Forum pracy nad projektem wskrzeszenia The Forge

[lin91957]

Integrative Medicine on the treatment of idiopathic membranous nephropathy


Stagnation of the sticky, not of marriage Yun, Nan Xiao-prone, and if pumping banana peel bamboo shoots, one after another. And often associated with bleeding each other climbing, making it the key to disease lingering unhealed. I like to use therapeutic heat Accumulation San Ren Tang, the party drove to almond, white Kou Chang, the APF under the leadership of Lee with a sparse triple burner, declared on Traditional Chinese Medicine 16,[link widoczny dla zalogowanych], 2006 No. 1 Zheji ~ gJI ( 01. Fish: Fish show air-, water passage of the power to close the wet cured thermal effect alone. If this party Ng to Cork, baicalin, gardenia and other mountain heat, detoxification, dampness of the goods, the lone non-thermal Love lag offenders are usually readily available wet addition. Received 13 :2005 -06-24 * rehabilitation and nursing care and comfort the elderly HD patients Lv Chunyan Wu Huafen Lishui Central Hospital, Lishui 323000,[link widoczny dla zalogowanych], Zhejiang Province, Xu Cao Hung People's Hospital of Lishui City, Zhejiang Province Key words elderly HD Comfort Care Comfort Care (ComfortCare) is a comprehensive discipline of elderly hemodialysis patients with comfort care, allows it to achieve physical, mental,[link widoczny dla zalogowanych], social, spiritual comfort status, quality of life. 1 clinical data 1999 on January 1 December 2004 due to chronic renal failure (CRF) in the hospital for hemodialysis treatment of 60 cases of elderly patients, 38 males and 22 females, aged 65-90 years, mean 73.5 years dialysis frequency of 1-3 times / week dialysis continued 6-120 months. In 1999 January 1 December 2001 24 cases of hemodialysis care as the control group, 2002 January 1 December 2004 hemodialysis Care + Comfort care for the experimental group of 36 cases. 2 Methods and Statistics hyperkalemia during hemodialysis group,[link widoczny dla zalogowanych], left heart failure, pulmonary edema, persistent incidence of hypertension and other complications, while patients with daily living, dialysis compliance with treatment and diet control and assessment of the extent of anxiety and depression. 3 Results In 36 cases with 2 cases of hyperkalemia,[link widoczny dla zalogowanych], refractory hypertension, 1 case of pulmonary edema without heart failure, the complication rate of 8.3 %; control group, 24 cases complicated with hyperkalemia in 4 cases, 2 cases of refractory hypertension, left heart failure, pulmonary edema in 2 cases, 33.3% complication rate, complication rate between the two groups are significant ( P <0.05). 4 4.1 The implementation of comfort care among dialysis nurses ① of the comfort care close to patients with active and enthusiastic, from the patient's language, facial expressions of understanding of their inner life and psychological needs, which targeted to explain and comfort to help them gradually increase the confidence of the treatment. ② actively guide the elderly patients was able to do as much as possible to do, making them feel their own value of existence. and more to communicate with the people around, remained optimistic. while good families, units work, so that patients receive spiritual and economic understanding and support. ③ enhance health education, guidance and reasonable diet. understand the patient's diet, without affecting the diet based on the principle that food color, smell, and taste, soft and delicious to meet the needs of patients. CRF patients with Cr, BUN increased, the plasma osmotic pressure, coupled with the reduction of oral salivary gland secretion and stimulate the thirst center, causing thirst, patients should be the church of ice or water, rinse with After mouth spit out, not only ease the thirst, discomfort, without falling into too much water to drink. 4.2 ① dialysis care and dialysis comfortable quiet, clean, fresh air. temperature is kept 21-25 ℃, humidity 55% to help weighed and dialysis patients with pre-prepared. ② Select a comfortable position, usually last 4-5 hours of dialysis, elderly patients often feel body aches, fatigue. Therefore, without prejudice to the case of dialysis, to help replace the position, supine , side, half sitting and lying position, sitting and other alternative replacement. keep warm. ③ fistula is the lifeblood of long-term dialysis patients, seeks a successful puncture, puncture bring patients to avoid repeated pain or affect the treatment. dialysis process should be strengthened inspections, and prevent blood pump on the vascular effects or turning over the impact of leaving the needle lying loose change, shift, slippage caused by bleeding. ④ close observation of patient's condition. because of dehydration tolerance in elderly patients is poor, and then filling rate, short period of time can lead to ultrafiltration significantly decreased blood volume, combined with peripheral vascular resistance in the elderly are sensitive to changes, and increases with age, autonomic dysfunction occurs so easily occur in the dialysis process hypotension, but not easily corrected. Therefore, the dialysis time measurement of vital signs, ECG monitoring necessary to give. and watch for seizures, blood clotting and other complications threatened, while paying attention to check the parameters of the machine and the scope of monitoring to ensure that patients dialysis treatment safe and effective, so that the patients a sense of security and trust of medical staff. Received 13 :2005 -04-22
More articles related to topics：


[link widoczny dla zalogowanych]

mbt schoenen Painful memory of the famous linguist

[link widoczny dla zalogowanych]