Special care of the terminally ill
Many patients require IV clinical team of specially trained to care for the sisters and the use of special equipment and care items.
Patients with cancer of the upper and lower jaw, tongue, tonsils, nasopharynx need help with food, in a special pot, drinking bowl with a rubber hose, probe. They are not able to provide the necessary hygienic conditions of the mouth, face and neck because of the constant release of large amounts of saliva, pus and corrosive excretions. Oral cavity is rinsed with a stream of these patients is low disinfectant solution from a cup or Esmarch rubber balloon. In sedentary patient's head during washing must be tilted forward, lying down - turned on its side. Needed a systematic treatment of the face, neck, smearing it protects pastes. Substantial difficulties arise when such patients shave, mustache and beard dramatically complicate compliance required minimum purity.
While eating these patients should be worn oilcloth bibs. From an aesthetic view to recommend the use of gauze masks.
Care for the sick in the summer should be especially careful to avoid attracting flies.
Careful monitoring and care for a debilitated patient with a tracheostomy (opening of the trachea and the introduction into the lumen of the trachea tube to restore the special breathing), unable to independently extract and clean the inside tracheotomy tube. When signs of difficulty breathing and anxiety the patient must bring to the opening of Durham's tube a piece of cotton wool, gauze or a strip of hand and determine the strength of the air stream during inhalation and exhalation. If it is weakened, it means that the inner tube is clogged with mucus or dried crusts, and it has to be extracted. The air jet should be immediately increased dramatically.
The tube is clean, rinse, dry, brush with mineral oil and paste. If after removing the inner tube a stream of air is not amplified and the patient continues to experience difficulty breathing, then the obstacle below tracheotomy tube, or it fell out of the trachea and is about her. Need assistance of a specialist.
Presents considerable difficulties caring for patients with severe intestinal, urinary, vaginal or vesico-vaginal fistula gastro-. Frequent and thorough treatment of the skin of the perineum, the change of bed-linen are essential for both the patient and for the surrounding people. Patients with palliative administered tampons with chemotherapeutic agents or with balsamic agents , and which have an analgesic effect. Treatment of fistula and the insertion of tampons require certain qualifications. These manipulations usually performed surgical or oncology nurse.