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Dołączył: 03 Mar 2011
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PostWysłany: Sob 4:39, 19 Mar 2011  

Small bowel necrosis in 3 cases of post-operative care


5, severe trauma to enhance nutritional support therapy by inhibition of bowel function after surgery, and made a part of the small bowel resection, absorption of nutrients affected, resulting in hypoproteinemia, influence wound healing. To this end, every day should give enough protein from the veins and parenteral nutrition, bowel movements to be restored, to determine anastomotic healing well and that the continuation of intestinal necrosis, can test diet, without adverse reaction, giving the high nutrition and easy digest food. 2.2.6 The prevention of complications caused by surgical trauma pain, unable to make cough, secretions deposition in the trachea, bronchus, to encourage patients to cough test, given inhaled repeatedly given shoot back, is conducive to discharge secretions and to prevent hypostatic pneumonia. 2 times a day given to oral care, perineal cleaning 2 times. Regular massage pressure areas, timely cleaning and replacement of dirty clothes and mattresses wet, keep the bed flat, clean and make patient comfort and avoid complications. 2.2.7 Prevention of thrombosis after thrombolytic drugs given to expand the tube,[link widoczny dla zalogowanych], such as intravenous infusion and subcutaneous injection of low molecular weight heparin drug Salvia. 2.2.8 The psychological care of patients is often sudden onset, often fear and anxiety, explain to the patients and their families the causes and development of disease characteristics, encourage and help lift the ideological concerns of patients and establish the confidence to overcome the disease, positive take the initiative to cooperate with the treatment. 2.2.9 Zhu Huanzhe hospital rehabilitation after discharge, pay attention to nutrition guidance, eat high protein, high vitamin, high-calorie, easily digested food, Eat small meals often, appropriate outdoor activities, enhance the body's resistance. Psychological analysis of elderly patients and psychological care Haiying Abstract nursing care d for the development of a new disease from the biological, psychological, ten will be on the overall abundance of care. In particular, China has entered the aging, the towel mental care is one of the ways and means of care, more and more the importance of clinical care. Through their own behavior, language, attitude expression and posture, so as to change the patient's poor mental state and behavior, to promote patient recovery. 1 1.1 suspicious of psychological analysis, anxiety and fear of the disease in elderly patients began a lack of awareness of the disease and disease of small government more years,[link widoczny dla zalogowanych], recurrent disease, the suspicion of its medical staff and family members do not speak the truth, that his incurable disease , or afraid that they have an incurable illness, resulting in paranoia, anxiety and fear. Emotionally unstable, irritable admitted to the hospital environment has changed, we became a little family. Some elderly patients with emotionally unstable, failing to impulsive, and even a Japanese 1f conflict and their families and health care, the environment, treatment, services, equipment and other Xiaoman. Despair and depression f} I in cardiovascular disease, longer duration, easy to relapse,[link widoczny dla zalogowanych], efficacy was not obvious, the prognosis is not clear, patients lose the ability to work, and even loss of life, creating the financial burden of the family, the patient often becomes extremely pessimistic , depressed, resulting in a lot of mental pressure, and even lead to loss of interest in life. Mental hospital does not matter away home, and some elderly patients with optimistic, cheerful, everything does not mind, took the disease does not matter, do not care attitude,[link widoczny dla zalogowanych], can not cope with medical treatment and care, and believe that their disease would not have serious consequences, do not follow the requirements of health care workers do not control the disease, but further deterioration. Author: 161,000 Third Affiliated Hospital of Qiqihar Medical College, Department of Respiratory Medicine 2 2.1 Psychological care nurses should have the quality of the language plays a key role in psychological care, proper use of suggestive, soothing, enlighten language, can help patients understand the correct and treatment of diseases, eliminate the negative emotions. In the course of their work, it is necessary to sedate, hand, foot and soft,[link widoczny dla zalogowanych], gentle tone, but also a skilled health care skills. Failing to calm, resourceful and decisive, quick action, affable manner, to enhance the reliability of nurses in the minds of patients and credibility, so that each patient feel the meticulous care and consideration. 2.2 understand the psychological demands of patients once the hospital when patients are emotionally unstable, irritable, paranoid, anxiety and fear, loneliness, lack of security comes worried. Hospital nurse who first thing to do when introduced with the patient understanding, eliminate its strangeness and loneliness. Patients are usually most concerned about his condition, hoping to find a good doctor a good nurse, as soon as possible cure their disease; followed by fear of increased length of stay for too long the financial burden to the family, nurses, patients were observed to be sharp changes in thinking, understanding of patients character, to do targeted psychological care. 2.3 to establish a good relationship between nurse and patient care nurse-patient relationship is the basis of psychological care is an important guarantee. Coordinate the establishment of good relations between patients and guide patient care for each other and help each other encouragement. Nurses should seek the cooperation of family members and units to help patients properly handle and solve worries, for social aspects


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