In the late stage of liver cancer, especially when the condition is critical, family members need to know some knowledge about the terminal stage. If the patient can get the highest possible quality of life at this time, it will be a great help to the patient. Liver cancer is highly hidden, so most patients are already in the late stage when they find it, and even complications and metastasis occur, which brings a lot of inconvenience and mental panic to the lives of patients and friends. Liver cancer patients often have bleeding tendencies such as bleeding gums and subcutaneous ecchymosis. The appearance of these terminal symptoms of liver cancer is mainly due to impaired liver function and abnormal coagulation function. It is especially common in patients with liver cancer and cirrhosis. In order to avoid the appearance of terminal symptoms of liver cancer, it is recommended to use traditional Chinese medicine for the treatment of patients with advanced liver cancer to control the progression of liver cancer in the late stage, inhibit tumor growth, and prolong the life of liver cancer patients. Late-stage liver cancer usually has these symptoms 1. Increased nausea and vomiting: This is a common symptom in patients with advanced liver cancer. It may be an adverse reaction to treatment or caused by cancer cells invading the digestive and nervous systems. 2. Severe lack of appetite: The patient suffers from pain, constipation, emotional tension and depression, as well as gastrointestinal candidiasis. He lacks interest in food and often suffers from hiccups due to tumors in the stomach, lower esophagus or liver that stimulate the diaphragm. He is deficient in mental and nutritional intake. 3. Intensified pain in the liver area: In the late stage of liver cancer, the body's normal tissues will be damaged and infiltrated by the tumor, causing compression and damage to the adjacent nerve roots, ischemia and necrosis of local tissues, obstruction of blood return, and infiltration of bones and periosteum, all of which can cause pain. 4. Malignant intracavitary effusion: Malignant intracavitary effusion is an important complication of cancer. In the late stage of liver cancer, malignant intracavitary effusion may occur in the thoracic and abdominal cavities, peritoneal cavity, pericardial cavity, etc. If not handled properly, it may rapidly deteriorate and lead to death. 5. Difficulty breathing: Severe difficulty breathing can easily cause fear, and fear itself aggravates difficulty breathing. If not treated in time, it can easily cause shock and death. 6. Hepatic coma: It is often a manifestation of terminal liver cancer. Gastrointestinal bleeding, secondary infection, large amounts of diuretics, electrolyte imbalance, etc. can often induce hepatic coma, so special attention should be paid in the late stage of liver cancer. The nursing of advanced liver cancer focuses on four aspects 1. Psychological care for advanced liver cancer Liver cancer patients in the late stage know that they are in the last stage of their lives and cannot accept the reality that they will lose their loved ones and friends and leave the world forever. In addition, due to adverse reactions during diagnosis and treatment and unbearable cancer pain, they often show great depression and anxiety, irregular lifestyle, poor concentration, loss of appetite and fatigue. Therefore, nurses should try their best to enable patients to maintain hope, accept treatment, insist on living, provide psychological care, control pain, and improve the quality of patients in the last stage of their lives. II: Pain care for advanced cancer Pain care: In the late stage of liver cancer, necrosis of tumor tissue may cause pain in the tumor area. While strengthening the observation of the patient's condition, nurses should also do a good job of comforting the patient. When the pain is intolerable, the location, nature, and degree of the pain should be closely observed to distinguish it from pain caused by other complications. If necessary, painkillers should be used as prescribed by the doctor. 3. Diet care for advanced cancer In the late stage of liver cancer, attention should be paid to the color, aroma and taste of food to improve the appetite of patients with late stage liver cancer. Provide non-irritating and easily digestible food at an appropriate temperature and eat slowly. Patients with late stage liver cancer can eat some Chinese medicine porridge, such as Astragalus porridge, Codonopsis pilosula, and red dates porridge, which can nourish the spleen and replenish qi. Do not lie flat for half an hour after a meal. Patients with late stage liver cancer are forbidden to eat greasy or fried food. Those who vomit can be given antiemetics, and total intravenous nutritional support can be given when necessary. Patients with late stage liver cancer should limit or abstain from protein when blood ammonia is high. The heat source of patients with late stage liver cancer is mainly carbohydrates, and fruits, vegetables, etc. can be selected. IV: Basic nursing care for advanced cancer Patients with advanced liver cancer have weak constitutions, so basic nursing care should be strengthened. For example, patients who have been bedridden for a long time should be turned over frequently, and their sitting and lying positions should be changed to prevent complications such as bedsores. Oral care should be done for patients with bleeding to keep the airway open and prevent vomit from being inhaled into the trachea and causing suffocation and death. For patients with severe cancer pain, in addition to timely symptomatic treatment, family members should also give patients spiritual comfort to eliminate their fear. At the same time, they should closely observe the patient's vital signs to detect critical lesions in a timely manner and take effective treatment measures in a timely manner. |
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