How to take care of patients with brain hemorrhage

Cerebral hemorrhage is one of the four major diseases that seriously endanger human health, accounting for the third cause of death in the United States, the second in Japan, and the first in China. The ultimate goal of home care for patients with cerebral hemorrhage is to make them achieve self-care or assist in self-care. 1.Psychological care Patients with cerebral hemorrhage often have emotional reactions such as depression, frustration, irritability, irritability, pessimism and disappointment. Therefore, family members should care for patients with cerebral hemorrhage psychologically, talk with them more, comfort and encourage them, create a good family atmosphere, explain their condition patiently, eliminate their doubts and pessimism, make them understand their condition, and establish and consolidate their confidence and determination in functional rehabilitation training. 2. Prevent complications (1) Help patients turn and pat their backs 4~6 times a day regularly, for about 10 minutes each time. Once you find that the patient is coughing yellow sputum, fever, shortness of breath and blue lips, you should immediately ask the doctor for treatment. (2) Encourage the patient to drink more water for the purpose of cleaning the urinary tract. And pay attention to the cleanliness of the perineum to prevent cross-infection. If cloudy urine and fever are found, they are signs of urinary tract infection and should be treated early. (3) Most paralyzed patients have constipation, and some of them may have cerebral hemorrhage again due to forceful defecation. Therefore, it is necessary to pay attention to the dietary structure, and give the patient more low-fat, high-protein, high-energy diet and vegetables and fruits with coarse fiber, and give enough water. Give regular bowel movements and apply laxative drugs and enemas when necessary. (4) When the patient is paralyzed in bed, decubitus ulcers are prone to occur in the occipital ridge, scapula, hip, sacrococcygeal, heel and other skeletal prominences. Soft pillows or sea surface pads should be used to protect the bony prominences, turning every 2~3 hours, avoiding dragging and pushing, keeping the bed dry and clean, taking warm water baths and massaging regularly to improve local blood circulation and local nutrition. (5) Perform daily centripetal massage of the extremities for 10~15 minutes each time to promote venous blood flow back and prevent deep vein thrombosis. Once unexplained fever, swelling and pain in the lower limbs are found, they should be quickly diagnosed and treated. 3. Maintain the functional position Maintaining the functional position of the paralyzed limb is a prerequisite to ensure smooth recovery of limb function. When lying in supine or lateral position, raise the head 15~30 degrees. The knee joint of the lower limb is slightly flexed, the foot and calf are kept at 90 degrees, and the toe is directed upward. The forearm of the upper limb is semi-flexed, and the hand holds a cloth roll or a round object. 4.Functional exercise Functional exercise 3~4 times a day, the number of amplitude gradually increases. As the body recovers, the patient should be encouraged to do functional exercises on his own and leave the bed in time, and should strictly prevent falling and stepping on the air. At the same time with acupuncture, physical therapy, massage to speed up recovery. (1) Upper limb functional exercise: the nursing staff stand on the patient’s side, hold the wrist of the affected side with one hand; the other hand is placed slightly above the elbow joint, and the affected limb is moved up, down, left, right, extension and rotation; the nursing staff hold the wrist of the affected limb with one hand and do the movement of each finger with the other hand. (2) Lower limb functional exercise. The caregiver holds the ankle joint of the affected limb with one hand, and holds the knee joint slightly below with the other hand, so that the hip and knee joints are extended, flexed, rotated internally and externally, and abducted. The caregiver holds the arch of the affected limb with one hand and does the activities of one toe with the other hand. The ultimate goal of home care is to make the patient take care of himself or assist him in taking care of himself. Gradually train the patient to eat, dress, wash, toileting and some outdoor activities, from complete care to assisted care, until self-care.