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Dołączył: 13 Gru 2010
Posty: 557
Przeczytał: 0 tematów
Ostrzeżeń: 0/5 Skąd: England
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Temat postu: 32 cases of hyperthyroidism in nursing home patien |
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32 cases of hyperthyroidism in nursing home patients
Of 432 cases, Ⅳ of 394 cases. 2 nursing care in clinical treatment of patients with advanced cancer usually limited to palliative treatment, not the general concept of surgery, chemotherapy and radiotherapy, for this special population of patients and their families should also include the solution of a series of psychological treatment, so that they in the body, in particular, adequate mental and psychological treatment, careful care and comfort. Palliative patients with advanced cancer treatment, requires a doctor, family and community's common efforts, care and treatment components attributable to a large, patients with advanced cancer is mainly palliative treatment to improve their quality of life, to meet in a relaxed mood treatment, psychological care to assist their families, care, help and support of advanced cancer patients, their families will have the psychological state of patients with varying degrees of impact. Talk with the family, introduced to the family illness, guidance raised to stabilize the mental state of the families. Allows families to visit as many patients, reducing patient fear. Can be said that pain treatment is the main treatment in patients with advanced cancer have been carried out in-depth international study, but also develop the corresponding treatment. Nursing of pain now reported as follows. 2.1 pain medication: the treatment, the first assessment of pain intensity according to tumor progression, according to three levels of pain assessment as directed by the principle of giving pain, and to observe the analgesic effects and adverse drug events, abnormal timely reduction or withdrawal. Efficacy in patients is bad, replace or properly plus sedatives. Administration to pay special attention to the following principles: ① delivery time, try not to on-demand delivery to satisfaction of pain control. ② Individual: According to the patient's actual situation, choose a suitable individual dose, until complete control up. ③ oral administration as much as possible. 2.2 Non-drug pain relief method: Let the number of patients and their families and medical staff to communicate, relax, take a deep breath can sit-line rhythm, listening to music, to divert attention. Take preventive measures, bare Sticking cancer pain or peppermint oil can be used locally, borneol, etc. rubbed, local pain relief. 2.3 Psychological care: constant level of pain varies from person to person due to illness, it is quite a pain in the randomness and variability. Most cancer patients have different degrees of fear, anxiety,[link widoczny dla zalogowanych], pessimism, frustration and other negative psychological, individual patients and even suicidal thoughts. These factors tend to increase the degree of pain and the pain tolerance, it is targeted to take the following measures are necessary psychological care. Or even individual psychological treatment. 2.3.1 catharsis and comfort: nurses face throughout the patient must demonstrate a calm, steady and generous, serious and responsible attitude to provide patients with good psychological support. Passionate concern for active patients, pumping some time to spend with patients, listen to their hearts tell the anxiety,[link widoczny dla zalogowanych], and expressed understanding and sympathy, to eliminate the loneliness, he was not allowed to feel the pain of isolation commitment. At the same time give the comfort to be just right, we have stressed that there is hope for respect can not be too optimistic. Disease, while suggesting that difficult to help patients of recurrent pain, pain-related biological explanation and psychological issues. Patients to talk more with the topic than illness, transfer their attention. 2.3.2 suggestion therapy: suggestion therapy is treatment with a subtle, indirect ways of human psychology and behavior effects in a way. That is, using the authority of treatment the patient received treatment concept to psychological pressure and lift the burden of alleviating the symptoms. 2.3.3 Death Education: The patient emotional stability, good mood, mental relaxation can increase tolerance to pain patients. Different age, personality, educational level,[link widoczny dla zalogowanych], social experience, patients with disease duration of care to take a different approach to help patients establish a correct outlook on life and realize the true value lies in the quality of life,[link widoczny dla zalogowanych], and ultimately to help them get rid of the fear and anxiety of death , calm face of death purposes. 2.3.4 Psychological family care: care, help and support patients with advanced cancer, the patient relaxed and happy to spend the last 13 children each member of the family of the patient's responsibility. The psychological state of the families of patients with varying degrees of impact. Talk with the family, introduced to the family illness, guidance raised to stabilize the mental state of the families. Allow family members to visit patients at any time, let them spend time with relatives of patients with psychological care nurses do to alleviate mental stress. 2.4 to strengthen basic nursing: advanced cancer patients with systemic failure, the organ after another loss, loss of self-care ability in most patients. Should strengthen the basic nursing care, attention to patients with skin, mouth, genitourinary tract, respiratory tract management, prevention of various complications. The ultimate cause of death is often caused by these complications as much as possible for patients to create a quiet, comfortable, pain-free environment, or reduce the complications
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