Tumor later period the sufferer's nursing measure

Tumor later period the sufferer's familiar nursing measure

(1)work well the valuation toward the ache to patiently hear patient's lord to tell, check ache part, keep on of time and strength.

(2)have a good medical ethics, the patient has power to acquire to well relieve pain.The special demand sympathy relieves the patient's ache in time and obtains the patient's trust thus, and get rid of it worry anxiously.

(3)can not procrastinate time to the medicine under all circumstances, reduce medicine quantity, or emphasize "addiction" brush-off to the medicine, or inject placebo etc..

(4)the spirit excesssive strain can make the ache aggravated and notice the emotion appearance of improving the patient and make use of non- medicine to relieve pain a method to include massage and relax therapy, Chi Kung, or watch television, listen to music, plant flower and grass etc., have already transfered a function.

(5)the attention patient's comfort, support ache part, and keep environment quiet.

(6)the tumor merge to ulcerate or be infected and need to strengthen to flush and keep to lead to flow lucid, and appropriate application antibiotics control infection, is also ease sore of important measure.

Other symptoms handle

1, be disgusted with a food:Later period tumor, because the lump organizes quick development, metabolize an abnormality, often appear anorexia, sense of taste and sense of smell change.Other symptoms such as the constipation, disgusted vomit, abdominal distension, mouth cavity ulcerate, swallow difficulty and ache, worry anxiously etc. all can influence the patient's appetite.

Nursing measure:

(1)take a walk before rice to promote appetite.

(2)much aer little amount meal, give concentrated and high-quality protein and other have to of nourishment vegetable.

(3)keep to take a meal environment comfort, sweep, calmness.

(4)encouragement the family members send some foods that the patient likes.

(5)control appropriately before rice disgusted with ache.

(6)a little bit edible mordacious condiment or drink a little amount wine to promote appetite.

(7)seriously be disgusted with a food, can adopt nose Si or nourishment outside the stomach and intestines.

2, disgusted vomit clinical up cause disgusted the reason for vomiting is a lot of, such as constipation, the stomach accumulate, bowel Geng Zu, press to increase Gao, Gao Gai Xie's disease, and urine poisoning disease...etc. inside the Lu.Put to treat and chemotherapy and painful in the morphine town stimulates to vomit chemistry in the center feels that the machine is to cause to vomit important reason.Fear and worry anxiously to deluxe nerve center of the incitement can also cause disgusted and vomit.Nursing measure:

(1)much aer little amount meal, as far as possible eat some foods of stems, separate with soup and beverage.

(2)avoid once eating sweet and greasy food, the meat food proper cold food with ease smell.

(3)such as may, before rice and the after meal take a walk appropriately.

(4)vomit the side lies in order to prevent the mistake absorbs.Help a patient to gargle after vomiting.The observation vomits the property of thing, if have an abnormality to stay specimen to send to check, and record to vomit quantity.

(5)vomit multifarious, need to repair a liquid to maintain water, electrolyte balance.

(6)keep on sex to vomit Be seen to bowel Geng Zu and jet's vomiting Be seen to the meninges stimulate, should report in time.

3, the constipation constipation is the later period tumor familiar and extremely painful symptom.Causing the reason of constipation is a lot of, such as crack-up, tired, activity decrease, and excessive application anaesthesia analgesic, make the bowel peristalsis been repressed;The humidity absorbs to lack cellulose in shortage and food;Metabolize maladjustment if lack potassium, the disease of Gao Gai Xie waits;Bowel way the tumor or bowel is outsidepressed Zu to the bowel Geng;Some chemotherapy medicine such as grow the nerve toxicity of spring alkali paralyze and be constipated to the bowel;The Mao cluster nerve is gradually waited by cancer.Nursing measure:

(1)admit such as the condition, get up an activity possibly, and the life of what lies in one's power take care of ～ for oneself, and in fixed time go into Ci, to prevent constipation from having certain function.

(2)the meal imply just the right amount of cellulose and eat fresh vegetable, fruit and some thick foods more.Encourage many drinkings.

(3)attention the circumstance of having a bowel movement of patient, have no the bowels for 2 days, handle in time, give to open to fill dew or slow Xie, prevent°from big constipation knot.

(4)move bowels dry solid, can go oil reservation to infuse bowel to soften excrement, or wear gloves to dig the excrement that the Qian fill.

4, swallow a difficult oesophagus cancer to shrink narrow type and type inside the chamber or oesophagus exterior is pressed all can result in to swallow a difficulty.The oesophagus cancer projected a treatment to glue film dropsy in the early years, can make to swallow a difficulty to aggravate and put to treat cause with chemotherapy of glue a film to ulcerate, the ache can also influence a swallowing of patient.Nursing measure:

(1)keep mouth cavity, oesophagus to sweep, the drinking of the after meal flushes oesophagus each time, and appropriate application antibiotics control infection.

(2)see the circumstance of Geng Zu to flow a food for half or flow a food, choose the vitamin food of high egg white, hot quantity and Gao Han.

(3)can take some honeys before rice, swallow by benefit.

(4)frozen food if son jelly and ice Qi Ling , sour milk etc. a little bit easily swallows, if the patient doesn't wish to eat frozen food, can change to eat general indoor temperature under of cold food.

(5)the mouth cavity ulcerate acute pain influence to swallow and use 2% benefits before rice many cards because of spraying fog, or making into to mix to hang the liquid smooth Shu behind swallow bottom, may also use a ground of card because of sugar.

(6)can grind food to eat behind when it's necessary to promise a nutrient demand.

(7)Zhu the patient sit to keep and chew thoroughly and eat slowly, can not press a patient, rice is cool can to heat.

(8)drop water don't go into and need nourishment outside the stomach and intestines.

5, the mouth cavity ulcerate later period tumor to go appeasement to put to treat or chemotherapy, can cause mouth cavity burning, develop into ache ulcer.The patient of extreme crack-up because the immunity function is lowly and easily mouth cavity infection happen.Nursing measure:

(1)after meal and the Er liquid brushing teeth to gargle, counteracting a shell before sleeping contain Shu and keep mouth cavity to sweep everyday.

(2)give the mouth cavity the soft food, much aer little amount meal, once hate into hard, lead thick, lead cold, lead hot and mordacious food.

(3)the mouth cavity ulcerate ache, can give 2% benefits many cards because of spraying fog, or making into to mix to hang a liquid to contain Shu.

(4)the incitement of taboo smoke, wine.

(5)if appear a fungi infection, can use a fungi vegetable 100,000 μs|ml, and change 3% sodas to contain Shu.

6, diarrhea later period tumor, because the immunity function is lowly, easy to germ or virus diarrhea.Oesophagus cancer surgical operation cut off pneumogastric nerves, the patient can appear phenomenons, such as abdominal distension and diarrhea...etc..The pancreas excision can cause to digest Mao decrease but produce fat Li.In addition, the basin the chamber appeasement puts to treat, or some anti- metabolism medicine, make the stomach and intestines glued a film is repressed, can also cause stomachache and diarrhea.Nursing measure:

(1)attention food hygiene, prevent stomach and intestines way from being infected.

(2)enter little residue, low fiber food, and avoid eating easily food of producing the spirit is like bean, sugar, ocean cabbage, and carbonic acid beverage...etc..

(3)many drinkings, everyday 3000 mls, repair a liquid when it's necessary to rectify a water, electrolyte disequalibrium.

(4)observation the bowels number of times and property, if have an abnormality to stay specimen to send to check.

(5)keep meeting the private parts sweep, then behind use non- incitement soap and Wen Shui to wash clearly, lightly be stained with stem, when it's necessary butter of zinc's ointment, prevent°from corrosion.

7, the disease later period tumor of Gao Gai Xie, lie a bed over a long period of time, or the bone substance is infringed upon, and some swollen pains are like mammary glands cancer, bronchus lung cancer, can secrete one category A-like in shape side gland kind hormone, but cause skeleton's unusually taking off calcium, cause Gao Gai Xie's disease.Express for thirsty, much urine, disgusted vomit, dehydrate, have a poor appetite, be constipated, love to sleep etc..Nursing measure:

(1)the condition severity is immediately turned by vein water and input 4000~6000 mls in physiology brine|sky, light can much drinking water turn.(2)Give vein diuretic, and repair with the Lin to promote ejecting of calcium.(3)Low calcium food limits milk and milk product.(4)Record discrepancy quantity, wet quantity to be no less than everyday 3000 mls.(5)The close observation condition changes.

8, the infection infection is the serious complications of the later period tumor, also often is the patient's cause of death, someone reports a way 47% malignant tumor patients die in an infection.Later period tumor, because the immunity function is lowly, or the tumor directly infringes upon the lymph to have the defense function to machine body to build blood system and increases the patient's easy sensitive faculty.Nursing measure:

(1)the earnest performance sweep, disinfection with keep environment to sweep without the germ technique, the air is fresh and prevent occurrence from being infected.

(2)strengthen nourishment, raise a patient oneself immunity dint.

(3)to the patient of extreme crack-up, the encouragement goes deep breathing, and help a patient to turn over a body on time, the occurrence of the prevention lung department complications.

(4)attention oral hygiene, the after meal sleeps ex- brush teeth to gargle.The life can not take care of ～ for oneself and carry on a special mouth cavity nursing.

(5)keep bed neat and prevent°from chafing a skin without the broken bits.

(6)the monitor body temperature change.

(7)the serious marrow repress and need to protect insulation.

(8)when the tumor bad dead is smelly after the hair infection can not mean abhorrence, can use 1:2000 potassium aqua of Gao Meng Suans flush, or the Sa there is certain deodorization functions with the carbon powder on the dressing.Keep a patient to sweep, the indoor air circulates, count for much.

9, the dropsy suffers from because of the kidney disease or some sodiums, water that the medicine causes accumulate, and the malnutrition, blood plasma egg white is lowly, all can appear dropsy.Put to treat, surgical operation or tumor oppress, can jam a lymphoid way and cause serious body's swelling, ache, the activity is subjected to a limit.Nursing measure:

(1)the cancellation cause dropsical reason and enter little salt meal and keep water, electrolyte balance, and increase a nourishment exaltation blood plasma egg white level.

(2)jams causable lymphoid dropsy to the lymphoid way, can tie up with the elasticity bandage in the daytime or set with the pressure Xiu of the specially made set(if the hand as well swells and needs to wear pressure gloves), the nighttime dismantles a Xiu set to carry on massage(or massage a machine with the electricity) to promote a lymphoid reflux.

(3)the attention jack up to suffer from a limb at any time, lie-down apply Zhen the arm mat Gao Zhi Jian's level.Such as is legs dropsy, seat jack up the leg to the Kuan level, the nighttime needs to jack up bed tail 5~8 cms.

(4)carry on softly jacking up to suffer from a limb to toughen, everyday 2 times, every time 5~10 minutes.

(5)swell of the skin easily damaged wound and infection, teach the patient how to notice a protection skin, need to wear gloves while carrying on a household chores labor, if have breakage to carry on a wound processing in time, prevention infection.

10, have fever because of lump and organize a growth quickly, or be infected bad dead, the later period tumor patient often has been already had fever.It is one of the main symptoms of lung cancer and malignant and lymphoid lump to have fever, patient's nighttime in great quantities perspires, should in time replace gradually of the dress is single and prevent°from catching a cold.Encourage many drinkings.The entity lump enlarges and form bad dead area invalid to the antibiotics, need physics to reduce the heat.

11, the bedsore later period tumor is extremely emaciated, the special companion has already relieved nature an incontinence, the patient of bowel Lou, the vagina urine bladder Lou and piece Tan, very easily bedsore happen, and the bedsore is once form, willing quickly expanding.

(1)should prevent°from occurrence bedsore first.If the condition admits and in fixed time hands a patient to start to sit.The long-term bedridden patient should establish to turn over body card and replace a body for patient on time, and sign.

(2)to the extremely emaciated, tail bone mat with duck Rong Zhen, hangs the Mao end of the tail empty with folding cotton mat or water bag when it's necessary, in order to prevent is pressed.

(3)to the patient of urine incontinence, the preparation enough diaper, replace at any time, and will change the diaper of bottom to take away in time, with the decrease bad smell.Encourage patient's many drinkings, prevent Bi urine from fastenning an infection.

(4)when the partial skin appear Jun crack can make to form the 1 F protection film with the benzoin Ding, also eliminate inflammation a function.

(5)if the bedsore has been already formed and even wants to get rid of partial pressure and changes a medicine processing and prevent°froms replying to add an infection according to the wound.

12, pathologic bone Xi later period the tumor bone transfer, and bone tumor, because of the breakage of bone substance, easily pathologic sex bone fracture happen.The Zhu what patient walked is careful and prevent°from falling down or is bumped to change to sleep a hard plank bed.If bone fracture has been already taken place, according to orthopedics gypsum or lead a nursing.

The mental state is concerned with ?

1, the basic spirit(1) of the tumor later period mental state care is a later period tumor patient at he/she life of in the last several weeks or few months, create one comfortable and quiet and peaceful of rest and recuperate environment.

(2)the meaning of respect patient and family memberses, allow a patient to reserve his/her own the establishment that the life style, patient and family members participates in a medical treatment, nursing plan.

(3)adopt aggressive appeasement treatment and support therapy, alleviate symptom, the cancellation is painful, give biggest care and support for patient.

(4)help patient comprehension life of value and meaning, get away from to death of fear and uneasy, but at quiet dying, and always keep the patient's dignity.

(5)to the conciliation and concern of family members' sadness, help its family as usual living instauration.