How to care for elderly patients with esophageal cancer after operation

summary

Grandfather Zhang is suffering from esophageal cancer. He is very old this year. Recently, he had a resection operation accompanied by his family. The operation was very successful. The doctor said that postoperative care should be strengthened. Now let me talk about how to care for the elderly with esophageal cancer after operation.

How to care for elderly patients with esophageal cancer after operation

First: nutrition supplement. According to the degree of swallowing, patients with severe anemia, dehydration and malnutrition should be given blood transfusion, rehydration and intravenous hypernutrition to improve the general condition of patients. Strengthen oral care and keep oral cavity clean. For patients with obvious esophageal stenosis and inflammation, oral intestinal antibiotics can reduce inflammation and edema.

Second, observe the exudation of the incision, keep the local clean, and pay close attention to the signs of incision infection, dehiscence and anastomotic leakage. The clinical manifestations of esophageal anastomotic fistula were high fever, rapid pulse, dyspnea, chest pain, intolerable; the affected side had low breath sound, dullness of percussion, increased white blood cells, and even shock. Treatment principle: pleural cavity drainage, promote lung expansion; choose effective antibiotics to resist infection; supplement enough nutrition and heat.

Third: diet nursing. The time of taking food should be delayed appropriately. 1) 5-7 days after operation, the time of eating can be determined according to the recovery of gastrointestinal function, intraoperative anastomotic tension and blood supply. Since a small amount of drinking water, liquid, semi liquid diet. 2) Eat a small amount of food. Avoid eating before going to bed or lying down. Walk slowly or sit upright for half an hour after eating to prevent food reflux in the stomach. 3) give more high protein, high vitamin, low fat, less residue diet, and observe whether there is obstruction, pain, vomiting, diarrhea and other conditions after eating. If you find symptoms, you should stop eating.

matters needing attention

Patients with esophageal cancer after surgery are often very weak, at this time, it is very important to strengthen the comprehensive nursing work, these routine nursing includes many aspects, the patient's family must know, effective nursing can not only consolidate the condition, but also prevent recurrence.