Symptoms before the death of the old man 1, pain
Pain is the most serious symptom in patients with advanced stage, especially in patients with advanced cancer. The pain of other advanced patients is not too serious. In the last few days of life, more than half of people will have new pain. Pain control should be used timely, effectively and correctly? Three steps? . Painkillers should be used regularly and in sufficient quantities, not when necessary. It is more difficult to control than to prevent pain when it occurs. For anxiety and pain caused by the inability to take painkillers orally, painkillers can be given through skin patches, sublingual administration, intravenous or intramuscular injection and other ways. In addition to drug analgesia, other methods can be used to relieve pain, such as relaxation, hypnosis, acupuncture, neurosurgery and so on. In addition, if the pain is uncontrollable and there is no appetite, don't force the patient to eat, so as not to increase the burden and pain of the patient.
2, difficulty breathing
Phlegm obstruction and dyspnea are common symptoms of terminal patients. Sputum and oral secretions should be sucked out in time. When breathing becomes shallow, rapid, difficult or tidal, immediately deliver oxygen. If conditions permit, you can take a semi-recumbent position or raise your head and shoulders appropriately. Some patients have wheezing due to shortness of breath and anxiety, so they can use anti-anxiety drugs according to the doctor's advice, and use morphine to reduce the breathing frequency when necessary; At the same time, opening the window or using a fan for ventilation, nurses' calm behavior, touching the patient gently with their hands and whispering will all help the patient to stay calm.
Besides, what's the patient's expectorant voice? Dying guttural voice? It can be atomized with wet and cold aerosol to promote secretion thinning and easy to cough up. Put an aspirator beside the bed. For those who breathe with their mouths open, wet their mouths with wet wipes or cotton swabs, or wet their lips with lip balm, and cover their mouths with wet gauze after the patient falls asleep.
Strange phenomena before the death of the old man 1. A few nights before death, there were inexplicable sounds, such as the sound of something falling to the ground. Collapse? Knock, knock. Sound. And people feel loud. What's more strange is that some people at home can hear it, and some people can't hear it at all. Even couples who sleep together, one person hears, and the other can't hear.
2. The night before death, sparks landed in front of the door, or on the tree in front of the door, intermittently, like sparks drawn by people.
The night before death, a soul appeared and was often found by people at the door. It is found that this dying person often has no expression on his face, but his facial features look clear. Bodies appear and disappear, sometimes becoming very real. When people try to greet him or her, he or she will suddenly disappear. Strangely, sometimes when two people are together, one can see and the other can't.
How to care for the dying elderly, correctly understand and respect the value of the patient's last life, and improve the quality of life of the patient is the most effective service for the dying patients and try to meet the requirements of the dying elderly.
Take care as the center. For dying patients, the hope of cure has become very slim. What is most needed is physical comfort, pain control, life care and psychological support. So the goal is to change from treatment to symptomatic treatment and nursing.
Maintain human dignity. Although the patient is in the dying stage, his personal dignity should not be reduced because of the decrease of vitality, and his personal rights should not be deprived because of physical exhaustion. As long as he has not entered the coma stage and still has thoughts and feelings, medical staff should safeguard and support his personal rights. Such as keeping personal privacy and their own way of life, participating in the formulation of health care plans, and choosing the way of death.