2. 1. 1 The responsible nurse makes corresponding nursing plans and detailed activity schedules according to the patients' different conditions and life needs. Pay attention to personal hygiene and warmth, and change clothes in time; In various operations, pay attention to communicate with patients by language, talk while doing, and start with simple actions, such as training to identify your loved ones and rooms, going to the toilet correctly, dressing tightly, defecating regularly, and expressing requirements correctly. And repeated training to enhance their memory and attention. Maximize the self-care ability of patients.
2. 1.2 When the condition is relatively stable, patients who can walk often run away aimlessly and don't know the way home. Therefore, the patient's clothes should be clearly marked, and strict attention should be paid to prevent loss. Our department 1 patient was lost for 7 days before being found, so we should learn a lesson.
2. 1.3 because of abnormal behavior, dementia, heavy psychological burden, fear of being laughed at, fear of recovery or mental disorder, manifested as not cooperating with treatment, hitting people and smashing things, forcing a smile and crying. Nurses should comfort and care for patients, patiently guide their life exercises, give timely encouragement to small progress in recovery, do a good job of roommates and their families, do not discriminate against their abnormal behavior, be close friends of patients, build confidence and actively cooperate with treatment.
2. 1.4 Ensure adequate nutrition and do a good job in diet care. ① Those who are seriously ill, can't eat by mouth or refuse to eat, should be fed by nose as far as possible to ensure nutrition. ② Nurses give digestible diets with high protein, high vitamins, low salt, low sugar and low fat according to patients' eating habits. For passive eaters, we should urge them to eat and feed them slowly if necessary. Pay attention to the food temperature should not be overheated, and you should not eat too much every day to avoid choking or scalding. Rinse your mouth and clean your mouth after eating to prevent choking and suffocation caused by food residue. ③ Hyperhidrosis patients should drink 2 000 ml of water every day, and drink more water when they have fever or infection, and the daily intake should reach 3 000 ml.
2.2 Nursing care of Parkinson's syndrome
2.2. 1 Qin Ying, bedridden, rolls over and pats his back1/2h; If the body is stiff, thin and sweaty, turn over. 1/h, change sheets at any time, and keep the bed unit clean and dry. It is forbidden to massage the parts with sudden bone redness, and rubbing with 2% iodine tincture for 3 ~ 4 times /d can effectively prevent bedsores; Contraction of the upper limb should not be pressed on the chest, but should be placed on the side of the body and padded with soft cloth to avoid affecting blood supply; Do skin care, prevent secondary infection and promote blood circulation. Pay attention to gentle movements and keep warm when operating.
2.2.2 Keep the respiratory tract unobstructed, keep the head, neck and trunk in a straight line, and suck out sputum in time. When the sputum is sticky, it should be inhaled by atomization, 4 times a day, and the sputum should be discharged by knocking on the back; When eating or nasal feeding, raise the patient's bedside by about 45 to prevent lung infection caused by choking. Strengthen oral care to prevent stomatitis and mold infection.
2.2.3 Pay attention to the function of each joint, and do passive exercise in bed regularly, moderately and step by step. Give comfort to patients with obvious muscle contracture and pain, eliminate worries, make them cooperate, and carry out local massage to relieve pain. It is strictly forbidden to cause fractures by rough movements, forced movements or pressing. Five patients in this group were transferred to our hospital after ineffective treatment in other hospitals, and severe foot drop and valgus appeared, which brought certain difficulties to rehabilitation. Therefore, we should pay attention to strengthen nursing and education from the early stage of the disease, effectively prevent foot drop and valgus, and lay a good foundation for restoring normal walking.
2.2.4 Do a good job in toilet care. ① Observe carefully, ensure that the patient's constipation does not exceed 3 d, develop the habit of defecation regularly, and give laxative measures when necessary. ② Strictly grasp the indications of catheterization to avoid blind catheterization and urinary tract infection. Patients with urinary retention, from the beginning of indwelling catheterization, that is, regular urination, generally close the catheter. Ask the patient to drink plenty of water and flush the bladder physiologically. Try to shorten the indwelling catheterization time and avoid infection.
2.2.5 Do a good job in drug guidance for patients and their families, reduce adverse reactions, and ensure the continuous and effective completion of drug treatment. Reference 1 Dang Lei, Feng. Treatment of mental retardation and delayed encephalopathy caused by acute carbon monoxide poisoning. Zhongyuan medical journal,
2, Sun, etc. Nursing care of delayed encephalopathy caused by acute carbon monoxide poisoning. China Journal of Nursing.