Patients with hepatic echinococcosis before and after surgery care problems and countermeasures


Damage, which should attract the attention of nursing administrators. We reviewed the 1998-2000 accident years I institutions, and conduct in-depth analysis, analysis of its causes, attempts to explore its laws, to find effective preventive measures to improve the quality of care. 1 Clinical data from 1998 to 2000 the number of 41 679 inpatient hospital visits, a total of 24 accidents, accounting for 0.057%, which falls in 15 cases,moncler jacken schweiz, accounting for 0.036%; burns in 2 cases, accounting for 0.004%; touch injury in 4 cases, accounting for 0.01%; falling bed in 2 cases,abercrombie and fitch ireland, accounting for 0.005%, suicide in 1 case, accounting for 0.002%. 24 patients in the male 14, female 1O cases. Aged 36 to 88 years, 5O years of age in 3 cases, 60 to 70 years in 7 cases, 70 to 88 years in 14 cases. Of which 7 patients suffering from cerebrovascular disease, dementia associated with 2 cases, 3 cases of diabetes, Parkinson's disease in 4 cases, infection of the brain in 2 cases, lung cancer, 2 cases of brain glioma in 1 case, gynecological surgery 1 case of motor neuron disease, 1 case of senile cataract in 1 case. Levels of care in 4 cases, secondary care in 20 cases, patients can independently take care of themselves in 20 cases, 4 cases of life in need of help. 24 patients, resulting in scalp trauma in 4 cases, 1 case of arm abrasions, Ⅱ degree burns, 2 cases were cured after treatment,oakley france, one case of suicidal death. The remaining patients did not occur damage. 2 contingency analysis of the time factor 2.1 in 24 patients, seven cases of accidents during the day, evening occurred in 17 cases. Among them, 15 cases of patients with falls and bumps is ready in the morning 2:00-7:00 urinate on the toilet. 2.2 Factors related to the accident in 24 patients related factors as orthostatic hypotension in 3 cases; syncope in 4 cases; ataxia in 3 cases; sitting instability in 3 cases; vision decrease of 1 case; lower limb weakness in 3 cases; slippery ground 3; shoes slip in 1 case; perceptual disorders in 2 cases; suicide in 1 case. Caused by accidental falls and bumps found in orthostatic hypotension, syncope, do not walk Author: 100053 Xuanwu Hospital,abercrombie fitch paris, Capital Medical University, Li Shu Buddha: Female, born in 1942, college, deputy director of the nursing division and vice president from 2002 to 7-11 Received stable, sitting unstable and frail patients, including patients from the rest of the supine or standing position into a sitting position, no adaptation is the main reason; elderly decreased vision, peripheral vision caused by patients with narrow bumps; were asked not to comply with the health care caused by slipping on their own bath; patients with perceptual disorders in the hand when sleeping on the heating and hot water bottle, causing burns; that patients suffering from cancer due to their own suicide. 3 measures 3.1 to establish high-risk groups, to enhance predictability measures 24 cases of accidents in the 21 patients over the age of 60, and l7 cases occurred during the night. This reminds us of the old age security issues need to take care of themselves seriously enough,abercrombie and fitch, according to the old night-night to urinate more physiological characteristics, night shift nurses to give more time for patient safety care. 3.1.1 a clear high-risk groups, to determine the focus of nursing care: clinical patients can often have a self-care nurses do not want to trouble the psychological, the elderly often exist against the old mentality. Nurses tend to focus on acute observation of focus, and life can not take care of critically ill patients. Most accidents occur precisely in these activities are both elderly frail elderly patients. Therefore, nurses should frail high-risk populations but also the activities of risk assessment, and make signs warning level. Special attention to the quiet bed to allow ambulation after the lifting of the elderly, pay attention to whether patients with drug-induced dizziness, orthostatic hypotension. To alert the nurses should be given out of bed in the patient care, while increasing communication with patients and their families and communication, grasp the patient's lifestyle and psychological changes, to deepen the understanding of the patient, based on the care plan, according to the patient's actual situation to take care of different measures, often visited the ward, found in the rounds and solve problems. 3.1.2 effective health education: concern about the cognitive impairment, imbalance, sensory disturbances of the elderly patients. Help patients analyze risk factors related to the occurrence, to give adequate guidance to explain clearly whether the patient can walk yourself to remind the elderly daily life to do three 30s, 30s and then after that wake up, stand up again after the 30s, 30s and then, after standing to walk. Strengthen the compliance of patients. 3.1.3 create a security environment conducive to patient: nurse to assess patient understanding of the situation on the surrounding environment, whether used on environment changes? Light is too dark? Ground is kept clean, dry, accessible and so on. Required to wear non-slip slippers. Mobility in elderly patients or patients with ambulation or bathing, someone to accompany or support appliances, bathroom, additional non-slip pad. Visited the ward to increase the number of early onset