How to manage bedridden patients well, reduce complications and prolong the lives of bedridden patients, the following are some experiences we have summarized in our work to provide you with hope that it will help. I. Routine care 1. Regular turning and back patting. This is extremely important for bed-ridden patients. Purpose: To reduce the accumulation of sputum in the lungs, which can produce lung infection and pulmonary atelectasis, as well as to prevent bedsores on the back. Method: 1. Pat the back at least once every 3 hours. The interval should not be too long to avoid accumulation of sputum. 2, turn the patient into a lateral position, with the hollow palm patting the patient’s side elevation, such as the left lateral position, first hollow palm patting the patient’s right axilla and side chest wall, and then patting the right front chest, and then patting the right back in turn. All three sides of the right side of the chest and back – the anterior chest, the lateral chest, and the back – should be patted in turn, for at least 3 minutes each. This is about 10 minutes on one side of the chest. After shifting to the right side of the body, pat each side in turn for the same amount of time. Full-body massage. Purpose: After being bedridden, the patient’s limbs do not move for a long time to produce blood clots, and limb massage helps prevent the formation of blood clots in the extremities. Method: 2~3 times a day, 10 minutes each time, evenly press the limbs and back, neck, so as not to miss a skin. 3. Passive movement of the limbs. Purpose: After being bedridden, the patient’s limbs do not move for a long time to produce thrombosis, and limb movement helps prevent thrombosis of the limbs. Methods: (1) Passive movement of lower limbs —- The caregiver stands on the patient’s side, holds the knee joint N fossa of the lower limb on the patient’s near side with one hand, and holds the heel of the foot with the other hand, doing back and forth reciprocal movement. (2) Passive movement of upper limbs —- caregiver stands on the patient’s side, one hand holds the palm of the patient’s ipsilateral upper limb, the other hand holds the elbow joint of the same upper limb of the patient, making reciprocal movements. Second, dietary care 1. water intake. Purpose: To prevent dehydration and hyperosmolar hemoconcentration, maintain normal metabolism, protect renal function, cerebral perfusion, etc. Method: (1) The daily water intake is 1500ml~2500ml. It should be determined according to the patient’s weight, heart condition, swelling, kidney function, ambient temperature, and whether there is diarrhea, asthma, fever, etc. In the case of fever, diarrhea, increased ambient temperature, excessive sweating, etc., water intake should be increased moderately. If combined with heart failure, light weight, low ambient temperature swelling, etc. should be reduced. (2) Syringe can be used, let the patient lie on his side, slowly injected by one side of the mouth, each time to remember the amount given. Nasal feeding patients should be placed in a semi-recumbent position and injected slowly by the gastric tube, up to 150 ml each time, in several injections, while observing whether there is reflux in the oral cavity. (3) When giving water, it should be injected evenly 24 hours a day, of course, if it does not affect the patient’s sleep can be better from 5-6 a.m. to 22-23 p.m. 2. Food. Advocate a balanced mix, focus on supplementation, focus on the principle of prevention. After the patient is bedridden, frequent complications include decubitus ulcers, hemoconcentration – hypernatremia, hyperchloremia, hemodilution – hyponatremia; malnutrition – low protein, anemia, etc.. In response to these, the principle of advocating a balanced mix, focusing on supplementation and focusing on prevention is proposed. (1) Balanced combination. Easily do not let the patient partial diet, daily intake should include – fresh vegetables, fresh fruits, vegetable protein (such as soy products), animal protein (in moderation), fresh mushrooms. Intermittently supplement with foods high in cold iron such as pig liver and pig blood. Salt, a daily necessity. Of course, depending on the patient’s blood sugar, albumin, hemoglobin. (2) Focus on supplementation. If the patient has low chlorine and low sodium, more salty salt should be consumed; hemoconcentration, high sodium, high chlorine and high potassium should limit salt intake. In case of hypokalemia, oral potassium should be supplemented, usually with fruit-flavored potassium, which is eaten during or after meals to reduce gastrointestinal irritation. (3) Focus on prevention. For the patient’s frequent problems, do prevention, such as water intake, timely detection of the presence of anemia, hypoglycemia, hyperglycemia, low protein – recurrent swelling, anemia – recurrent black stool, etc., careful observation, daily nursing records, in order to timely detection, only targeted. Third, make a good nursing record There is a nursing record is necessary for bedridden patients, the content of the nursing record includes, time, water intake, urine volume, food content, turning time, back patting time, etc.