Cancer ache nursing

1 influence cancer pain control factor 1.1 feared that the anaesthetic becomes addicted to: In most situations, nurse only when patient principal claim ache only then gives the spare pain-killer, but patient because also feared that becomes addicted to endures suffering, is only when the ache is unable endures only then to request the pain-relieving. The massive research indicated that no matter the anaesthetic dosage is much big, in uses in the patient who the anaesthetic stops pain, becomes addicted to the occurrence is only 1%, after most patient ache control, namely stops the medicine, even if appears becomes addicted to is also may treat. In the terminal cancer patient, the pain-relieving is the first place. 1.2 medical systems to control the ache the restriction and the limit: ①In the hospital restricts the implementation analgesia the factor: The processing deficient sense of responsibility and protects the trouble relations complex with the medical personnel to the ache related, cannot the active control mainly attribute to the ache does not have the specialists to be responsible. Staff nurse below strength, the work load are big, cause the patient not to be willing excessively many to be troublesome nurse are also cause the patient to obtain the active control ache the barrier. ②Sends the medicine system's restriction and the restraint: The hospital stipulated that the control poisonous anesthetic must have 2 above nurses to inspect, as if the ache when sends the medicine was confirmed that if carries on the long-enduring appraisal to each patient's ache, changes when the ache gives the medicine for the medicine before the ache, receives this kind of medical system's restriction inevitably, although appeared had more and more pain-killers to discover, but the patient was still enduring the ache the phenomenon. 2 analgetic measures 2.1 WHO recommendation cancer eases the pain three steps and ladders pain-relieving law: The first-order ladder starts from the non-meconium class analgesic, like the aspirin, the strong pain decide, the even pain to be new, indomethacin and so on; If cannot alleviate, based on this adds with the weak meconium class analgesic, like codein, hydroxy dihydrocodeinone, third oxygen phenol and so on; If the ache is fierce, then may use the strong meconium class analgesic for example: Du, the morphine, the hydroxy hydrogen morphine alkone, the morphine hydrochloride, hydrochloric acid dihydro Egypt holds the Philippines, US Shi Kang Ding suddenly and so on. 2.2 Chinese medicine treatments: ①Traditional Chinese medicine pain-relieving liniment: Base we medicinal preparation composition: The yanhusuo, the salvia miltiorrhiza, the Taiwan lindera strychnifolia, the flea body, the ground beetle insect, the blood use up, the borneol. After the confirmation, the alleviation rate is 79.2%, decides closely with the strong pain, alleviation time strong pain fixed-length. Merit: The traditional Chinese medicine after the skin absorption, does not have the wound, and the display drug efficacy quick (general 10min may pain-relieving), the operation is simple, is safe, the poisonous side effect is small, the non-medicine dependence phenomenon, is good to the mild ache effect. ②Shui Zhen treats: This law plants and the ache spot different selection different acupuncture point according to sickness, decides, the dexamethasone, the Vitamin B12 acupuncture point injection by the skull pain, with in the Chinese medicine tradition's acupuncture, plays the analgesia role through the channels and collaterals, also unified the modern medicine characteristic, with the medicine adjustment internal secretion, has the accurate analgetic effect to reach 100% to the mid and late stage cancer painful effectiveness. 2.3 low concentration morphine hard membrane extrapolation note: This law basis ache in the spot, selects the corresponding nerve stage, 0.02% morphine hydrochloride dilute by physiological saline 10ml, pours into the hard membrane pericoel, after pouring the medicine, the 2~10min aware ache has the varying degree to alleviate, the mood improvement, the most patients can go to sleep peacefully at night, the alleviation time reaches 12h, generally gives the medicine one time then to satisfy the patient every day to request. If will inject the end seal in the aseptic bottle, will set at the tube spot by the sterilized dressing wrap, may inject repeatedly. This law especially qualify household sickbed patient, sets at the tube to retain 20d generally, longest reaches 37d. 2.4 psychological nursing and mental healing: ①Relaxation and image intervention: The relaxation refers to applies some kind of bodily activity like rhythmicity breath or in a disorderly way causes the muscular tone and the relaxation according to the order, achieves reduces or the reduced environment stimulation, the muscular tone, the mood is anxious and goal of the ache feeling. The so-called image is refers to the utilization to have the goal thought activity, the tentative plan can serve some kind of treatment purpose, reduces the ache. This law can reduce the ache, does not have the influence to the patient function condition. But lacks the explicit target and the procedure, waits for further discussing. ②Mental healing: The object should choose the cultural level high, young, to have the study to accept ability, the treatment desire to be urgent, and not obvious character disorder. First should educate the patient, causes its change to the medicine side effect and the tolerant understanding; Through releases sparsely again and comforts, namely nurse when the patience listens to the patient condition and the mood feeling, expresses the sympathy fully, gives the suitable comfort. Based on this, the use suggested that mental healing's and so on flaccid therapy special methods, have certain function to the pain-relieving. Moreover, lightens the patient psychological burden, enhances the threshold of feeling, maintains the environment peaceful comfortable, carries out the protection medical system and strives for the family member coordination and so on, in cancer ache patient's psychological nursing is also essential. And consummates along with the whole nursing gradual implementation, nurse is playing more and more vital role in cancer ache's control. Masters the correct appraisal method, implements the effective analgetic measure and consummation nursing, to improves cancer ache patient quality of life, realizes in 2000 which WHO proposed cancer ache patient no longer ache's goal to have the vital significance.