傷口換藥（中英文版）

如果要下載英文版的長期照護居家技巧，您可至桃園縣長照中心下載英文衛教單，因為是全英文的衛教單，因此在這補充中文說明方便對照！

THE CHAPTER ON WOUND DRESSING　傷口換藥篇

HOW TO HELP HIM/HER ON WOUND DRESSING如何幫助他傷口換藥
If your love one has a skin wound, are you worry that you are incapable to help him/her?
Let’s join together to help take care of his/her wound!當您所愛的人一旦皮膚有傷口發生時！您是否會擔心不知如何照顧呢？讓我們一起來幫他照顧傷口吧！

THE GOAL　目的
Change dressing is able to get rid of different substances such as pus, secretion and death flesh that may influence wound healing. To keep the wound clean is able to enhance healing.換藥可以清除傷口上影響癒合的各種物質（膿、分泌物、死肉）！使傷口保持清潔，傷口會好的很好！

SUPPLIES YOU NEED TO PREPARE　您需要準備
●Germ-free cotton sticks or cotton swabs (for brushing the wound)　無菌棉枝或棉棒（擦傷口）
●Germ-free normal saline solution (for washing the wound)無菌生理食鹽水（洗傷口）
●Liquid medicine or ointment (following the instructions of homecare attendant)藥水或膏（依居家護理師指示使用）
●Germ-free gauzes or surgical tapes (for covering over wound)　無菌紗布或透明膠片（蓋傷口）
●Fastening tapes（膠帶）

PROCEDURES　步驟
1.Wash your hands. 洗手
2.Tear off old medicated dressing (wet it first with normal saline solution if it still sticks to wound)撕下舊敷料(沾黏時先用生理食鹽水沖濕)
3.Observe changes on wound : Big or small changes? The amount of secretion? Color changes? Record the phenomena down. 觀察傷口的變化：大小改變？分泌物多少?顏色變化?記錄下來
4.Dip cotton stick or cotton swab with normal saline solution, rub the wound from the middle to the outside until it is clean.以棉枝或棉棒沾生理食鹽水，從傷口的中間往外塗擦至傷口清潔為止

NOTE　注意
1.Use only once for each sticks.一枝只能用一次
2.The cleaning area should be extended 2~3cm around the wound.清潔範圍至傷口外圍二至三公分的地方
3.If necessary, repeat the above-mentioned methods with liquid medicine or ointment.必要時以上述方式塗上藥水或藥膏
4.Cover up the dressing and secure it with tape.蓋上敷料，貼上膠布

NOTE　注意事項
1.The change dressing sequences depend on wound conditions (the intensity of secretion and size of wound). Please discuss with homecare attendant on the changing sequences.換藥的次數與傷口的狀況有關(分泌物多少、傷口大小)，請與居家護理師討論換藥次數
2.The supplies or cotton sticks that work on the wound must be germ-free. Please be very careful of the sterilized date of the supplies and the technique of change dressing.接觸傷口的物品或棉枝必須完全無菌，請您千萬注意物品的消毒日期及換藥技術
3.If there is a need for other supplies such as therapy bowl, please use it according to instructions from homecare attendant.如需其他特殊物品，如治療碗，請依居家護理師指示使用
4.part from cleanliness of the dressing, the following two procedures are able to enhance healing:傷口要好得很快，除了靠換藥保持清潔外，下面兩項也很有幫助
(1)Turn the body more often to reduce pressure exerting time on the wound.勤於翻身，減少傷口受壓力的時間
(2)Pay attention to nutrition. Eat more meat, fish, beans, eggs, milk and Vitamin A.注意營養，多吃肉、魚、豆、蛋、奶類及維他命A
By merely practicing a few times, you will notice that change dressing is not a difficult job at all.熟能生巧，只要多換幾次，您便覺得換藥不是很難的事