Liver Cancer Pain Care
Time:2009-11-05 14:47 Author:admin Hits:
Liver pain is the most common liver cancer patients, the most typical symptoms, the general showed chronic persistent men Tong, accompanied by nausea, loss of appetite, malaise, etc., mainly by foci of oppression caused by the normal organization can often radiation to the right shoulder or back. Hepatic rupture, hepatic subcapsular bleeding or blood through the liver capsule into the abdominal cavity, liver, there may be severe pain, accompanied by abdominal tenderness, muscular tension peritoneal irritation. Easily cause liver pain, anxiety and depression in patients with mood and affect the patient's quality of life, loss of life and treatment of confidence.
(1) Nursing Goals
1, the patient VRS to reduce or disappear.
2, high patient's quality of life.
(B) nursing care
1 observed in patients with pain in the nature, duration and scope of patients able to tolerate.
2, observe the patient's associated symptoms, with or without nausea and vomiting.
3, according to the method of application of three pain analgesics first stage, from the beginning of non-opioid analgesics such as aspirin, strong pain set (Brazzaville gui triazine), nefopam (nefopam), anti-inflammatory pain ( Indometacin) bolt and so on. If it is not ease, on this basis, the increase in the weak opioid analgesics, such as codeine, propoxyphene, etc.; if severe pain, you can use strong opioid analgesics, such as meperidine (pethidine), the United States MS Contin, etc. Now, we have a new patch Duragesic analgesic effect up to 72 hours.
4, observing the changes in vital signs in patients with the event of a severe pain and peritoneal irritation should be wary of liver rupture, immediately report to a doctor and do rescue preparations.
5, guiding the patient pain relief methods
(1) pain as deep breathing, to Xiongshihuxi mainly to alleviate pressure on the abdomen to stimulate.
(2) to take a comfortable position. Ipsilateral supine and semi-recumbent, reduce abdominal wall tension and reduce pain.
(3) local gently massage should not be forced, or prone to cause tumor rupture or proliferation.
(4) The diet should be selected light, high-protein, low-fat, non-stimulating digest food, not fullness, Shaoliangduocan. To maintain smooth stool, reduce the distention in order to avoid induced pain.
(5) to maintain emotional stability, anxiety easy to cause pain to deepen.
(6) to divert attention, to watch these novels, comics and other distracted.
6, to keep the environment quiet and comfortable, the implementation of protective health care system, patiently listening to patients talk to, to give proper comfort, reduce
Psychological burden in patients with light to raise the pain threshold.
(1) Nursing Goals
1, the patient VRS to reduce or disappear.
2, high patient's quality of life.
(B) nursing care
1 observed in patients with pain in the nature, duration and scope of patients able to tolerate.
2, observe the patient's associated symptoms, with or without nausea and vomiting.
3, according to the method of application of three pain analgesics first stage, from the beginning of non-opioid analgesics such as aspirin, strong pain set (Brazzaville gui triazine), nefopam (nefopam), anti-inflammatory pain ( Indometacin) bolt and so on. If it is not ease, on this basis, the increase in the weak opioid analgesics, such as codeine, propoxyphene, etc.; if severe pain, you can use strong opioid analgesics, such as meperidine (pethidine), the United States MS Contin, etc. Now, we have a new patch Duragesic analgesic effect up to 72 hours.
4, observing the changes in vital signs in patients with the event of a severe pain and peritoneal irritation should be wary of liver rupture, immediately report to a doctor and do rescue preparations.
5, guiding the patient pain relief methods
(1) pain as deep breathing, to Xiongshihuxi mainly to alleviate pressure on the abdomen to stimulate.
(2) to take a comfortable position. Ipsilateral supine and semi-recumbent, reduce abdominal wall tension and reduce pain.
(3) local gently massage should not be forced, or prone to cause tumor rupture or proliferation.
(4) The diet should be selected light, high-protein, low-fat, non-stimulating digest food, not fullness, Shaoliangduocan. To maintain smooth stool, reduce the distention in order to avoid induced pain.
(5) to maintain emotional stability, anxiety easy to cause pain to deepen.
(6) to divert attention, to watch these novels, comics and other distracted.
6, to keep the environment quiet and comfortable, the implementation of protective health care system, patiently listening to patients talk to, to give proper comfort, reduce
Psychological burden in patients with light to raise the pain threshold.
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