Breath-stimulating rub
The respiratory stimulant liniment (ASE) is a maintenance measure. The back is rubbed rhythmically with a lotion (unscented water-in-oil lotion), ointment or massage oil. The ASE has several goals. It is used for breathing therapy , to increase well-being, to relax and to promote sleep.
history
The breath-stimulating rub goes back to Waltraud Marschke and Els Eichler. In doing so, they resorted to experience of traditional home nursing and were influenced by anthroposophic medicine . Christel Bienstein later took up the breath-stimulating rub-in and made it public as part of the basal stimulation .
Indications
The breath-stimulating rub is used for shallow, accelerated or irregular breathing and for pain-related breathing disorders. Other possible uses are ventilator weaning , building a relationship with the patient, calming down and encouraging sleep. The ASE aims to promote the patient's self-perception.
Contraindications
Serial rib fractures are an absolute contraindication , and recent thoracic surgery is a relative contraindication . Breath-stimulating rub-in cannot be used on open wounds or radiation fields in the rub-in area.
effect
The breath-stimulating rub-in has the eponymous effect of deepening breathing and calming the breathing rhythm. The ASE is supposed to prevent atelectasis and pneumonia through deeper breathing . However, this effect cannot currently be proven.
The slow, even movements have a calming effect and promote sleep. This can also reduce the need for sleeping pills and the associated side effects.
The ASE promotes awareness of one's own body. This counteracts hospitalism , gives disoriented people orientation and strengthens their self-esteem.
The massage of the back has a relaxing effect and the calm body contact conveys a feeling of security and increases well-being.
execution
storage
The breath-stimulating rub can be carried out while sitting or lying down.
When seated, the patient should rest their upper body relaxed on a pillow that, for. B. is on a table in front of your chest, or can support yourself with your elbows in front.
When lying down, a 135 ° position (lying almost on your stomach) is advisable. This means that the entire back is accessible, but the full weight is not placed on the auxiliary respiratory muscles . In the side position, only an incomplete, one-sided ASE is possible.
If it is not possible to rub in the back, for example with ventilated patients or with skin defects on the back, the ASE can also be performed on the chest. However, external contact on the chest and stomach is generally less tolerated, so that the relaxing effect may be reduced.
material
The breath-stimulating rub does not require any special material. Depending on the type of storage chosen, storage aids and pillows may be necessary. Lotion or massage oil can be used for rubbing .
procedure
The rubbing is carried out with bare hands on the patient's back if possible. It takes place parallel from the neck to the waist on both sides of the spine in overlapping circular movements. The hands are placed flat, closed and guided downwards and to the side along the spine as the patient exhales. During the inhalation phase, the hands slide back up and towards the middle. Another passage about 15 cm deeper follows. Rubbing in takes place in the downward movement with light pressure, which decreases in the sideways and upward movement. The contact of the hands with the patient is not interrupted during the entire process.
The semicircle during the exhalation phase should last about twice as long as during the inhalation phase. At the beginning of the rubbing in, the circular movements can be made even faster, as they should not deviate completely from the patient's rhythm. In the course of the rubbing in, the circular movement then takes place more slowly and the patient adopts this rhythm for his breathing.
The rubbing from the neck to the waist is repeated 5 to 8 times and finished with several strokes of the back from head to rump. The duration of an ASE is in the range of three to eight minutes. The patient should then have the opportunity to rest.
literature
- Susanne Schewior-Popp (ed.): Thiemes care. The textbook for nurses in training . 11th, completely revised and expanded edition. Thieme Verlag, Stuttgart u. a. 2009, ISBN 978-3-13-500011-4 , pp. 252 f.
- Ilka Köther (Ed.): Thiemes Altenpflege . 2nd updated edition. Thieme Verlag, Stuttgart u. a. 2007, ISBN 978-3-13-139132-2 , p. 320
- Andrea Schiff: Sleep promotion through breath-stimulating rub-in in older people. A nursing science intervention study. Huber Verlag, Bern 2006, ISBN 978-3-456-84359-9 , ( Nursing Science series ; also: Witten / Herdecke, Univ., Diss., 2005).
Individual evidence
- ↑ Olaf Kirschnick: care techniques from A - Z . Thieme, Stuttgart 2010, ISBN 978-3-13-127274-4 , p. 245 f . ( limited preview in Google Book search).
- ↑ a b c Ilka Köther (Ed.): Thiemes Altenpflege . 2nd updated edition. Thieme Verlag, Stuttgart u. a. 2007, ISBN 978-3-13-139132-2 , p. 320
- ↑ a b c d e Susanne Schewior-Popp (Ed.): Thiemes Pflege. The textbook for nurses in training . 11th, completely revised and expanded edition. Thieme Verlag, Stuttgart u. a. 2009, ISBN 978-3-13-500011-4 , pp. 252 f.
- ↑ Christa Junginger: Health and Nursing: Exam preparation for nursing professions . Elsevier, Urban & Fischer, Munich 2007, ISBN 978-3-930192-55-7 , pp. 102 f . ( limited preview in Google Book search).
- ↑ Breath-stimulating rub-in for pneumonia prophylaxis . findax.de; Retrieved February 22, 2011
