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Back care checklist

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Neelofur Neelu

This document provides a checklist for back care procedures in a hospital setting. The purpose is to prevent bed sores, stimulate blood circulation, detect early signs of bed sores, and relieve pressure on pressure points. The checklist outlines the necessary equipment, pre-procedural steps like assessing the patient's condition and explaining the procedure, intra-procedural steps of massaging and cleaning the back using different strokes, and post-procedural steps such as changing linens and documenting the procedure. Massage techniques described include effleurage, friction, petrissage, tapotement, vibration, kneading, and cupping.

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CHECKLIST FOR BACK CARE S.NO CONTENT DEMO RETURN DEMO PRACTICE 1 PRACTICE 2 1 PURPOSE To prevent bed sore/pressuresore. To stimulateblood circulation. To detect early sign of bed sore. To relievepressurefrom pressurepoints and to change position. To promote rest and sleep. Promote physical and mental relaxation 2 ARTICLES REQUIRED- Screen Mackintosh with draw sheet Fresh bed linen and the patients clothes A small basin Sponge cloth-(mitten-2) Soap dish with soap Spirit/oil Powder A towel A pair of clean gloves Pillows or alphamattress Kidney tray 3 PREPROCEDURAL STEPS- Assess the condition of the patient. Assess the condition ofthe back especially on the pressure points (scapula vertebral spine,sacral area, and coccyx) for any redness and breakdown in the skin integrity. Identify the conditions like rib or vertebral fracture, burns or open wound on the back or identify any contraindications to back care. Explain the procedure to the patient. Assemble all equipment required. Wash hands. INTRAPROCEDURAL STEPS- Bringthe patient closeto the edge of the bed to maintain good body mechanics. Turn the patient to lateral, prone or side-lying position and sitting position with the back towards nurse. Spread mackintosh and draw sheet underthe patient from head to buttocks. Drape the patient and provide adequate privacy. Mix water to desire temperature. Make a mitten with sponge towel. Untie the patient gown and expose the back. Wet the patients back from neck to buttocks with the help of
1 2 3 4 5 6 7 mitten. Apply powder/oil/lotion/cream/spirit according to the skin condition. Massage from sacrum to neck by using different seven stroke. Stroke of back massage. Effleurage This is stroking the back with fingers by long, smooth strokes upward to downward . Friction- These movements are in circular nature. It is performed with the help of the thumb and fingers pads. Petrissage This is the process of pressing and rolling of the tissues and is performed with one or both hands,with thumb and fingers. Tapotement- This involves hacking, tapping, clapping, beating. It is achieved by striking the back rapidly. Short and quick blows are generally given from the wrist. Tapotement helps in atrophied condition of the muscles.. It is a rhythmic movement done with the edge of the hand,a cupped hand or the tips of the fingers. The movements used can be beating (hitting area with closed fist tightly), slapping hacking. The hands movements are given from the wrist. Vibration The vibration is given by rhythmically moving the heel of the hand,the side of the hand or finger tips. Vibrating hand should move constantly. Kneading kneading is part of the Swedish massage tradition and involves the grasping and lifting of tissue.It is usually performed with the palms, first pressing down on muscular tissue and then lifting it with the fingers in a rhythmic and churning action. Cupping Cupping therapy is an ancient Arabic form of alternative medicine in which a local vacuum is created on the skin. Professionals believe this mobilizes blood flow in order to enhance healing. Cupping helps to release toxins, activate the lymphatic system, clears colon blockages. Repeat again covering entire back. Remove any extra spillage of oil/cream/lotion with the help of gauge piece. POSTPROCEDURAL STEPS- Check the level of patients comfort. Change the linen if soiled. Replace the articles in utility room after cleaning and washing with water or disinfectant solution. Put the dirty linen in hamper. Tidy up the bedding and the unit. Wash hands Document the procedure with time, date and remarks if any like condition of the skin and patients response.

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Back care checklist

  • 1. CHECKLIST FOR BACK CARE S.NO CONTENT DEMO RETURN DEMO PRACTICE 1 PRACTICE 2 1 PURPOSE To prevent bed sore/pressuresore. To stimulateblood circulation. To detect early sign of bed sore. To relievepressurefrom pressurepoints and to change position. To promote rest and sleep. Promote physical and mental relaxation 2 ARTICLES REQUIRED- Screen Mackintosh with draw sheet Fresh bed linen and the patients clothes A small basin Sponge cloth-(mitten-2) Soap dish with soap Spirit/oil Powder A towel A pair of clean gloves Pillows or alphamattress Kidney tray 3 PREPROCEDURAL STEPS- Assess the condition of the patient. Assess the condition ofthe back especially on the pressure points (scapula vertebral spine,sacral area, and coccyx) for any redness and breakdown in the skin integrity. Identify the conditions like rib or vertebral fracture, burns or open wound on the back or identify any contraindications to back care. Explain the procedure to the patient. Assemble all equipment required. Wash hands. INTRAPROCEDURAL STEPS- Bringthe patient closeto the edge of the bed to maintain good body mechanics. Turn the patient to lateral, prone or side-lying position and sitting position with the back towards nurse. Spread mackintosh and draw sheet underthe patient from head to buttocks. Drape the patient and provide adequate privacy. Mix water to desire temperature. Make a mitten with sponge towel. Untie the patient gown and expose the back. Wet the patients back from neck to buttocks with the help of
  • 2. 1 2 3 4 5 6 7 mitten. Apply powder/oil/lotion/cream/spirit according to the skin condition. Massage from sacrum to neck by using different seven stroke. Stroke of back massage. Effleurage This is stroking the back with fingers by long, smooth strokes upward to downward . Friction- These movements are in circular nature. It is performed with the help of the thumb and fingers pads. Petrissage This is the process of pressing and rolling of the tissues and is performed with one or both hands,with thumb and fingers. Tapotement- This involves hacking, tapping, clapping, beating. It is achieved by striking the back rapidly. Short and quick blows are generally given from the wrist. Tapotement helps in atrophied condition of the muscles.. It is a rhythmic movement done with the edge of the hand,a cupped hand or the tips of the fingers. The movements used can be beating (hitting area with closed fist tightly), slapping hacking. The hands movements are given from the wrist. Vibration The vibration is given by rhythmically moving the heel of the hand,the side of the hand or finger tips. Vibrating hand should move constantly. Kneading kneading is part of the Swedish massage tradition and involves the grasping and lifting of tissue.It is usually performed with the palms, first pressing down on muscular tissue and then lifting it with the fingers in a rhythmic and churning action. Cupping Cupping therapy is an ancient Arabic form of alternative medicine in which a local vacuum is created on the skin. Professionals believe this mobilizes blood flow in order to enhance healing. Cupping helps to release toxins, activate the lymphatic system, clears colon blockages. Repeat again covering entire back. Remove any extra spillage of oil/cream/lotion with the help of gauge piece. POSTPROCEDURAL STEPS- Check the level of patients comfort. Change the linen if soiled. Replace the articles in utility room after cleaning and washing with water or disinfectant solution. Put the dirty linen in hamper. Tidy up the bedding and the unit. Wash hands Document the procedure with time, date and remarks if any like condition of the skin and patients response.