The patient of liver cancer lies a bed over a long period of time, emaciated, the whole body is tired and easily cause the occurrence of bedsore.Result in bedsore occurrence of the reason have:The pressure of① part rub and measures to move;The ② partial organization lacks the blood bad dead;The ③ part is damp, is stimulate by excrement;The ④ absorbs malnutrition.The emergence of the bedsore successively mainly expresses to is rosy for blood clot on time, red rash, bubble, break Kui, the part organizes bad dead, even fester, finally encroach upon the muscle film, muscle, skeleton etc. deep organization.Once bedsore happen, not only increase pain and sufferings for patient and aggravate a condition, prolong a course of illness, serious hour can because of after hair the infection cause a septicemia but endanger life.Therefore have to strengthen a foundation nursing, eradicate completely the occurrence of bedsore.The bedsore has already have no is judge nursing quality quality of important standard of a.
(A)Nursing target
1, prevent°from the occurrence or depravation of bedsore.
2, urge bedsore wound to heal.
(Two)Nursing measure
1, prevent°from bedsore
(1)Urge patient's activity or ambulation.Irremovable patient, help it to turn over a body, every 2 hours once;Slightly the patient of ability activity encourages in the bed last activity, or at family members' help under carry on a body to toughen.
(2)Guide a patient to correctly turn over a body method, don't drag along to move, the in order to prevent friction makes skin damaged.
(3)Long lie or long sit, should handle small mat in the bone Tu, in order to prevent the part is press, can build on stilts a heel with the gauze mat.
(4)Massage bone Tu with the red flower ether everyday, prevent°from the occurrence of bedsore.
(5)Protect the skin sweep, use Wen Shui3 to wipe a clean skin everyday, should replace in time to the clothes which is make dirty by excrement and sweat liquid.The skin dry can use to moisten frost Tu2 Ca.
(6)Can use water mat or air cushion bed when it's necessary.
(7)Give ample nourishment.Give high egg white, hot quantity food, can't take a meal can use the nose Si method or nourishment outside the vein.
2, urge bedsore to heal
(1)The I expects bedsore:Massage a partial skin with the red flower ether, everyday 2 times.The applied ir cushion builds on stilts blood clot part and avoid part again is press, guide a patient to carry on a body to toughen on the bed.
(2)The II expects bedsore:Use mercurochrome to chafe Kui to refrain from rash action a skin, help the partial skin to heal, or overlay to break Kui with the egg film.The one who have bubble uses to have no germ needle tube to take out to absorb water liquid inside the bubble and disinfect pinprick to counteract have no the germ gauze overlay.
(3)The III, IV expects bedsore:Change a medicine in response to the wound.The choice suitable dressing covers up wound, directly add to press in the wound, in order to prevent the patient bleed not only.(the patient of the liver cancer Ning blood function bad)Change a medicine with the oil antibiotic wound everyday, and observe wound to heal a circumstance, can make wound germ development to look for sensitive such as having no amendment in a week antibiotics.
Sunday, 18 May 2008
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