Cervical cancer patients standard care plan

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(1) premonition of the tragedy <BR> related factors <BR> cancer and life threatening.
Diseases long torment.
The main performance <BR> depression, the spirit of the doldrums.
Disheartened, pessimism, and some have even committed suicide idea.
Fear, unusual attitude, the right to health care have emotional conflict.
Nursing <BR> patients to express heartfelt sorrow has come from.
Patients can face reality and spirit, the confidence of the treatment.
Patients emotional stability, abandoned the idea of suicide, consciously with medical care and treatment.
Nursing <BR> initiative with heart patients, care for and encourage patients Trying to enhance the self-confidence of the patient to overcome the disease.
Full mobilization of the families of patients, relatives of all positive factors for its support to assist health care workers, access time to visit condolences to the patient, showing more care than in the past, considerate patients, the patients do not feel lonely, still live in the warmth of happiness and change other people's concern for their own the impetus to tap their own potential and resist disease.
The idea of a right to commit suicide patients should be excluded patients who all factors of insecurity, such as scissors, knives, scallops and other objects to prevent the accident occurred. And stay Chaperone and strengthening inspections.
Strict enforcement of the health care system, not talking about patients and provocative topic.
Self-regulation guiding patients emotional, distracted, and patients with more room conversation, a mutual encouragement, consoled role.
Patients patience to listen to the sad heart talk, citing similar patient survival example Trying to persuade patients to remove the patient's ideological baggage.
<BR> Spirit of focusing on the evaluation of the patient status, mood improvement.
Patients psychological ability and the strength can correctly treat the disease prognosis.

A bleeding risk factors associated <BR> <BR> cancer invasion.
Wide surgical wound.
The main performance <BR> vaginal bleeding, in gradually increasing.
Blood pressure decreased by fast pulse.
Was pale, cool extremities.
Patient care goals <BR> stable vital signs.
Vaginal bleeding patients reduce or stop.
Nursing <BR> attention vaginal bleeding, such as quantity, color and other changes.
After close observation of blood pressure, pulse, respiration, every 30-60 minutes of a meeting to smooth a day after the meeting.
Patient awareness of expression and peripheral cycle.
After attention to the availability bleeding wound dressings and timely replacement of dressings.
Sand bags home abdominal wound oppression 8-12 hours, reduce bleeding, bleeding.
Pelvic drainage tube drainage of fluid color and quantity, for records. After 12 hours of bloody fluid drainage, but not more than 300mL drainage, such as 12 hours after the drainage of fluid color and cut, there may be internal bleeding, physicians should promptly notify the corresponding treatment.
Warm winter attention for patients, help patients emotional stability, and to avoid increasing tension bleeding.
<BR> Focusing on the evaluation of monitoring vital signs change.
Monitoring pelvic and abdominal wound drainage fluid situation.
<BR> Abnormal urination related factors <BR> surgical wound, and possible violations of bladder cancer and ureter.
Large organizations with pelvic, bladder reduce support organizations.
After the main performance <BR> urinary retention and bladder function recovery slower, more time may purchase catheter.
<BR> Maintain patient care objectives catheter patency, bladder muscles get adequate rest, the early resumption of bladder function.
Patients can exercise with bladder function, bladder emerged after extubation paralysis caused by urinary retention. The article profiles: the risk of bleeding related factors cancer invasion. Wide surgical wound. The main performance of vaginal bleeding, in gradually increasing. Blood pressure decreased by fast pulse. Was pale, cool extremities. Patient care goals stable vital signs. Vaginal bleeding patients reduce or stop. Nursing attention vaginal bleeding, such as quantity, color and other changes. After close observation of blood pressure, pulse, respiration, every 30-60 minutes of a meeting to smooth a day after the meeting. Patient awareness of expression and peripheral cycle. After attention to the availability bleeding wound dressings and timely replacement of dressings. Sand bags home abdominal wound oppression 8-12 hours, reduce bleeding, bleeding.

(2) the risk of bleeding related factors <BR> <BR> cancer invasion.
Wide surgical wound.
The main performance <BR> vaginal bleeding, in gradually increasing.
Blood pressure decreased by fast pulse.
Was pale, cool extremities.
Patient care goals <BR> stable vital signs.
Vaginal bleeding patients reduce or stop.
Nursing <BR> attention vaginal bleeding, such as quantity, color and other changes.
After close observation of blood pressure, pulse, respiration, every 30-60 minutes of a meeting to smooth a day after the meeting.
Patient awareness of expression and peripheral cycle.
After attention to the availability bleeding wound dressings and timely replacement of dressings.
Sand bags home abdominal wound oppression 8-12 hours, reduce bleeding, bleeding.
Pelvic drainage tube drainage of fluid color and quantity, for records. After 12 hours of bloody fluid drainage, but not more than 300mL drainage, such as 12 hours after the drainage of fluid color and cut, there may be internal bleeding, physicians should promptly notify the corresponding treatment.
Warm winter attention for patients, help patients emotional stability, and to avoid increasing tension bleeding.
<BR> Focusing on the evaluation of monitoring vital signs change.
Monitoring pelvic and abdominal wound drainage fluid situation.
<BR> Abnormal urination related factors <BR> surgical wound, and possible violations of bladder cancer and ureter.
Large organizations with pelvic, bladder reduce support organizations.
After the main performance <BR> urinary retention and bladder function recovery slower, more time may purchase catheter.
<BR> Maintain patient care objectives catheter patency, bladder muscles get adequate rest, the early resumption of bladder function.
Patients can exercise with bladder function, bladder emerged after extubation paralysis caused by urinary retention.

(3) to live on their own in <BR> related factors <BR> indwelling catheter after surgery and pelvic drainage tube.
Wound pain.
Ambulatory infusion.
The main performance <BR> ambulatory infusion.
Restricted activities.
Patient care goals <BR> basic daily needs are met.
Nursing <BR> assist patients 24 hours after emancipated knock back, every two hours a meeting.
Common items should be placed in the life of patients and can stretch where timely access should be red.
Assist patients completed life care, such as bath, changing, cleaning, eating, solutions and urine, the timely provision of sanitation.
After 4-5 days to assist the patients get out of bed activities to prevent venous thrombosis and adhesion.
Patients maintain clean bed unit, formation, dry, pollution timely replacement.
Psychological care to patients, encouraging patients to live on their own to maximize recovery exercise.
<BR> Focusing on the evaluation of the patient's daily needs are met.
Patient care is the life.
After gradually restore patients how to live on their own.
Pleasant change: the pain <BR> related factors <BR> wound pain after surgery.
Advanced cancer invading force decreased.
Cachexia tolerance in the body.
The main performance <BR> sustainability of a fear of pain.
More than groaning, suffering face.
Patient care goals <BR> conscious pain relief or mitigation.
Patients can rest quietly.
Nursing <BR> to take a position comfortable for the patient, or if the semi - supine or lateral bending position.
Patients distracted guidance, excluding pain stimuli and incentives.
The nature of pain patients, location, duration and extent.
Allow patients to fully express the inner feelings of pain, and that understanding, to encourage language, in order to increase patient overcome pain courage.

(4) Potential complications - infection <BR> related factors <BR> preoperative vaginal unclean.
After indwelling catheter.
Large organizations exudate - pelvic drainage.
The main performance <BR> retrograde infection, urinary tract infection.
Body temperature, blood leukocyte count increased.
Lower abdominal pain, vaginal secretions and have increased the smell.
Patient care goals <BR> temperature, normal white blood cell counts.
Patients systemic or local infection lesions.
<BR> Preoperative care measures:
Seriously do vaginal cleansing: in the first three days, with 0.1% of new daily Er Jie vaginal washing solution 1st, a day late and with metronidazole vaginal 0.4 g Cypriot three consecutive days of bleeding patients ban for this operation.
To clean the vagina: preoperative three days 3-2-8 enema, a day of the operation last night cleansing enema, and compliance of the use of intestinal inflammation.
Two days before the change of liquid diet, a day before the change of liquid diet, fasting for last night.
Compliance perioperative use of antibiotics.
A day preoperative skin preparation, cleaning umbilical eyes for general health, the prevention of influenza.
After:
A stable blood pressure patients to take their half-sitting, so postural drainage.
Keep drainage tube and catheter patency, the attention of urine drainage of the nature, quantity, drainage bag changed every day, if necessary, monitoring urine routine.
Perineal maintain clean, with 0.1% of daily cleaning Bromogeramine cotton washing two times.
Keep the wound dressing dry, if exudative, pollution, should be promptly replaced.
Observe the temperature, blood changes, after seven days of the three day test temperature; If the temperature in 39oC over six times daily temperature measurement, compliance to the physical cooling.

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Tags: bleeding, cell, early, infection, lesions, pain, patient, patients, prevention, risk, surgery, treatment, vaginal

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