The oesophagus cancer standard nursing plans

The oesophagus cancer is some world nations and the malignant tumor of region.Its cause of disease hasn't completely understood, can and food, oesophagus chronic incitement and second nitric An and it ex- body, some trace element contents are low or lack and inherit an etc. factor relevant.The mainly clinical performance has already carried on sex to swallow a difficulty and swallowed ache, the food returns to flow, chronic dehydrate, malnutrition, emaciated, the quality of bad disease and transfer causable other performances because of the tumor.Curing for good of this disease key at to oesophagus cancer of the earlier period discover to diagnose with earlier period, the treatment method includes surgical operation, emanation and chemistry treatment.

The oesophagus cancer patient's familiar nursing problem includes:①Deficiency disease:BE lower than a machine body to need to be measured;②Ache;③The activity didn't bear dint;④Preparing sensitive faculty is sorrow.

Deficiency disease:BE lower than a machine body to need to be measured

【Related factor 】

Carry on sex to swallow difficulty, absorb quantity shortage.

Swallow an ache.

Chemotherapy and put to treat to the appetite descend.

【Main performance 】

Carrying on sex is emaciated, the weight descends.

Skin, glue film aridity, flexible decrease.

【Nursing target 】

Acquire enough calories, the patient weight maintenance is in the certain foundation level.

【Nursing measure 】

The half that provided feat high egg white, hot quantity, high vitamin in early days in the disease flows or liquid substance food.

Provide to sweep, clean, the air fresh has meal environment, according to the patient's taste, increase an alimental color, joss-stick and flavor, stimulate the patient's appetite.

To the patient who takes a meal to take care of ～ for oneself blemish, help or help it takes a meal.

The one who take a meal extreme difficulty adopts vein more to add nourishment, like 50% glucoses, vitamin C, vitamin B6, electrolyte, white egg white and fat milk etc..

The Zhu patient lies bed rest or decrease activity more and consumes by decrease physical strength.

Monitor index signs, such as weight, hemoglobin and white egg white...etc..

【Particularly evaluate 】

The variety of patient's weight.

The skin glues the degree of humidity and flexibility of film.

Ache

【Related factor 】

The cancer is swollen debauched, ulcerate.

The oesophagus is burning.

The Zong separates a quilt cancer cell invasion.

【Main performance 】

Taking a meal burns a pain and dull pain after canning cause breastbone and once absorbed the heat or the acidity food more obvious behind.

The ache can involve breastbone ascend cave, shoulder, neck etc..

The later period presents to keep on sex chest carry ache on sex chest's back.

【Nursing target 】

The patient ache maintenance is in the lowest limit.

The lord tells ache to ease.

【Nursing measure 】

Avoid once taking a meal hot, coarseness or acidity food to reduce part incitement.

Provide quiet and comfortable rest environment, promise ample sleep to soothe ache.

Observe the part, property and degree of patient's ache and keep on time.

The church patient scatters an attention method, if relaxs Shu, hypnotisms and listens to music etc. by one's own.

The ache is violent in time report.

【Particularly evaluate 】

The degree that the ache eases, the ache keeps on whether time shortens.

Should to if the method is effective.

The activity didn't bear dint

【Related factor 】

Ache.

Malnutrition.

The quality of bad disease.

【Main performance 】

The lord tells to faint, dimmed eyesight, arms and legs have no dint.

Movable sex dyspnea, stuffy chest and painful chest, perspire etc..

Daily life, the following bed, take a meal, personal hygiene, go into Ci etc. to take care of ～ for oneself ability to descend.

【Nursing target 】

The patient's daily life nursing is satisfied.

Don't feel tired when the alternation carries on activity and rest.

The patient's movable quantity and activity time increase gradually.

【Nursing measure 】

The necessity that makes the patient comprehend a rest, particularly is before descending a bed activity or before having a meal.

The place that put an in common use product to easily take at the patient.

Help a patient to work well life nursing, if take a meal, personal hygiene, go into Ci etc. to satisfy patient's demand.

Draw up a feat activity plan together with patient or family memberses, with patient's ability be subjected to for standard, increase movable quantity and activity time gradually.

Patient's activity, keep a ground dry, move to open indoor stumbling block, also the person keep company with to promise the patient's safety.

Guide a patient the academic association activity responds of ego monitor, such as activity in, activity behind measure blood pressure, pulse, breath.

【Particularly evaluate 】

The patient activity has already had no behind dizzy, dimmed eyesight etc. symptom, or whether symptom eases or disappears.

Whether activity quantity and activity time increases.

Whether daily life nursing is satisfied.

It's sorrow to prepare sensitive faculty

【Related factor 】

The later period of the disease loses confidence to the treatment.

Prepare feeling despair, lose interest to the life.

【Main performance 】

Weep over or silent not language, refuse to take a meal.

There are suicide mind or suicide tendency.

Unqualified match treatment and nursing.

Refuse and others' association or confabulation.

【Nursing target 】

The patient can express his/her own sorrow emotion.

Ability aggressive match treatment and nursing.

Can carry on a normal social intercourse activity.

【Nursing measure 】

Usually go around and inspect a patient, solve patient's demand in time to obtain the patient's trust.

Provide a safety, comfort alone for the patient environment, let the emotion of its expression oneself.

The peacetime is many and patient's confabulation, patiently hear it gets off the heart, and mean comprehension, in the meantime attention maintenance the patient's self-respect.

Clinical top is some successful cases and encourage a patient to re- summon up living sail of boat.

Look for suitable support system:

Suggest the unit leadership or colleague gives to concern.

Encourage friend to carry on consolation to the patient, keep company with when it's necessary.

【Particularly evaluate 】

The patient can match with treatment and nursing.

Whether emotion and mental state improves.