2010-5-13
1 psychological guidance
Tumor patients and suffered great pain and suffering, there are varying degrees of fear, for the treatment of lost confidence, so nurses should possess noble sympathy and sense of responsibility, caring, respect patients and obtain patient trust. To understand the psychological status of each patient and family environment, to help patients to adapt to the hospital environment as soon as possible, to enhance the ability of life, to achieve the best rehabilitation.
2 dietary guidelines
Due to the impact of the disease, the psychological burden of patients with nasopharyngeal carcinoma, poor appetite, low resistance, so to guide their families to encourage patients to eat, and to give high protein, high vitamin, low fat, easy to digest food. Such as beans, milk, edible fungus, carrots, etc.. Tell patients to quit smoking wine, avoid cold and hard food, avoid spicy, not eat moldy food. At the same time to guide the family to create a clean, comfortable eating environment, pay attention to the color fragrance, to provide patients with delicious food, to provide patients with rich nutrition.
3 oral hygiene instruction
3.1 oral cleaning to tell patients and their families the importance of oral cleaning. Specific measures: morning, after dinner, before going to bed with a soft brush to brush your teeth before meals with water or saline gargle. Tell patients with xerostomia with 1% licorice gargle or Ophiopogon japonicus, honeysuckle, sterculia lychnophora bubble suit. Tell patients and their families 2 a ~ 3 a can not teeth, teeth. Later for extraction, shall provide the history of radiotherapy to dentists, doctors routinely before and after tooth extraction ranged from 3 days to 7 days given antibiotics and to prevent the occurrence of radiation osteomyelitis.
3. 2 mouth opening exercise daily maximum amplitude opening training and practice chewing, puffy face, smile, hold your breath 5 times / D ~ 6 times daily, for 5 minutes to 15 minutes. Can chew gum 3 times / D ~ 5 times /d. After practicing loll, shrinkage, scroll, and several times a day, and with the head to the left and right lateral bending, rotation, action should be slow, range should not be too large. Rehabilitation training for patients and their families after discharge from hospital.
4 to maintain the integrity of the local skin
Tell patients and their families, the local skin after the end of radiotherapy is still required to protect at least 1 months. Guide the families with warm water or soft towel gently dip wash, disable soap scrub, avoid alcohol, iodine, plaster, plaster stimulation. Tell the patient to prohibit to shave hair, appropriate uses an electric razor, prevent damage to cause local infection. Asked the patient to go out to prevent direct sunlight, should be covered. Tell the local skin of patients and their families can not scratch, gently, to relieve itching.
5 medication guide
Tell during radiotherapy for patients and their families at any time and contact a doctor, the majority of patients will be nausea, vomiting and, to a lesser extent, can according to the instructions given Jianwei, sedatives, timely and contact a doctor. When necessary according to the doctor's advice given rehydration therapy in severe symptoms. Church family master of WBC, RBC, PTL normal value, during radiotherapy weekly check blood once, if abnormal timely contact with the doctor, if necessary to stop radiotherapy or as directed by a physician. Give up treatment.
6 rest activity
Tell patients and their families can be based on physical recovery, to participate in appropriate activities. Such as practicing Qigong, walking to enhance physical fitness, so that the body to maintain the best condition. But at the same time to do, step by step, pay attention to rest, not overworked, and optimistic mood. Physical fitness can participate in light work and study, to guide the families of patients with appropriate activities, training opportunities. Welcome to consult the teshin Health Hotline: 010-51571020