Turn

Turn

Turn is a term used in various contexts within the medical field, often referring to the act of rotating or changing the position of a patient. This is a critical procedure in healthcare settings, particularly in the prevention of pressure ulcers and in the management of patients with limited mobility.

Definition

In a medical context, a "turn" typically refers to the repositioning of a patient to alleviate pressure on certain parts of the body, improve circulation, and prevent the formation of pressure ulcers. This is especially important for patients who are bedridden or have limited ability to move independently.

Importance in Healthcare

Regular turning of patients is a fundamental aspect of nursing care and is crucial in preventing complications associated with immobility. The practice of turning patients is part of a broader strategy known as "pressure area care," which aims to maintain skin integrity and prevent decubitus ulcers.

Prevention of Pressure Ulcers

Pressure ulcers, also known as bedsores, are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin. They commonly occur in areas where the bone is close to the skin, such as the heels, ankles, hips, and tailbone. Regular turning helps to redistribute pressure and reduce the risk of ulcer formation.

Improvement of Circulation

Turning patients can also aid in improving blood circulation. By changing the position of a patient, healthcare providers can help ensure that blood flow is not restricted to any one area of the body for too long, which is essential for maintaining healthy tissue.

Techniques for Turning Patients

There are several techniques used by healthcare professionals to safely turn patients:

• Logrolling: This technique involves turning the patient in one smooth motion, keeping the spine aligned. It is often used for patients with spinal injuries.
• Pivot Turn: This involves turning the patient by pivoting them around a central point, usually the hips or shoulders.
• Assisted Turn: Involves the use of devices such as slide sheets or mechanical lifts to assist in turning the patient.

Frequency of Turning

The frequency of turning a patient depends on their individual needs and risk factors. Generally, it is recommended that patients be turned every two hours, but this can vary based on the patient's condition and the healthcare provider's assessment.

Challenges in Patient Turning

Turning patients can be physically demanding for healthcare providers and may require assistance or the use of mechanical aids. Proper training and technique are essential to prevent injury to both the patient and the caregiver.

Also see

• Pressure ulcer
• Nursing care
• Patient mobility
• Decubitus ulcer

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