how to prevent long-term bedridden patients the occurrence of hypostatic pneumonia（如何预防长期卧床不起的病人实在的肺炎的发生）.docVIP

How to prevent long-term bedridden patients the occurrence of hypostatic pneumonia [Abstract] hypostatic pneumonia is a common neurological complications of surgical care, one is bedridden, coma, paralysis and other symptoms caused by one of the more common complications, hypostatic pneumonia is a major death in neurosurgical patients One of the reasons. 1 Nursing 1.1 assess the degree of understanding and the slow onset of acute incentive to master the clinical presentation, vital signs, past history, current medical history, take X Gela Si grading assessment of the patient’s symptoms, focusing on observation of the patient’s level of consciousness, swallowing, cough reflex is there are other issues. hypostatic of these three is the leading direct cause of pneumonia in which the longest duration of coma patients over 10 months for such patients to do the assessment of respiratory system is very important. Pay attention to the case of lung auscultation, X-ray examination and understanding of whether smoking history, chronic bronchitis, etc. The hypostatic pneumonia patients at high risk of disease. 1.2 nursing diagnosis nursing diagnosis of neurological surgery patients, including Diego, respond to the patient’s awareness of behavior, cognitive behavioral, cognitive ability, whether mental health, respiratory rate and pumping speed of sigh and cry like breathing with or without changes, the existence of tracheotomy and other issues after the diagnosis, pay attention to the occurrence of hypostatic pneumonia in nursing work and the respiratory tract is smooth, and the cough reflex in patients with loss of consciousness, but also with physical dysfunction and paralysis, the degree of recovery surgery, swallowing disorders, airway cut, the disturbance of consciousness or bulbar anesthesia, in addition, and language dysfunction, lack of health knowledge. 1.3 Nursing 1.3.1 For difficult to cough up thick tracheal secretions in patients with intermi