{"id":3443,"date":"2023-12-21T12:11:34","date_gmt":"2023-12-21T09:11:34","guid":{"rendered":"https:\/\/lamerdanismanlik.com\/?p=3443"},"modified":"2024-11-16T09:33:55","modified_gmt":"2024-11-16T06:33:55","slug":"evde-hasta-bakiminda-dikkat-edilmesi-gerekenler","status":"publish","type":"post","link":"https:\/\/lamerdanismanlik.com\/en\/2023\/12\/21\/home-care-tips-for-patients\/","title":{"rendered":"Home Care Tips for Patients"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"3443\" class=\"elementor elementor-3443\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7723fb96 alignwide e-flex e-con-boxed e-con e-parent\" data-id=\"7723fb96\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-5983e6cc e-con-full e-flex e-con e-child\" data-id=\"5983e6cc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-48b4ec3a elementor-widget elementor-widget-text-editor\" data-id=\"48b4ec3a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Home Care Tips for Patients<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7d42a7f7 e-flex e-con-boxed e-con e-parent\" data-id=\"7d42a7f7\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-477f76cc e-con-full e-flex e-con e-child\" data-id=\"477f76cc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2329691 elementor-widget__width-initial elementor-widget-laptop__width-inherit elementor-widget elementor-widget-heading\" data-id=\"2329691\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Home Care Tips for Patients<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ddb5517 elementor-widget elementor-widget-text-editor\" data-id=\"7ddb5517\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"translation-block\">It may not always be possible for chronically ill individuals to receive care in a hospital setting due to various reasons such as capacity limitations, infection risks, and hospital costs. Doctors may decide to provide care for the patient at home. <a href=\"https:\/\/lamerdanismanlik.com\/en\/2023\/12\/21\/home-care-tips-for-patients\/\" target=\"_self\">Home care<\/a> is crucial for your loved ones to rest and recover in a comfortable and safe environment. However, paying attention to certain essential elements is necessary to create an ideal home care environment. Here are key considerations for home care:<\/p><h3>Patient Room<\/h3><p>To create a suitable environment for home care, the patient's room should be organized and comfortable. Ensure that the bed is in an appropriate position for bedridden patients. Control the room temperature and keep necessary items easily accessible for the patient. Additionally, the room's decoration and lighting can positively impact the patient's morale.<\/p><h3>Medication Use<\/h3><p>If the patient requires regular medication, organize the medication schedule as recommended by the doctor. Administering medications on time and in the correct dosage contributes to the patient's recovery. Also, observe and report any side effects of the medications to the doctor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-27989404 e-con-full elementor-hidden-mobile e-flex e-con e-child\" data-id=\"27989404\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3f047f34 elementor-widget elementor-widget-text-editor\" data-id=\"3f047f34\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Latest Blog Post<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0cf70fe elementor-grid-eael-col-1 elementor-grid-tablet-eael-col-2 elementor-grid-mobile-eael-col-1 elementor-widget elementor-widget-eael-post-grid\" data-id=\"0cf70fe\" data-element_type=\"widget\" data-settings=\"{&quot;eael_post_grid_columns&quot;:&quot;eael-col-1&quot;,&quot;eael_post_grid_columns_tablet&quot;:&quot;eael-col-2&quot;,&quot;eael_post_grid_columns_mobile&quot;:&quot;eael-col-1&quot;}\" data-widget_type=\"eael-post-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"eael-post-grid-0cf70fe\" class=\"eael-post-grid-container\">\n            <div class=\"eael-post-grid eael-post-appender eael-post-appender-0cf70fe eael-post-grid-style-one\" data-layout-mode=\"grid\"><article class=\"eael-grid-post  eael-post-grid-column eael-pg-post-3487 category-blog\" data-id=\"3487\">\n        <div class=\"eael-grid-post-holder\">\n            <div class=\"eael-grid-post-holder-inner\"><div class=\"eael-entry-media\"><div class=\"eael-entry-overlay fade-in\"><i class=\"fas fa-long-arrow-alt-right\" aria-hidden=\"true\"><\/i><a href=\"https:\/\/lamerdanismanlik.com\/en\/2023\/12\/21\/post-surgery-care-tips\/\"><\/a><\/div><div class=\"eael-entry-thumbnail eael-image-ratio\">\n                <img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/ameliyat_sonrasi_bakim_5.jpg\" class=\"attachment-large size-large wp-image-3502\" alt=\"Ameliyat Sonras\u0131 Bak\u0131m\" srcset=\"https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/ameliyat_sonrasi_bakim_5.jpg 800w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/ameliyat_sonrasi_bakim_5-300x169.jpg 300w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/ameliyat_sonrasi_bakim_5-768x432.jpg 768w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/ameliyat_sonrasi_bakim_5-18x10.jpg 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\n            <\/div>\n        <\/div><div class=\"eael-entry-wrapper\"><header class=\"eael-entry-header\"><h2 class=\"eael-entry-title\"><a class=\"eael-grid-post-link\" href=\"https:\/\/lamerdanismanlik.com\/en\/2023\/12\/21\/post-surgery-care-tips\/\" title=\"Post-Surgery Care Tips\">Post-Surgery Care Tips<\/a><\/h2><\/header><div class=\"eael-entry-content\">\n                        <div class=\"eael-grid-post-excerpt\"><p>When your physician plans surgery for you or a loved one, it is best to plan things before surgery rather than after. To ensure that you plan home care after surgery according to the patient, follow these steps:<\/p><a href=\"https:\/\/lamerdanismanlik.com\/en\/2023\/12\/21\/post-surgery-care-tips\/\" class=\"eael-post-elements-readmore-btn\">Read More<\/a><\/div>\n                    <\/div><div class=\"eael-entry-footer\"><div class=\"eael-entry-meta\"><\/div><\/div><\/div><\/div>\n        <\/div>\n    <\/article><\/div>\n            <div class=\"clearfix\"><\/div>\n        <\/div>            <div class=\"eael-load-more-button-wrap eael-force-hide\">\n                <button class=\"eael-load-more-button\" id=\"eael-load-more-btn-0cf70fe\" data-widget-id=\"0cf70fe\" data-widget=\"0cf70fe\" data-page-id=\"3443\" data-template=\"{&quot;dir&quot;:&quot;lite&quot;,&quot;file_name&quot;:&quot;one.php&quot;,&quot;name&quot;:&quot;Post-Grid&quot;}\" data-class=\"Essential_Addons_Elementor\\Elements\\Post_Grid\" data-layout=\"grid\" data-page=\"1\" 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1.304z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-54a58e93 elementor-widget elementor-widget-text-editor\" data-id=\"54a58e93\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Contact us<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7febeac6 elementor-widget elementor-widget-text-editor\" data-id=\"7febeac6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Office:\u00a0<a href=\"tel:+902122132423\">+90 212 213 2423<\/a>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e062a22 elementor-widget elementor-widget-text-editor\" data-id=\"1e062a22\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Mobile:\u00a0\u00a0<a href=\"tel:+905322043168\">+90 532 204 3168<\/a>\u00a0\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a055b elementor-widget elementor-widget-global elementor-global-4519 elementor-widget-text-editor\" data-id=\"e2a055b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/wa.link\/lamerdanismanlik\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"aligncenter wp-image-2584\" src=\"https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo-eng.png\" alt=\"\" width=\"140\" height=\"44\" srcset=\"https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo-eng.png 318w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo-eng-300x94.png 300w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo-eng-18x6.png 18w\" sizes=\"(max-width: 140px) 100vw, 140px\" \/><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7440b0ab e-con-full e-flex e-con e-child\" data-id=\"7440b0ab\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-274c8332 elementor-widget elementor-widget-text-editor\" data-id=\"274c8332\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Pulse Monitoring<\/h3><p class=\"translation-block\">Regularly checking the patient's pulse provides essential information about their overall health. <a href=\"https:\/\/tr.wikipedia.org\/wiki\/Nabz\" target=\"_blank\" rel=\"noopener\">Pulse monitoring<\/a> is crucial to observe heart rate, rhythm, and irregularities, aiding in the early detection of emergencies.<\/p><h3>Patient Hygiene<\/h3><p>Hygiene should be a priority in patient care. Clean the patient regularly, attend to bathroom needs, and emphasize personal hygiene. Having cleaning supplies and appropriate hygiene products readily available will facilitate the process.<\/p><h3>Patient Safety<\/h3><p class=\"translation-block\">Safety is the top priority during <a href=\"https:\/\/lamerdanismanlik.com\/en\/day-time-and-live-in-patient-caregiver\/\" target=\"_self\">home care<\/a>. Take precautions to reduce the risk of falls in the patient's room. The patient should seek assistance when getting out of bed or moving. Use electrical devices carefully, and consult a professional when needed.<\/p><h3>Home Nursing Service<\/h3><p>Obtaining professional nursing services at home ensures that the patient receives quality healthcare. A specialized nurse will regularly monitor the patient's condition, manage medications, and intervene in emergencies if necessary.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2f2d066 e-flex e-con-boxed e-con e-parent\" data-id=\"2f2d066\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-2045a62 e-con-full e-flex e-con e-child\" data-id=\"2045a62\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9b85bdd elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"9b85bdd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Considerations for Bedridden Patient Care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7271ab9 elementor-widget elementor-widget-text-editor\" data-id=\"7271ab9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Caring for bedridden patients requires careful attention to their comfort, hygiene, and overall health. Here are considerations for bedridden patient care:<\/p><h4>Bed<\/h4><p>Adjust the beds of bedridden patients regularly so they can lie comfortably. Using plenty of pillows and support contributes to their comfort.<\/p><h4>Perineal Area Hygiene<\/h4><p>Regularly cleaning the perineal area is a crucial part of the overall hygiene of bedridden patients. Proper cleaning with soap and water, followed by gentle drying with a soft towel, reduces the risk of infection.<\/p><h4>Movement and Circulation<\/h4><p>Because the movements of bedridden patients are limited, regular changes in position are necessary. Help the patient move slightly within the bed at intervals to promote circulation by gently moving their arms and legs.<\/p><h4>Nutrition and Fluid Intake<\/h4><p>Paying attention to the nutrition of bedridden patients is essential. A healthy and balanced diet positively contributes to the recovery process. The patient should also consume an adequate amount of water. Encourage them to drink small amounts of water frequently. Consult with the doctor for recommendations in this process.<\/p><p>Proper nutrition supports tissue repair, strengthens the immune system, and increases energy levels. Collaborating with a dietitian can help create a plan tailored to the patient's specific nutritional needs. This careful approach contributes to the patient's healthy recovery and improved overall quality of life.<\/p><h4>Skin Care<\/h4><p>The skin health of bedridden patients is another important consideration. Prolonged bed rest increases the risk of developing wounds. Therefore, paying special attention to skin care, taking preventive measures against redness or wounds, and preventing the patient from lying on the same side are crucial.<\/p><p>Bedridden patient care significantly impacts an individual's overall health and quality of life. Therefore, nurses and individuals involved in home care should consider the patient's individual needs and act in accordance with the recommendations of healthcare professionals.<\/p><p>By paying attention to the factors mentioned above, you can provide the best care for your loved ones at home and contribute to their health.<\/p><p class=\"translation-block\">As <a href=\"https:\/\/lamerdanismanlik.com\/en\/\" target=\"_self\"><strong>Lamer Consulting<\/strong><\/a>, we provide experienced and trustworthy caregiver support for home healthcare across Turkey. We offer top-quality caregiving services that you can rely on with peace of mind, ensuring that your loved ones are in safe hands. For more information and to arrange the ideal care services suited to your loved ones' needs, please contact us.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5fd209eb e-con-full e-flex elementor-invisible e-con e-parent\" data-id=\"5fd209eb\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-756978d5 e-flex e-con-boxed e-con e-child\" data-id=\"756978d5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f982b9d elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5f982b9d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Our Consultants are <br> Ready To Listen To You<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4fdb9f3f elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"4fdb9f3f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default translation-block\">Call or Send a Message Now,<br> Get the Support You Need in a Fast and Reliable Way<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d13fb83 elementor-mobile-align-center elementor-tablet-align-center elementor-align-center elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget-mobile_extra__width-initial elementor-widget-tablet_extra__width-initial elementor-widget elementor-widget-button\" data-id=\"7d13fb83\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg elementor-animation-shrink\" href=\"tel:+902122132423\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">+90 212 213 2423<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1dfcddd8 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"1dfcddd8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/wa.link\/lamerdanismanlik\" target=\"_blank\" rel=\"nofollow\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"318\" height=\"100\" src=\"https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo.png\" class=\"elementor-animation-shrink attachment-medium_large size-medium_large wp-image-2584\" alt=\"\" srcset=\"https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo.png 318w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo-300x94.png 300w, https:\/\/lamerdanismanlik.com\/wp-content\/uploads\/2023\/12\/WAlogo-18x6.png 18w\" sizes=\"(max-width: 318px) 100vw, 318px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>It may not always be possible for chronically ill people to be cared for in a hospital environment. For various reasons such as lack of capacity, risk of infection, and hospital costs, doctors may decide to care for the patient at home.<\/p>","protected":false},"author":1,"featured_media":3445,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"blocksy_meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.4 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Evde Hasta Bak\u0131m\u0131nda Dikkat Edilmesi Gerekenler - Lamer Dan\u0131\u015fmanl\u0131k<\/title>\n<meta name=\"description\" content=\"Evde hasta bak\u0131m\u0131: Hijyen, beslenme, cilt bak\u0131m\u0131, hareket d\u00fczeni ve uzman deste\u011fiyle hasta konforu ve sa\u011fl\u0131\u011f\u0131 i\u00e7in etkili \u00e7\u00f6z\u00fcmler.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lamerdanismanlik.com\/en\/2023\/12\/21\/home-care-tips-for-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evde Hasta Bak\u0131m\u0131nda Dikkat Edilmesi Gerekenler - 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