1例植物人的家庭护理

植物人即持续植物状态（persistent vegetative stage,PVS）是一种临床特殊意识障碍。主要表现为对自身和外界环境的认知功能完全丧失,但能睁眼,有睡眠一觉醒周期,保持自主呼吸和血压,丘脑下部功能基本保存,如发病后3个月仍无皮层功能恢复则属于植物状态。对PVS病人来说,因医院床位紧张及医疗费用等各方面原因,PVS病人病情稳定后可出院回家继续进行治疗和护理,如护理得当,可延缓病情进展,减少并发症。现将1例持续植物状态下生存5年之多的病人家庭护理介绍如下。     

1例脑出血后行气管切开植物人的家庭护理

植物人即持续植物状态,是一种临床特殊意识障碍,主要表现为对自身和外界环境的认知功能完全丧失,但能睁眼,有睡眠-觉醒周期,保持自主呼吸和血压,丘脑下部功能基本保存,如发病后3个月仍无皮质功能恢复则属于植物状态。气管切开术是临床上解除呼吸道梗阻,抢救生命的重要措施之一。本社区从2012年9月在护士指导患者家属情况下,进行1例2次脑出血后行气管切开5个月的植物人的护理。     

1例植物人的康复护理

<正>颅脑损伤是临床常见的一种创伤性疾病,具有致残率高、致死率高等特点,多数患者抢救成功后仍会遗留不同程度的功能障碍,给患者的生活带来了巨大痛苦和不便。颅脑外伤手术后,虽然生命可以保全,但患者常伴严重的后遗症,如偏瘫、失语等。通过术后早期的护理和康复治疗,最大限度促进颅脑损伤患者的功能恢复,减少其残疾的发生。本科收治了1例植物人状态     

1例植物人的院后护理

在我国，植物人持续状态平均每月住院费用为5000元~10000元，无疑给社会、单位、家庭带来极大的负担。由于我国的国情及社会伦理学尚无停止治疗及安乐死的法律、法规，多数病人仍在低质量地活着，等其自然死亡[1]，这些病人主要依靠院后护理来减少并发症，延长病人生命。院后合理的护理能为病人提供一种经济方便的服务，本研究对2013年4月—2014年9月1例植物人的院后护理总结如下。     

1例植物人孕妇围产期的皮肤护理体会

介绍了1例植物人孕妇足月顺产正常男婴的护理的经验.主要有2点:多管道的无菌管理和皮肤护理.并介绍了护理质控小组的成立及作用.     

高压氧唤醒植物人1例

１病历摘要患者，男，２１岁，于２０００年１０月２６日严重脑外伤后昏迷不醒，经某医院积极抢救虽挽留了生命，但却成了一个无意识、无感觉、世事不知的植物人，２００１年１月１１日转住本院脑外科。入院检查：体温３６．２℃，呼吸１５次／min，血压１２０／８０mmHg。患者为恶病质状，睁眼若视，貌似清醒，自身无意识，不能讲话，认知能力丧失，对外界各种刺激无反应，四肢无自主运动，二便失禁，胃管注食，心肺无异常。诊断：“持续性植物生存状态”。入院后在一般治疗的同时，主要是接受高压氧治疗（方案：０．２２MPa，吸纯氧３０…     

1例昏迷119天植物人促醒的护理

2004年6月30日,1例被诊断为植物人的病人119天后苏醒,现将其护理介绍如下。1病例介绍患者,女,23岁,因车祸致伤头部,当即昏迷尿失禁,肢体抽搐,频繁喷射性呕吐,于2004年3月4日21时50分急诊入院,入院时呈深昏迷状态,双侧瞳孔不等大,左侧直径3m m,右侧直径4m m,对光反射消失,体温36℃,脉搏167次/m in,深大呼吸24次/m in,血压151/95m m H g,诊断:急性闭合性特重型脑损伤、原发性脑干损伤、左枕部头皮血肿、早孕,即做好术前准备送手术室在全麻下行额颞部大骨瓣减压、硬膜修补减张术、硬膜外引流术及气管切开术,术后经脱水降脑压、降体温、冬眠疗法、营养脑细胞、氧疗等支持对症治疗,经过积极的救治,生命体征稳定,有睡眠-觉醒周期,但对刺激无任何反应,以后3次出现严重的肺部感染、持续1个月的癫痫反复发作、严重的电解质紊乱、难免流产、营养性水肿。第118天对刺激开始有反应,意识逐渐转清,第119天意识清醒,失语,右侧肢体活动障碍,予拔除气管套管、胃管、尿管,经针灸、语言训练、肢体功能锻炼、心理疏导等,第126天后能说简单的语句,132天后语言流畅,思维接近正常,能正常沟通及下床行走,但...     

1例植物人行体外震波碎石术的护理

植物人由于长期卧床,饮水较少,很容易并发泌尿系结石。我院在1998年4月收治了1名患肾结石的植物人。通过体外震波碎石术(ESWL)治疗,疗效良好。现将护理体会报道如下。     

Family nursing and parents who have a learning disability

Parents who have learning difficulties pose profound questions to the philosophy and practice of family nursing. Failure to recognise how care delivery needs to change in the context of parents with a learning disability can perpetuate discrimination and inequalities for adults and their children. In this paper we explore the neglected topic of adults who have learning disabilities and the problems they face when they become parents. We examine the issue of the rights of adults with learning disabilities and illustrate that when these rights are not upheld they increase the vulnerability of the adults and their children. The implications of these issues are highlighted in the context of children's nursing practice.     

护理科学发展呼唤创新型护理人才

从护理科学发展需要创新型护理人才、需要护理人员有理论创新意识、有科研兴护意识、能持续更新知识与能力方面,阐述了护理科学发展与创新型护理人才的紧密关系.提出护理创新需要营造鼓励创新、允许失败的探索氛围.创新是实现护理快速发展的重要因素,更是促进护理进步和发展的根本基础.     

护理科学发展呼唤创新型护理人才

从护理科学发展需要创新型护理人才、需要护理人员有理论创新意识、有科研兴护意识、能持续更新知识与能力方面,阐述了护理科学发展与创新型护理人才的紧密关系。提出护理创新需要营造鼓励创新、允许失败的探索氛围。创新是实现护理快速发展的重要因素,更是促进护理进步和发展的根本基础。     

Family nursing education and family nursing practice in Nigeria

A survey of six Nigerian nursing program curricula was conducted to determine the extent to which family nursing theory was used as a reference for conceptualizing nursing care in Nigeria. In addition, 25 nurse clinicians were purposely selected from three levels of primary, secondary, and tertiary health care units in Ile-Ife, Nigeria, and were interviewed to determine the extent to which nurses in practice reported using family assessment tools in their practice. The survey of the postgraduate curricula showed that master's and doctorally prepared nurses specializing in community health nursing have a theoretical base in family nursing theory. The limited focus on family nursing theory in basic, postbasic, and first-degree nursing curricula was deemed inadequate to develop the knowledge and skills necessary for all practicing nurses to embrace family-focused care in Nigeria. In nursing practice, families were seen to be involved in nursing care only to the extent of meeting financial and physical care needs of their family members. Findings from this study point to the need for a reorientation of the nursing curricula in Nigeria to include more family nursing theory. Specialized education of family nurse practitioners who would function at all levels of care also is a desirable goal to provide holistic health care to Nigerian families.