1 ordinary care
Pay attention to room temperature and body temperature to improve microcirculation.
Pay attention to the patient's consciousness, temperature, pulse, breathing and blood.
Pressure, urine volume and peripheral circulation, such as when capillaries are refilled.
Pulse condition, skin temperature and color at the distal end of the severed limb,
Whether there is swelling and sensory and motor disorders.
2 Analgesia
Adopt three-step analgesic therapy, take medicine on time and step by step or
Use analgesic drugs according to the doctor's advice, and pay attention to observe the effect of drugs.
And adverse reactions.
3 skin care
Patients who stay in bed for a long time should turn over regularly.
Massage the pressed part. Skin care should be gentle. forbidden
Push, pull, drag, etc., and translate the patient by hand.
4 diet care
Bone metastatic cancer belongs to the stage of cancer, and the patient consumes a lot and has an appetite.
Weakness and even anorexia. Attention should be paid to strengthening diet nutrition and ensuring sufficient.
Adequate nutrition intake, improve the resistance of the body and skin.
Eat more high-protein foods such as fish, eggs, lean meat and milk.
Things. Because patients have little activity and stay in bed for a long time, they often defecate.
The secret is to eat more crude fiber foods, such as celery, spinach and carrots.
Wait. , promote intestinal peristalsis, keep the stool unobstructed.
5 Close observation
Observe the changes of hemogram and correct the balance of electrolyte and calcium. be filled/suffused/brimming with
Observe whether the patient has symptoms and signs of infection, and follow the doctor's advice and
Give antibiotics in time and reasonably.
6 psychological nursing
Due to the torment of cancer pain and the adverse reaction after taking medicine
Therefore, patients are prone to anxiety, irritability and even despair.
Yes Nurses should explain to patients patiently and carefully.
Release work. Before taking the medicine, introduce the function of the medicine to the patient, and don't
Adverse reactions and preventive measures. Eliminate the patient's nervous and fearful heart
At the same time, create a comfortable and quiet environment for patients. satisfy
Psychological and physiological needs of patients.
7 if combined with radiotherapy, nursing in radiotherapy.
Pay attention to the skin care of radiotherapy field and keep the local clear.
Clean and dry, the underwear should be soft and the bed should be flat and dry.
Dry. Prevent radiation dermatitis and bedsore. bed
Clean, dry and comfortable. After radiotherapy 1 and 3 days, patients are prone to appear.
The local pain is getting worse. This is due to the local tissue filling caused by radiotherapy.
Caused by blood edema. When the patient's pain is unbearable, it should be alleviated.
Plug the anus. Pay attention to the safety of patients in radiotherapy and daily life.
All, prevent fractures caused by falling and falling out of bed. Turn to thoracic and lumbar vertebrae.
Patients with dyskinesia caused by migration should lie flat on a hard bed.
To maintain the stability of the spinal cord and prevent the spinal cord from being compressed. Neck rotation
Patients who move should take the lead to limit head movements and avoid stress.
Compression of cervical spinal cord, resulting in high paraplegia.
8 health education
Patients stay in bed for a long time, use painkillers and need to eat more.
Foods rich in dietary fiber, fresh fruits and vegetables, and finally.
Water, keep the stool unobstructed, and pay attention to the urine volume and sexual intercourse.
Change.