The stomach cancer standard nursing plans

The stomach cancer is the most familiar digest way tumor.The cause of disease hasn't understood, but understands to have something to do with factors, such as environment, food and heredity...etc. and some chemistry materials(second nitric acid An) currently.The stomach cancer was similar to ulcerated a disease in early days, the companion contained digestive system symptom, along with cancer of made progress or transfered can appear to swallow difficulty, You door Geng Zu, throw up blood or black then etc. symptom;The later period takes place the quality of nourishment obstacle, bad disease, after preparing badly.The surgical operation treatment is probably the only means with cure for good stomach cancer currently, and assist with the chemotherapy, high energy vein alimentotherapy, the immunity strengthens, like bcg vaccine, left Xuan Mi Shi etc..

The familiar nursing problem includes:①Ache;②Deficiency disease:BE lower than a machine body to need to be measured;③The activity didn't bear dint;④Preparing sensitive faculty is sorrow;⑤Latent complications-bleed.

Ache

【Related factor 】

Tumor gradually sex grow or dilatability growth.

【Main performance 】

Starting only having the belly satisfied bulge is unwell and aggravate after taking a meal and have unwell secret pain after it and accidentally present the stanza Lyu ulcer kind stomach-ache, finally ache keep on but can not alleviate.

Tumor's wearing deeply person's pancreas can appear violent but continuously sex last stomachache also project a pain.

The body advertises for:Last the belly be partial to right have already pressed a pain.

【Nursing target 】

The patient declines to ache in the lowest limit.

The lord tells ache to ease.

【Nursing measure 】

Provide a quiet environment, give comfortable body, promise that the patient gets enough rest.

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

Scatter the patient's attention, if listen to music, see books and newspapers etc..

Later period patient Zun cures Zhu to give analgesic, such as degree cold Class D.

Violent ache in time report a doctor.

【Particularly evaluate 】

The degree that the ache eases.

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

【Related factor 】

Chronic depletion disease.

The Na is bad, the appetite descend.

Chemotherapy to disgusted, vomit.

【Main performance 】

Emaciated, the weight carries on sex to descend.

Skin flexibility bad, glue a film aridity.

【Nursing target 】

The patient maintains weight in the foundation level.

【Nursing measure 】

Give high egg white, high carbohydrate, high vitamin and easily digestive food.

Provide to sweep, clean environment, and increase an alimental color, joss-stick and flavor, promote appetite.

Let the patient understand ample nourishment to have important function to paroxysm support and the instauration, and encourage a patient to take a meal.

To the one who take a meal difficulty, adopt the vein hot quantity more to add nourishment, like white egg white, and fat milk...etc..

Monitor weight, the urine quantity, white egg white and hemoglobin equivalent.

【Particularly evaluate 】

Whether patient's weight increases.

Skin, glue temperature, degree of humidity and flexibility of film.

The activity didn't bear dint

【Related factor 】

Ache.

Weak|tired.

【Main performance 】

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

The feeling spirit urges after the activity, dyspnea, stuffy chest and painful chest, perspire much etc..

The activity quantity reduces, activity keep on time shorten.

The daily life takes care of ～ for oneself ability to descend, performance is next bed activity, go into Ci and personal hygiene etc. activity difficulty.

【Nursing target 】

The patient can descend a bed activity under the help.

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

The daily life takes care of ～ for oneself ability instauration normal, such as into Ci and personal hygiene etc..

【Nursing measure 】

The Zhu patient reduces an activity, and well lie a bed rest, particularly is before descending a bed activity or before having a meal with keep physical strength.

According to patient's demand, places in common use daily thing the position that easily takes to put at the patient.

Accompany according to someone for patient to go into Ci or egress check, and help it to live a nursing.

Draw up a feat activity plan together according to the condition and the patient, with the bearing of patient is subjected to sex for standard, increase movable quantity gradually.

The church patient is to the ego monitor that the activity responds:

The variety that the life body advertises for.

Have no dizzy, dim in vision, tired and dizzy Jue etc..

Had no spirit to urge, dyspnea, stuffy chest, the chest is painful, perspire...etc..

【Particularly evaluate 】

Patient's taking care of ～ for oneself ability is gradual to increase.

To the reaction of activity empress.

It's sorrow to prepare sensitive faculty

【Related factor 】

The later period of the disease.

Prepare feeling despair.

【Main performance 】

The silent few speech doesn't eat not to drink, sad weep over.

There is suicide mind, refuse and others' confabulation and association.

Can not match with treatment and nursing plan.

【Nursing target 】

The patient expresses its sorrow emotion.

Can participate in a social intercourse activity.

Can match with treatment and nursing plan.

【Nursing measure 】

Give patience, meticulous of nursing, concern consideration patient, obtain the patient's trust.

Usually and patient's confabulation, and provide a safety, comfort and alone environment, let the patient express sorrow emotion.

At patient sorrow, should mean comprehension, and support the patient's self-respect.

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

Encourage patient or family members participation cure and the nursing plan of decision establishment process.

Look for suitable support system.

Suggest the unit leadership or colleague gives to concern.

Encourage a family members member to carry on consolation, keep company with a patient when it's necessary.

【Particularly evaluate 】

The patient can express his/her own woe.

Could you participate in a social intercourse activity.

Could you match with various treatment and nursing.

Latent complications-bleed

【Related factor 】

Ulcer type stomach cancer.

The marrow represses after the chemotherapy.

【Main performance 】

Easily send out a blood phenomenon, move bowels concealed blood to experiment masculine gender.

【Nursing target 】

Have no issue of blood phenomenon to take place.

The detection in time bleeds of advertise for elephant.

The effectively circulating amount of blood is ample, the heart outputs quantity as usual, the patient expresses to advertise for for the life body steady.

【Nursing measure 】

Give the hot quantity the easy digest food, once avoid cold, lead hot, rough, mordacious food and stimulating beverage, like strong tea, and coffee...etc..

The monitor has no issue of blood symptom, such as black then, throw up blood etc..

If the patient appears to bleed symptom:

Comfort a patient to keep my head, and clean up a bed in time side blood stain, dump to vomit thing or excrement, avoid bad stimulate, get rid of nervous emotion.

When issue of blood had great capacity, temporary to forbid a food.

The observation throws up blood, black then of property, color, quantity and number of times and issue of blood time.

Monitor blood pressure, pulse, breathe, urine quantity, hemoglobin value etc. index sign.

The Zun cures a Zhu measurement blood type, cross to go together with blood, and quickly build up vein thoroughfare to lose a liquid, blood transfusion to add blood capacity.

The Zun cures Zhu to give to make a sour and stops bleeding, such as Luo match gram, sign to stop bleeding etc..

【Particularly evaluate 】

The patient has already had no issue of blood phenomenon.

The blood pressure, pulse and urine measures, hemoglobin, blood cell the ratio permit etc. index sign.