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What is the role of a nurse in caring an unconscious patient?

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Question ajoutée par khareshim raikhan
Date de publication: 2014/12/24
زاهر عمر حسين محمد القلوباوي القلوباوي
par زاهر عمر حسين محمد القلوباوي القلوباوي , GP AND MEDICAL DIRECTOR , Ministry of education &.school health – AL - NAMAS - KSA

nurse play and important role in the care of unconscious (comtosed) patient to prevent potential complications respiratory eg;distress, pneumonia,aspiration,pressure ulcer.this achived by:

  1. Maintaining patent airway
  • Elevating the head end of the bed to degree prevents aspiration.
  • Positioning the patient in lateral or semi prone position.
  • Suctioning.
  • Chest physiotherapy.
  • Auscultate in every8 hours.
  • Endo tracheal tube or tracheostomy.
2. Protecting the client
  • Padded side rails
  • Restrains.
  • Take care to avoid any injury.
  • Talk with the client in-between the procedures.
  • Speak positively to enhance the self esteem and confidence of the patient. 
3.Maintaining fluid balance and managing nutritional needs
  • Assess the hydration status.
  • More amount of liquid.
  • Start IV line.
  • Liquid diet.
  • NG tube.
4.Maintaining skin integrity
  • Regular changing in position. 
  • Passive exercises. 
  • Back massage.
  • Use splints or foam boots to prevent foot drop. 
  • Special beds to prevent pressure on bony prominences.
5.Preventing urinary retention
  • Palpate for a full bladder. 
  • Insert an indwelling catheter.
  • Condom catheter for male and absorbent pads for females in case of incontinence. 
  • Inducing stimulation to urinate.
6. Providing sensory stimulation
  • Provided at proper time to avoid sensory deprivation.
  • Effort are made to maintain the sense of daily rhythm by keeping the usual day and night patterns for activity and sleep.
  • Maintain the same schedule each day.
  • Orient the client to the day, date, and time accordingly.
  • Touch and talk.
  • Proper communication.
  • Always address the client by name, and explain the procedure each time.
7. Family needs
  • Family support.
  • Educate the needs of client.
  • Care to be provided.
8. mantaing the regular doses of treatment and follow consultant instruction

Poonam  thakur
par Poonam thakur , Student , Google

1 Maintain patent airway 2 Maintain fluid elctrolyte balance 3 Maintain skin integrity 4 Maintain hygiene 5 Prevent urinary retension 6 provide emotional and psychological support to the patient 7 provide sensory stimulation

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