen in freezers, you can freeze it for ice cream.
2.Put the glass on a horizontal surface, screw on the plug. Convert the microscope to airtightness.	Vitisnennya povitrya i mihura.
3. Wrap the mikhur in a towel (pelushka).	Prevention of mice frostbite.
4.Play up to the required amount of money: Head area for 5 khvili (h at intervals of 5 quilins) Queue area for 10-15 hvili s Interval 20 chilines.
5.Schedule an hour: Note: zagalnoe hour injected NOT maє perevisuvati 2 godin s urahuvannyam Interval
6 If the procedure needs to be continued in the world of ice-melting, pouring water and adding new pieces of ice.	Safe for cold weather.
3. end	procedure
1.Clean the ice from the ice, water and see the surplus of ice.
2. Inspect the patient's school, help the patient to lie down in the hand, ukriti.	Prevention of ice cream in shkiri.
3. Put on gloves.	Safety of the medical sister.
4.Treat the mikhur drantiam, soaked in a disinfectant dvorazovo with an interval of 15 quilins	Protection of infectious safety.
5. Smear with water, hang and drink in a specially introduced space.
6.Take off your gloves, for disinfection. Vimiti and dry your hands.	Dotrimannya special hygienia.
7.Document the visitor's manuals. Check the patient's camp.	Bezbezpechennya offensiveness of the sister's look.

FeaturesviconannyaManipulation:

Children should not put mikhur on their heads with ice;

The part is enclosed

Zavdannya for self-control knowledge

situationzavdannyaforself-controlknowledge

plant number 1

When staging standard girchichniki on the area of ​​the chest wall, with the drive of the organisms of the household, for the signs of the doctor, the nurse soaked the girchichniks directly from the tap of the hot water. Assess the nurse's education.

zavdannya№2

The patient is diagnosed with pneumonia, in the evening he has a temperature of 39 °. The nurse put the jars on the patient's checkout, the stun was very bad. Evaluate the nursery.

factory # 3

The nurse put the girchichniki on the area of ​​the patient's breast cell, at once it was an hour, asked for a suspension to take the girchichniki in 15 minutes. Evaluate the nursery.

factory # 4

The nurse at home annihilated іn'єktsіyu and remembered for the іnіsіnіsіy іnfіltrat from before the front іn'єktsії. It is necessary to put a cold compress, but not enough alcohol. How can you be victorious for compressors in your home minds?

zavdannya№5

When staging p'yavki on the skronevu area with a drive for the eye disease, the nurse covered the shkіra with alcohol 96 °. The procedure was not bula viconan. To what?

zavdannya№6

The patient turns up to the nurse to give him a grilk, so that the new guest has a belly beating. The patient is suffering for the twisting ailment of the shlunka. The nurse reported the patient to the abdomen. Chi did the right thing?

office # 7

The nurse viconuє procedure - setting a cold compress: soaked in alcohol, kindly, and reported to the floor. She covered the servet with cotton wool from the waxed paper and bandage. Chi is the correct viconana procedure?

office # 8

Yunak 17 rocky reboot on a stationary drive bronchial asthma... After an hour of evening stroll through the territory of the hospital, the patient of the gomilkovostopnyy slope, having turned to the nursery for help. In the area of ​​homilkovo-foot slope, there is a swelling, cyanosis, and a nurse put on a warm grill. It took 1.5 years for the game to be scored. Assess the nurse's education.

Head for independent posture of the classroom robot

· schematicsonthemes(algorithmдії):

"The mice of setting the cans", "The mists of setting the hot drinks", "The scheme of setting the cold compress".

· thoseforabstractsoccasionally:

"Cіlyuscha dіya hіrchichnikіv", "Yak dіyut simple physiotherapeutic procedures?", "What are the most simple physiotherapeutic procedures?", "Vacuum therapy. So tse take? ",

· Porivnyalnatablemethodssimplestphysiotherapy.

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The main principles of physiotherapy in dentistry: Single ethiological, pathogenetic and symptomatic physiotherapy; individual, course, optimal and dynamic treatment of physical factors. Doslidzhennya spectrum of electromagnetics.

abstract, additions 01.10.2011


thermotherapy yak lіkuvalne zasosuvannya temperature official, methods and techniques for medical purposes. See the lazen і їх pouring on the organism of people. Mechanism of the factor and technique of carrying out procedures, shown and contraindicated.