[간호학]기본간호학 - 호스피스환자의 통증과 증상관리

목차

I. 호스피스환자의 통증관리

II. 호스피스 환자의 증상관리

본문내용

보냄
2. truma → acute swelling → collateral circulation(측부순환이 충분하지 않으면 interstitial edema → fibrosis, infection)
Assessment
1. circumference measure
2. physical assessment
- history : infection sources
range of motion
recent heavy lifting, unusual activity
- physical exam: warmth, erythema, breakdown,
pulse check, ROM, strength of affected site
Prevention of Lymphedema
n Exercise: normal use/ gentle stretching and strengthening range of motion
n Avoid heavy lifting and forceful movement
n Prevent infection: good skin hygiene,avoid infection sources(puncture, insect bites, injection, trauma)
n Avoid sunburns and heat
n Avoid constricted clothing
Treatment of Lymphedema
n Elevation: 중력에 의해 임파액 이동 촉진. Heavy sensation 감소
n Compression garment: elastic stocking
n Bandaging
n Massage/ physical therapy : manual lymph drainage
n Avoid injury and good hygiene
n Surgery: impaired mobility, pain, recurrent infection,cosmetic/lymphangioplasty
n Medication: benzopyrenes
호흡곤란의 치료
n Thoracentesis, 기관지가 눌린 경우는 방사선치료나 스테로이드 사용.
n 환자의 움직임을 최소화하는 환경 조성
n 운동요법이나 물리치료: 이완술, 복식호흡이나 깊은 호흡, vibration 이용
n 약물치료 : morphine, adrenergic bronchodilator, aminophylline, steroids, 항불안제(lorazepam, diazepam)

키워드

unrelieved pain,   호스피스환자,   효과적인 통증조절