In the event of a lumbar fracture, a reasonable treatment plan should be formulated in a timely manner, and family members should provide psychological counseling to the patient. If surgery is required, good care must be provided before the operation, and the diet after the operation must also be nutritionally enhanced. Only with good care can the patient recover as soon as possible. 1. Develop a nursing plan and clarify the key points of nursing After the patient is admitted to the hospital, we have careful conversations with the patient and his/her family to understand the cause of the disease and family situation, so as to understand the patient's physical and mental condition. Based on the analysis of the condition, we find out the patient's nursing problems, determine the nursing plan, and clarify the key points of nursing. That is: eliminate the psychological state of anxiety and fear; attach importance to disease knowledge education; emphasize the important position of basic nursing in this disease; do a good job in observation and discharge guidance. 2. Nursing measures 1. Psychological care: The patients’ fear of paraplegia after injury makes them depressed, and some patients are worried about their economic situation. In response to such complex psychological pressure, nurses should not only treat patients with a warm and friendly attitude, but also give patients more successful case examples. To enhance the confidence in overcoming the disease, it is more important to do a good job in the ideological work of the patient's family members, obtain their strong support in emotional and economic aspects, so that the patient can relieve psychological pressure and be able to rest assured for treatment and recuperation. 2. Preoperative guidance and care: Many patients lack knowledge about the disease, so nurses must carefully educate patients on relevant knowledge to help them eliminate their nervousness, rest in bed with peace of mind, reduce pressure on the spine, alleviate deformities, and prevent paraplegia. Train the patient to eat, drink, and defecate in bed to avoid pain caused by postoperative discomfort. Attention should be paid to skin preparation before surgery to avoid postoperative infection. 3. Strengthen basic nursing care and relieve pain: Patients with lumbar compression fractures will have movement, sensation, and reflex disorders and lose the ability to take care of themselves. Therefore, nurses should take the initiative to provide daily care and prevent complications such as bedsores, constipation, and urinary tract infections. Active treatment is given to patients who have developed paraplegia upon admission to the hospital to reduce the occurrence of complications and alleviate patients' pain. 4. Dietary care: Dietary care for thoracolumbar compression fractures is crucial to the healing of fractures, which requires us to provide different appropriate diets according to different stages of the fracture. In the early stage, it is advisable to eat light, nutritious and easy-to-digest food, such as fruits, porridge, noodles, etc.; in the middle stage, it is advisable to give light tonic food, such as chicken soup, lean meat, river eel and other flesh and blood products, to nourish the blood and nutrition, and connect the tendons and bones; in the late stage, it is advisable to take both medicine and food, such as chicken stewed with Eucommia ulmoides, Scutellaria baicalensis and rock sugar, millet and red date porridge, etc., to nourish qi and blood, liver and kidneys, and strengthen the spine. |
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