Oncological patient swollen legs
Care of patients with oncological diseases
The peculiarity of care for patients withmalignant neoplasms is the need for a special psychological approach. Oncological patients have a very labile, vulnerable psyche, which must be borne in mind at all stages of the care of these patients. The question of whether a diagnosis should be reported to a patient is still ambiguous and causes controversy.
When caring for cancer patients, a largethe importance is the regular observation of their condition (weighing, measuring body temperature, nutrition and physiological functions, well-being and mood, etc.) keeping a special diary by the patient or his relatives, since any changes may be a sign of the progression of the disease.
In each case, specialistsoncological service train the patient and relatives with hygienic measures, the correct diet, which has its own peculiarities in different forms of the disease and methods of treatment. In some cases, especially after surgical treatment, specialized care is required, carried out by a medical sister of an oncological dispensary or a specially trained relative.
In all cases, the main thing in caring foroncological patients is strict adherence to the recommendations of an oncologist and friendly attitude towards the patient from the surrounding and, first of all, relatives. It is necessary to take measures against attempts of the patient to be treated with znacharian means, which can lead to the most unforeseen complications.
In the articles of this section you will find recommendations on the most common problems of caring for and treatment of cancer patients.
Patients after surgical treatment.
Surgical treatment of many cancer patientsaccompanied by significant anatomical, functional and mental damage. For the full rehabilitation of patients need time, qualified medical care, instruction and supervision.
Patients after gastrectomy and gastrectomy.
Patient and relatives on discharge from hospitalreceive a detailed briefing on diet and diet. They do not have to be forgotten. Abdominal pain, any unforeseen digestive disorder is an indication for referring the patient to an oncologist's extraordinary examination.
Patients after extirpation of the rectum.
Abdominal crotch extirpation of the rectumis performed with the application of an unnatural anus on the anterior abdominal wall. The main task of rehabilitation is the development of a periodic reflux of the intestine by patients with caloric masses.
Mastectomy and other operations with the removal of regional lymph nodes.
Excision of cellulose and lymph nodesis produced not only in breast cancer. In the near future after the operation, edema develops on the basis of lymph stasis. They are easy to treat. Late firm swelling of the limb may be the first sign of a beginning relapse.
Patients receiving and undergoing radiation treatment.
Patients prefer the radiation method of treating it forsafety, the best cosmetic and functional result. But it is not harmless to the body. Negative effects of radiation therapy on the body often affects the treatment, soon after or after a long period.
Introduction of modern antitumor drugsin precisely defined for each of them single and total dose allows to avoid toxic effect on healthy tissues and organs. However, it is not always possible to completely eliminate the negative effect of these on healthy tissues.
Patients who have suffered or are receiving hormone therapy.
Hormonotherapy, like chemotherapy, is carried outfor a long time, for years and a significant number of patients - outpatient. It is performed mainly in patients with hormone-dependent malignant tumors. All of the complications seen must be reported to the oncologist.
Care of patients in advanced stage of the disease.
Care for Severe Patients of IV Clinical Grouprequires compliance with the deontological principles of relations with them, maintaining their hope for recovery, knowledge and skills for care. He should alleviate the suffering of the patient.
General care for incurable patients.
Creation of a comfortable hygienic environment forpatient - the main task of general care. Relatives of the patient should find out from the oncologist the recommended features of care and follow the implementation of his recommendations. Weakened patients have an increased predisposition to the formation of pressure sores.
Special care for incurable patients.
Many IV clinical patients needcare of specially trained people with the use of special equipment and items of care. These manipulations are usually performed by a surgical or oncological sister, but can be performed by relatives.
Fighting pain in incurable patients.
The problem of fighting pain in patients of the IV clinical group is the most urgent and the most difficult. Anesthetics should be prescribed only by oncologists.
Hygiene measures during care.
Content: General hygienic measures;The position of the patient in bed; Skin care; Oral care; Eye Care; Care of the ears; Care of the nose; Hair care; The hygiene of a person caring for a sick person.
Nutrition and care for gastrointestinal disorders.
Content: Mode of nutrition of cancer patients; Dysphagia; Heartburn; Hiccough; Flatulence; Nausea; Vomiting; Belching; Constipation; Diarrhea; Involuntary stool.
Other disorders and care with them.
Content: Intoxication; Cough; Bleeding; Radiation ulcers; Urinary incontinence; Edema; Bedsores; Fistula; Tracheostomy; Cystitis; Death.
Frequent hygienic and medical procedures.
Content: Warmer; Catheterization of the bladder; Enema; Washing of patients; Douching.
Ethics and the end of life.
We often repeat the well-known rule: try to do good and avoid harm. Death and dying give special questions about this rule, because there are often conflicts in making the right decision.
Write to us. Your experience, your knowledge and impressions can be many useful and instructive. Your questions and our answers to them can help not only you, but also other people. We will prepare articles for topics of interest to you, or publish your letters with comments of specialists in oncologists and psychologists.
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