What are the clinical nursing care for osteosarcoma

The arrival of disease is unpredictable for each of us. There are different treatments for different diseases. Osteosarcoma is one of the tumor diseases with a low incidence rate. Timely discovery and timely treatment are very important for patients. At present, osteosarcoma is best treated with surgery. The following will introduce you to the clinical care of osteosarcoma.

1. Psychological care

Do a good job of explaining, especially for patients with malignant osteosarcoma who often have psychological reactions such as fear and pessimism, to eliminate patients' concerns and actively cooperate with treatment.

2. Preoperative Preparation

In addition to general preoperative preparation, attention should be paid to blood matching and skin preparation for 3 days.

3. Postoperative Care

1. Observe vital signs and wound bleeding, especially for amputees.

2. Observe the distal blood flow and activity of the operated limb.

3. Pay attention to bed rest and try not to move too much or too early.

4. Keep the drainage tube unobstructed and the drainage bag should be lower than the wound. Observe and record the amount and nature of the drainage fluid.

5. Pain care: Pain seriously affects the patient's body and mind, affects sleep, and is not conducive to the patient's recovery, so active pain relief is required.

6. Diet care: After the operation, the patient is temporarily fasting or eating liquid or semi-liquid food according to his/her condition. Afterwards, the patient is encouraged to eat high-protein, high-calorie, high-vitamin and easily digestible food, eat more fruits and vegetables, and drink plenty of water.

7. Daily care: For orthopedic patients, especially those who have to stay in bed for a long time after surgery, nursing staff should strengthen their inspections, assist patients in washing and defecation, and provide skin care twice a day. If conditions permit, assist in turning over, patting the back, washing hair and taking a bath.

8. Functional exercise: Encourage patients to perform functional exercise within the permitted range to prevent muscle atrophy, joint stiffness and venous thrombosis. 48 hours after surgery, start to exercise muscle contraction and relaxation, and prohibit activities that affect bone and muscle stability. 3 weeks after surgery, joints distal and proximal to the surgical site can be moved, but without weight bearing. 6 weeks after surgery, perform whole body and key joint activities. Gradually increase the intensity. Physical therapy, massage, etc. can also be used as an aid.

9. Provide appropriate care for patients who continue chemotherapy, radiotherapy or amputation to reduce side effects and complications.

During the recovery period of osteosarcoma patients, it is important to pay attention to the care in other aspects and also to adjust the patient's diet. Only by strengthening the patient's body and combining it with drug treatment can the patient's disease be cured.