1, psychological care: cerebral infarction mostly occurs in middle-aged and elderly people, and the onset is sudden. The patient changed from a normal person to a disabled person in a short time, unable to continue to engage in social work and favorite activities, and needed the care of others in daily life. The emotional characteristics of elderly patients are sadness, loneliness, depression, irritability, excitability, subjective impatience, self-centeredness, especially aphasia. Be stricter with others. When you think that you will become a burden to others, you often feel abnormal and pessimistic. Therefore, nursing staff should have a high sense of responsibility, be sensible, be emotional, not impatient and not tired of careful nursing. Explain the truth to patients and let them work closely with doctors. Nurses should be closer to patients, ask more questions, comfort and encourage patients, organize their lives patiently and carefully, take different measures according to patients' different ideological activities, educational level, work position and severity of illness, talk with patients sincerely, answer questions, make them consciously cooperate with treatment, and enhance their confidence in overcoming diseases.
2. Nursing care of crooked mouth: Common diseases in clinic include incomplete eyelid closure, drooping mouth, unable to wrinkle forehead, closing eyes, protruding cheeks, whistling, etc. Patients often have negative emotions and lose confidence in treatment. Nurses should sympathize with and care for patients and give spiritual encouragement to gain trust and relax their emotions. Diet should be digestible and nutritious liquid or semi-liquid diet. Encourage patients to do more eye, mouth and face exercises and often massage local areas.
3. Early exercise training for patients: Early exercise can reduce the incidence of pulmonary infection and venous thrombosis of lower limbs. After a week's stable condition, patients with cerebral infarction can gradually increase their activity for functional exercise. Through massage and passive active exercise, nurses can activate blood circulation of fingers, stimulate nerve function to prevent or reduce disuse atrophy of musculoskeletal skin, stretch spasmodic muscles, maintain normal extension of joint ligaments and joints, and prevent joint deformity and contracture. The exercise process should be gradual to avoid overwork.
4. Language training for patients with language disorders: patients with language disorders are more anxious and painful. Nurses should contact patients more, understand their pain, make them happy and eliminate their nervousness. Nurses should help patients to restore their expressive ability and understanding ability as soon as possible, restore the minimum social communication, and establish patients' confidence. Strengthen oral and written pronunciation training. When talking with patients with language barriers, you should have enough time, never rush patients, speak face to face, slowly and clearly, give patients time to respond, reserve patients' needs, reduce the helplessness caused by language barriers, and encourage patients in various ways. When the patient has been named aphasia, encourage him to say the names of commonly used items from time to time to stimulate memory recovery. Nurses should understand patients' inner tension, anxiety and depression, appease patients, and help patients recover their oral English by finding and using effective communication methods.
5. Maintain emotional stability: Most patients with cerebral infarction are related to emotional changes. Nurses should carry out publicity and education according to the characteristics of patients, so that patients should not be too nervous emotionally, attach great importance to them ideologically, guide patients to control their emotional changes such as joy, anger, sadness and joy within the normal range, always maintain an optimistic mood, love life, devote themselves to life, improve their adaptability to environmental and social activities, and be good at controlling unpleasant emotions and be broad-minded. Open-minded, willing to communicate with people, and good at establishing good relationships with people. Only in this way can patients with cerebral infarction return to normal life as soon as possible, which is conducive to their physical and mental health, otherwise there will be the possibility of recurrence.
I hope that every family member of patients with cerebral infarction can be familiar with this. In order to help patients with cerebral infarction recover better, we need to help them establish a correct attitude towards the disease in their minds first, and then we can help them recover better.