在宅介護に必要な基本介護技術「仰臥位から側臥位」篇

Introduction

This tutorial provides essential caregiving techniques for assisting individuals in transitioning from a supine position (lying on their back) to a lateral position (lying on their side). These skills are crucial for caregivers, especially in home care settings, to ensure the comfort and safety of those they support.

Step 1: Preparation for Positioning

• Assess the Environment

  • Ensure the area is clear of obstacles to prevent accidents.
  • Adjust the room temperature for comfort.

• Gather Necessary Supplies

  • Use soft pillows to support the individual’s head and body.
  • Have a blanket or sheet handy for comfort.

• Communicate with the Individual

  • Explain the process to the person you are caring for, ensuring they understand what will happen.
  • Ask for their assistance if they are able, which can help make the transition smoother.

Step 2: Transitioning from Supine to Lateral Position

• Position Yourself Correctly

  • Stand on the side where the individual will be turned to.
  • Use your body to stabilize the individual during the transition.

• Use the Side-lying Technique

  • Gently place one hand under the individual’s shoulder and the other under their hip.
  • Slowly roll the individual towards you, guiding them onto their side.
  • Ensure that their knees are bent slightly to provide stability.

• Support the Head and Neck

  • Place a pillow under the individual's head for support.
  • Adjust the pillow to ensure proper alignment of the neck and spine.

Step 3: Ensuring Comfort and Safety

• Adjust Body Position

  • Check the individual’s position to ensure they are comfortable and supported.
  • Make sure that the upper arm and leg are not pinched or under any pressure.

• Monitor Breathing and Circulation

  • Observe the individual’s breathing patterns and skin color.
  • Ensure that there is good blood flow to the extremities by checking for warmth and color.

• Provide Additional Support

  • Add additional pillows for support if needed, such as between the knees.
  • Cover the individual with a blanket to keep them warm.

Conclusion

Mastering the technique of transitioning from a supine to a lateral position is vital for caregivers. This process not only enhances the comfort of the person receiving care but also helps prevent complications such as bedsores. Always remember to communicate clearly with the individual and to monitor their comfort throughout the process. For further learning, consider participating in free caregiving courses offered by local organizations, such as the Niigata Prefectural Social Welfare Council, to deepen your understanding of caregiving practices.