Let me talk to you about cancer and pain.
Most patients with advanced cancer are accompanied by pain. Because the patient has been suffering from cancer for a long time, and the pain brought to the patient, the patient realizes that his condition has developed to the advanced stage and loses confidence in treatment, which is mainly manifested in pessimism and disappointment and loss of courage to live.
In order to alleviate patients' pain and improve their quality of life, we must first alleviate patients' pain and mental pain. Correct psychological counseling can relieve anxiety, fear and nervousness, and enhance patients' confidence in treating diseases.
In view of your fate, the following reports are for you:
1. Pain assessment
When the patient is in pain, the nurse must listen carefully to the patient's chief complaint and observe the location, intensity, nature and regularity of the pain. Only by comprehensively analyzing the observation content and the patient's chief complaint can we make a correct evaluation of the pain, so as to overcome the blindness or mechanization of executing the doctor's advice. Nurses can put forward their own suggestions to doctors in time according to the specific situation of patients, so that patients can get the best analgesic effect.
Medical staff have a correct understanding of the pharmacological effects of narcotic analgesics, so that patients have a certain understanding of the treatment of pain with narcotic analgesics and cooperate with the treatment with a positive attitude.
2. Pain treatment
According to WHO's three-step cancer pain treatment plan, only by correctly following the basic principles of the plan can cancer pain be controlled. The choice of analgesic drugs should be based on the degree of pain from weak to strong. Non-opioid drugs (aspirin, paracetamol, indomethacin, etc. ) should be used first for mild to moderate pain. If the analgesic effect cannot be achieved, weak opioids (codeine, oxycodone, tramadol, etc. ) should be added on this basis. If the pain is still not controlled, strong opioids (morphine, methadone, demerol, etc. ) should be applicable.
Auxiliary drugs (diazepam, prednisone, etc. ) to patients with special indications, such as patients with special neurological or psychiatric symptoms. The key of three-step therapy is to give drugs on time and accurately. Therefore, when carrying out the doctor's advice, whether the patient is in pain or not, it is necessary to give the medicine on time and accurately, and pay attention to the effect and adverse reactions after taking the medicine.
In addition, water acupuncture can also be used to treat cancer pain. Choosing different acupoints according to the types of diseases and pain sites, and injecting Shutongding, Dexamethasone and Vitamin B 12 can play an analgesic role through meridians. The effective rate for middle and advanced cancer pain is 98%.
3. Pain care
Because cancer patients are under great mental stress, the pain caused by pain stimulation increases fear and despair. For patients with pain, it is necessary to understand their psychological activities and actual situation, sympathize with and care for patients by verbal or nonverbal communication, maintain a good attitude and mood no matter how busy they are at work, be good at controlling their troubles and anguish, show them to patients with a positive, optimistic and enthusiastic attitude, gain the trust of patients, and let patients establish firm beliefs and feel the hope of cure.
Talk to patients more, help them solve practical difficulties, distract and divert their attention, and encourage them to participate in interesting cultural and recreational activities, such as watching TV, reading newspapers, telling stories, doing qigong, aerobics and playing chess. , depending on the patient's condition; Give mental comfort to patients, keep them in a stable and cheerful mood, relax their nervous state of mind, and naturally relieve their pain. Only by maintaining a good attitude can patients actively cooperate with the treatment.
4. Summary
With the gradual implementation and improvement of holistic nursing, nurses play an increasingly important role in pain control. It is of great significance to master the correct evaluation method, implement effective analgesic measures and improve the nursing of patients with advanced cancer to promote their rehabilitation and improve their quality of life.
If you are satisfied with the above answer, please don't disappoint my kindness and adopt it as an answer in time.