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匯報(bào)人:文小庫2024-04-02造口護(hù)理英文目錄CONTENTSBasicconceptsandclassificationofstonePreparationandevaluationbeforestonesurgeryTheprocessandtechniquesofcosmeticsurgery目錄CONTENTSKeypointsofpostnatalcarefordestinyTipsforusingandreplacingartisticpocketsCompressionidentificationandmanagementstrategies01BasicconceptsandclassificationofstoneAstormisasignificantlycreatedopeninginthearbitrarywallthatallowstheintentionsorotherinternalorganizationstobebrokentothesurfaceoftheskinDefinitionStonesarecreatedtodivertbodilywasteawayfromdamagedordiseasedareasofthedigestiveorurinarysystems,allowingthesesystemstorestandhealPurposeDefinitionandpurposeofstone
CommontypesofstonesColonyAnopeningcreatedinthelargeintention(colon)todivertfecalmatterawayfromtherectumandanusIleostomyAnopeningcreatedinthesmallintention(ileum)todivertthefecalmatterUrustomyAnopeningcreatedtodiverturineawayfromtheblade,usuallyduetobladecancerorotherurologicalconditionsIndicationsOdomiesmaybenecessaryforawiderangeofconditions,includinginflammationBoweldisease,Bowelconstruction,coloncancer,bladdercancer,andtraumaContainmentsOdomiesaregenerallycontraindicatedinpatientswithmultiplecomorbiditiesthatincreasesignificantrisk,suchasadvancedheartdiseaseorseverepulmonarydiseaseIndicationsandcontraindicationsforontologyProvidingemotionalsupportandcounselingtohelppatientsadjusttolivingwithananatomythatiscriticalfortheiroverallwellbeingPsychologicalsupportTeachingpatientshowtocarefortheiranatomy,includingproperhygiene,changingofanatomybags,anddiemodifications,isessentialforpreventingcomplicationsandmaintaininggoodqualityoflifeEducationPatientpsychologicalsupportandeducation02PreparationandevaluationbeforestonesurgeryPreoperationalexaminationitemsToassessthepatient'sabilitytolobbythesurgeriesandanesthesiaCardiacandpulmonaryfunctiontestsToassessoverallhealthanddetectanypotentialproblemssuchasanemiaorelectrolyteimbalancesCompletebloodcount(CBC)andbloodchemistrytestsIncludingX-rays,CTscans,orMRIstoevaluatetheanatomyandidentifythelocationofthestonesiteImagingstudiesAssessmentofcomorbiditiesEvaluateanyexistingmedicalconditionsthatcouldincreasesubstantialrisks,suchasdiabetes,hypertension,orheartdiseasePreventionofinfectionAdministerantibioticsbeforesurgerytoreducetheriskofpositiveinfectionsPreventionofnormalapplicationsDiscussionswiththepatientaboutpotentialnormalapplicationsandprovideguidanceonhowtopreventthemRiskassessmentandproactivemeasuresSkinpreparation01CleantheskinaroundthestonesitewithanantagonisticsolutiontoreducetheriskofinfectionHairremoval02RemovehairaroundthesurgicalsiteusingclipsorasacrificialcreamtofacilityacleandecisionandreducetheriskofinfectionMaintainskinintegrity03AvoidusinghashsoapsorchemicalsthatcouldinitiatetheskinanddisruptitsnaturalbarrierSkinpreparationandcleaningmethodsInternalpreparationAdministratorBowelcleaningagentstocleartheintentionsofmedicalmatterbeforesurgery,reducingtheriskofpotentialinfectionandcomplicationsDietaryadjustmentsRecommendapreoperativedielowinfiberandeasytodigesttominimizebowelactivityandfacilitybowelrestbeforesurgeryFluidintakeEnhanceequivalentfluidintaketomaintainproperhydrationandfacilitatebowelfunctionHowever,thereisanexcessfluidintakethatcouldleadtoelectrolyteimbalancesSuggestionsforinternalpreparationandbinaryadjustments03TheprocessandtechniquesofcosmeticsurgerySelectionofAnesthesiamethodsLocalanesthesiaNumbsthesurgicalareawhilethepatientremainsscientific,allowingforbettercommunicationbetweenthesurgeonsandpatientsduringtheprocedureGeneralanesthesiaRendersthepatientunconsciousandparaphrased,requiringtheuseofavendortoassistbreakingRegionalanesthesiaBlocksnerveimpulsesinaspecificregionofthebody,providingpainreliefwithoutaffectingconsciousnessesIncludescleaningthesurgicalsite,sharingthesurroundingarea,andapplyingantisepticsolutionsPreoperativepreparationThelargeonesmakeandecisionintheinteriortoaccesstheintentionsandcreateanopeningfortheodorbagDecisionandexposureThelargemayneedtoreceiveaportoftheintent,dependingontheunderlyingconditions,andbringingtheendoftheintentoutthroughtheopeningInternalregulationThelargeattachmentstotheoverallwall,securingitinplacewithfeaturesoranattractiveStomybagattachmentDetailedexplanationofsurgicalstepsStrictalkalinetechniqueMaintainingasterilesurgicalfieldreducestheriskofinfectionRegularcleaninganddressingchangespromoteheatingandpreventinfectionDietarymodificationsandtheuseofmedicinecanhelpregulatebowelfunctionandpreventcomplicationssuchasblockageorleakagePlannedappointmentswithahealthcareproviderallowedfortheearlydetectionandmanagementofanyapplicationsthatmayarisePropercareManagementofbowelfunctionRegularfollowupcarePreventionstrategiesforapplicationsAbsorbablecoversThesecoversaremadeofmaterialsthatbreakdownnaturallyinthebodyanddonotrequireremovalTheyareoftenusedforinternalstickingNonabsorbentcoversThesecoversaremadeofmaterialsthatdonotbreakdownandmustberemovedoncethewonhasheadedTheyarecommonlyusedforexternalstickingSuturingtechniquesDifferentsuturingtechniques,suchasinterrupted,continuous,andsuccessivesuturing,areuseddependingonthelocationandtypeofwonderThechoiceoftechnologyaffectstheappearanceofthescarandtheriskofapplicationsComparisonofsuturematerialsandmethods04KeypointsofpostnatalcarefordestinyObservethecolor,temperature,andswitchingoftheroundandsurroundingskinMonitorforsignsofinfectionsuchasredness,pain,orfeverRecordtheamount,color,andconsistencyofstockoutputReportanyabnormalitiesorconcernstothehealthcareteampromptSpecificationforwouldnobservationandrecording010204PainmanagementandreliefmethodsAssesspaintlevelsregularlyusingavalidatedpaintscaleProvidemedicineassubscribedforpaintreliefApplycomfortmeasuressuchasheatorcoldpacksasappropriateEncouragerelaxationtechniquessuchasdeepbreakingorexamination03Trainingguideforrestoringbowelfunction01Provideeducationonbowelfunctionandtheimportanceofregularbowelmovements02Instrumentontheuseofostomyappliancesandsupplies,includingproperapplicationandremovaltechniques03Teachpatientshowtoirrigatethebodytopromoteregularemptying04EnhancegradientretentionofnormalactivitiestostimulatebowelfunctionAssessnutritionalneedsbasedonthepatient'sconditionandrecoveryprogressProvidedietaryrecommendationstoensureequalintakeofnutrientsandfluidsAdviseonfoodchoicesthatareeasytodigestandhelpmaintainBowelhealthEncourageabalanceddierichinfibertopromotebowelregulation01020304Nutritionsupportanddietaryadjustmentrecommendations05TipsforusingandreplacingartisticpocketsSelectioncriteriaforbagtypeConsiderationofstomaoutputconsistencyChooseabagthatcanaccommodatethetypeandfrequencyofstomaoutputSkinsensitivitySelectabagmadefrommaterialsthataregenreontheskinandminimizetheriskofaggressionorexcessLifestyleandactivitylevelChooseabagthatfitswellwiththeweaver'sdailyroutineandphysicalactivitiesDiscretenessandcomfortOptforabagthatislessvisibleunderclothingandprovidesacomfortablefitDemonstrationofcorrectwearingandfittingmethodsPreparationoftheskinSecuringthebagApplicationofadvancedPositioningofthebagEnsuretheskinaroundthestoneiscleananddrybeforeapplyingthebagGentlypressthebagontotheadhesive,smoothingoutanywrinklesorbubblesApplyathinlayerofadvancedtotheskinaroundthestone,followingthemanufacturer'sinstructionsPlacethebagoverthestone,ensuringthattheopeningalignswiththestoneRegularchangesReplacethebagatleastonceevery2-3daystomaintainskinhealthandpreventleaksChangewithstopoutputChangethebagmorefrequentlyifthestopoutputisparticularlyheavyorifthebagbenefitsfullInspectionofthebagCheckthebagregularlyforsignsofwear,tear,orleakage,andreplaceitasneededConsiderationoflifestylefactorsAdjustthereplacementschedulebasedonthecaregiver'sactivitylevel,switching,andotherlifestylefactorsSuggestedtimingandfrequencyofreplacement01GentlycleantheskinaroundthestormwithwarmwaterandamilksoapCleaningoftheskin02Pattheskindrywithacleantowel,takingcarenottorubtheareatoovigorouslyDryingofthes
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