1. Radiotherapy response
Gastrointestinal reactions, radiation wild local skin reactions. Occasional systemic reactions, such as leukopenia, fatigue and other whole body.
Nursing
2.1 Psychological Care
Most patients believe that cancer is incurable, and the performance of depression, fear, irritability, a small number of patients and even despair, give up treatment, some patients worry that friends and family know of their condition after the contempt itself, so nurses must take the initiative to meet the patient warm, to help patients overcome the disease to establish confidence, to assist patients in the hospital environment and hospital equipment and radiotherapy of advanced radiotherapy techniques. As the patient’s radiation arising from a number of strange questions, nurses should tell patients in advance when the note radiotherapy, radiotherapy should be to relax, not tense, random mobile body, to enable patients to understand the radiation process of adverse reactions may occur. To help patients to eliminate tension anxiety and allow patients to actively cooperate with the successful completion of radiotherapy.
2.2 Diet Care
In some patients the course of radiotherapy digestive system adverse events occur, such as nausea, taste is not sensitive to, loss of appetite, which might affect food intake, leading to nutritional deficiency, decreased immunity is not conducive to normal tissue repair, and therefore must be reasonable to adjust your diet to avoid a single diet, maintain a nutritional balance. Jishi too cold, hot, greasy, spicy foods such as a strong irritant. Fullness, not eating, too hasty and should eat slowly, so that food is fully chewed in order to facilitate digestion and absorption, to prevent the rapid consumption caused by abdominal pain, abdominal distention, while also ensuring the full body of water.
2.3 Oral Care
Nurses should enable the patient to maintain oral hygiene to remove residual mouth food, rice logistics mouthwash, brushing 2 or 3 times a day. If mouth ulcers, should be every day or a light anti-inflammatory mouthwash gargle salt water several times.
2.4 Skin Care
Make the patient’s skin care, can be effective in preventing skin reactions. Breast cancer patients, radiotherapy thinner parts of the skin, after the patient’s skin elasticity is poor, particularly prone to skin reactions, radiation therapy, before the nurses should help patients make personal hygiene, appropriate to wear clean, soft, loose cotton open body underwear. To keep beds clean, dry, soft and comfortable. To avoid the radiation area of skin friction and pressure, and avoid using strong irritant bath liquid, hot water bath is not available. Radiation field of regional non-coated chemical ointment, paste tape. If the skin red, swelling, itching, pain, Zhu Huanzhe not to scratch or scribble their hands drug was prescribed medication to be effective in controlling skin reactions, reducing the patient’s pain and feeling of burden.
2.5 periodic inspection routine blood test
Observed changes in white blood cells, white blood cells are found lower down the body’s immune system, there is the risk of infection, radiation therapy should be suspended. In addition to giving medical treatment to deal with the protection of patients in isolation wards to ventilation, disinfection, to keep the air fresh, the patient should pay attention to rest, reducing out and relatives to visit, to keep the patient clean.
2.6 Patients should also pay attention to rest and exercise, do sick side of upper limb functional training to keep the blood return to smooth, clothing to wear disease first side of the first strip off the healthy side.
3. Discharge guidance
After discharge the patient should be kept ease of mind, emotional stability, pay attention to rest, not to fatigue, attention to dietary adjustments, proper exercise and protect the radiation parts of the skin on a regular basis to the hospital for review.
