Wednesday 11 January 2017

Of spiritual and mental diseases in elderly care: delirium care

(A) life care When patients with delirium, unable to take care of, health care workers or family care of patients living, personal hygiene, eating, toilet, should be given comprehensive assistance. Serious symptoms, such as coma, should be given nasogastric or intravenous infusion, protect eyes, skin and oral care, and prevention of pressure sores, infections and other complications.

(B) reasonable arrangements for patients to rest and live Separate rooms can be arranged if the conditions permit, keep quiet, soft light, a free care, encourage accompanied by family members, increase security. Encourage patients to participate in outdoor activities during the day, such as walking, talking, avoid prolonged bed rest. Excitement couldn't sleep at night, according to hospital doctors prescribe drugs, reference instructions using sleep drugs, and observe the reaction.

(C) improved cognition and thinking ability Based on a patient's cognitive abilities, chat with understandable content, recalls the time, place and person, ask a question in simple words, encouraging patients to answer, so as to improve the memory and thinking ability. Encourage patients to read the news, read books, talk with others, express their feelings and eliminate stress.

(D) to protect patient safety, and accident prevention Make sure patients do not leave sight of the caregiver, on high alert with self-harm or suicide, accidents happen. If necessary, the physician using the restraint tool, elastic note constraints should be appropriate skin protection constraints.

(E) the positive treatment of the primary disease Control of primary disease is the most important treatment of delirium in elderly patients, control or eliminate the disease, to eliminate the root causes of delirium.


(F) drug therapy, supportive therapy Medication of elder patients with delirium are: no, using as little as possible, avoid many kinds of drugs. Supportive care including: nutritional supplements and vitamins, and correcting water, electrolyte, and acid-base balance.

(VII) health education Mild patients and their families, educational content including: to explain the possible causes of delirium in the elderly diseases and their causes, threatened; delirium symptoms, treatment and prognosis; patient observation point, safety protection measures prescribed medication the importance of prescribed for eating light, easy to digest, more water, eat more fresh fruits and vegetables to prevent constipation. Encourage patients to remission, appropriate activities, appropriate care, to participate in social activities.

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