Shallow talk cancer of the nursing of ache 1

3.10.2009

In recent years, the outbreak rate of cancer is continuously rising, the ache is the cancer sufferer's most familiar main symptom.According to the statistics, in the cancer sufferer 30%~50% companions contain the ache of different degree.In the sufferer having cancer pain, 50% companions have in wait degree or violent ache, 30% aches that the sufferers are violent or hard to bear with.Cancer pain, restriction the sufferer's activity, decrease appetite, influence sleep, seriously will produce worry anxiously, fear, suppress Yu the spirit obstacle of etc. different degree, increase stress for family, increment economy burden.Therefore, the cancer painful nursing contains very greatly clinical and social meaning.The writer tallies up according to the clinical fulfillment of long term as follows what time nursing measure, be provided for everyone to make reference to.
The medicine relieves pain a nursing
At clinical up, the medicine is the main treatment method of cancer pain.We have to be overall, accurate and evaluate sore time, degree, part, property and keep on sex and interrupted a sex, ache treatment history in time, the influence of the ache upon the sufferer and the family members etc..Cure Zhu to press according to the analyzing result Zun x-rated relieve pain a principle to give analgesic, give medicine need to specially notice following few principleses:
1.Give a medicine on time:Strictly control the half- life of analgesic, there is regulation ground to the medicine, can prevent°fro sore occurrence, and prevent°from aggravating.
2.The individuation gives a medicine:According to the patient's sex, age, weight, bear a medicine and different distinction to the medicine.To notice the sufferer's actual curative effect choose appropriate amount of, with attain an effective town pain for purpose.
3.Take orally to the medicine:Under the possible condition, work hard for to take orally to the medicine.Since can keep the sufferer's independence, again the easy to patient takes over a long period of time, can avoid the ache and injury that the injecting brings sufferer over a long period of time.Such as can not take orally should consider rectum or descend to the medicine through the skin.
4.Give a medicine according to the stairs:Press from weak arrive strong, from small arrive greatly, from little arrive many of principle, add quantity gradually, don't would not° until wait a patient to need use, have to have the by the point using of the regulation the medicine, and cautiously observe curative effect and side effect.
5.Notice a concrete detail:From the relieving pain of the most simple quantity project and wound least therapy beginning;Don't cure a cancer pain with the placebo, the placebo doesn't can be real to relieve pain;Patient to stairs medicine at badly reaction of there is very great difference on the sensitivity and want heed while using:The Du cold D can only be used for the impatient ache of short time's relieving pained, if the big amount of is used will appear tremor, illusion, have muscular spasms, muscle the Lyuan and epilepsy go into action etc.;Use two hydrogens to get to give over a long period of time thin can cause obvious spirit dependence and body dependence, can not used for the normal regulations treatment of cancer pain.
The non- medicine relieves pain a method nursing
1.Transfer to relieve pain a method:Can call the patient to sit on the comfortable chair, close the eyes for a rest, miss the business of oneself's childhood interesting cola first, or think anything that oneself would like to think, every time 20 minutes, can also according to personal favour, put some music that easy Gao adjusts, make patient's side appreciated a side to beat to clap with the rhythm, shake a hand etc. action, can also show patient some jokes, humorous novel and listen to a ventriloquist to have fun, can scatter attention like this, the to build up relieves pain effect.
2.Relax to relieve pain a method:The whole body is flabby to give the person the easy feeling, in the meantime muscle flabby can stop ache reaction.Call the patient to shut the last eyes, make to sigh, beat yawn etc. action, bend Kuan to sit with crossed knees later on even lie, relax a stomach muscle and carry on the back a muscle, feet muscle, the slowness makes stomach type breath, or makes the patient shut eyes to carry on to deeply but slowly inhale and breathe out in the secluded environment, and with breathe to count 1, 2, 3 ……make the pure new atmosphere got into a lung department, attain to relieve pain a purpose.
3.The physics relieves pain a method:Can pass to stimulate the ache surrounding skin or opposite should of the Jian side attain to relieve pain a purpose.Stimulating the method can adopt part and use Tu Cas, such as peppermint oil, camphor Ding and ice slice...etc., can also adopt various temperature of wet information for spread, stopping ache to the delivering of brain, if make cold wet hot water bag spread, or using 65 degrees and put and make heat and spread on towel with water bag or cold wet towel, every time 20 minutes.
Mental nursing
The ache varies from person to person, the degree of the ache often and people to in the past empirical recollection, pain because of of analysis, the comprehension of scenario, advertent degree, the anticipating of result waited a mental activity relevant, so the ache contained related random and variability.The cancer painful sufferer mostly exists fearing of different degree, worry anxiously, pessimism and disappoint etc. negative and mental emotion, the sufferer even still has the mind of suicide separately.Past adopt to have the mental nursing measure to aim at sex very necessary.
1.Build up goodly protecting to suffer from a relation:It is the premise of mental nursing to goodly protect to suffer from a relation.The nurse all always wants to express a language generous in proper form in patient's in front, the bearing is dignified cool-headed, work hard be responsible for, give a sufferer with the trust and the sense of security.
2.The Shu leaks:Active enthusiasm concerns a patient and takes out certain time to keep company with a patient and listen to it tells the worry anxiously in the heart, and mean comprehension and pity, get rid of its lonely feeling, let it realize he isn't isolated ground of to undertake pain and sufferings.
3.Consolation:The consolation wants just right, since emphasize hopeful aspect, can not be too optimistic again, the reaction of help patient analytical ache, popular easily understand a ground of explanation ache relevant physiology psychology problem.
4.Suggestive therapy:Let the sufferer know, the ache is that machine body and disease are evil to struggle but the protection for expressing reaction, explain that the machine body is being placed in adjustment appearance, the ache is temporary, as long as vanquishing a disease is evil, the ache nature disappears and encourages a sufferer to strengthen Xia heart and confidence.
5.The family members' mental nursing:The close relatives' concern to the sufferer go to pass importance.Guide family members to want to actively match with a medical personnel, make the patient make the sufferer get away from to the ache from the spirit with comfort, encouragement and support of fear and fear, the increment is to the living hope.
Strengthen a foundation nursing
Because of the molestation of ache, sufferer mostly from feeling mind and body tired, lie a bed rest over a long period of time, adopt passive lie, majority still influence the sufferer's daily life to take care of ~ for oneself ability.Therefore, should strengthen various foundation nursings, notice sufferer's skin, mouth cavity and breathe the nursing that the system, Bi urine grows system etc., prevent°from the occurrence of various complications.As far as possible bringing trouble to create a calmness, comfort and having no is painful of environment, raise a sufferer thus to ache of bearing and being subjected to sex.
In fine, the cancer pain not only influences the sufferer's physiology variety, but also as to it's mental result in huge injury.To raise the cancer sufferer's living quality lighten mental state burden, prolong effective life span, and increase becoming of cancer to live a rate, have to availably control the cancer painful symptom.Therefore, the clinical front-line medical personnel wants to value the cancer painful nursing, the joint effort overruns this hard nut to crack and gives the cancer the painful sufferer to bring evangel.

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