Hang body lump standard nursing plan

Hanging the body lump is 1 set from hanged before the body leaf and empress the leaf and Lu swallow the tumor of taking care of the last skin remnants remaining cell occurrence.90% is a positive gland lump, minority in order to increase to living, the very few number is a cancer.Cause of disease and outbreak mechanism are clearly still not quite currently.The its main clinical performance includes two greatest symptomses:The hormone secretes excrescent symptoms;The tumor oppression hangs a body to around organize of symptoms.Cure a project in addition to handling to the disease and support, there are treatments such as emanation, surgical operation and medicine etc..

The familiar nursing problem includes:①Ego image mess;②Comfortable change;③The feeling knows a change:Sense of vision;④Latent complications-hang a body crisis.

Ego image mess

【Related factor 】

Having a great achievement can hang body lump to secrete excessive hormone.

【Main performance 】the giant disease, limb carry hypertrophy and database Xin the companion melanin of the disease is heavy, dwarf disease etc..

【Nursing target 】

1 ability exactitude understanding existing body outward appearance change.

2 can use fittingly should to the mechanism.

【Nursing measure 】

1 and patient's confabulation, encourage a patient to express his/her own feeling, give positive guide.

2 encouragement the patient keep a method of carrying on the got-up habit and improvement individual image usually:Fitting clothes, fitting modifier.

3 encouragement the patient strengthen accomplishment, raise the inside character of oneself and presume face the realities.

4 help the patient adapt to daily life and participate in social activity and human relations association.

【Particularly evaluate 】

The patient can recover normal social activity and human relations association.

Two, comfortable change:Have a headache

【Related factor 】

The tumor oppression hangs body surroundings organization.

【Main performance 】

Keep on sex headache, Be located on ex- sum, double Nie side, and Kuang empress...etc., can also present the bulge painful companion hair to turn worse.

【Nursing target 】

1 patient the headache alleviate.

2 can make use of an effective method to alleviate ache.

【Nursing measure 】

1 Zhu the patient lie a bed rest and keep indoor environment calmness, indoor temperature feat and reduce the incitement of bad factor possibly, the easy to patient goes to bed and relaxs.

2 help a patient to satisfy a living demand.

3 instruction patient's usage alleviate a sore technique:①Imagine;②Scatter an attention technique;③Relax a technique.

4, the headache immediately reported a doctor while turning worse.

【Particularly evaluate 】

The degree that a headache eases.

2 patients have already had no chaperonage symptom while having a headache.

Three, the feeling know a change:Sense of vision

【Related factor 】

The tumor oppression sees nerve and see to cross and see nerve to tie.

【Main performance 】

The sight decrease, visual field defection and damage and eye bottom changes.

【Nursing target 】

A patient doesn't take place external injury.

2 daily lifes can take care of ～ for oneself.

【Nursing measure 】

1 introduce the room environment of disease in detail to the patient, provide appropriate light source.

2 put water, cutlery, and pager...etc. in common use product in the patient's sight scope.

3 move the stumbling block in the environment, the indoor is used a thing opposite fix, if put to put position occurrence a change to want to tell a patient with the thing.

4 avoid letting door half to open, must all open or all pass.

5 keep bed low level, the bedside has already handed a column.

6 want the Chan to hand while being a patient to run about, provide appropriate assistance tools and implements combine practice usage.

【Particularly evaluate 】

The degree of the 1 patient sense of vision instauration.

2 under the sight obstacle the ability had.

Four latent complications-hang a body crisis

【Related factor 】

1 hang body lump to oppress normal gland to hang a body, cause gland to hang body function lowly.

2 infections, vomit, diarrhea, surgical operation and hunger, chill and external injury and use various town to calm down, sleeping pills etc. should arouse condition.

【Main performance 】

Mental disorder, wild Zhan, hot, low temperature, disgusted, vomit, low blood sugar disease, fainted, collapsed and fainted etc..

【Nursing target 】

Patient not the occurrence hang a body crisis.

【Nursing measure 】

1 give the food of hot quantity, high protein, high vitamin.

2 instruction the sufferer build up good of living system, keep mind and body health.

3 Zhu the sufferer notice personal hygiene, the prevention is infected.

4 Zhu the patient avoid catching a cold, excesssive weariness from overwork and concussion.

5 if erupt to hang a body crisis, then make the following processing:

The Zun cures Zhu vein the drop note 50% glucoses 40-60 mlses and sugar brine to rescue low blood sugar and lose water...etc..

The low temperature can put the patient into 24-in 35 ℃ water, heat water temperature to 38-39 ℃ gradually, be patient body temperature rally go to above 35 ℃ then wipe stem to keep warm.

The hot reduces the heat a method according to the concrete circumstance choice.

Forbid or carefully use the morphine, Ba Bi Tuo's type and chlorine C Mao etc. and various medicine that decline sugar, in order to prevent induct obfuscation.

【Particularly evaluate 】

The patient has the symptom to don't hang a body crisis to advertise for with the body.