How to properly take care of the urination and defecation of paralyzed patients?

As medical standards and conditions around the world gradually improve, many patients who are paralyzed due to old age or accidents are able to survive. But at the same time, because they are different from ordinary patients, it also makes caring for paralyzed patients more difficult. Among these, the most difficult thing to deal with is the care of urination and defecation for paralyzed patients. Because this is not only a challenge for nursing staff, but also plays an important role in the patient's recovery and preventing infection from worsening the condition. Below, the article will explain in detail the precautions for urination and defecation care of paralyzed patients. I hope that the patients will recover soon under careful care.

Paralyzed patients spend most of their time in bed. Keeping the bed clean, dry and flat and solving the problem of urination and defecation are crucial issues.

If the patient is conscious and can report the need to urinate or defecate, a flat bedpan can be used to urinate on the bed (male patients can use a urinal). When defecating, the patient lies on his back with a small cloth sheet (or large diaper) under his buttocks to prevent contamination of the bed sheets. The patient's buttocks are lifted up and the bedpan is placed under the buttocks, with the flat end placed on the sacrum and coccyx and the open end facing downward.

For patients who are bedridden for a long time and suffer from urinary and fecal incontinence, timely anti-infection treatment for infectious diseases should be provided during home care. Good psychological care is essential (for patients and their families), and basic nursing skills are also very important. First, we need to analyze the patient's age, condition, cause of incontinence, time (morning, evening), etc., and formulate a personalized care plan based on the analysis. We can also use tools such as adult diapers.

In addition, patients need to be supervised to do the following:

1. Drink enough water. Drink 6-8 glasses of water (about 2 liters) or other beverages every day to maintain a certain amount of urine output to strengthen the natural defense function of the urinary tract and help prevent urinary tract infections. In addition, reducing the intake of diuretic drinks such as alcohol, coffee, strong tea and soda can also help improve urinary incontinence.

2. To prevent constipation, you should eat more fruits, vegetables and high-fiber foods, drink an appropriate amount of water every day, and exercise appropriately to relieve constipation and improve incontinence caused by constipation.

3. Maintain a proper weight. Being overweight will increase abdominal pressure, so maintaining a proper weight can help prevent stress incontinence.

4. Develop good urination habits. Patients with urinary incontinence can urinate every 2-3 hours to train their bladder control ability and improve their awareness of urination. Try to empty your bladder as much as possible each time you urinate.

5. Pelvic floor muscle training. Doing pelvic floor muscle exercises more often can strengthen the muscle contraction and control to reduce urinary incontinence.

6. Improve the home environment: The height of the bed and toilet should be moderate. If you have difficulty moving around, you can place a commode chair in the bedroom.

7. It is advisable to wear simple and convenient clothes, such as elastic-top pants, to facilitate going to the toilet.

Nowadays, many families use electric nursing beds with bedpan functions because it is too troublesome to take care of paralyzed patients. This allows paralyzed patients to easily solve their urination and defecation problems without having to go through the trouble mentioned above. Nursing beds are divided into manual and electric. Electric ones are definitely more convenient than manual ones. Electric nursing beds can generally be used by patients themselves, while manual ones require family members to rock them for the patients.

The other functions of the paralyzed patient care bed are also particularly suitable for paralyzed patients. Only one remote control is needed to achieve actions such as sitting up, turning over, and bending legs, which is not only convenient for patients but also for caregivers.