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Dołączył: 21 Lut 2011
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PostWysłany: Pon 13:53, 28 Mar 2011  

Complications of chronic bronchitis and home care patients


Life in patients with chronic diseases can take care of themselves utmost superiority. Our department from 1991 to 1995, has for 17 patients with chronic bronchitis and complications of the implementation of home care, patient cooperation and coordination,[link widoczny dla zalogowanych], results were satisfactory, are reported as follows: a clinical case selection: meet the 1972 National Chronic bronchitis Prevention diagnostic criteria developed by the Conference, 13 males and 4 females aged 58 to 79 years old. With Maximum duration of 31 years, a minimum of 2O years, the average duration of 26 years. 1 2 general nursing care: home once a week, in addition to measuring the body temperature normal, pulse, respiration, blood pressure, but also guide the outdoor activities and room layout, check the proof measures and personal hygiene, to urge the rest. Specifically: 1) the morning to do relaxation exercises (upper), extending the patient chest movement 3Orain guidance to do abdominal breathing lip reduction. 2) request the bedroom windows open for ventilation day 2 or 3 times, indoors to prevent dust, gas and other harmful gases and substances in the body inhalation. 3) cold and warm body to do the work, with particular attention to warm cold feet, bed clothes to be soft. Should pay attention to personal hygiene, smokers ordered to quit. 4) should be the law of life, get up, sleep, pay attention to rest. 2 psychology and nursing knowledge: the strengthening of health knowledge missionary, patients and their families to the knowledge of universal health care, and attention to eliminating the psychological barriers, enhance treatment and prevention of confidence. 3 medical care: 1) steam inhalation: with a mug, filled 3 / 4100 ℃ boiling water,[link widoczny dla zalogowanych], add gentamicin 80 000 U, instruct patient to open mouth against the mug mouth breathing; 2) to assist expectoration; 3 ) Early prevention of drug use: enter the winter before the intravenous infusion of albumin in 1 to 2 bottles (each bottle 1og) or 1 or 2 times per week intramuscular injection of transfer factor, thymosin, etc., enhance the body resistance. 3 to discuss the progress and development with the times, the medical model has shifted from the ward to nursing home to community, our department 17 cases of chronic bronchitis and complications of patients,[link widoczny dla zalogowanych], nursing home care, a significant effect,[link widoczny dla zalogowanych], the experience is as follows: ( 1) increase awareness of self-protection. Home care can be improved through self-care ability to prevent acute attacks, enhance the confidence of patients and control disease and development,[link widoczny dla zalogowanych], form a good cycle. (2) reduce the patient's psychological burden. Home care can be avoided, reducing the acute attack, and because home treatment and allow the economy to relax mentally. (3) close patient relationship. Home care is the treatment, accommodation, food and other aspects for care, to patients a sense of affection, shortened the distance between patients and nurses. (4) self-cultivation and to improve the level of nursing staff. Home care is not just medical care, it also includes psychological care, nursing and other aspects of life, which requires nurses to keep making progress and improve their own quality.


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