FOLDING AND CHANGING NAPKIN
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PEDIATRIC NURSING
DEFINITION
• Napkin : A folded piece of absorbent material, such as paper or cloth that is placed between a baby leg’s and fastened at the waist to contain excretion.
TYPES1. All in one cloth diapers -easiest and leak proof diapers -build in diaper cover sewn into
cotton or fleece layer
2.Fitted cloth diaper -contoured to the shape of baby
with elastic around the leg and waist
TYPES con’t…
3.Prefold and flat diapers -need to be fastened with
diaper pins
4.Pocket diapers -waterproof -easy to use as a disposable -easily fit
STEPS IN CHANGING DIAPER
• Lay baby on a towel or a changing mat. Unfasten the tabs on the dirty nappy. Fold them over to prevent them from sticking to baby, but don't remove the dirty nappy yet.
• Pull down the front half of the dirty nappy. If baby is a boy, cover his penis with a clean cloth or another nappy so baby not pee on us.
STEPS IN CHANGING DIAPER con’t…
• If there's faeces in the nappy, use the front half of the nappy to wipe the bulk of it off baby's bottom.
• Fold the dirty nappy in half under a baby, clean side up. To do this, lift baby's bottom off the table by grasping both ankles with one hand and gently lifting upwards.
STEPS IN CHANGING DIAPER con’t…
• Clean baby's front with a damp baby wipe or cloth. If baby's a girl, wipe from front to back (towards her bottom) to prevent bacterial infection.
• To clean any faeces that remains, grab another wipe and gently clean her bottom. We can either lift her legs or roll her gently to one side then the other. Clean in the creases of baby's thighs and bottom.
STEPS IN CHANGING DIAPER con’t…
• Let baby's skin air-dry for a few moments or pat it dry with a clean cloth, or with the towel that a baby is lying on. Apply a barrier cream or, if it's needed, a rash cream.
• Remove the dirty nappy and set it aside.
MOVIE HOW TO FOLD BABY NAPKIN
COMMON PROBLEM
1.Leaking
2.Smell due to: -improper washing -improper drying
3. Rash itchy
COMMON PROBLEM con’t…
4.Infection due to prolong skin contact with the urine and faeces
5.Sore at thigh gap due to tightly applied
WAY TO OVERCOME THOSE PROBLEMSCOMMON PROBLEM WAY TO OVERCOME
Leaking -use suitable size-fold proper way ,not too loose- change napkin every time baby pass urine
Smell Improper washing-use proper soap to wash -don’t mix with other clothImproper drying-drying well under sunlight
Rash and itchy -frequent change baby diaper-apply rashes cream at rash site
Infection -Immediately change baby napkin after baby pass motion or pass urine
Sore at thigh gap due to tightly applied -avoid wear napkin too tight to baby
TOILET TRAINING
1. Toilet training should be start when their kids is walking and can set for short period of time.
2. Teach to follow simple instruction3. Make sure kids understand about the toileting
process.4. Teach them how to contact the muscle
responsible for elimination.5. Ask their kids to express a need to go to toilet
verbally.
TOILET TRAINING STEPS
1. Introduce and explain the potty allow kids to try it out to get familiar with it.
2.Encourage kids to sit on the potty each day every time he/she likely to have bowel movement.
TOILET TRAINING STEPS con’t…
4. Give them positive praise for their effort, even they are very slow.5.Teach kids with some simple word like “I need
to go” , “pee” , associated with going to the toilet .
6.Teach them to go to the toilet when at night every time they have the urge to go the toilet.
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