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Nursing care of patients with stroke

2, adequate intake of the correct guidance of high quality protein, vitamins, fiber and trace elements. As the patient bedridden, bowel movements slow down, could easily lead to difficult defecation or constipation, it should be into the high-fiber foods, such as: rape, celery, etc., so not only can maintain a smooth stool, but also reduce the absorption of cholesterol. Hypertensive patients into low-salt diet should be a daily salt intake does not exceed 2g (does not include naturally occurring in food sodium chloride) with diabetes were no more than the daily intake of fat 60g, cholesterol control in 300mg. 2.2.3 onset within 72h of fasting, intravenous nutrition to maintain, if not after the vomiting and bleeding in the 3d to give low-salt, low fat, easy to digest broth, confusion dysphagia were combined to give indwelling stomach tube line nasal feeding diet. 2.3 The promotion of rehabilitation of stroke patients as soon as possible after the acute phase of rehabilitation training, to facilitate the recovery of limb function. 2.3.1 hand is the hardest part of recovery, special attention should be functional exercise care in one hand and hold the injured arm of the four fingers, the other holding the wrist, the fingers and thumb circle rotation. Finger joints of paralyzed limbs should be extended, slightly buckling, the hands can hold a light object, bend the elbow, shoulder a little outreach, maintaining functional positions, to avoid the joint adduction. Nursing activities to restore upper limb function method: stand next to the patient's side, holding patients hand wrist and elbow the other hand placed above the limb will slow down, then slowly put the head limb, elbow and natural shoulder flexion,[link widoczny dla zalogowanych], and then the limb placed in the chest. Response in situ, and then repeat the above-mentioned activities,[link widoczny dla zalogowanych], every half hour. Twice a day. [3] 2.3.2 In order to prevent foot drop, foot and bed profile can be a soft pillow or cushion between the foot with the hard bottom shoes, so little ankle dorsiflexion with the orthotics can be, and always maintain the function of the foot position,[link widoczny dla zalogowanych], condition stable, the arm come down to earth by hand, standing, walking, but prevent patient falls. Lower extremity functional training to do, the nursing staff in the affected side of patients, and then hold the patient's ankle with one hand holding the knee below the hip, knee flexion, extension and internal rotation external rotation, and so forth to do 20mln time, 2 times /]. Remember when functional training: can not be rushed, should be gradual and sustained: And then there are not too large amount of exercise, in addition to physical exertion, the easily lead to another stroke or other cardiovascular disease: according to each person's constitution, illness, etc. to develop appropriate The exercise, in principle rather small not to prevent accidents. 2.4.1 2.4 to prevent complications due to paralysis of limb movement and sensory dysfunction,[link widoczny dla zalogowanych], poor nutrition of local vessels and nerves, if the time compression, prone to bed sores, it should be noted that changing position regularly, every two hours to help turn over a call-back ,[link widoczny dla zalogowanych], pressed the red part of the 75% alcohol massage available to improve local blood circulation, to prevent bedsores occur. 2.4.2 keep warm, to prevent the cold, 50. ~ 6O. Hot water bottle placed on foot insulation, bath water temperature should be appropriate to prevent skin burns. 2.4.3 the water, choose rich in fiber, vitamins, fruit and vegetables to ensure adequate nutrition, develop regular bowel habits to prevent constipation, drink a glass before breakfast hot drinks (depending on temperature can be used to water, tea, milk or coffee, etc.), can stimulate the rectum to promote bowel movements increase in the defecation reflex, in order to promote bowel movement, but also massage the abdomen, the right lower abdomen to the right upper quadrant and then transferred to the left lower abdomen. 5 to 10 times repeated massage to promote colonic motility contents down to facilitate defecation. In case of constipation, should first class of oral slow release fruit guides agents, can also be used enema into anus, these drugs can not yet final cleansing enema bowel to prevent bowel force caused by cerebral vascular accident from happening again. By the care of stroke patients, the overall experience is: passion and patience to communicate with patients, encourage patients to establish the confidence to overcome the disease; meticulous and thoughtful explanation to the family with the condition and care of patients points to win the trust and support of family, culture patients of daily living; to assist rehabilitation exercises; observe and guide the patient's diet; close observation of the disease, abnormal condition in a timely manner to report to the doctor. Reduce mortality and morbidity, through the system of care, efforts to meet the physical and psychological needs of patients and improve the quality of life of patients and shorten the recovery period, reducing the burden of family and society.
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