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Wysłany: Sob 21:48, 26 Mar 2011
Temat postu: Mbt Schuhe Günstig Gynecological surgery patients
Gynecological surgery patients time to change the catheter forward runs
Treatment to create a good, clean environment, sick room should be spacious, clean, no smell, with hot and cold air conditioning, the temperature maintained at 18 ~ 20 ~ C,
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, humidity 50% to 60%, so that patients oral airway to keep mucous membranes moist comfort timely play soothing light music, to create a comfortable environment for patients. (2) diet care: patients and their families to explain the relationship between nutrition and rehabilitation, according to your doctor eating liquid or semi-liquid of the importance and necessity to formulate a healthy diet care plan. Personalized care and a healthy diet can significantly improve the patient's nutritional status, improved patient tolerance of radiation therapy, improve patient quality of life. Create a good dining atmosphere, to encourage patients to share meals with the room, providing delicious, color,
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, flavor and taste of the diet to increase the appetite. Adjust the position of the patient comfort eating, sitting or semi-recumbent position, the process will urge patients should eat slowly in order to facilitate swallowing, smaller meals, not to urge the patient, not immediately after meals to prevent reflux supine, each meal after drinking 100ml, in order to reduce food retention esophageal lumen flushing to reduce congestion and edema in the mucosa, reducing the symptoms of esophagitis. Should increase the number of drinking water per day, the amount of 2500 ~ 3000ml water to facilitate the excretion of toxins. (3) The radiation field of skin care: skin care, emphasis on preventive measures to guide the patient to wear loose soft cotton underwear, and regularly replaced to reduce local skin Author: 315040 Ningbo City, Zhejiang Province Hospital Medical Center, Lee Wai Lee stimulation . Note that radiation area clean and dry skin, use water bath, avoid using soap, shower gel, etc., not with the clutch and apply alcohol and other irritating substances, anti-sunlight exposure and, if peeling, giving borneol, starch, itching, dermatitis may occur Apply Biya Fen. The group includes 14 cases of skin ulceration radiation field appears at 20 ~ 30d after radiotherapy cured. (4) the care of physical discomfort: Weekly review of blood, If there is fatigue, fever and other symptoms, timely review of blood, white blood cells less than 1.0 × 10 / L, should be suspended for radiotherapy. Acute radiation esophagitis after radiation therapy usually occur 1 to 2 weeks, the main symptoms of dysphagia, pain, retrosternal burning sensation,
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, may be made before each meal gargle at slow swallow, the group had 25 patients I ~ Ⅱ degree of esophagitis, including 8 cases of severe symptoms, suspended radiation, the body recover after treatment, 4 ~ 5d radiotherapy. Observe patients after radiotherapy with or without water cough, obstruction, chest and back pain, hoarseness, a sudden acceleration or weak pulse, fever, a tar-like will and vomiting, warning the incidence of esophageal perforation and bleeding. 5 patients in this group was interrupted due to radiotherapy of esophageal fistula, with no bleeding occurred. (5) the reduction of social discomfort: actively enlist the support and cooperation extended family, to avoid the negative emotions of family members of patients with adverse impact on the patient's family should be sympathetic and understanding, multi-mission for health and psychological knowledge to guide the family spend more time with patients, giving affection and warmth, so that patients receive emotional support. Encourage patients to participate in social communication activities to reduce loneliness and improve quality of life for families, to society is able to do, so that patients identify their own values, physical and psychological comfort,
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, reduce the patient's social discomfort. 3. After radiotherapy treatment: radiotherapy after the end of the whole, through effective health education and care guide, so that patients can continue to protect the radiation field more than 1 month the skin and avoid irritating substances in the sunlight and rubbed, eating smaller meals are advised to ensure that nutrition and improve immune function, prohibiting alcohol and spicy food, after eating, rinse with warm water to drink esophagus, and the family to establish confidence in the fight against cancer. Comfort is a basic human need, to comfort care used in radiotherapy of esophageal cancer, reducing patient discomfort and psychological stress, increased confidence in overcoming the disease, and promote postoperative recovery.
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