•1k3

04-a3,/u)r;e2U,-Apt /¢-~-`,``[|.

.'. I , ,, + , `_ "I

OIImTA BojlHHI|A IIETpOBAI| HA MjlABH

MopaBclca 6p. 2, 12 300 IIeTpoBau IIa MjlaBH, Cp6IIja IIHE: 108349629

Tell: 012/327-986, ®ax: 012/327-986 Ma""116poj: 17862855e-MaHjl : office@opstabolnicapetrovac.rs

IIpOI|EqypA 3prABCTBEHE HErE

I. IIPEHMET H IIOpryll]E IIpllMEHE IIpolxpqypEOBOM IIpol|enypoM ypebyje ce HaqHH H nocTyllaK 3xpaBCTBeHe Here y OnlllToj 6o]IHH" HeTpoBal]Ha MaBH.

2. oITOBopHocT H OBJIAmTiEELA3a rlpHMeHy IIpol|e;Type Ha"e)KHH cy MeHIII|HHCKe cecTpe-TexHHqapH OnlllTe 6ojlHHue IIe'IPoBal|

Ha NIaBH. 3a KOHTpony cllpoBobeH,a IIpol|ej|ype oHroBopaH je rTlaBHH TexHrmap H HatleJiHHK

opraHH3al|HOHeje4HHHue,

3. OIIHc llocTyllAKA n AIICTHBHOcTHHo6pa npHHpeMa Hpe H3BobeH,a HHTepBeHI|Hj e npeHcraBTI,a IIpenycjloB 3a H>eHo ycnemHo HHecMeTaHo H3Bobelbe.

IIPHnpeMa 3a H3Bobelbe Me;|HI|HHCKo TexHIIHKe IIHTepBeHullje (no IIpol|ecy 3z|paBCTBeHeHere) o6yxBaTa:

- rlpey3HMaELe cecTPHHCKI]x Hanora 14 yll03HaBaH,e ca HHHIIBIInyanHHM rljlaHOM Here

IIalllljeHTa.-IIoceHOBaELe 3Halba H BellITHHa ;|a ce H3Be;|e o;|pebeHa HHTepBeHI|IIja.-yn03HaBaELe ca nal]HjeHTOM, rberoBO HH¢opMHcaH>e H npHnpeMa 3a HHTepBeHlurjy.-06e36ebHBalbe oHTHManrmx ycjloBa 3a pan, o6e36ebHBane jlHqHe 3alllTHTe CecTpe H

o6e36eberbe cHrypHoc" IIal|HjeHTa.1.Hpey3HMalbececTpllHCKIIxHajloraHyll03HaBaELecaHHj|HBHnya]IHHMII]IaHOMHerenauHjeHTa

npeHCTaBjbanpBHKopaK.CecTpanpenoqe"apana,Tpe6aHanpHMHHaror("cMeHHrmHycMeHH},Aa CxBa" H Pa3yMe IIJlaH Here 6o]IecHIIKa, IIo rloxpe6II IIoCTaBH npHoPHTeTe HJ" H3BPII" KopeKI|HjyII]IaHa Here cxoI|Ho 113MeHaMa cTalba nal|HjeHTa 117m H,eroBHx IIOTpe6a.2. rloceHOBarbe 3Halba H BemTHHa ;|a ce H3BeI|e oz|pebeHa HHTepBeHHHja -cecTpa IIpe noHeTKaH3BobelbapaHlbeMopaHa3HaKaKoceHHTepBeHI|I]jaH3BOHH,KojHjeI|IIjbHHTepBeHI]prje,IIITaceOqeKyje Oq HHTepBeHuHje, Moryhe KOMHTIHKauHje H eBeHryanHH Hexejbem e¢eRTH. cecTpa MOpaqa 6yj]e cBecHa H caMOKPFTHtlHa IIo r"Talby nocej|oBarba 3HaH,a H BelllTHHe, Kao H TpeHyTHencHxodyH3HtlKe CnpeMHoC" 3a 143BobeH]e HHTepBeHUHje. yKoj"Ko npol|eHH , ;|a 113 6rmo Kor pa3jlora,HHje y CTalby Ha oxpebeny HHTepBeHul4jy a;|eKBaTHo H 6e36eqHo H3BeHe, nyacHaje ;|a o TOMe06aBec" OHroBOpny / rjlaBny cecTpy unH HCKycHHjy KojlerllHHny H 3aTparH IIOMoh.

3 . yH03HaBalbe ca IIal|IIjeHTOM, IberoBO HH¢OpMHcaH,e H IIPHnpeMa 3a HHTepBeHul]jy -IIoqHlbeTIHtlHHM IIpe;|CTaBJbalbeM MeHHI|IIHCKe CecTpe IIal}IqjelITy rmH IIo3xpaBOM (KaHa To HHje IIPBHKOIITaRT Tor ;|aHa) H 06aBelllTaBalbeM nal|Hj eHTa ;|a he OHa H3Bec" Or|pet)eny HHTepBeHI]I{jy.CecTpa Ha aHeKBaTaH Hatlllll IIal]IIjeHTa IIH¢opMrme o caMoj npol|e;|ypH, KojH je rbeH Ip[}b ,BpeMeTpajaH,a, HatlHH H3BobeELa, Ha KojH HaqHH IIal|HjeHT Tpe6a Aa noMorHe H Capabyje TOKOMIIHTepBeHI|Hje, Koj e peaKI|Hje /Hejlaro;|Hoc" Mory ;|a ce jaBe.HeKe HHTepBeHI|Hje 3axTeBajy H IIoce6ny npeHxor|Iry IIPHnpeMy 6o]IecHHHKa (Be3aHo 3a

y3IIMaH,e I"H Hey3HMalbe xpaHe IIj" Bor|e, npaDKELelbe 6emHKe IIj" He6eJlor xpeBa, 3ay3HMalbeoHpebeHor IIOJloxaja rmH ;|pyro.)4. 06e36eSHBaH,e olTrHMajlHIIx yc]IOBa 3a pa;I, o6e36ebHBalbe 3alllTFTe H cHrypHoc" -nocMarpa ce 11 ca aclleRTa cecTpe H ca acrleRTa nal|HjeHTa. IIOI|pa3yMeBa o6e36ebHBaH,eoAroBapajyher oco6Tba (cTpyTIHor H KBarH¢HKOBaHor), noTpe6He onpeMe H MaTepHjana Ho6e36eberbe IIOTpe6mlx npocTop"x ycjloBa. CBH OBII qHHHoliH y"tly Ha KBajlHTeT H e¢IIKacHocT

peanH3al|Hj e cecTpllHCKe HHTepBeHUHj e.

H3Bobelbe IIHTepBeHUHjeHaKOH HeTajbHo o6aBjl,eHe IIPHrlpeMe cecTpa IIpllcTyna peaj"3al|Hj H caMe HHTepBeHI|Hje.TOKOM113Bobelba HHTepBeHI|IIje cecTpa Mopa Ha Hcllojl>II cllpeTHocT, BeHI"IIy 11 cHrypHocT, j]a HMaIIpo¢ecHOHajlaH oHHoc H IIolllTyje eTHqKe IIPHHI]Ime y pany. CBe BpeMe Mopa Ha oHpxaBaI(oMyHHKauHjy ca IIal|HjeHTOM, Ha ra KojlHKo je To Moryhe ylcTI,yqH y peaTIH3al|Hjy 11 npl];|o6Hje 3acapaHlby. CBe BpeMe H3Boqjelba IIpol|enype Mopa fla 6yHe cBecHa nal|IIjeHTOBor cTpaxa,3a6pHIIyToc" , ocehaja CTH;|a IITIH c]I. H Ha cBojHM IIocTylll]HMa HH jenHor TpeHyTKa He IIOBpeHHIIalunjeHTOBO HOcTojaHCTBo H npHBaTHOcT. cBe BpeMe Tpajana HHTepBeHI|Hje BOz|II patryHa oHal|HjeHTOBoj 6e36e;|Hoc", oHcepBHpa cTalbe naunjeHTa H IberoBe peaKI|Hje Ha H3BobenyIIpol|enypy. HapaBHo npeny3HMa cBe IIOTpe6He Mepe 3a TIHqlly 3am"Ty H collcTBelry 6e36eqHocT.3aBpllleTaK IIHTepBeHullj e

Ho 3aBpllleTny HHTepBeHI|Hje cecTpa Mopa Ha ce no6pHHe 3a Hal|HjeHTa-IIOMorHe My ;|a ce o6yqe,cMec" yso6Ho y nocTetby , H3MepH My BHTajlHe dyyHKI|Hje, ;|a noTpe6He HH¢opMal|Hje Hc}IHtlHo.IIOTOM pacllpeMa ylloxpe6TbeHH MaTepHjan H ollpeMy, IHalbe y3eT MaTeplljajl y Tla6opaTopHjy Hz|pyro. y z|oKyMeHTal|IIjy ynHcyje BpeMe H3Bobelba HHTepBeHI|Hje H IIOT"eyje ce. yKojlrmco jenoTpe6Ho y py6pHI|H I-IAHOMEHE ynHcyje noTpe6He noHaTKe.

HOCTylllpI 3A IIOCTH3AHJE ACEIITIIIHIIIX ycJI0BAPARA

• qHCTA - ACEIITIIIIIIA CPE;|IIIIA• IIPAlbE Pyl(y• )nlpypmKA IIPEorlEPATHBHA IIPHIIPEMA pyKy• ylloTPEBA pylcABIn|Atl ylloTpe6a 3amTIITHe ol[peMeI HocTynaK ca tlHCTHM BellloMI IIocTyllaK ca npjbaBI[M I[jlll I]oTelll|IIjailHo KollTaMIIIIHpaHHM py6jl,eMI AcenTHtlHH I]OcTyllaK ca zlllcTpyMeHTIIMa 11 OIIpeMOM

MEPE IIPEJ|0CTPO)KII0CTII• HPH[[pxaBa" ce npaBrmla o oHpxaBaELy xH"jeHe 6o]IecHHqlunf co6a H paHHIIx IIpocTopHja.• PeHOBHo npalbe pyKy.• AHeKBaTHa 3alllTRTHa oHeha: HIICTa y"dyopMa, KpaTI(a 11" clcyllTbeHa Koca, 6e3 HaKIITa ,

oj|roBapajyha o6yha.• o;|pxaBa" paHHo MecTo ypeHHHM 11 H14cTHM.• IIpaBrmHo nocryllalbe ca HHCTpyMeHTHMa H ollpeMOM ( ;|e3HHdyeKlurja, cTepIIi"3alurja...)

IIPAILE Pyl(yHHDHKaullje 3a IIpalE,e pyKyA. PyKe npa" BOHOM H o6HqHHM rmH aH"MHKpo6HHM callyHOM KaHa cy BH;|Ho 3anpjbaHe IIj"KOHTaMHHHpaHe.

I. yKoj"Ko pyKe HHcy BI|z|Ho 3allpTbaHe, IIpeHopyllyje ce ylloxpe6a cpeI|CTaBa Ha 6acHaTIKoxoTla. yKOTIHKo oBa cpej|CTBa HHcy z|ocrynHa, Kao aTITepHaTIIBa, oCTaje ynoTpe6acanyHa H BOz|e.1|. xH"jelly pylcy cllpoBoj|IrrH:• IIpe H HaKOH ;|HpeKTHor KOHaKTa Ca IIal]HjellTOM.• HaKOH CKII;|aH,a pyKaBHI]a.• IIpe o6aBTbaH>a HHBa3HBHIIx IIpoHenypa ( I"acHpaH,e BHro Hrjle, IPK, ypHHapHor

KaTeTepa ...) 6e3 o63Hpa ;|a j" ce KopHCTe pylcaBHI|e lmll He.• HaKOH KOHTaRTa ce TeTlecHHM TeqHocTHMa, eKcxpe"Ma, Tle;|HpaHOM KoxoM, HaKOH

o6paf|e paHe.• IIPHj"KOM npeTlacKa ca npTbaBor Ha tlHCTO MecTo KO;I jenHor naunjeHTa.• HOKOM KOHTaRTa IIpeHMeTa H rloBPHHHa HellocpeqHoj 6]IH3IIHH IIal]IIjeHTa.

J|. orlpa" pyKe o6HTIHHM 117" aH"MHKpo6HHM canyHOM H BofloM IIj" H3BPHrml xH"jeHy PyKycpeHCTBOM Ha 6a3H ajlKoxoTla IIpe pyKOBaELa TleKOBHMa H IIPHrlpeMaH,a H HOHejle xpaHe.E. yKoj"Ko je Ben ynoTpe6jbeHOH cpej|cTBo Ha 6a3H ajlKoxojla, He KopHc"" HCTOBpeMeHo HaHTI"IIKp06I" canyH

ocTaJle npenopyKe

• 3anocTleHH npl4 HHpeKTHOM KOHTaKry ca nal|HjeH"Ma He cMejy Ha HMajy

BemTaHKe HOKTe.• rlpenopyTlyje ce ;|a IIPHpOHm Horc" He IIpe]Iace HBHny jaroHIII|e npcTa (;|y"HaMarba oH 0,5 I|M).• rlperjlez|a" Ha " Ha KoxH pyKy HMa 6HTlo raKBIIx rloBpe;|a H]IH IIoceKOTHHa. IIoxpir"jle3Hj e HerlpoMot"BHM JleyKOHjlacTOM npe rlpy)Icarba Here nal|HjeHTy.• He npenopy.Iyje ce HollleH>e HapyKBHI|a, npcTelba H j|pyror HaKlrra TOKOM paHa

Ca naunj eH"Ma.• 3a IIpaHe pyKy He KopHCTIITH Bpyhy Bony 36or IIOBehaHor pll3IIKa 3a IIojaBy

;|epMaTHTIIca.• H3 xH"jeHcrmx paeTlora npenopytryje ce ylloTpe6a TeqHor callyHa. yKoj"Ko ToHHje Moryhe KOpHc"" qBpcT canyH MaH,rlx ;|HMeH3Hja KaKO 6H ce qelllne Melbao.HeorlxoI|Ho je Ha cTojH Ha HpxallHMa 3a canyH KojH oMoryhaBajy oTHI|arbeBone.• 3a cymelbe pyKy KopHc"" IIanHPHe y6pyce Hj" anapaT 3a cyllleH>e Pyny.• HeollxoHHaje Hera Koxe pyny KpeMaMa 11 jlocHOHHMa HaKOH IIpaH,a y I|Iul,y

cMalbeH,a pH3HKa oH KOHTaKTHor HepMaTRTHca.yll0TPH EA PyKABHI|A

KopHIIIhelbe pyKaBIII|a ce npenopyqyj e:a) j|a 6H cllpetmjlo IIpeHOHelbe MHKpoopraHH3Ma ca 3HpaBCTBeHor oco6jba Ha IIalurjeHTe,6) Ha Ce CMalbH pll3HK rlpeHomelba HHdyeKI|IIje Ca naunjeHTa Ha 3HpaBCTBeHe paHHHKe.pyKaBIII|e He npy)Icajy allcojlyTlry 3alllTlrly Or| KOHTaMHHalurje.oHe He npy>Icajy KOMnrleTHy 3allmITyo;I HHdyeKI|Hja xellaTFTHC 8 BHpycoM H xepllec cHMH]IeKc BHpycoM.IIocJle cKHHalba pyKaBHI|a pyKe Tpe6a o6aBe3Ho ollpa" Bo;|oM H canyHOM IIj" 113BplllH" xll"jeHy

pyKy cpeHCTBOM Ha 6a3H anKoxoTla.PyKaBHI|e ce Mopajy 3aMeHII" HaKOH Here cBaKor nal|HjeHTa rmH IIPH IIpoMeHH MecTa Here jeHHorHCTor nal|HjeHTa aKo ce ca npTI,aBor IIpeTla3II Ha qHCTo MecTo.

ylloTPEEA 3AIHTHTHE OIIPEMEI|IIJb: 3alllTIITa IIai|IqjeHaTa H MeHHI|IIHCKor oco6Jba.

OHPERA• pyKaBHI]e ( HecTeprmHe, cTepllilHe)• MacKa 3a TIHI|e• MaHTrm• KaHa /MapaMa• Haoqape / 8113zlp• 3alllTrmHe I|HneTle/ IIanytle

rloxpe6a 3a KOpHmherbeM 3amTIITHHx cpe;|cTaBa ce npoueELyj e 3a cBalry clnyal|Hjy / HHTepBeHI|Hjynoce6Ho.a) HecTeplljllle pylcaBHI|eKOpHCTe ce rlpH Hellocpe;|HOM KOHTaKry ca KPBTby, TejlecHHM TeqHocTHa naunjeHTa, cexpeTOM,HHdyHI|HpaHHM paHaMa, IIjm orlpeMOM H HHCTpyMellTIIMa KojH cy 6IIj" y KollTaKTy ca HOMeHyTHM .6) CTepHjllle pyKaBIII|e• Onpa" pyKe H j|o6po in H36pHca".• H36ehH Hoz|HPHBarbe pyKaBHI|a ca cnojliHe cxpaHe.• Panll" ys CTaJIHo oHCTojarbe CTeprmlHor H oHor IIITo To HHje.• oz|6aHH" cBe inTo je flo;|HPHyTo pyKaMa Koje HHcy cTeprmHe Hjlll HeqHM ;|pyl"M IIITo, TaKquje,

HHje cTeprmHO.

IIocTyllaK HaBT]atleELa pyKaBHI|a

• oTBOpH" naKOBalbe cTeprmHIIx pyKaBHI|a, aj" TaKO ;|a cy npc" HaTbe ou TeJla.• yxBaTFTH jeqHy pyKaBHny c yHyTpalllH,e cTpaHe.• CTaBI" KaxHnpcT H naJlal| yHyTpa, TaKo j|a yby y Pylle IIpeHBIIbeHe 3a HHX.• Kana cy IIpc" CBII Ha CBOM MecTy, IIOBynH pyKaBHny Harope, TaKO z|a OcTaHe caBHjeHa,

HeJloM, npH Bpxy.• y3e" j|pyry pyKaBHny cnojba, 3a ropH,e KpajeBe, cTaBFTH IIpcTe yHyTpa, H IIOByhH pyKaBHnyHaBHIIIe.• H36ehll HOHHPHBaH>e Koxe.• Jleno HaMec"" PyKaBHI]e.1]) MacKa 3a jllll|eCjlysH Ha 3am"" IIauHjeHTa ( ca ocTla6jbeHHM HMyHHeTOM) H o6aBe3Haje oco6jl,e ca pecnHpaTopHHMHHdyeKI|HjaMa.

3a oco6jbe : npH]IHKOM pyKOBalba Helcl" TleKOBHMa 11 j|e3HdyHi|IqjeHcllMa KojH HMajy IIPFTHpajyhe

HejcTBo,KOH onacHoc" ou npeHoca Karl.Ibl4qHHx HH¢eKI|Hja, IIPH pyKOBalby cTepHTIHHM rmlcxpyMeHTHMa HonpeMOM.

/I) 3alllTHTHII MaHTHjlmTHTH cBaKO;|HeBIIy paHny OHehy /yHHdyopMy.e) Kana / MapaMa ce HocH y cnyqajy cllel|IIdyrmHe HH¢eKi|IIje, Hoxpe6e 3a H3ojlal|Hjy, TOKOMxHpyplllKHx HHTepBeHHHja.

a) Haoqapll / 8113IIp -npHMelbyjy ce y cnytlajeBHMa nocTojaELa onacHoc" oH pacllpcKaBaH>a6HOJlomKor MaTepHj rna, He3HHdyeKI|HOHIIx cpe;|cTaBa H HeKIIx JleKOBa.

IIPOMEHA 3AIIITHTIIE 0IIPEME

• MacKe 3a T[Hue 6al|ajy ce HaKOH cBaKe ylloxpe6e IIJ" Ken ce oBJlarce.

• PysaBHI|e Ce Melbajy nocJle CBaKor HauHjeHTa rmH IIoCJle CBaKe HHTepBeHI|I[je Koz| HCTor IIal|I|jeHTa,

Kar|a ce 3anpTbajy HTIH OIHTeTe.• MaHTrm ce Melba nocjle xpeTMaHa cBaKor nalurjeHTa , MeH,a ce o"ax qHM ce 3allpTI,a.• CBy yrloxpe6jbeHy onpeMy npol"cHo 6aHlr" y Kece 3a oTHan rmH a;]eREaTHo ozulorcrmH y Bpehe 3aI]PJI,aB Ben.• q[ITaB nocTynaK 3aBpllllml npaH,eM pyKy.PeHocJleH :o6jlaqerbe- MapaMa/Kalla, MacKa 3a jlHI|e, paj|HH MaHTHjl, pyKaBIII|eCBjlaqelbe- pyKaBHI|e, MapaMa/ Kana, MacKa 3a JIHI|e, Mall"JI 3a pan.

CECTPHHCKE HHTEPBEHlquJE y HE3H IIAI|IIJEHTA• HaMenlTalbe 6oj]ecHHtlKe nocTejbe• IIocTaBjbalE,e IIohHe nocyqe• yMHBalbe 6oj[ecllHKa y nocTeibH• Kyllall>e 6ollecllllKa y IIocTejl.H• IIpalE,e Koce HenoKpeTHOM nauHjeHTy y nocTejbl[• Hera ycHe qylljbe HenoKpeTHIIx cBecllllx naul[jeHaTa• Hera ycHe nylljbe Koq IIal|HjeHaTa 6e3 cBec" HjlH ca H3MeHaMa cTalbaCBecTII• Hera cTonana• Hera HOK"jy• CecTpl[HCKe IIHTepBeHullje y npeBeHUHjH qeKy6HTyca

cECTplHCKA IIHTEPBEHIHI]A -HAMEIIITAlbE EojlECHHIIKor RTEBETAIIHJb:• 06e36eHII" yso6aH ]Iexaj 3a IIal|HjeHTa.• 06e36eHHTH rlpaBIIjlaH nojloxaj IIauHjeHTa y IIocTejl,II.

MEPE ImEHocTpoxHocTII• Hpol|eHI" Ha J" je IIOTpe6Ha noMoh xpyre oco6e.• rlaell" Ha ce He Meilla npjl,aBa ca qHCTOM IIOcTejbHHOM.• rlpunllKOM HaBjlatlelba rlocTejbHHe, IIa3H" Ha cnojl,Ha tlHCTa cTpaHa He HOAHPHe npjbaBy cTpaHy

j opraHa ffie6eTa H j acTyKa.• CBy IIocTeTbllny rlopeba" OHHM peHOM KojHM he ce KopHCTII".

HOTPEBIIA 0IIPEMA• JopraH HjlH he6e, Mann 11 BeTIHKHjacryK• 2 qaplllaBa, HaBjlaKe 3ajacTyKe H jopraH 117" he6e• pyKaBIII|e 3a j e;|HOKpaTHy ynoTpe6y• KojlHI|a HjlH Bpeha 3a IIpjl>aB Belll• cTojlHi|a, IIallyqe H orpTan (3a IIaHHjeHTa aKo xpe6a z|a ra no;|HrHeMo H3 KpeBeTa)

HaMelllTalbe IIpa3Hor KpeBeTaHocTynaK• onpa" pyKe H caB IIOTpe6HH tlHc" MaTeplljajl cllpeMrl" Ha cTOJIHny nopen xpeBeTa

(aKo Ben He cTojll Ha cnel|IIjaj"M KojlHUHMa HaMelbeHHM 3a qHCTy nocTejbHHy).• rloMohH nal|HjeHry fla ce IIOAHrHe H3 IIOcTejbe H ys06HO ra cMec"" Ha cTojlHny

y co6H.• IIOHecIT" KpeBeT Ha pan[ry BHCHHy (aKO nocTojH MexaHH3aM).• HaByhH pyKa814I|e 3a j ej|HoxpaTlry ynoTpe6y.• cKHHeMO HaBnay cajopraHa/he6eTa H jacryKa H OjuloxHMO y Kojllll|a 3a npjbaB Ben (aKO cy H jacryl|HH joprarl/he6e Hpjl,aBH y6anyjeMo 14x y IIpjbaB Belll, aKo He, KojlerHHHI|a Koja HaM IIOMaxe cjlarme HacTOJ"ny).• cKHHy" pyKaBIII|e.

• CTaBH" tlHCT tlapmaB npeKo MaHpal|a, He TpecyhH ra H He Z|rmnyhH IIpamHny.• 3aTerny" KpajeBe qaplllaBa KOH rJlaBe H cTorlaTla, H 3aByhli IIx noz| MaHpal|.-;|IriH HBHI|y qaplllaBa 3a 45I|M, 3aBpily" ra Ha jlexaj H o6]IIIKOBa" xpoyrao.-CJlo6ouny BHcehy IIBHI|y HapmaBa IIo;|BIr" no;I Mal|pal|.-Je;|HOM pyKOM ;|pxa" cTpaHHny Tpoyrjla, a HpyroM pyKOM y3e" Tpoyrao

Ca Tlexaja H IIor|BII" ra HpeKo IIIaKe HcnoH MaHpal|a.-IIoj|BIr" H ocTajle HejloBe qaplllaBa rloH MaHpal|, 11 cBe noHOBI" ca y3HoxjeM.

• Ilo cpej|HHH npBO cTaBII" IIOIIpeqHO IIjlacTIIqny MyllleMy, a rlpeKo lbe Hyll]Io

rlpecaBIIjeH qaplllaB KojH Tpe6a Ho6Po 3aTerny" H noz|ByhH non MaHpal|.• HaByhH qHCTe jacTyH"I|e HajacTyKe H nocTaBII" rlx Ha roplbH ;leo xpeBeTa.• HaByTleH jopraH IIj" he6e cTaBFTH Ha KpeBeT H 3aBplly" ropH,H Heo IIpeMajac'ryl|HMa, z|oELH KpajeBH

cJlo6oHHo BHue npeKo KpeBeTa (aKo ce He yBjla" he6e

y HaBjlaKy, pacrlpocTp" qapmaB KojH naAa npeKo KpeBeTa, npeKo H,era cTaBH" he6e 25 -30I|M HlureoA ropH,er qapmaBa, a 3aTHM qapHlaB caBH" npeKo he6eTa H nopaBIba").• IIOMohH IIauHjeHTy ;|a ce Bpa" y nocTejby y oHroBapajyhH IIOJloxaj H o6e36eRTHMy cHrypHOcT.• PacnpeMII" npH6op H orlpa" pyKe.

HaMelllTalbe KpeBeTa Kaqa je HauHjellT y lbeMy• IIPHIIpeMII" qHcry nocTeTbHIIy 11 IIjlacTHq" qaplllaB IIim IIjlacTHqm IIOz|MeTaq.• IIPHrlpeMIITII Kecy 3a IIPTI,aB Ben.

Mepe IIpeBocTpoxHoc"• IIpOI]eHH" y Kojoj MepH je IIal|I[jeHT aKTHBaH.• IIpol|eHII" Ha JIM je cecTPH noTpe6Ha IIOMoh I|pyre oco6e.• Ho6pHHy" ce ;|a co6Ha TeMrlepaTypa 6yz|e npHjaTHa.• IIo6pHHy" ce 3a tlHCT H ypeHaH IIpocTop yHaoKOTlo.• 3ayse" Ho6ap paz|HH noJloxaj .• IIpjl,aBy rlocTeJ"Hy cTaBJba" j|HpeKTHo y Kece 3a rlpji,aB BelH.• H36eraBa" MelllaH>e rlpTbaBe H qllcTe HocTejbHHe.• Orpaun" KpeBeT nal]IIjeHTa HapaBaHOM, z|a 6H ce 3allm"o oH IIor]IeHa ocTajlor oco6jl,a HIIauHjeHaTa.IIoCTyllaK I]aMemTaELa KpeBeTa• CaBFTH jopraH rm" he6e, H cTaBRTH ra Ha cTOT"ny nopen KpeBeTa.• IIpeKpll" Hal|Hj ellTa qllcTHM qaplllaBOM.• HaMec"" KpeBeT Ran IIauHjellT JlexH -ou rTlaBe Ha;|ojle.• caBII" cpe;|IbH qaplllaB, HO;I HauHjeHTOM, oj| cnoTbHe cTpaHe npeMa yHyTpa.• IIjlacTHq" IIonpeq" tlaplllaB rmH Hjlac"qHa MyllleMa Tpe6a z|a z|oSe ca cnoJbHe CxpaHe.• OcTlo6o;|IT" HolbH qaplllaB o;I Maxpal|a.• IIOMohH rlal]HjeHry Ha ceHHe (j]a" My Tpany 3a npHHpxaBaH>e rmH ra HeKo j|pyrH Hpxll).• cunoHII" jacryKe ca KpeBeTa.• Ho;|HhH xpajeBe ;|oH,er qapillaBa, H 3apoTla" IIx HaHOTle, npeMa ce;|aTIHOM ;|eny nal|HjeHTa.• cTaBII" HOB qapmaB, H 3apojla" ra Oz|Max H3a nprl,aBor KojH ce cK7Ialba.• IIPHnpeM14" HOB, HonpeHHH qaplllaB, ca OHHM IIjlacTHHHIIM Hcrloz|, H cTaBH" ra, oAMax, nolllTo

je HOB qapmaB HaMelHTeH.• cTa814TH HaTpar jacryKe, H rloTIOxH" nal|HjeHTa z|a, noHOBO, jlerHe.

• IIOBjla"" rlpjl,aBe tlapmaBe HaHojle, H IIycTRT14 z|a ce qHc" noMepajy 3a rbHMa.• 3aTerHy" qHCTe qapmaBe IIpeKo MaHpal|a.• JacryKe HCTpec" H Bpa"" Hx Ha cTapo MecTO.• EBeHryanHo, npoMeHH" HaplllaB ca nal|HjeHTa rmH HaBTlalty 3ajoprarl/he6e.

• KpeBeT ce Moxe HaMecTIITII 11 o6pHy"M peHOM- oq ;|oTle npeMa rope.

HaMemTaHe KpeBeTa ca cTpaHe Ha cTpal]y• caBHTH KpajeBe noIIpeqHor tlaplllaBa ca cxpaHe, 3apojla" rmc I|e]IOM ny2KHHOM qaplllaBa IIpeMa

yHyxpa.• CaBII" ra IIpeMa yHyTpa, TaKo ;|a IITlacTHqHH qapmaB rmll MyllleMa ;Idle CIIOTBa.• rloMohl4 nal|I{jelrry Ha ce OKpeHe Ha cTpalry. JacTys ce HaMec" How lberoBy rTlaBy z|OK

ra [|pyra oco6a ;|prrm ca ;|pyre cTpaHe KpeBeTa.• oTnyc"" HolbH qapmaB oH MaHpar|a, caBII" ra npeMa yHyTpa H ypojlaTII, i|ejloM z|y)KIIHOM,

Ho nojloBHHe KpeBaTa.• o;|Max cTaBIITII tlHCT qaplllaB 11 pallmpll" ra.

• cTaBIITII IIOIIpeqHH qapmaB ca IIrlacTHqHI" qapmaBOM rm" O;|MeTaqeM H pall"pIT" ra.• oKpelry" rlarmHBO nauHjeHTa Ha xpyry cTpally H cKHny" npjbaBy IIocTeJbHny.• 3aTerHy" qHCTy nocTejl,HHy 113aByhl4 KpajeBe nor MaHpal|.• HpOMeHH" jacTyKe 11 jacryq"ue Ha H>IIMa.• CTaBH" naL[HjeHTa Ha TlerHe y IIPBo6IITHH nojloxaj .• HpoMeHlr" H HaB]IaKy j opraHa/he6eTa.

CECTPHHCKA IIIITEPBEHulJA -IIOCTABJbAH>E H0hllE IIOcyj|EIHIJb: OMoryfiH" rlpaDKlbelbe MOKpahHe 6elllHKe / I|peBa.

MEPE IIPEHOCTPOXHOCTH• ylloTpe6I" 3alllTHTHH IIapaBaH paHH o6e36eqj HBalba IIPHBaTHoc" IIal|iqjeHTa.• HomTOBa" IIOTpe6y rlalurjeHTa z|a ca.IyBa jlHHHo HocToj aHCTBo.• HOKplr" rlal|Hj eHTa TOKOM o6aBjbaH,a ¢H3IIojlolHKe noTpe6e.• IIPIIIIpeMIITH HOBOJI>Ho "cTe IIocTeJbHHe, jlHtlHor py6jba H npH6op 3a npaH;e

aHoreHRTanHe pe"j e• 06e36e;|IITII qHCTe H He3HHdyHKOBaHe HohHe rlocyHe.• 06o;I JTorlaTe Moxe ce IIOKpl4" nal"pHOM BaTOM ( KaKo 6H ce y6jlanH+Io Tpelbe Koxe 11

cHpeqHJlo omTeherbe HHTerpHTeTa Koxe).• H36eraBa" rpy6e IIOKpeTe IIPH IIocTaBII,arby H clcjlalbalbyHohHe IIocyqe Karo He 6H

Hollljlo Ho omTefieELa Hlrl`explITeTa Koxe IIal|IIj eHTa (I]apotlFTo Kou naunjeHaTa ca noBehaHHMpH3HKOM oH HacTaHKa ;|eKy6HTanmlx npoMeHa).IIOTPEBIIA OlnEMA• 2 JlollaTe (ca noKjlolll|eM)• IIOcyz|a 3a Bony (6OKajl) ca TOHjloM Boj]OM• TeHHH canyH• nal"pHa BaTa rm" MeKe KOMIIpece• pyKaBHI|e 3a je;|HOKpaTHy ylloTpe6y• qHCTH qaplllaBH• TaojleT narlHp IIi" nal"pHa BaTa• Keca 3a oHJlaraH>e ynoTpe6jl>eHor MaTepHjaTla

HocTyrIAK• o6jacHH" Hal|HjeHry nocryllaK H3BobeH>a paHlbe H yltoj"Ko To Ho3Bojl,aBa IberoBo cTalbe, 3aMojlFTH

ra 3a capaHII,y H noMoh.• IIocTaBIITH rlal|HjeHTa y aHeKBaTaH nojloxaj .• cKjloH14" ropH,II qapmaB Ha cTpally.• OcJlo6o;|H" floH>H Aeo IIIIuaMe HauHjeHTy H noByhH Harope roplbH Heo IIHuaMe.• rlocTaBH" IIolipeqHH HapillaB HclloH rjryTeaTIHor Hejla nal]IIjeHTa, a ;|py" tlapmaB

IIpe6al]rmH rlpeKo Hory nal|HjeHTa.HOKpeTHH naulljeH" :

• 3aMOTIIrrH IIal|I[jeHTa Ha CaBHje Hore y KOJleHHMa H j|a Ce oHHrHe HeTaMa.• 3aMojlFTH nalilqjeHTa Ha IIOHIIrHe rHyTeaJIHH ;leo KaKo 6H ce JlonaTa IIOHBylcJla IICHOu

H,era, a 3aTHM ;|a ce ]IaraHo cllycTII Ha H,y.• Boz|H" paqyHa o TOMe ;|a ce jlollaTa nocTaBH Ha cpe;|HIIy, KaKo 6H ce H36erTlo

nypeH]e cappxaja BaH TIOHaTe.HenoKpeTHH IIaHIIjeH" :• Hal|HjeHT jlexH Ha jleqjl"a.• HOMofiH My ;|a ce Majlo oKpelle Ha cTpaHy.• Ha)Ic)bllBo noI|ByhH jlollaTy HCIIou rHyTeyca.• IIocTaBIITH j acryK Hcnor| Jlet)a nal|Hjelrly pa;|H KOM¢Opa.• BpaTRTH IIal|HjeHTa ]IaraHo y IIo]Ioxaj Ha IlebHMa.• CREOHRTH jloHary H OHMax je IIOKjloIIFTH.• IIocjle ypHHHpaELa / j|edyHI|HpaH,a nauHjeHry onpa" aHoreHIITajliry pe"jy H nocymH"

(xeHe -or cHMdyH3e npeMa "apy)- nomTyjyhH nprlHHHH jeI|aH noTe3-jeqaH ryndyep.• IIal|HjeHTa HaMecTIITH yso6Ho y IIocTejby H noKplrml ra.

• oMoryhH" nallHjeHry Ha ollepe pyKe.• cKHlry" pyKaBHI|e H Onpa" pyKe.• HpoBeTprmH 6oTlecHHqKy co6y.• EBII;|eH"pa" H3jlylleBIIHe ( KOT"tlHHy, H3rJlez| ...)• Hohny IIocyqy oAHocH xll"je"tlap / 6o]IHHHap, pacllpeMa ylloTpe6jbeHH MaTepHjan 11o6aBjl,a rlpol|ec IIpalba 11 ;|e3HH¢elcl|Hje nocyqe.

CECTPHHCKA HHTEPBEHI|II]A - yMHBAILE EojlEclnlKA y IIocTEjbHI|IIJb : OHpxa" HoPManny cxpyKTypy H dyyHKUHjy Koxe H cllpeqRTH omTeherba li HHdyelcl|Iqje.

MEPE IITE;|0CTPOELHOCTH• Hpol|eml" KojH THn Koxe HMa IIauHjeHT H Koje cy H,eroBe noTpe6e 11 HaBHKe.• Hpoi|eHII" Ko]IHKo IIyTa z|HeBHo je noTpe6Ho rlpalbe H yMHBaELe.• yTBp;|II" pe[|ocjleA H3Bobelba PaHlbH.• Hpol|eHrmH ;|a j" noxpe6Ha noMoh ;|pyre oco6e.• 06e36eHH" npHBaTHocT nal|IIj eHrry nocTaBjbaH,eM napaBaHa.• HpoBeplITH 3arpejaHocT npocToplIje ( noxeJbHaje co6Ha TeMnepaTypa oKo 22 01| ).• oZIcxpa"" cBe HenoTpe6He cTBapH ca nocTeTbe.• O;|roBapajyha TeMIIepaTypa BOHe ( 37-38 01| )• 3alll"" nocTejbHny.• /|o6po onpa" ;|eTloBe Tejla Kojll cy Hpe6pHcaHH calryHOM.• Ho6po o6pHca" H nocylllFTH ;|ejloBe Koxe KojH cy onpaHH .• Hojloxaj nauHjeHTa 3aBHCHo oH TexHHe cTaH,a Moxe 6Ir" ce;|ehll rmH jlexehH y nocTejbH rmH cenefiHHa H814I|H nocTeJbe.

IIOTPEEHA 0IIPEMA• HapaBaH• JlaBOP• BOKan ca TorL]IOM BOHOM ( 37-38 001| )• PyKaBHIIe• 2 rle,I,K,Ipa• 2 TPJbatlHue / ra3a• Teq" canyH• cpeHCTBa 3a Hery KOxe- KpeMa , nyz|ep H Hpyro• Tyndyepll BaTe, IIITanHfiH oH BaTe• By6permaK• tlHCT IIOcTejbHH Belll H rlHuaMa

• Bpeha 3a ouraralbe ylloTpe6JbeHor MaTepHjaJlaII0CTyllAI(• rlocTaBIITH IIapaBaH OKO IIOcTejbe.• Onpa" pyKe H HaByhH pyKaBIII|e.• CaBFTH jopraH Ha IIojla H npe6auH" ra HajeHIIy HOTloBHlry KpeBeTa.• cTaBH" qaplllaB IIpeKO IIal|HjeHTa.• cTaBrmH nemKHp OKO BpaTa IIalurjeHTa.• HajHpe ollpa" TIIII|e H To cJlez|eh" PeHocJleHOM:-o" rloH cnojbHor yrjla Ka yHyTpalllH>eM KopHCTehH ryndyepe BaTe ¢eI|an IIoxpeT -

j e;|aH ryn¢ep)

- Orlpa" ]IHI|e HexHM KpyrmHM IIOKpeTHMa

- ollpa" y" 11 TO : ymny IIIKojbKy, KaHan H 113a yllmjy- oqHc"" Hoc (yKOTmKo HMa ceKpeTa y3 IIOMoh mTal"ha ca BaTOM ).• OIIpa" BpaT.• onpa" pyKe: yKOTIHKo je IIaunjeHT y cTalby ;|a To caM ypaHII IIocTaBIrrH jlaBoP, IIojlHBa" ra

BO;|OM, HcxpJI,aTH canyHOM, j|06pO Hcllpa" BOzioM H nocylllRTH.yKO]IHKO HHje y cTarby zia TOcaM ypaz|H To he ypaHrmH cecTpa.• CKHHy" ropH>II Heo IIIIuaMe H ollpa" ropELH ;leo TeJla -pyKe, noTIIa3ylllHe jaMe, rpy;|H H

Jleba.• HaKOH rlpalba Ao6po nocylllH" Kojny, HaMaca" KpeMy IIj" nocoj"" nyHepoM y rlpaxy.• o6yhH IIauHjeHry HIIuaMy .• 3aMeHIITH nocTeJbHo py6Tbe yKOJ"Ko je noTpe6Ho.• IIoxplrrm nal|IIjeHTa H IIocTaBII" ra y yHo6aH IIOJloxaj .• Oqjloxlr" ynoxpe6TE,eH MaTepHjan.• cKHIIy" pyKaBIII|e H Onpa" pyKe.• HHTepBeHI|Hjy 3a6e]IexIT" y JIHCTy.

HAII0MEHA:Pej|oBHo nparbe pyKy rloz|pa3yMeBa npaH>e npe H HaKOH cBaKor o6poKa H HaKOH BPIIIelba Hy"e.yMIIBalbe JIHI|a, BpaTa H rpyHII CnpoBOHH Ce MHHHMyM z|Ba IIyTa ;|HeBHO.

CECTPHIICKA HHTEPBEHIHI]A - KyllAELE BojlEcmncA y IIocTEjbHI|IIJb: OHpxa" HopMaTIHy cTpyKTypy H dyyHKI|14jy Koxe H cllpequrH olllTehelba.

MnpE ImE;|ocTpo"HocTH• Hpol|eHH" KojH THn Koxe IIMa rlal|HjeHT H Koje cy lberoBe IIOTpe6e 11 HaBHKe.• IIpol|eHH" KojlHKo HyTa HHeBHo je rloTpe6Ho IIpaH,e H yMIIBaH,e.• yTBPAH" PeHoC]IeA H3BobeH>a PaHH>H.• IIpol|eHH" KojlHKo je nal|HjellT aKTHBaH H Ha Tm noTpe6Ha noMch z|pyre oco6e.• 06e36eqH" npHBaTHocT IIal|Hj eHry IIocTaBjbaH,eM IIapaBaHa. HpllJmKOM IIpall»a, Tpyz|H" ce Zla

ce To PaHH TaKo Aa He 113rJleHa KaKO oHaj I{ojH To qHHH IIocMaTpa nal|HjeHTOBo ro]Io.TeTlo.IIpeKPFTH oceTjbHBe HejloBe, HOK ce nepy Hpy" He]IOBH Tejla. Barllo je ;|a ce naHFTjeHT ocehanolllTOBaH H 3alllTHheH.• IIojloxaj nal|HjeHTa 3aBHCHo oH Te"He cTall,a Moxe 6FTH ceriehH rmH jlexehH y nocTeTI,HH ce;|ehH Ha IIBHHH IIocTejlie.• oHCTpaHIITH cBe HenoTpe6He cTBapH ca nocTejbe.• 06e36eHFTH I|o6py 3arpejaHocT HpocTopHje ( IIOHeTbHaje TeMnepaTypa oKo 22 01|).• 06e36eHH" oHroBapajyhy TeMrlepaTypy Boz|e ( 37-38 01| ).• 3am"" nocTeTE>HFly MyilleMOM.• Hpe HoqeTKa yBeK IIRTa" nal|HjeHTa ;|a ]m My je noxpe6Ha IIocyz|a 3a ypHHHpaH>e HJm

j|edyeKal]IIjy (CTaBH" pyKaBHue H rloc]Ie Tora onpa" pyKe).

• ;|o6po Hcnpa" j|eTloBe TeTla KojH cy npe6pHcaHH canyHOM.• Z|o6po o6PHca" 11 IIocyulr" HeTloBe Koxe KojH cy ollpaHH.

IIOTPEBIIA OlnEMA• PyKaBHIIe• JlaBOPH

• 6oKajl ca TonrloM Boj|oM• 2 nemKHpa

• 2 Tpjl,atllll|e / ra3a• MymeMa 3a 3amTlrry nyllleKa• 6Tla" TeqHH calryH 3a nynarbe• npH6op 3a npalbe ycHe nynTbe(qeTKHI|a, HacTa 3a 3y6e,qallla ca BOHOM)• cpeHCTBa 3a Hery KOxe- KpeMa, nyHep, ;|e3OHOpaHc rmH IIap¢eM Ilo melbH IIaunjeHTa• Tyllq)epH BaTe, IIITarlHhH owl BaTe• 6y6peREaK• 3alHTIITHH napaBaH• qHCTo IIocTejbHo H jlHqHo py6Tbe• Bpeha 3a oz|jlaralbe ynoTpe6jbeHor MaTepHj ajla.

IIOCTylur• IIOcTaBIITH rlapaBaH OKO IIOcTejbe.• nal|HjeHry 06jacHIITH IIpOI|enypy H 3aMO]IIITII ra 3a capaHfoy.• onpa" pyKe H HaByhH pyKaBHue.• IIpeNIol"" IIpeKPHBaq Ha noTla H Hpe6al]Ir" ra Haje;lay noJioBHny KpeBeTa.• IIauHjeHTa noByhH Ha HBHny KpeBeTa I]j" nocTaBIrm j]a ceHII.• rloMohH IIauHjeHry j|a cKHHe HIIuaMy.• cTaBIITH qapmaB HpeKo IIauHjeHTa.• CTaBIITH rlemKHP oKo BpaTa nal|HjeHTa.• Hajllpe oHpa" TIHI|e H To cjleqehHM pej|ocjleHOM:-o"oflcnojbHoryrTlaKayHyTpameMKopHCTchHryndyepeBaTe(jenaHIIOKpeT-jejlaHTyn¢ep)- onpa" ]IHI|e HeIN[cl" Kpy"HM IIOKpeTHMa y o6nHKy 6poja 3- Onpa" ymH H TO : yllllly mKOJI,ry, KaHaTi H il3a yll"jy- oqllcTFTH Hoc yKoj"Ko HMa ceKpeTa, y3 HOMoh IIITanHha ca BaTOM noKBallleHOM Boz|oM• oHpa" BpaT•olipa"pyKe:yltoT"Kojenal|HjeHTycTanyliaTocaMypaflHIIocTaBH"TlaBop,IiojlllBa"raBo;|oM,IICTpjba"canyHOM,Ho6poHcnpa"BOHOMHIIocylllrmH.yKOTIHKoHIIjeycTanyj|aTocaMypaflHcecTpaH3BOHH Pa;Ill,y, npaH,eM oj| maKe Ka aKCHTIH.• CKIIHy" roprbH ;Ieo nHuaMe H orlpa" roplbH Heo Te]Ia -pyKe, IIOTna3ylllHe

jaMe,rpyz|H. OKpeHy" nal|HjeHTa H onpa" H Jleba.• HaKOH npalba ;|06pO IIOcylllFTH K02ny H HaMa3a" KpeMy.• o6yhH nauHjeHry ropH]H, a cKHlry" qoH]H ;leo nHuaMe.• onpa" cTOHaTla H eKCTpeMHTeTe, KpyxHHM noKpeTHMa OH cTOIIa]Ia Ka npelloHaMa.• orlpa" HOELH Heo Tejla o;I IryrlKa Haj|o]Ie.

• ollpa" HojlHe OpraHe.• ynoTpe6]baBa" HeyTpajlHo cpez|cTBo 3a xll"jeHy IIOTIHHx opraHa.

II0CTyllAKXEHA• Hpa" oq cl"dyll3e npeMa anycy npeKo KocMaTor ;|ejla.•BeJIHKeycHexpe6apa3HBojrmKHonpa"Hnpe;|eooKoypeTpeHHaxpajynpehHIIpeKonpeBoja.KopHCTrmHjeHaHryn¢ep3ajeHaHnoTe3HyBeKrlpa"oHBarllHeIIpeMaanycy,HHKaKoo6pHy"MCMepoM.

• AKo nalurjeHTKIIIba HMa ceKpeT H BarHHanHe IIpo6jleMe Hcl"pa" Ba"Hy IIo Hajlory rHHeKo]Iora.oKpeHy" nal|IIjeHTrmH>y H onpa" joj cez|anHH IIpe;leo. AHan" oTBop onpa" Ha Kpajy.MymRAPAII• OIIpa" IIpe;leo H3Han cllMdyH3e.• onpa" neHIIc jlaraHIIM, Kpy"HM noKpeTHMa, 3aBpny" npenyl|HjyM H onpa" oTBop

ypeTpe.• IIorlHrHy" CKpoTyM H onpa" ra.• onpa" npeBoje Hory.• oKpeHy" nal|HjeHTa H Onpa" My ceHanHH I|eo(3aj|IbHny), a aHajlHH oTBop onpa" HaKpajy.• HocylllH" cjly3oKo2Ky 11 Ko)ny nai|IIjeHTa H HaMa3a" no noxpe6H xpaH,HBy KpeMy.• 3aMeHH" nocTe+bHo 11 TIHHHo py6Jbe yKOJ"Ko je IIoxpe6Ho.• IIOKprmH IIal|HjeHTa H noMohH My ;|a 3ay3Me yj|o6aH nojloxaj .• o;|jloxll" ylloTpe6jbeH MaTepHj aII.• Clonlly" pyKaBIIue 11 ollpa" pyKe.• 3a6ejlexll" HHTepBeHI|Hjy.

cECTplnlcKA HHTEPBEIIIPIJA - HPAHJE KoCE HEHORTETHOM IIAlquEHTyy II0CTEJbH

I|IIJI>: oHpxaBaH>e xHrHjeHe Koce H Koxe rTlaBe.MEPE IIPE;|0CTPOXHOCTH• Hpol|eHIITH ;|a JIM je IIOTpe6Ha noMoh Hpyre oco6e.• o;|cTpaHIITII Helloxpe6Hy onpeMy ca KpeBeTa.• 06e36e;|II" IIpllBaTHocT IIal|Hj eHTy rlocTaBjl>albeM IIapaBaHa.• BojlecHIItllca co6a Mopa 6H" 3arpejaHa (oKo 22 0 1|).

• lIIaMnoH 3a IIparbe Koce• BOKajl ca TollJloM BOHOM

• tlemaJb /tleTKa 3a Kocy• 2-3 rlelilKHpa• PyKaBHue• Bej"KH jlaBop H Kodya• Cnel|HjajlHH ;|Pxatl 3a rTlaBy• 117IacTHqHe MymeMe 3a 3aur"Ty 6o]IecHHKa H nyllleKa ou Bone• ®eH 3a cylllerbe Koce

II0CTyHAK• BOTlecHHK ceHH y IIocTeTbH ca rTlaBOM rlpeMa Hallpe;I, Ka jlaBopy KojHje Ha xpyHHMa lull

jle]KH ca rlo;|HrHyTOM r]IaBOM 3a6aqeHOM yHaeari Ka TlaBopy 3a IIpaH>e Koce.• orlpa" pyKe H HaBynH pyKaBIII|e.• 3alll""" KpeBeT MyllleMOM.• CKHIIy" nHuaMy 6ojlecHHKa, IIj" je 3aBpny" TaKo ;|a ce He noKBacH ELeH roprbH Heo.• CTaBII" IIeillKHp oKo BpaTa 11 rpyHH 6oJlecHHKa.• CTaBH" qenoBe oj| BaTe y ymH 6oTlecHIIKa.• IIOKBacl4" KOcy BOHOM H HaHe" maMrloH.• IIpa" Kocy (IIPHJ"KOM npalba MacHpa" KopeH Koce).• Hcnpa" Kocy, nocymH" H yBH" y6pycoM.• HaREHBo o6pHca" Bony I¢j" ocTaTKe callyHHI|e ca jllll|a 6oTlecHIIKa.• H3BanH" Bary H3 ymlljy 6OjlecHHKa.• BpaTrmH 6ojlecH14Ka y noTloxaj KojH HbeMy oHroBapa 117m je Me;|HI|HHCKH ollpaB;|aH.• HajacryK cTaBFTH tlHCT 11 cyB y6pyc.• Kocy Hoqellljl,a" H rlocyuH" ¢eHOM.

• CKHHy" PyKaBHI|e H oHpa" pyKe.• HHTepBeHI|I]jy 3a6etlexrml Ha j"cTy.

CECTPHHCIIA IIIITEPBEIHHIJA -HErA ycllE ;|yITthE HEIIORTETIIHX cBECIIIn[IIAlquJEHATA

IprJb: oApxa" xH"jeHy ycHe nylljl,e rlal|Hj eHTa.yqHHFTH ;|a ce Hal|HjeHT 6ojbe oceha.MEPE IIPEJ|0CTPOXHOCTH• IIarmHBo IIpol|eHlrrH cTaH>e ycHe HyrlJlie H ycaHa.• HpoHeHH" Koja cy cpe;|cTBa 3a xll"jeHy ycHe nyrL)be Hajlloro;|HIIja 3a ylloTpe6y.• yKoj"KO nocToje HpOMeHa y ycHoj nyrljbH H Ha ycHaMa KOHcyTITOBa" jleKapa.• HPH H3Bobelby HHTepBeHI|IIje y3e" y o63Hp IIITa caM nal|HjeHT xe]" 11 KaKBe cy My HaBHKe oH paHHje,

Kao H Ha " HMa HeKe cHeHIIjanHe IIpo6jleMe y yc"Ma (HcyllleHocT CjlysoKoxe, a¢Te, KapHjec,"H"BHT„.)• IIOcrylla" no ynyTCTBHMa 3a ynoxpe6y 3a cpeflcTBa 3a xH"jelly ycHe nyllIbe.• 06jacHlr" nal|HjeHry 3HaHaj npaBIulHe Here ycTa H 3y6a.• HpOI|enypa ce H3BOHH HajMaH>e lpH HyTa ;|HeBHO.

II0TPEBIIA 0IIPEMA• pyKaBHI|e 3a j e;|HOKpaTHy ylloTpe6y• MeKaHa 3y6Ha qeTKHI|a• Hea6pa3HBHa rlacTa 3a 3y6e• 3y6HH KOHal| (rlo noxpe6H)• lama Bofle• 6y6peREaK• HelllKHp 3a TIHI|e• rlal"p" y6pycH / IIanHPHa BaTaII0CTyHAK• Onpa" pyKe H HaByhH pyKaBHI|e.• rlal|HjeHry 06jacHFTH npoI|enypy H 3aMoj"" ra 3a capaqlby.• Hperjlej|a" HHTerplITeT ycHaHa, 3y6a, cny3H14I]a, HecHH, Hellua H je3HKa.• yTBp;|H" npllcycTBo onlHTHx opajlHIIx npo6jleMa. .• yTBPHH" j]a T" nal|14jeHT Moxe Hpxa" H MaHHIIyjlHca" qeTKIII|oM 3a 3y6e.• HaHIIjeHTa noMepRTH rmH My noMohH I|a ce npH6]II"un Ho HBHI|e KpeBeTa. Moxe ce KopHCTFTH

IIojloxaj Ha cTpaHy IIJm noJlycez|ehH Ha JlebHMa.• HaMec"" HeHKHp HpeKo rpyHH 6ojlecHHKa H HocTaBrmH 6y6pe)IclbaK.• Ha BjlarcHy qeTKHny 3a 3y6e HCTHCHy" oKo luM nacTe 3a 3y6e, cHrla" Majlo Bor|e

IIpeKo nacTe.• qeTKHny ;|Pxa" nor yrJloM oq 45 cTeneHH. onpa" yHyxpamll,e H cllojballllbe IIOBplllHHe ropH,IIx H

HOH,Hx 3y6a Ca qeTKHI|oM ou ;|ecHH IIpeMa KpyHH CBaKor 3y6a.• tlHc"" rpll3He IIOBpll"He 3y6a ca HpxaELeM Bpxa qeTKIII|e IIapajlejlHo ca 3y6HMa HHpeBTlatlRTH qeTKHI|OM He3KIIO Harlpe;I H Ha3aH.• tlHCTRTII 3y6e H ca cTpaHe noMepaELeM qeTKIII|e HanpeH-Ha3az|.• Ha" IIallHjeHry Ha jlprcll HeTKHny IIoq yrjloM oH 45 cTelleHH H ;|a HexHo qerKa

noBpmHIIy H cTpaHe je3HKa.• H36eraBa" noKpeTaH,e pe¢TleKca rabelba 14J" rloBpahana.• J|a" nal|IIjeHry Bony z|a ;|o6po Hcnepe ycTa.• HOMohH IIauHjeHTy ;|a o6pllllle ycTa.• yNIOHHTH 6y6pexclbaK H IIOMohll nai|HjeHry Ha 3ay3Me y;|o6aH nojloxaj y IIocTeTbH.• PacHpeMIT" npH6op H oqjloxll" yrloTpe6jbeHH MaTepHjan.

• cKHIIy" pyKaBHI|e H Onpa" pyKe.

• HHTa" Hal|HjeHTa Ha J" oceha HeKy HenpHjaTHOCT rmH xpHTal]Iqjy.• HHTepBeHliHjy H cTaELe ycHe nyllTI>e 3anHca" y HoryMeHTal]IIjy 3H.

CECTPHHCKA IIHTEPBEHlur]A- HErA ycllE ;|ylljl,E KOH IIAI|IIREIIATA BE3CBECTH HJIII CA H3MEIIAMA CTAlbA CBECTH

I|ELJb: O;|pxa" xHrHj elly ycHe nynJbe naunjeHaTa.yT""" ;|a ce nal|HjeHT 6ojbe oceha.MEPE IIPE;|0CTPOXHOCTH• H3Bondelbe HHTepBeHlunje je jaKo 3axTeBHo, jep OBII HalurjeH" IIMajy 6pojHe

IIpoMeHe y ycHoj ;|ylL)bH H y noTnyHoc" cy 3aBHCHH o;I oco6jl,a.• HarmllBOM HHclleKI|HjoM IIpol|eHlr" cTaH,e ycHe nyrlTbe H ycaHa.• 3aLHTRTHTH IIal|Hj eHTa Oz| acl"pHpaEba cappxaja H yryllleH>a.• CHrypHa TexHHKa je KaHa HHTepBeHI|Hjy H3BOHe z|Be cecTpe. JeHHa cecTpa ;|IIpeRTHo

113BOHH IipoIIenypy, a Hpyra yKTlarl,a ceKpel|Hjy acl"paTOpOM H Hpa" cTalbe 11 peaKI|IIjyIIauHjeHTa.• J|oK o6pabyje yclly nyllJby, cecxpa HHKaHa He cMe Ha Kopllc" IIpcTe ;|a 6H HpxanaIIal|IIj eHTOBa ycTa oTBopeHHM (36or onacHoC" yj era).• HHTepBeHlurjy H3Boull" HajMaELe TPII HyTa ;|HeBHo, a no rloTpe6II H tlemhe (Ha HBa

caTa).• Hal]HjeHTH KojH HPHMajy xeMOTepa"jy, 3paqelbe, I{Ojll HMajy Ha3OracTPHHny coHny

yrjlaBHOM "ajy cTOMaTHTIIc.• AKo rlauHjeHT 6e3 cBec" IIIKpryhe 3y6HMa, He cMe ce cTBH" IIInaryJla 113Meby

3y6a.caqeKa" I|a ce IIal|14jeHT yMIIPH H Onyc" na TeK OHj|a rlocTaBH" 06jloxeny IIIIIaTyilyMeby 3y6e.• 3a o;|cTparbHBallie Hac]Iara ylloTpe6jliaBa" MemaBHHy o;I je;|Hor ;]eJla 3 0/oxH;|poreHa H XPH ;|e]Ia dyll3Ho]IomKor pacTBopa, a HOTOM Hcl"paTII TolliloM Boz|oM IIi"

dyH3HojlomKHM pacTBopoM. Moxe ce KopHCTRTH H HHCTaTHH, pacTBop 6HKap6oHaTa.• yBeK ynoxpe6jbaBa" pyKa814I]e, jep nocTojH ollacHocT ;|a ce j|obe y KOHTarr caIIjbyBaqKOM IIj" KPBTI,y.• KOH o6pane ycHe Hylltbe ca neaHOM H ryll¢epl"a raze, HaMOHeHa ra3a ce

Mopa z|o6po HCHe;|RTH Ha H3 H,e 113abe cBa TeqHocT.• HotloHtaj nal|HjeHTaje xopH3oHTajl" Ha ]IebHMa Ca 6jlaro ysI[HrHyTM ysrJlaBJI>eM H

rjlaBOM OKpeHyTOM Ha cTpany.IIOTPEEHA OHPEMA• pyKaBHue H MacKa ( 3a 3amTHry cecTpe)• Malba MeKa 3y6Ha I|eTKHI|a• HPBeHe mnaryJle

neaHII• rylldyepH race• IIal"pHa BaTa• 6y6peREaK• 0,9% % Hal]rl , 3% Xng|poreH, pacTBop co;|e 6HKap6He IurH 8,4% HaxI]03• IIIHPHIIe814

• acr"paTop H acl"pal|IIOHH KaTeTepH

• MacT 3a ycHe,(I`j"I|epllH) rmH HeKO Hpyro cpe;|cTBO 3a BjlaxeH,e• aHTHMHKOTHK y o6j"Ky Ka" IIj" reTla.

IIOCTyHAK• onpa" pyKe H H cTaBrmH pyKaBHI|e 3ajej|HOKpaTlry ylloTpe6y.• yTBp;|II" npHcycTBo pedyjleKca IIOBpahaH,a HpaxeH>eM KopeHa j e3HKa IIInary]IOM.• IIpOBepH" cTalbe ycHe nyHJbe.

• Ac"pHpa" canpxaj H3 ycHe nyllJbe H Ha3odyapHHKca.• IIOcTaBIITH IIal"pny Bary OKO BpaTa IIal|I|jeHTa, a 6ype3KlbaK Ilo;I 6pany.• nancrbHBO Or|Bojll" roplby H ;|Orby BII"ny HIIaryiloM 06jloxeHOM ra3OM.• oqHCTRTH ycTa qeTKIII|OM unH neaHOM H ra3OM OBjlaH(eHOM ca xHj|poreHOM.• IIOTOM oqHc"" rpll3He, yHyTpamH,e na cnojbacH,e noBplllHHe 3y6a.• orlpa" Helll|e H yHyTpamELy cTpalry o6pa3a.• tleTKHI|oM HexHo oqHCTHTH je3HK, 1136eraBajyhH H3a3HBaH,e pe¢jleKca rapjeELa H

noBpahaH,a (aKo nocToj H).• oBTlanclITH Tyll¢ep ca paTBOpOM 3a HcnHpaH>e 11 npe6pHca" yclly nyllTI>y. IIOHOBIITH

HcnHpaELe HeKOJIHKo IIyTa MeH,ajyhH ra3y.• AKO IIOcToje H3paHeHe Hacjlare Haje3Hny H cjry3OKorcll He cKHqa" IIx Ha cllny, Beh

Hx HaToml" HeKHM or| noMeHy"x pacTBopa H ocTaBHTH Ha cTojH 1o MHH.• oH;|a noHOBH" nocryllaK o6pa;|e.• HaKOH o6pa;|e Moxe Ce HaHe" aHTHMHKOTHK y o6j"Ky KanH IIj" rejla.• ycHe HaMa3a" TaHKI" cjlojeM rejla-Mac" 3a ycHe.• Hal]Hj eHTa HaMecTRTH y o;|roBapajyhH IIOTloxaj.• oj|jlo3FTH ynoTpe6jbeH npH6op H MaTepHjajl.• cKHHy" pyKaBIII|e H Onpa" pyKe.• 3a6ejlexll" HHTepBeHI]IIjy yKjbynyjyhH H Banclla 3anancalba (npllcycTBo KPBaperba

j|ecHH, HcymeHocT cjly3oKoxe, y]IuepaHHje, Hacjlara Ha je3HKy, adyTe) y J"Cry 3H.

CECTPHHCKA HHTEPBEHulJA -HErA CTollAIIAI|HJI» : OHpxaBarbe xH"jeHe 11 CIIpeqaBarbe HH¢eKI|I]je Koxe cTollajla.MHPE IIPEJ|OCTPOXHOCTH• Hpe H3Boberba H TepBeHI|IIje 143Bpurll" HHclleKUHjy Koxe cTollaJla H HORTHjy H yTBpz|Irrm

eBeHTyajlHo nocToj arbe HeKor npo6]IeMa H olllTeheH>a HIITerpHTeTa Koxe.• IIpol|emr" Ha Tm nocTojH IIOTpe6a 3a cnel|Hja]IHOM HeroM cTollajla H aKo IIocTojH

KOHcyTITOBaTH ce ca jleKapoM.• rlpoBepH" Aa JIM nal|HjeHT HMa IIIefieplry 6ojlecT IIi" npo6jleMe ca I]IIplcyjlal|HjoM.• H36eraBa" IIPHMeHy o6IItlHor nocTynKa Here Kou IIal|HjeHaTa ca [|Hja6eTecHIIM

cTonanoM.IIOTPEBHA olmEMA• PyKaBIIIIe• JlaBOP

• 6oKaJI ca TOHjloM Bo;|oM• TeqHII canyH• fle3HHdyeKH14oHo cpeHCTBo

• nemKHPH• TPJbaqHIIa

cecTPHHCKe HHTepBeHUHj e 27• ryndyepll BaTe• npH6op 3a Hery cTollaJla-MeTaJIHe MaKa3e, TypnHja/KaMeH 3a rleTe• KpeMa 3a Hery Koxe

IIOCTyllAK• OIIpa" pyKe H HaByhH pyKaBHHe.• IIal|HjeHry 06jacm" npoI]enypy H 3aMOTm" ra 3a capaqlby.• IIaHHjeHTa CTaBIr" j|a ceHII y xpeBe'ry (aKo Moxe) IIJ" ocTaBI" ra Ha jlexll.• OTKPFTH My Hore, IIOByhH HaBHme HoraBHI|e o;I IIHllaMe, HcrloH Hory rlocTaBRTH

qapmaB rll" rlelllKHp.• CTollano rloTo"" y jlaBop H noMohy TpjbaqHI|e ollpa" Hory oA KOJleHa IIpeMacTonaTly (o6pa"" noce6Ho rla"y Ha Hpe;leo H3Meby IIPC"jy).

• HOHOBFTH rlocTyllaK H ca HpyroM HoroM.• HcnoH cTonajla IIocTaBH" qllcT IIelllKIIp H Hore cTaBHTH Ha IIelllKHp.• HeuKHpOM IIOcylllH K03ny 6OTlecHHKa (HapoqRTO H3Meby npc"jy).• yKo"Ko je IIOTpe6Ho IIOHcehH HORTe, clcllHynl Hacilare ca neTa.• KO)ny cTonajla IIpeMa3a" xpalbl4BOM KpeMOM.• IIaunjeHTa HaMec"" yj|o6Ho y IIocTejbH.• PacllpeMH" ynoTpe6jl,eHH MaTepHjaTI .• cKIIIry" pyKaBHI|e 11 OIIpa" pyKe.• 3a6eTletlur" IIHTepBeHI|Hjy.• HPH6op KojH je KopHiilheH ce He3HH¢HKyje HaKOH yHOTpe6e.

cHCTplnlclcA HHTHPBEHIHI]A -HErA HOKTHTyI|IIJb: oI|pxaBalbe xll"j eHe, cllpetlaBarbe HH¢eKI|Hje H ypacTaELa HORTHjy.MEPE IIPE;|0CTPOXHOCTH• IIpol|eHrmH Ha Tm nocTojH rloTpe6a 3a cnelurjajlHOM HeroM HORTHjy ( ypacj" HORTH) H aKo IIocTojH

KOHcyjlTOBaTH ce ca TleKapoM.• HpoBepRTH Ha ]IH nal]IIjeHT HMa IIIehepHy 6ojlecT HjlH IIpo6jleMe ca I|IIpryJlalurjoM.

IIOTPEBIIA OlmEMA• MeTajlHe MaKa3Hue• rpHI|KajlHI|a 3a HORTe

IIHHIIeTa• nanHPHa BaTa• rypnHja 3a HOKTe• KpeMa 3a Kony• cKHHaq jlaKa 3a HORTe• 6Jlaro He3IIHdyeKI|IIOHo CpeHCTBo• jlaBOp / nocyHa ca TorljloM BOHOM H TeqHHM canyHOM

IIOCTyllAKI Onpa" pyKe 11 HaByhH pyKaBIII|e.I HauHjeHTy o6jacHFTII IIpol]enypy H 3aMojlRTII ra 3a capaHH>y.I BjlarHM I|e3HHdyeKI|HOH" cpe;icTBOM o6pl4ca" IIpcTe H HORTe.I CKHHy" jlaK ca HOK"jy aKo nocTojH.I IIOTO"" HORTe y TorL]ry Bony IIj" IIx rlpeKPH" KpaTKO BpeMe HaB]IajKeHOM KpnoMKaKo 6H oMeKmajlH.I HORTe cehH paBHo H3Haq jarouHI]e npcTa.I cKHHy" 3aHORTHI|e.I oqHc"" canpxaj IIcllo;I HORTHjy.I HcrypllHja" H814I]e HORTHjy.I BjlarHM He3HH¢eKI|HOHHM cpe;|cTBOM IIpeMa3a" npcTe H HORTe.I HaMa3a" KpeMOM HOKTe 11 Ko)ny npc"jy.I VIIOTpe6JI>eHH MaTepHjaJI pacnpeMII".I cltHny" pyKaBHI|e H OIIpa" pyKe.• 3a6eTlexlITH IIHTepBeHI|Hjy.• HPH6op KojH je KoPHmheH He3HHdyHKyje ce HaKOH yHOTpe6e.

CECTPHHCKE HHTEPBEHlquE y IIPEBEIIIquH REKyBHTycAHeKy6HTajlHa paHa j e jloKajlH3oBaHo olllTeheELe TKHBa HacTajlo yc]Ien AejcTBa cllile IIPTHCKa rmHTpelba Ha K02Iry H rloTKOxHa TKHBa. yKojlHKO OBe cH]Ie [[erlyjy HponyxeHO ca ;|OBojbHIIM HHTeH3IITeTOM

j|oTla3H Ho omTeherba H onyMHparba hermja H TKHBa, yc]Ie;I nopeMehaja y urlpryJlal|HjH KPBH H JIHMdy,IIITO HMa 3a nocjleHHny He;|OBojl,aH npHrlHB KHceoHHra H xpaH,IIBIIx MaTepHja, c je;|He cxpaHe, H

HanylljbaELe IIITeTHrm£ MaTepHja MeTa6oTIHMa, c ;|pyre cTpaHe.j|ery6IrranHe pane ce pa3BHj ajy HaMecTIIMa Koj a Cy IIepMaHeHTHo 113JloxeHa IIpll"cicy.To cy ;|e]IOBH Te]Ia ca HCTaKHyTIIM KolllTaHHMejleMeHTIIMa H c]Ia6o pa3BHjeHHM HOTKo)ICHIIM TKHBOM I(ao IIITo cy:• IIOTHlbatlHa REpra,• rpe6eH ]IollaTIII|e,• caKpaTIHa perHja,

nyKOBH'• KojleHa (cnojl,HH H yHyTpallllbH Kollqllnycll),• rJlexlbeBH,• neTe H• jlaKTOBH.

OCHM oBHx HeTloBa TeTla HeKy6IIryc Moxe Ha 3axBa" H HeKe Hpyre z[ejloBe 3aBHCHo oz| nojloxaja

y KOMe ce nal|HjeHT Hana3H.HocToje yllyTpamELI[ H cnojballlH,II ®aKToPH PH3IIKa y HacTaHnyHeKy6IITanmlx paHa. HajqelllhH ¢aKTopll Koj ll y"try Ha rlojaBy Heny6IITanHIIx Tle3Hja cy: cMalbeHanoxpeTjbHBocT / HenoKpeTHocT, oHTehelbe H ry6IITaK ceH3H6rmlrreTa, noTxpalbeHocT, IIopeMehaj

HMyHHTeTa, IIHKOH"HeHI|I|j a ypHHa rmlH ¢el|eca, cTapocHo Ho6a, ;|exHj]PaTal]Iqja, nopeMehajH cTall>a

cBecTH, jlollla JIHqHa H xHrHjeHa nocTeTbHor py6jba, Heyz|o6Ha nocTeJba. . .

Mepe npeBeHullje HacTaHKa qeKy6HTyca

rlpaBrmHa H cTpyllHa Hera je OcHOB cnpeqaBaH,a HacTaHKa ;|eKy6RTajlHrmi paHa H IIo;|pa3yMeBa:

• npol|elly pll3HKa 3a HacTaHaK ;|eKy6IITyca ( y ylloTpe6II cy BIIIIIe cKajla cKa]Ia 3a

npoi|eny CTeneHa pH3HKa -HopTOH, Wapepjlow...)• Oj|pxaBarbe jlHqHe xurHjeHe H j|eTajbHy Hery Koxe• 3alllTHTy npoMHHHpajyhHx MecTa• cMarbeH,e npFTHCKa Ha npeHIIileKI|HOHa MecTa ( Ko]IHKo je To Moryhe)• pe;|oBIIy npoMeHy rlo]Io)Icaja rlal|HjelITa ( no3HUHOHHpaH>e)• Ho6ojl,maH,e nepHdyepHe I|HPKyJlauHje• npaBrmHy HcxpaHy• npHMelly aHTI|qeKy6IITajlHrm£ HOMarana - pacTepeTHIIx cpej|cTaBa H noFTora 3a

Jlexalbe.• IIpOI|eHa pH3IIKa ( H3Merdy OcTa]Ior) noHpa3yMeBa H OIIIIIry HHcllelcl]Hjy cTalba KOxe KaKO

6H ce Ha BpeMe PerHcxpoBajle H npaTrlJle rlpoMeHe -yTBpt)yje ce Typrop, 6oja, ToluloTa,"rMeHTal|Hj a, BJlamlocT, xH"j eHa, CTaH>e I]IIPKyTlal|Iqje. HHcneKI]Hjy o6aBII>a" MHHIIMyM

je;|HOM j]o HBa HyTa y 24 qaca, a KOH IIOBehaHor pH3HKa H qelllhe.IIpol|eHa cTalba 6ojlecHIIKa o6yxBaTa npoI|eHy I|eJloKyllHor 3HpaBCTBeHor CTaH.a,IIo[|aTKe o ocHOBHoj 6ojlec", z|pyrHM xpoHHHHHM 6ojlecTHMa H KOMH]IHKal|Hj aMa.IIpOI|eHlr" H IICHXHqKO cTaELe / cTaH,e cBecTII, Te HHBO 3HaELa H IIH¢OpMHcaHoc",3HpaBCTBeHe nyJIType11 MOTHBHcaHocT 3a jleqeH,e.• o;|p"aBaELe jlHtlHe H orlurTe xll"jeHe je o;I 113y3eTHor 3Haqaja y IIpeBeHI|Hjll nojaBe

HeKy6RTaJIHHx paHa.I . PeHOBHo yM14Barbe, Kyllalbe ( npe6pHcaBarbe y IIoCTeTI>H), TaojleTa aHoreHIITanHe perHje.2. Koxa He cMe 6H" 113jloxeHa AejcTBy 3Hoja, ypllHa, ¢eueca, eKCKpeTa

(Taojlery aHoreHHTanHe pe"je o6aBjl,a" MHHIIMyM jeqaH nyT HHeBHo (IIo noTpe6H H qelllhe) 11 HaKOHcBaKe o6aBTI,eHe He¢eKal|Hje.3 . 3a KynaH,e H npalbe ylloTpe6jbaBa" MjlaKy Bony H HeyxpaJIHe TeqHe CanyHe.4. HaKOH npaELa 11 yMIIBalba Korny HexHo nocylmr" MeKaH" nelllKHpoM 11" ra3oM, He rpy6IIM

TpjJbarbeM, Ben HexHo TallKarbeM.5. BTlaxHocT Koxe o;|pxaBa" KopHmherbeM HeyTpajlHIIx xHHpaHTHHx KpeMa rmH

4etlj lIx KpeMa.rlpTmKOM yTpjbaBaH,a KpeMe 143BpmRTH Macarny KOxe y lquTby c"MyJlaLquje I|IIpnyJlalquje.6. TaTIK / nyHep Moxe ce KopHCTIITH 3a npe"6Ha MecTa ( na3yxa, ]IaKaTHH, KojleHH npeBoj . . .)7. Bo]IecHHTIKa ozieha Mopa 6Ir" 6p3 ollnprm IIIaBOBa, KOMOTHa, IIaMyqHa.8. HocTeTI]Ho py6jbe Mopa 6IrrH qllcTo H cyBo, 3aTerHyTo, 6e3 Ha6opa, maBOBa H Mopa ce peHOBHoIIpecBTlatunH.9. vKO]IHKo je nal|HjeHT HHKOHTIIHeHTaH no Hanory jleKapa rljlacHpa" ypHHapHH KaTeTep H KOpHCTFTH"HaMnepc" He]IeHe.

• IIo3HI|HOHIIpalbe - nocTaBJI]aH>e TeJla HJIH HejloBa TeJla y ¢H3HOJlolllKe / ¢yHlcluroHaJIHe IIOJloxaje

y o;|pebeHOM BpeMeHCKOM IIepHony ( Ha 2 caTa rmH Hemhe). HOTpe6Hoje :• HplljmKOM HpoMeHe IIojloxaja Te]Ia noBTlaqerbe Tejla Mopa 6H" MHHHMa]IHo 36or noTeHI|I|janHor

oHITeheH,a Koxe (KopHc"" IIollpeqHII qaplllaB)• Kaq Ben nocTojH HeKy6IITa]IHa npoMeHa nauHjelrr ce He no3HI]HOHHpa Ha Ty cTpaHy.• IIPH IIocTaBjl,aELy nal|HjeHTa Ha 6oK Tpe6a 3am"" KolllTalry H36o"IIy Ha Kylcy( TpoxaHTep)• yKOTIHKo cTalbe IIal|HjeHTa H Koxe ;|o3BOTbaBa Melt,a" noTloxaje Ha o6a 6oKa, cTOMan 11 ]Ieba

HaH3MeHHqHo ( HarlpaBIr" IIJlaH oKpeTalba y oxpebeHHM BpeMeHCKHM HHTepBaJ"Ma).Ho/Ioaraj IIa T]ebHMa ( ®oBiiepoB no.Iomaj)IIpeHCTaBjba HajqelllhH rlotloHtaj ca noHHrHyTI" y3rTlaBjbeM oq 30 0. Mopajy ce 3alllTRTH o6aTpoxaHTepa, neTe, PaMeHa TlaKTOBH. Hcnoq pyny noHMeTHy" jacryKe, y HlaKe cTaBFTH BajbaK, TaKoAa IIx 6ojlecHHK o6yxBa" IIpcTHMa.IIOTKOTleHHI|e jlaraHo o;|HrHy" ou noflTlore, a neTe Mopajy 6FTH cTlo6o;|He rmll 3alllTHheHe.

IIojloREaj Ha 6oKyHojloxaj Ha 6olty 3axTeBa o6aBe3ny 3am"Ty Ko]IeHa H cKoqHHx 3rjlo6oBa. H3Meriy o6aKojleHa H 06a cTonana IIOcTaBIrm jacryKe. pyKa Koja ce OcjlaH,a Ha IIOzulory He cMe Ha BIICH caKpeBeTa, a ;|Pyry ocjloHRTH HajacTyK KojH ce IIocTaBTba IIcnpezi npe;|H>e cTpaHe Tejla.H3Meby Hory, Koje cy 6]Iaro caBHjeHe, o6aBe3Ho IIocTaBRTH jacTyK.

IIOJloasaj IIa cTOMaKyIIojloxaj Ha cTOMaKy ce IIPHMelbyje Ken 3a TO HeMa KOHTpaHH;|HKal|Hja.Hcllor| IIal|HjeHTa ceI|eTIOM HyxllHOM IIOcTaBjbajy jacryl|H, c THM z|a npeI|eo OHO paMeHa H 6pane He 6yj|e OcjlorbeH Ha

IIoj|jlory, Kao H npe;leo OKO KapJIIIqHHx KOc"jy. cTOIIaHa MOpajy Ha 6yny OI|HrHyTa ca nyllleKa.

• IIPHMeHa noMohHHx pacTepeTHHx cpeHCTaBa H no;|jlora 3a TlexaH]e

HocToje 6pojHa cpe;|cTBa Koja ce Mory IIPHMeHH" y IIpeBeHI|IIjH HacTaHKa ;|eKy6RTaTIHIIx paHa.OHa HMajy 3a I|Hjb Aa ce IIPolllHPH rloBpmHHy ocJloHHa, IIpepacHOHe]IH Te"Ha TeJla Ha Behy noBPIIIHHy,cMalbH clljry IIOTIICKa no;|jlore Ha KOc" HTIH Tejlo.Mory Ce KopllcTFTH BaLrbl|H ( 3a xpoxaHTepe, PaMeHa, maKe), MaTIH 11 BeTIHrm jacryuH, IIOHTlore 3ajlexall,e, neHac" y]Ioml|H9 pa3Ha HMIIpoBH3oBaHa CpeHCTBa ( " beBpel|H " oz| BaTe H race) FTH.rlocToj e HnyTajyhH BOHeHH j acryuH H nymel|H, cy[ISepac" ;rylllelur ca TeqHHM crmllKOHCKIIM rejloM,

ca HHeyMaTCKIIM hejlHj aMa.cyHbepac" nyillellH, Ba3nylllHH Hen Hylllel|H, Hylllel|H