What are the key points of melanoma care? Bad living habits can lead to the occurrence of melanoma, so for melanoma patients, developing good habits is very helpful for the prevention and treatment of melanoma. So, what are the key points of melanoma care? Let's answer them together below. What are the key points of melanoma care? 1. Postoperative care of finger and toe joint release: Finger and toe joint dislocation surgery will cause limb deficiency, and there are different degrees of psychological abnormalities. ① Nursing should communicate with patients patiently, explain the condition, obtain cooperation, and let patients accept treatment. ② Reasonable use of painkillers and sleeping pills to prevent pain from affecting sleep. ③ Timely observe the wound condition of the residual limbs, and notify the doctor in time if there are any questions. ④ Strengthen functional training. 2. Wound care after regional lymph node dissection: For example, in inguinal lymph node dissection, after the skin is cut open through an "S"-shaped incision in the groin, the free skin flap is then cut down to the deep fascia, the surface of the sartorius muscle on the outside, the surface of the long adductor muscle on the inside, 3 cm above the inguinal ligament, and the tip of the femoral triangle on the bottom. Therefore, the surgical wound is large and heals slowly, the drainage tube is left in place for a long time, and there is more exudate. Poor blood supply is prone to ischemia and necrosis, especially at the edge of the incision. Improper care can easily cause wound infection. ① Closely observe the bleeding and exudation of the wound, change the dressing regularly, and do not use liquids that are highly irritating to the skin for disinfection when changing the dressing. ② Pay attention to observe whether the skin around the wound is edematous. Whether the color is abnormal. If you have any questions, tell the doctor in time. ⑧ Pay attention to skin warmth. When bandaging the wound, it should not be too tight or too loose to prevent the occurrence of subcutaneous hematoma. ④ Pay attention to the color, quality, and quantity of the drainage fluid, and record it in time. There was a case of redness and swelling around the wound, and a small amount of fat liquefaction. Use Jinhuangsan according to the doctor's advice. The wound healed after external application of 50% ethanol or saltpeter twice a day. 3. Postoperative wound care: ① Care of perineal wounds. Potassium permanganate 1:5000 can be used for flushing or sitz bathing twice a day, and the dressing should be changed in time. It is beneficial to reduce or eliminate congestion, edema and pain in the perineum and anus. Keep the skin wound comfortable, prevent wound infection, and promote wound healing. ② Care of artificial anus. Local skin care, open the colostomy 2d to 3d after surgery, first clean the skin around the stoma with saline cotton balls, and apply zinc oxide ointment to prevent the discharged stool from soaking the skin and causing dermatitis. After the stoma is removed, dilate the anus once a day to prevent stoma stenosis; teach patients and family members how to use the artificial anus bag correctly. When the contents of the stool bag exceed 1/3, it should be replaced. 4. Postoperative care of finger and toe joint release: Finger and toe joint dislocation surgery will cause limb deficiency, and there are different degrees of psychological abnormalities. ① Nursing should communicate with patients patiently, explain the condition, obtain cooperation, and let patients accept treatment. ② Reasonable use of painkillers and sleeping pills to prevent pain from affecting sleep. ③ Timely observe the wound condition of the residual limbs, and notify the doctor in time if there are any questions. ④ Strengthen functional training. Melanoma patients should learn more about the treatment of melanoma. With perseverance, they can definitely defeat melanoma and regain health. Through the above introduction, everyone should know what the nursing focus of melanoma is. |
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