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nursing care of paraurethral adenocarcinoma-nursing precautions-diet taboo

nursing care of paraurethral adenocarcinoma-nursing precautions-diet taboo

General care of paraurethral adenocarcinoma

Paraurethral Adenocarcinoma Care

1. Nursing

1. Psychological care

It is necessary to strengthen psychological care, give patients psychological comfort, help build positive emotions, so that patients can eliminate anxiety, fear, and uneasy emotions, avoid unnecessary mental stress, and use a normal mental state to cooperate with diagnosis and treatment, exercise strong will and care for life. Full of hope, this is an important spiritual pillar for fighting cancer. It is the best way to get close to the patient and talk more, because it helps to understand the patient's mental state. Doctors, nurses and family members should master verbal and non-verbal communication, the latter refers to attitude, posture, behavior and so on.

The first thing is to be sympathetic, friendly, sincere, and strive to create a good atmosphere. Make the patient feel that the people around him, especially nurses and family members, sympathize and understand him. Sometimes just sitting next to the patient shows his spiritual support and comfort. Let patients be willing to tell their true thoughts, and do not force them when they are unwilling to talk or when they are unwilling to talk at the time. Some terminal patients have a sense of loneliness that is afraid of being indifferent and abandoned, and the fear is particularly serious at night. In this case, it is best to allow family members to stay with them to make the patient feel comfortable. At all times, it is necessary to maintain the dignity of the patient and improve the quality of life as much as possible. It is necessary to understand that the family members of the patient are also very hardworking and suffering for the patient. Therefore, when possible, arrange for the family members to rest and eat properly, and to show some concern to the family members is also a great comfort to the patient.

2. Diet care

Cancer is a wasting disease, especially when undergoing surgery, radiotherapy, and chemotherapy, proper diet care is a necessary condition to ensure the smooth progress of the treatment. Regular rice, soft rice, semi-liquid juice, and liquid-liquid diet should be provided according to the condition and digestion and absorption capacity. Patients receiving radiotherapy and chemotherapy may have poor appetite or abnormal taste. For them, create a pleasant and comfortable dining environment, do some publicity and education to ensure that nutrition is necessary for treatment, and appropriately increase condiments.

During the hospitalization period, different ways of replenishing nutrition can be selected according to the patient's condition. Oral diet was used, and nasal feeding diet was used for nasal feeding. Through gastric or intestinal ostomy tube feeding, the food can be thicker than those of nasal feeding. Intravenous nutrition is suitable for gastrointestinal failure or insufficient feeding. The conditions of patients are different, and it is not advisable to insist on uniformity. You should consult doctors, nurses, and nutritionists according to the specific conditions, and give proper diet with good quality and quantity.

3. Pain care

There are many reasons for the pain caused by tumors, which may be related to the following factors: (1) The tumor grows rapidly, causing tension and traction of the organ capsule. (2) The tumor compresses the nerve root, nerve trunk or nerve plexus. (3) The tumor causes obstruction of the cavities. (4) Rupture of gastrointestinal tumors causes bleeding and perforation. (5) The tumor itself ruptured and infected and caused necrosis of surrounding tissues. (6) The tumor infiltrates the blood vessels and local hypoxia. (7) The sequelae of radiotherapy or surgery.

The causes of pain are different, and the treatment methods are different. Some can be treated with radiotherapy, some require surgery, and some require medication. For example, the patient's excessive tension and anxiety often make the pain worse, so the pain reduction effect must be achieved through methods such as firming. It is also possible to distract the patient by discussing issues that are of interest to the patient, listening to music, and watching TV, so as to remove the patient's irritability and anxiety. Cold and wet compresses and hot and wet compresses are also available as auxiliary analgesic methods. Diligence and consideration can also relieve pain. Therefore, when doctors and neglect to take care of patients, stay at the bedside for a while, wipe the face with hot water, and change the position of the patient. This is a spiritual comfort to the patient and can alleviate the pain. The use of painkillers should also be assisted by kind language and a kind attitude.

At the same time, pay attention to the prevention of bedsores: if there are advanced patients with malnutrition, or the body has intestinal fistula, urinary fistula, or combined with edema, etc., they will press a certain part of the body for a long time while sleeping, but bedsore are prone to occur. Once bedsores develop, they will develop rapidly, further increasing the patient's pain and nutrient consumption.

The basic principles of preventing bedsores are: reduce local pressure and keep the patient clean and dry. If the condition permits, the patient should be encouraged to get up and move around, or help the patient to sit up on time. For critically ill patients who have been bedridden for a long time, their positions should be changed on time. For those who are very weak, duck down pads or other soft pads can be placed on their tailbone. If necessary, use a folded cotton pad to suspend the sacral coccyx to prevent further compression. The bed is flat, clean and dry, and the pressured parts are often scrubbed with warm water and soap. For patients with urinary incontinence, they should change their diapers in time. Don't be afraid of troubles, encourage them to drink plenty of water to reduce their psychological burden. If bedsores have formed, it is even more necessary to eliminate local pressure and strictly treat the wound with dressing changes.

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