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Esophageal Cancer Support

Pre-operative care for Esophageal Cancer:
1. Psychological care. Of the patients have difficulty swallowing for more and more weight loss, tolerance to poor operation, lack of confidence in treatment, surgery at the same time there is a certain degree of fear. Therefore, the psychological state of patients for an explanation, comfort and encouragement to establish the full trust of the nurse-patient relationship, so that patients recognize that surgical treatment is complete to make it willing to accept surgery.

2. To strengthen the nutrition. Been able to eat, and should be given to high-calorie, high protein, high vitamin liquid or semi-liquid diet. Can not eat, the water should be added intravenous electrolytes and calories. Hypoproteinemia patients should be given a blood transfusion or plasma protein corrected.

3. The gastrointestinal tract to prepare:

  • attention to oral hygiene;
  • resettlement preoperative drip tube and duodenal tube;
  • preoperative fasting, food retention, the night before surgery with esophageal isotonic saline rinse will help to reduce edema, reduce postoperative infection and the occurrence of anastomotic leakage rate;
  • esophagus to colon line, the preoperative preparation for colon surgery in accordance with care, see colorectal cancer preoperative preparation.
    4. Preoperative practice. Church of the patient take a deep breath, effective cough, expectoration, defecation and other activities in bed.

    Post-operative care for Esophageal Cancer:

    1. To maintain decompression tube patency: 24 ~ 48h after drainage of a small amount of blood, should be regarded as normal, such as the blood leads to a large number of doctors should be reported immediately to deal with. Decompression tube should be kept 3 to 5 days, in order to reduce anastomotic tension in order to facilitate healing. Attention to tube connection is accurate, reliable fixed to prevent the prolapse, unobstructed drainage.

    2. Closely observed and the nature of pleural drainage: pleural fluid drainage, such as unusual bleeding, turbid fluid, food residue or chylous fluid discharge, the chest has prompted active bleeding, esophageal anastomotic leakage or chylothorax should be taken to the corresponding measures, a clear diagnosis, to be addressed. If there is no anomaly, after 1 to days allocated in addition to drainage tube.

    3. Strictly control the diet: the lack of serosal layer of esophagus, the anastomotic healing slower, after fasting and should be strictly forbidden water. Fasting period, daily by intravenous infusion. Duodenal drip tube placed, will be in operation on the 2nd after the resumption of bowel movements after instillation catheter nutrition to reduce the infusion volume. Article 5 after the operation, such as changes in the absence of exceptional conditions, can be consumed by the population of milk, per 60ml, each 2hl times during the interval can be equal to the boiling water, in the absence of adverse reactions to daily increments. After the first 10 to 12, semi-liquid to non-residue diet, but it should be noted to prevent the rapid and excessive consumption.

    4. To observe the symptoms of fistula: Esophageal anastomotic leakage of the clinical signs of high fever, rapid pulse, difficulty in breathing, chest pain, can not endure; ipsilateral breath sounds low, percussion dullness, interleukin shock even higher. Principles: pleural drainage, to promote lung expansion; choice of antibiotics effective anti-infective; added adequate nutrition and calories. At present, selection of total parenteral nutrition (TEN) after gastrostomy feeding treatment, the effect of the exact satisfaction.

    Dietary care for Esophageal Cancer:
    Nursing attention to diet, treatment should be given to light, nutrient-rich, easy to digest food, and should focus on food color, flavor and taste, shape, to increase appetite, to ensure that nutrition; the treatment of intermittent phase are advised to have more blood, blood , vitality and the role of food in order to enhance the body's resistance to Esophageal Cancer.

    Psychological care for Esophageal Cancer:
    To strengthen the emotional care and comfort to patients, the elimination of tension, fear, depression, depressed, such as psychology, patience to do a good job explaining the treatment. As far as possible in patients undergoing chemotherapy in the course in the best physical and mental state.

    • Submitted by Health Studies on Wed, 04/15/2009 - 00:42
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