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Old 08-28-2011, 09:48 AM   #1
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Cerebrovascular health teaching of patients
Such as: elbow abduction 50. , Internal circulation 50. , Elbow flexion 40. 50. Elbow pad with a soft pillow to preserve outer rotation. Sand bags placed outside the leg apt discourage leg abduction and external rotation. Foot to foot with a full pallet or a right angle with the end of the mattress to discourage foot drop or varus. Pressure to reduce circulation of 1.2 affected limb early in array to discourage oppression ulcers,mbt zapatos, hypostatic pneumonia, deep phlebitis complications in the illness,0 while,0 allowed to stand 2-3 hours in patients 1, stand to do some active or passive during training gradually boost the amount of physical activity; stand ought be adopted when the supine lateral position and switch methods to reduce the affected side lying location to prevent pressure damage affected limb. Patients and their families and the cathedral stand up capabilities training, training of patients equilibrium and coordination. 1.3 as physical activity early cerebrovascular disease, management should be without prejudice to begin instantly the body knead and passive activities, including: elbow, elbow, fingers, hip,herve leger bargain, knee, ankle flexion, enhancement, and elevating heaving activities. Absence of cerebrovascular disease, the next day began passive, hemorrhagic cerebrovascular disease, such as promptly after the patient conscious activities of Nursing and make spirited and characteristic guidance. Such as: bed mobility training, stand, shake, bridging activities with the trunk. Stand in the education, the patients elbow flexion,vibram fivefingers women, elbow disease at shoving the healthy hand, the healthy leg into the leg beneath the disease, as,0 in the trunk rotation, elevating heaving the legs with healthy legs rotated to the contralateral disease. Can also be tied to the end of the bed railings special belt to practice upper limb and trunk extensor brawn strength. Principle namely more than upper limb extensor exercise, leg exercise extra flexor; activities range from small to big, from the contralateral to the affected side, to the small joints of the big,0 joints, gradual and not be also hasty, it is best to develop individualized training programs, training frequency and duration like,0 the common condition of the patient. 1.4 Timely hike walking exercise rehabilitation is one important tread towards independent living is the opener to take care of themselves, but too a bound amenable in the rehabilitation process. As the disease better,christian louboutin sale, should be timely standing, walking exercise. First Rotary supports the assist of others to stand, later again hand stand. Walking ahead standing still, walking slowly with the times and capabilities, and should forever have someone. 2 to give low-fat diet, cheap salt, lofty fiber diet,vibram five fingers flow sale, whether anybody trouble in swallowing, choking when drinking water, may give liquid or semi-liquid paste slowly fed small jaws, nasal flow needful to give juice. To be diabetic diet diabetic patients. 3 psychological care left thinking vascular diseases deserving to complications of life can often take care of themselves,vibram running shoes, and have low self-esteem, negate psychological. So brash, and even temper, so constantly cause high blood pressure, the condition aggravate. Nurses should be cared about the patient, from the ideological to enlighten patients, training patients to keep bowel actions, narrated his relatives to give matter and spiritual aid to patients, between patients in person or union to encourage the exchange of experiences in order to eliminate the patient erratic psychology. Instruct patient to cling to the guidance of 4 dismiss functional exercises to mushroom trust in treatment; preserve a assured affective permanence, avert cerebral provocation; rigid control of blood pressure, prevent disease repetition; eat vitamin-rich edibles such as vegetables, fruits, develop nice bowel habits, smoking, alcohol, avoid strenuous activities and busy in cumbersome physical labor. Nursing care after tracheotomy to Chinese (Zigui County Medical Center Zigui 443,600) 【Key Words】 R473.6 Document code】 【B】 【article digit 1729 ~ 1461 (2005) 0665__02 tracheostomy is Clinical rescue and treatment of respiratory tract hindrance in patients with an major measure of the ~. 21,300 years from immediately I have 15 cases of patient care experience in clinical custom,0 shallow as follows: 1 correct situation placed the bottom of the trachea in order to reduce pressure, damage the trachea wall, and to prevent reflux of gastric contents caused by ambition pneumonia, tracheal incision of the patient should take the semi-supine, nape, lift & c., so that the neck extension, keep the airway open. 2 Department of casing nailed to a solid action with a dozen tangles, tightness of appropriate, too firm can constrict the neck containers, and too effortless to lax tube prolapse should be placed in a manner suitable. And constantly observe whether active bleeding, subcutaneous emphysema, pneumothorax, infection and other complications emerge. 3, oxygen 3.1 reasonably wet oxygen clinical practice with distilled water, saline solution as a watery day, replace ~ times. 3.2 The temperature of oxygen is the best direction of heating oxygen using the new device, so that patients feel cozy and cordial breathing and flat, expectoration easy, be able to,0 boost the oxygen influence,0. 3.3 oxygen saturation (SpO.) Monitoring arrows based on SpO at anyone period accommodate the oxygen stream, so that causativeable efficient oxygen. 4, to keep the airway effectively wet the {first|at first,0} ultrasound every 2 ~ 6h inhalatiin due time, keep the airway humid, to assist the dismiss of the excluded. Second, direct intratracheal instillation inquired intermittent wet liquid every 15 ~ 30min ~ times, every,0 time 1 ~ 2ml. Finally, external application of two floors of wet gauze tube mouth, from the wet filter ventilation.
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