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26 Nose care If the patient has nasal discharges, care should be taken. Equipment: sterile cotton turundas (wicks), pasteurized plant oil, vaselin oil or glycerin in a small container – 50 ml, 2 tray, tweezers, rubber gloves. During care of the nasal cavity do not use sharp objects to avoid injuring the mucosa. The sequence of actions when removing mucus and crusts from the nasal cavity 1. Explain to the patient the course of the procedure. Make sure that he understands, get his consent for the procedure. 2. Remove the patient in high Fowler’s position. 3. Wash your hands with hot running water and soap, put on gloves, if necessary – safety glasses. 4. Put it in the tray 3–4 cotton turundas. 5. Take 1 turunda in the right hand, dip the end to the prepared oil and lightly press to the edge of the bottle with oil. 6. With your left hand slightly lift the tip of the nose, and with your right hand, gently, with rotational movements, insert the turunda into the lower nasal passage not to the end, make blotting movements on the corresponding half of the nose, pressing its edges. Leave turunda for 1–3 minutes. 7. Carefully remove turundas with rotational movements. 8. Repeat the procedure on the other side. 9. The crusts will soak and move away themselves. 10. Put used turundas it in the tray “dirty tampons.” 11. Mucus, pus and other liquid excretions can be removed with a pear- shaped rubber balloon. 12. Take off your gloves, wash your hands. Hair care Every day the patient needs to brush his hair. Use the individual hairbrush for this. The comb, moistened with a solution of vinegar, fine comb dandruff and dust. Hairbrush should be kept clean, wiped with 70% alcohol, vinegar and to be washed in hot water with baking soda or ammonia. The patient needs to wash hair once a week using shampoo and toilet soap. Seriously ill people should be washed their heads in bed. For this, put the basin at the head end of the bed, and the patient throws his head so that it was over the basin. It is necessary to soap head skin well, then the hair, rinse them with warm water, dry and comb. After washing tie a towel or a kerchief on the head.

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