The nursing personnel's manual-make the cancer painful to come lightly somely

3.11.2009

The death that the cancer ache often causes than the cancer makes the person be afraid more, it will in many ways break the sufferer's existence quality from the mental state, physiology, spirit and society, and treatment and nursing of past ache are very important.
Mental nursing
The ache is one of the main symptoms of cancer, particularly is a cancer later period the ache of the hard control threaten to the sufferer larger.The sufferer's different personality, mental state and society background all have a dissimilarity to the reaction of ache.The good mental nursing can ease and avoid the sufferer's ache feeling.
Set up confidence
Frank once put forward and hoped suddenly to fall through to have a death-dealing function, so nurse how made the sufferer be full of to hope, set up confidence, stired up existence desire very importance.The nurse should develop imagination dint, Be placed oneself to oneself the sufferer's position, comprehend and encourage a sufferer to set up to win paroxysm confidence, because of snobbish lead, transfer a sufferer of actively mental appearance, help a sufferer to overcome a negative mental factor.
Fight for trust
The nurse is in the cancer painful sufferer in front in response to gauge dignified, the bearing is steady to weigh, action nimble, the manner of speaking is feat and increase the sufferer's sense of security thus and make its emotion stable and relieve worry anxiously.We should with self-confidence, be good at controling feelings and adjusting sex is strong, practiced in technique, work enthusiasm, a person of decision space the role appears at them of in front.
Scatter attention
The cancer pain often hints the existence and death of sufferer cancer cell of close by, sufferer usually whole day pessimism despair, the worry anxiously is uneasy.The nurse should organize a sufferer to take part in a necessary activity, if listenned to music, read book, listen to some medical science reports, together the friend of disease together accompany to play etc., age, personality and life style the close by sufferer arrange in the same sickroom possibly, so that the sufferer communicate each other, scatter attention in the harmonious atmosphere and soothe ache.
Downplay "sufferer's role"
Downplay "sufferer's role" consciousness, the Zhu sufferer as far as possible takes care of ~ for oneself a life and increases the aggressive emotion that it participates in social activities and collective activity, if take part in anti-cancer club etc..
Comprehend a sufferer
The nurse wants to well comprehend that the sufferer cuts up rough and selfish etc. bad mental state, wants to explain to other sufferers in the meantime and makes it understand the excrescent behavior that these mental factors cause.
Fight for family members match
The words and actions of the close relatives, friend directly influences the sufferer's emotion.Therefore medical personnel the on the other hand wanting actively bring trouble treatment, also want Zhu on the other hand the family members to actively encourage and support a sufferer, let the sufferer mentally get consolation.
Help an anti-cancer treatment
The cause of disease cures a nursing
The nurse should understand the complications of purpose, method, function and side effect and possible emergence of various treatment first.Because surgical operation treatment, put to treat, the chemotherapy has already used for clinical, nurse's technique in corresponding and knowledge all have certain understanding and control, but along with the development of medical science science, the new technique, new method of the new surgical operation method, thermo therapy, refrigeration therapy, and immunotherapy...etc., new medicine emerges with the tide of the times, requesting our nurse has to pay attention to an anti-cancer treatment new progress, then can be safe, accurately performance cure Zhu, assurance nursing quality and treatment method went with should, obtain the best effect.
The ache treatment is used the nursing of medicine
Relieve pain a project according to"three stairs", press to need to the medicine."Three stairs"'s relieving pain a method is the basic method of clinical cancer ache treatment currently, will soon pain reliever's pressing don't anaesthetize sex, weak anaesthesia and anaesthesia to is divided into three stages;At with don't anaesthetize sex pain reliever(first stagelight degree ache) is main foundation up, be when it has no command over ache in order add and use a little amount weak the anaesthesia medicine(second stagemid-degree keep on ache or aggravate) and anaesthesia pain reliever( third stageseverely keep on ache), already arrive and alleviate the purpose of the cancer pain possibly.
Understand the method of using of the cancer pain treatment medicine and to measure and apply scope.Such as not Be given the morphine of medicine effective to more serious ache by stomach and intestines, associately use a medicine to more effectively wait.The pain reliever takes orally possibly, secondly is a rectum to give medicine, finally is skin bottom or vein, the objection injects inside the muscle.Because inject a function inside the muscle time is continuously short, the muscle is thin absorb bad, use a medicine difficulty etc. by one's own.Want according to the half- life of medicine in fixed time to the medicine, fore the time efficacy of medicine disappears to use a medicine before the 1 h, the in order to prevent increases pain and sufferings for sufferer and increases the medicine amount of.
Control the nursing of other therapies.Such as continuously use a PCA pump through the vein from control a town pain[should notice disinfect to the medicine inside 1] and hard chamber outside the film and Zhui tube and have no germ operation, notice partial skin and the check and nursing of pipe, prevent°from taking place an infection inside hard chamber outside the film and Zhui tube, appear a problem in time to the disease and handle etc..
Strengthen a foundation nursing
Create comfortable environment
Marin thinks "the comfort is the main need of all cancer sufferers".The comfort is to make mental, the physiology unusually ease to lowest extent, the comfort includes mental comfort and body comfort, two complement each other.The comfort requests the room of disease to should sweep, calmness, the ray is ample, the indoor temperature is just right, and the air is fresh;Conditioned should provide with a television, stereo set, let the sufferer have the felling of house, feel easy, delectation and sweet.The family members look after to make the sufferer experience personally to satisfy feeling.75.2% general sufferers in the later period cancer painful sufferer, 85% old-age sufferers hope to be looked after at home, the family has to the sufferer from belong to feeling and sense of security.Therefore, building up "comfortable family sickroom" is very necessary.
The renewal of nursing idea
Quickly and availably easing the basic request that the cancer pain is a nursing is also the nurse's basic responsibility, therefore, the nurse should make an effort to raise the nursing level of the cancer pain.The control of cancer pain usually under the comprehensive influence of various factors, such as sufferer, nurse and medicine combination...etc., but the nurse's close observation and provide in time accommodation of relieve pain a method is the important factor that controls a cancer pain.This need nursing education plan from the foundation and clinical top to medicine of the pharmacology learn and use a medicine method to strengthen further and set up resolute adopt various treatment of means, try the relief sufferer's pain and sufferings, the new ideas of exaltation sufferer existence quality and extension life, strictly obey the guideline of effective control ache.
The nurse's accurate valuation
At to the cancer pain control process, ache of the valuation is the first important link.The nurse not only wants to objectively judge if the ache exists and also needs to make sure the degree of ache;The nurse has to do accurate judgment and adopt homologous measure according to the individual ache characteristics before using a medicine, then can availably ease the sufferer's pain and sufferings.Pass clinical clear to nurses' questionnaires:The best handle sore of the main obstacle is to evaluate shortage to the ache and handle sore of the knowledge isn't enough and the sufferer don't wish a report etc..Therefore, to nurse more important processing concerning ache and in order to relieve sore of standard education.

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