Mobile Toilet for Fracture Patients Tutorial

The tutorial and key points for fracture patients using a mobile toilet (fracture commode) are as follows:

I. Installation and Placement

1. Location Selection: Place it on a flat and stable surface to prevent sliding or tilting. Reserve sufficient space around it (at least 60cm wide) to prevent patients from bumping when getting up. If it is an adjustable-height model, adjust the seat height according to the patient's leg length to ensure that the feet are naturally flat on the ground, reducing leg pressure.
2. Fixing Accessories: Check that the screws of accessories such as armrests and backrests are tightened and that the support frame is stable. If the commode comes with anti-slip foot pads, ensure they are in proper contact with the ground to prevent movement during use.

II. Usage Steps and Postures

1. Transferring the Body: The patient should move slowly to the side of the commode with the help of crutches or someone else's support, holding the armrests or the wall firmly with both hands. Turn around to face away from the commode and slowly squat down until fully seated, avoiding using one leg or sudden squatting to prevent stress on the fracture site.
2. Adjusting the Posture: After sitting firmly, lean back slightly and press against the backrest (if available) to distribute the pressure on the waist. Keep the legs naturally apart to avoid pressing on the injured area. If there is a leg fracture, use a soft pad (such as a rolled-up towel) to support the affected limb for comfort.
3. Getting Up: Before getting up, support the armrests or the edge of the seat with your arms and stand up slowly to avoid sudden exertion. If the patient cannot do it independently, someone should support the armpits or waist to assist in getting up to prevent secondary injuries.

III. Cleaning and Maintenance

1. Timely Cleaning: If it is a bedpan-style commode, remove the inner bucket after use, empty it, and rinse it thoroughly to avoid residue. When wiping the seat surface, avoid using corrosive cleaners (such as 84 disinfectant) to prevent material aging.
2. Regular Disinfection: Use 75% alcohol or a chlorine-containing disinfectant (such as diluted 84) to wipe the armrests, backrests, and other contact areas to reduce the risk of infection. If the commode has fabric accessories (such as seat covers), remove them and wash and dry them separately.

IV. Precautions

1. Avoid Excessive Leaning Forward: Leaning forward excessively while using the toilet may lead to an unstable center of gravity and increase the risk of falling. Keep the upper body upright.
2. Check Stability: Gently shake the commode before each use to ensure that the support frame and screws are not loose. If any wobbling is detected, immediately reinforce or replace the equipment.
3. Use Anti-slip Measures: Lay anti-slip mats on the ground and have the patient wear anti-slip slippers to further ensure safety.
4. Short-term Usage Recommendations: Long-term bedridden patients should follow the doctor's advice to avoid pressure sores caused by prolonged sitting. If the usage time exceeds 30 minutes, adjust the posture or take a break.

Recommendations for Special Fracture Types:

• Femoral Intertrochanteric Fracture: During bed rest, place a bedpan under the buttocks for defecation. Move gently to avoid rotating the affected limb. After the condition stabilizes, use a walking aid under the doctor's guidance to move slowly to the commode while keeping the affected limb unweighted. Family members should support and stabilize the patient's body at the side.

If there is increased pain or difficulty in movement during use, immediately stop using it and consult medical staff.