What is the psychological care for patients with advanced renal cancer?

In recent years, kidney cancer has become one of the major diseases that endangers society and human health, and it has brought great pain and distress to humans. In order to reduce the incidence of kidney cancer, we humans should master the care of advanced kidney cancer:

General care: Before treatment, assist patients to complete necessary examinations, such as blood routine, liver function, kidney function, upper abdominal CT scan and enhancement, etc.

Psychological care: First, let the patient and his family understand the disease and the possible consequences and severity of the disease if it is not treated. Second, the treatment method and possible efficacy. Third, the cost of treatment. Fourth, the possible complications and consequences during the treatment. Fifth, cooperation during the treatment.

Care for hand-foot skin reaction: The manifestations of hand-foot skin reaction are numbness, burning sensation, erythema, swelling, hardened skin, callousing, blistering, dryness, scaling or cracking in the hands and feet. The symptoms are often more severe in the stress-bearing areas of the hands and feet, usually occurring bilaterally, and appearing in the first 6 weeks of treatment, especially the first 1-2 weeks.

Instruct patients to wear cotton socks or cushions to prevent pressure on the feet when wearing soft-soled shoes or tennis shoes. It is not advisable to stand for a long time. Dissolve magnesium sulfate in warm water and soak the affected skin. Apply urea-containing ointment or lotion to the feet twice a day or apply a thick layer. Wear cotton socks all night. If the foot skin continues to thicken or callous, you can ask a pedicurist to treat it to prevent further aggravation. Immediately use moisturizing ointment after foot massage and apply aloe vera juice to the affected area. If the patient cannot tolerate it, you can stop taking the medicine for 1 to 2 weeks or reduce the dosage according to the doctor's advice. Severe patients need to stop taking the medicine.

Care for diarrhea: Diarrhea is divided into 5 grades: Grade 1: The number of daily bowel movements increases by <4 times compared with the baseline; Grade 2: The number of daily bowel movements increases by 4 to 6 times compared with the baseline; intravenous infusion is required for <24 hours, and it does not affect daily life; Grade 3: The number of daily bowel movements increases by >4 to 6 times compared with the baseline; intravenous infusion is required for ≥24 hours; it affects daily life activities; Grade 4: life-threatening (such as hemodynamic collapse); Grade 5: death; If diarrhea reaches grade 3 or above, when it occurs for the first time, first interrupt the treatment with Nexavar for 7 days to promote the recovery of diarrhea; restart the treatment with Nexavar after 7 days, 400 mg/day, for 28 days; resume 400 mg after 28 days, twice a day treatment; when it occurs for the second time, reduce the dose to 400 mg/day and continue taking it; if diarrhea and/or weight loss persists after reducing the dose, stop the treatment with Nexavar. Nursing measures: Advise patients to eat a light diet, avoid spicy food and dairy products, give opioid preparations, mucosal protective agents, etc. as prescribed by the doctor, accurately record the amount of water intake and output for 24 hours to maintain water and electrolyte balance, etc.

The above is the nursing method for late stage renal cancer. Expert Tip: If you have symptoms of disease, do not delay diagnosis and go to a regular hospital for treatment in time to avoid delaying the disease and causing serious consequences. If you have other questions, please consult our online experts or call for consultation.

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