The whole nursing that much delivers sex marrow lump

The summary emphasizes to take patient as the whole nursing of center to have become currently an our country the nursing reforms along with the change of medical science mode of main principle.This text puts forward nursing diagnosis(problem) according to delivering the outbreak characteristics of sex marrow lump more, convert into concrete nursing behavior through a nursing procedure, practice a whole nursing principle in clinical, obtained better effect.
It is the marrow syrup of the single gram of Long to deliver sex marrow lump more the cell unusually increase the born nature malignant disease, clinical performance for appear a great deal of single gram of Long immunity in the serum globulin, egg white masculine gender, the sufferer appears extensive marrow to break wreath, Gao Xie Gai, anemic, kidney function injure etc. immunity blemish and occurrence of infection, can also erupt starch kind to change sex etc. Ning blood obstacle.
1 deliver the outbreak characteristics of sex marrow lump more
111 deliver sex marrow lump more is much a hair at the old people's malignant disease, be taken bad age on the average for 65 years old, deliver the outbreak rate of sex marrow lump more to take up 1% of all malignant tumors, take up 10% of the blood system malignant tumor.
112 marrow lumps change:The marrow lump cell in great quantities propagates in the marrow and gradually, and secrete the live factor(OAF) of breaking the bone cell, the incitement breaks bone cell to absorb bone substance and breaks marrow and periosteum and cause a bone pain, about 60% sufferers take bone pain as a main head to deliver symptom.
113 anemic and issue of blood:Because the tumor cell ill nature propagates and repressed increasing of red cell system and huge pit cell system to living and caused anemic and bleed.
114 infections:Deliver sex marrow lump more to present a gram of Long to increase to living, repress normal immunity globulin to secrete propagating of cell, therefore at deliver sex marrow lump sufferer's performance more is the immunity globulin of single gram of Long M egg white but other types is more obviously low than normal level in the serum, the sufferer expresses to lower for the body fluid immunity function, the T lymphoid cell function is suppressed in another outside week blood to sufferer, and the cell immunity function lowers and easily appears an infection.
115 kidney damages:Because the marrow lump cell secretes a great deal of damage that M egg white deposite in the kidney small ball to cause the kidney small ball function and appear kidney function not whole, about 50% sufferers have kidney damage while rising disease, performance for the albuminuria, wet a concentrated and sour obstacle for turning function.
116 blood disease of Gao Nian Zhis:There is a great deal of M egg white in the sufferer serum, usually appear the blood disease of Gao Nian Zhi.
2 nursing problems and measure
211 aches(with syrup cell to skeleton and marrow of gradually relevant) measure:
(1)valuation patient's ache of part, and correct guide patient to ache of property settle class, is advantageous to the nursing plan that the establishment suits a patient.
(2)choice not medicine measure, make the ache alleviated, such as:Reduce noise and activity, the indoor ray is soft;The body that can adopt body comfort;Enough rest and sleep;Pass to watch television, listen to broadcasting etc. transfering the patient's attention to the ache.
(3)the Zun cures Zhu to give analgesic, and tell the patient amount of, method and path used a medicine, betterly match with a treatment at the patient by benefit.
(4)according to regulation and the best efficacy of medicine time of patient's ache give analgesic, in order to rise good effect.
212 bodies move obstacle(cause a bone fracture, chemotherapy with bone soft, bone substance breakage behind weak relevant) measure:
(1)the ability and level of the valuation patient daily activity, encourage a patient to express his/her own the nursing plan that feeling be advantageous to establishment's suiting a patient.
(2)help a patient to wash Shu, take a meal, relieve nature during the period of lying a bed and personal hygiene etc..
(3)put product and pager that the patient usually use by the side of the bed to easily take place, the easy to patient uses.
(4)steady in the condition after help and speed up a patient to carry on function to toughen soon, the activity wants to follow the sequence and advance gradually and prevent°froms knocking and breaking.
(5)encourage and help a patient at can with the limit of activity inside carry on an activity, in order to prevent the skeleton take off calcium further.
(6)promote the patient looks after him/herlself of ability and confidence, and in the activity give front side encouragement, but notice an adequacy rest.
213 have the dangerous(and malnutrition, acquire sex immunity abnormality relevant) measure of infection:
(1)the life body of close monitor patient advertise for and the blood elephant change, in order to discover condition variety in time, handle in time.
(2)everyday ultraviolet ray air the disinfection and air fall a dust once, the ultraviolet ray disinfects a 60 mins, and keep indoor air fresh, well ventilated everyday two, each time 15~30 mins, the attention keeps warm.
(3)Zhu the patient notice mouth cavity, nasal cavity, meeting Yin and anus for week and the hygiene of the skin, develop to frequently wash hands, frequently gargle and frequently change the habit of underwear, trousers, the opportunity of infection happen by decrease.
(4)church the patient observe him/herlself everyday the mouth cavity, nasal cavity and skin haven't broken Kui and swell etc., the detection unusually reports a doctor in time.
(5)strengthen a machine body resistibility, strengthen food nourishment, eat high egg white, high vitamin, easy digest food more.
(6)the strict performance have no germ technique operation and prevent°from curing source sex appeal to dye and cross an infection.
(7)tell patient and family members as far as possible reduce the number of times of visit, and avoid and have patient's contact of infection, prevent°from crossing an infection.