Nursing of tracheotomy.doc

 PAGE \* MERGEFORMAT 7 Nursing of tracheotomy [Keywords:] tracheotomy, acute care, infection, nursing Tracheostomy in critically ill patients is an emergency rescue operation, is to ensure that critically ill patients airway open approach. Tracheotomy because of airway directly connected with the outside world, such as improper care, infection can occur, even life-threatening. Therefore, do Good tracheotomy care, often patients back to life an important role [1,2]. I hospital wards from January 2008 ~ August tracheotomy total of 7 cases of successfully rescuing critically ill patients after intensive care , no case of infection and death, nursing now reported as follows: 1 Clinical data The group of 7 patients, all male, aged 20 to 70 years, and cerebral infarction in 2 cases, 1 case of organophosphate poisoning, ataxia in 1 case, brain stem hemorrhage in 1 case, acute alcoholism, 1 case of viral encephalitis 1 case. tracheotomy tube time to stay a minimum of 3 days and the longest 38 days. 2 care points 2.1 Psychological care Preoperative instructions to patients and their families purpose and tracheotomy simple process, that cut beneath tone after the situation in which patients were prepared to eliminate the concerns. Indwelling tracheotomy, the patient may feel uncomfortable and not suited, we patiently explained the significance of their disease recovery. regular bedside visits, patient comfort through the language or languages, initiative to ask the patient’s condition and care requirements of life of patients in order to alleviate the psychological burden. In the health care measures used prior to a brief description of the patient, and with compassion, concern and methodical approach to security work for the patient to obtain the patient’s trust and cooperation. At the same time doing the work of family, warmth and spiritual support to patients. 2.2 Strengthening the prevention of infection care 2.2.1 reduce the accompanying