Have in mind and improve patient's life quality in norm of making a diagnosis that cancer aches

Have in mind and improve patient's life quality in norm of making a diagnosis that cancer aches
Have in mind and improve patient's life quality in norm of making a diagnosis that cancer aches
Staff reporter Wang Dan Pain is assessed and included in should inquire to record to the medical personnel whether a cancer patient has pain " norm " to propose voluntarily to attend to, cancer pain is assessed and should be followed" Routine, quantization, overall, trends " Principle. Among them, the medical personnel should inquire whether a cancer patient has pain, and finish assessing and assessing to the quantization which the patient experiences subjectively regularly in 8 hours after the patient is admitted to hospital voluntarily, should also pain and assess and list in and attend to the regular content monitored and recorded. " norm " requires, the medical worker should pain to the cancer patient within 24 hours and relevant condition is assessed in an all-round way for the first time, including spiritual situation of pain outbreak situation, psychology, family and the society support the situation etc.. In the treatment, should carry on the overall assessment again while stopping the pain treats in 3 days or reaches relieving the state steadily, no less than 2 times per month in principle. Should also assess the patient's pain symptom change continuously, dynamically, during stopping the pain and treating, should record kind and dosage titrating, pain intensity and condition change of using medicine. Understand: " the norm " this write people one of, pain by the intersection of Ministry of Public Health and Chinese-Japan Friendship Hospital mainly the intersection of head of the department and Fan green to deliver showing, World Health Organization, until 1998 pain, classify the fifth major the intersection of life and physical sign as, with breathe and pulse, blood pressure, body temperature tie for. But in the previous clinical practice, pain has not got enough attention. This time our country proposes assessing cancer pain to join and attend to and monitor the record conventionally for the first time, in fact return " Pain " Due position. Fan Bi sends and says, prompt, accurate and assessing cancer and aching in an all-round way, concern disease diagnosis, condition holding and a great deal of links that the healing solution is chosen,etc.. Medical worker experience subjectively according to patient only in the past, simplify, experience use medicine, result in treating unstandardly and curative effect is not good. " norm " proposes the clear requirement to the medical worker medical care from the administrative height, help to improve relevant personnel to the attention that cancer aches, and the standardization that will improve cancer and ache notably treats competence. Surmounting three ladders of principle opium medicines has no amount of medicine used of ideal standard, should use " norm " to point out according to patient's condition capacity, the principle that should adopt complex treatment that cancer aches, according to the patient's condition and health, dispel pain continuously, effectively, lower pain and treat the psychological burden brought, is in the hope of improving patient's life quality to the maximum extent. 5 basic principles of treating that the medicine stops the pain that " norm " puts forward cancer and aches, include oral administration give medicine, administration according to ladder, use medicine on time and individual give medicine and notice details. Among them, in " the individual gives medicine " Propose clearly in one, because of the individual difference, the opium medicine has no amount of medicine used of ideal standard, should use enough dosage medicine, make pain relieved according to the patient's condition. If can reach the good analgesic effect, and there is no serious bad reaction, slightly and intermediate pain can also be considered the strong opium medicine of use. " norm " requires, it is not the drug therapy that the medical personnel should also pay attention to the patient, physical treatment, cognition - behavior train and social psychology support and treat etc.. Understand: Fan Bi sends and says, " three ladders of cancer pain treat the basic principle " which WHO put out, it is a good education tool, but it is often very complicated to have the treatment that cancer aches clinically, often because patient's personal conditions are different, factor of tolerating the intensity differently etc., and it is difficult to reach the ideal therapeutic effect. " norm " is regarded three ladders of healing solutions as and basically treated the principle, consult at the same time <<2010 American state-run comprehensive cancer networks (NCCN) of edition Guide that adult's cancer aches >>,The healing solution has been carried on abundantly to ache to traditional cancer, the healing solution is more flexible. " norm " proposes clearly " how on earth to ache " Experience it for the evaluation criterion subjectively with the patient, the opium medicine can be according to the regulation, increase the dosage gradually, there is no " bind the line " ,Also there is no concept of using medicine quantity of standard. Fan green to issue, show, cancer ache treat, involve basic disease, pathology, psychology a plurality of, can't equate simple the intersection of pain and treatment with totally, need from all-round to go on, interfere from, and not the drug therapy including stopping the pain and treating in treatment of cause of disease, medicine, especially strengthen psychology intervening and cultural and educational care. Fan Bi sends and says, in clinical operation at present, doctor attention degree does not enough for and doctor unstandard dealing with problemming such as being improper, often restricting the using rationally of the medicine relieving pain by the intersection of medicine and malicious side effect administration have. Ache and treat to cancer in " norm " " The medicine is chosen and operation method " Explain, the operability is strong, benefit in the clinical area, especially the medical health organ in the basic unit popularizes and applies in detail. Need to suffer from and then understand and cooperate with stopping the pain that it is the important part of complex treatment of tumour to treat, it is very reluctantly it there is benefit on " the norm " propose,medical worker should development knowledge propagation and educations relieving pains pointed, include encouraging the patient to describe the intensity of pain to the medical personnel voluntarily; It is the important part of complex treatment of tumour to stop the pain and treat, do harm rather than good etc. to the patient very reluctantlily. The propaganda and education content should also include, morphine and similar medicine are daily medicines that cancer aches and is treated, employ the morphine medicine to be caused into a phenomenon of the addiction to be extremely rare when cancer aches to treat; The bad reaction that will observe curative effect and medicine closely while stopping the pain and treating, communicate with the medical worker at any time, adjust and treat the goal and treat the measure; Should fixed subsequent visit or follows up a case by regular visits to. Understand: Fan green to issue, show, analyze cancer ache control unsatisfactory main reason, beyond the scope of patient and doctor. Among them, patient's own existing problem mainly includes thinking it is a right and proper thing that cancer aches, do not use medicine and is afraid the medicine becomes addictions,etc. on time. Though the reason of the patient occupies certain proportion, the patient is passive after all, the medical personnel should have responsibility and ability to persuade the patient to accept the correct method of easing pain, make great efforts to get the understanding and cooperation of patient and relative.


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