SUBJECT: Nursing Foundation
NAME OF THE TOPIC: Back care
NAME OF THE STUDENT: MS. Disha Modi
NAME OF THE GUIDE: Ms. Salomi Shinde
GROUP: 1st Year B.Sc.Nursing
AV AIDS: PPT , Charts , Flip Charts , Handouts , Black board ,Video ,Flannel board.
DATE AND TIME: 1/1/2019 at 12-1 pm.
GENERAL OBJECTIVE:
At the end of the practice teaching students will be able to understand and can perform the back care.
SPECIFIC OBJECTIVES:
At the end of the class the students will be able to:
Define Back care.
Explain Purposes of Back care.
Enumerate the indication of back care.
Discuss the general instruction of the back care.
Enlist the articles of the back care.
Enumerate the preparation of the patient.
Describe the steps procedure of back care.
Enrol the after care of the articles and patient of the back care.
TEACHER’S/LERNER”
SERIAL SPECIFIC CONTENT S ACTIVITY AV
NUMBER TIME OBJECTIVE AIDS EVALUATION
DEFINITION:
1. 2 min Define Lecture cum PPT What is the
Back care means cleaning and massaging an discussion method. definition of
Back Care.
individual’s back as a therapeutic and comfort back care?
measure.
PURPOSE:
To prevent bed sore. Lecture cum PPT Which are
discussion method. purposes of
2. 7 min Explain To stimulate circulation. the back care?
Purposes To detect early sign of bed sore.
of Back To relieve pressure from pressure
points and to change position.
Care.
To keep the skin clean and dry.
To refresh the patient and relieve
fatigue.
To treat the bed sore in early stage.
Indication
Enumerate the
3. 5 min Lecture cum PPT Which are the
indication of Back pain discussion method indication of
Neck or shoulder pain the back care?
back care
Muscle spasm
Muscle weakness
Whiplash nerve injury
Poor circulation
sciatica
General instruction:-
4. 10 min Discuss the
PPT Which are
general Explanation is to be given to all Lecture cum general
instruction of discussion method instruction of
patients who are susceptible to
the back care?
the back care. pressure sores.
Instructions may be given frequently to
the needy patients, e.g. paralysed ,
unconscious or bed ridden patients.
Back care should be followed by
change of position.
Observation of skin during back care
promotes early detection of pressure
sores.
Comfort devices to be used after back
care.
Articles
5 min Enlist the Lecture cum PPT Which are the
5. articles of back discussion method articles of
Screen
back care?
care Mackintosh with cover
Bed linen
Patients cloth
A tray containing:-
Small Basin
Sponge cloth
Soap dish with soap
Spirit/oil
Powder
towel
Describe
Procedure:
6. 30 min the steps Lecture cum Flow Which are
discussion method chart steps of
of Steps of the RATIONALE procedure of
back care?
procedure
procedure
1. Put the patient in a For easy access
of back
lateral or prone to back
care. position.
The pillow Leaves top
sheet in place.
2. Expose the
patient’s back,
shoulders, upper arm
and buttocks.
3. Cover the reminder
To prevent
of the body with a bath
unnecessary
blanket.
exposure of
body parts.
4. Spread mackintosh
and towel alongside
the patient’s back.
5. Wash hands in
To make the
warm water.
touch
comfortable for
the patient as
cold causes
muscle tension.
6. wash back with To clean the
mild soap thoroughly back and
form cervical spine to remove oil
the coccyx ,wash off accumulation.
the soap and dry. To stimulate
blood
circulation and
relieve muscle
tension
7. Take spirit on the Spirit keeps the
palm and apply it all skin dry.
over the back in a Spirit hardens
circular motion, the skin and
massage till the spirit lessens the
is evaporated and the chances of a bed
skin dry. sore.
8. Apply talcum Keeps the skin
powder on the back. dry. It reduces
friction.
9. Remove the To leave the
mackintosh and towel , patient
put the patient’s comfortable and
clothes and make him dry.
comfortable. Promotes a
sense of well-
being
Techniques used
in back care
1) Effleurage
Apply hands first to Gentle, firm
sacral area massaging pressure
in circular motion. applied to all
stroke upward from muscle
buttocks to shoulders. groups
Massage over scapulae
with smooth, firm promotes
strokes. relaxation.
2) Petrisage
Knead skin by gently
grasping tissue
between your thumb Kneading
and fingers , knead increase
upward along one side
circulation.
of spine from buttocks
to shoulders and
around nape of neck ,
knead downwards
towards sacrum ,repeat
along other side of
back.
3) friction
4) Tapotement
Perform tapotement
(tapping movement
with medial aspect of Provides
hands onside of spine relaxation to
from sacral region
back muscle.
upwards) for
2minutes.
Enrol the after
care of patient
and article of What is the
7. 5min Lecture cum PPT
back care. after care of the
discussion method procedure?
After care of patient and articles
Make the patient comfortable.
Remove the screen.
Take the articles to the utility room.
Clean the articles and keep ready for
next use
Wash hands.
Recording and reporting
Record the date and time, treatment,
observation made, on the nurses record
and sign it.
Report necessary observation to the
ward sister.
Summary
In this practice teaching of “back care” I have
discussed about definition of back care,
purpose of back care ,general instruction of
back care, articles of back care, preparation of
the patient, steps of procedure of back care,
aftercare of the patient and articles. now
students are able to understand about this
topics.
Conclusion
At the end of this practice teaching session
now students have the knowledge regarding
back care and they can also apply this
knowledge in practice area.
Bibliography
Fundamental of nursing a procedure
manual “The trained nurses association
of India page no.179 - 181
Madhuri inamdar, “nursing arts”
(Principles and practice) ,part-1 vora
medical publications, Bombay page
no.
https://www.jica. go.jp/Nepal
English/office/ topics/pdf/topics/ 02-
01.pdf
https://www.slideshare.net/navneen
Sharma
