Comfort care in the treatment of CRRT.docVIP

 PAGE \* MERGEFORMAT 6 Comfort care in the treatment of CRRT [Keywords:] CRRT therapy; hemodialysis patients; comfort care Comfort care is a holistic, personalized, creative and effective models of care [1]. Basic Comfort is the nurses to help patients from the physical, psychological, social status to achieve the most pleasant, or shortened, reducing the degree of unpleasant [2]. OK CRRT in patients with complex diseases are mostly background, comfort and dialysis dependent decrease, coupled with the non-physiological dialysis filter makes a considerable portion of the clinical response to an increase in dialysis patients can not tolerate To this end, in January 2009 -2010 author in January of comfort care reflect a people-oriented philosophy, the humane care and human care services throughout, and with the appropriate care measures, so that these patients tolerated renal replacement (CRRT) therapy and to smooth out the critical period, and achieved some results, now nursing are summarized below. 1 Clinical data The 47 cases, 28 males and 19 females; aged 40 to 80 years, mean 60 years, heart surgery in 2 cases the primary disease, chronic kidney disease in 20 cases, 1 case of severe burn, destroy moth poisoning in 2 cases, how dirty function failure in 20 cases, 2 cases of alcoholism. 2 comfort care measures 2.1 The pre-dialysis care in the hemodialysis process, the vascular road is the lifeline of hemodialysis patients, but also the survival of patients with new organs, selection and maintenance of a reliable road for hemodialysis vascular prerequisite for ARF, acute CRRT the application direct femoral vein puncture is very practical, high risk of femoral vein puncture, the difficulty is low, long-term dialysis for chronic renal failure, femoral vein puncture or fistula puncture to avoid neck hematoma, pleural hemorrhage, pneumothorax, and other serious complications, to prevent infection, strict aseptic puncture, disinfection range of diame