What should be paid attention to in the care of lung cancer bone metastasis patients?

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1. Patients with bone metastasis, especially those with spinal and lumbar metastases, should sleep on hard beds; If it occurs in the lower limbs, attention should also be paid to avoid weight-bearing and reduce the amount of activity to avoid pathological fractures.

2. Try not to touch or massage the lump.

3. Cancer patients with bone metastasis are often accompanied by changes in general conditions, such as anorexia, emaciation, anemia, etc. Therefore, it is necessary to strengthen nutrition, pay attention to dietary regulation, and eat more foods containing protein, vitamins and trace elements, such as eggs, milk, fish and lean meat.

If you still have questions about bone metastasis of cancer, please visit our official website for consultation.

1. Local radiotherapy, pay attention to the part, because the *** caused by radiotherapy is sometimes very painful.

2. Chemotherapy: most of them have poor effects on bone metastasis.

3. Pamidronate disodium injection (Boning) can effectively relieve pain and may inhibit tumors. Regardless of whether you do radiation or chemotherapy, it is recommended.

4. If the lumbar spine and thoracic vertebrae metastasis are obvious, surgery can be considered for palliation**, and bone cement or fixation can be added to avoid paralysis caused by fracture or nerve compression.

Radiotherapy for bone metastasis of lung cancer can be treated with palliative radiotherapy, which is divided into short-course low-dose radiotherapy and long-term high-dose radiotherapy, and the long-course high-dose fractionation regimen has better analgesic effect. The goal of radiotherapy for bone metastases from lung cancer** is to reduce pain and prolong survival. Pain palliation of bone metastasis of lung cancer is precisely the most common means of radiotherapy for bone metastasis of lung cancer, which can prevent the occurrence of acute pathological fractures and spinal cord compression.

In the advanced stage of lung cancer, metastases from various sites are common, with bone metastases being the most common, especially small cell lung cancer and adenocarcinoma. The incidence of bone metastases is 20% to 40%, with the ipsilateral ribs and spine being the most common. Bone metastases are asymptomatic in the early stages and present with localized intractable pain and fixed tender points in the later stages.

Bone metastases can lead to osteolysis, hypercalcemia, and pathological fractures, which bring distress to patients, reduce their quality of life, and shorten their survival. Therefore, whole body bone radionuclide scans should be routinely performed after diagnosis of lung cancer to rule out possible bone metastases. After the diagnosis of bone metastasis, bone metastasis should be carried out in a timely manner while actively developing the primary lesion.

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Chemistry**: Systemic combined chemistry also has a ** effect on other potential metastases that may exist at the same time as bone metastases.

Radiation**: Pain is completely relieved in about 50% of patients and significantly reduced in about 75% of patients. Radionuclides**: In principle, they should not be used in conjunction with chemical**, and the changes in white blood cells must be observed regularly.

Drugs**: such as phosphoric acid drugs such as bone phosphorus, Boning, and adada, as well as dense calcium, narcotic analgesics, etc.

Disease analysis: Lung cancer is a tumor disease with a very high degree of malignancy, and bone metastasis is easy to occur in the advanced stage of non-small cell lung cancer and small cell lung cancer, with ribs and spine being the most common parts, followed by pelvis, limbs and skull. Among the various types of lung cancer, adenocarcinoma bone metastasis is more common in ribs, thoracic spine and pelvis, squamous cell carcinoma is mainly rib and thoracic metastasis, and small cell lung cancer is mainly rib, pelvic and thoracic metastasis.

Bone metastases from lung cancer do not require surgery if no pathologic fracture occurs**.

The role of traditional Chinese medicine in controlling the development of bone metastasis of lung cancer, improving the quality of life and prolonging life will play an increasingly important role with people's continuous understanding of traditional Chinese medicine. Traditional Chinese medicine**The pain caused by bone metastasis of lung cancer is mainly used to invigorate blood circulation and tonify the kidney**. The best option for lung cancer, especially non-small cell lung cancer, is surgery

First of all, it is for lung cancer, as far as the current situation is concerned, chemotherapy is the main one, and the local ** should choose radiotherapy or other methods according to the situation of the local lesion, bone metastases are mainly analgesic and slow down bone destruction, and some drugs can be selected, or local radiotherapy has a good effect on pain relief. If you can't do it at your local hospital, you can come to our hospital for it**.

1) Create a harmonious atmosphere and a comfortable and safe limb fitting environment to gain patients' trust and sense of security.

2) Introduce disease-related knowledge, medical progress, efficacy and adverse reactions and prevention measures of radioactive and chemical drugs, and introduce successful cases to patients in a timely manner, so that patients can establish confidence in overcoming diseases.

3) Do a good job in the ideological work of the patient's family and unit leaders, so that the unit leaders and family members take the initiative to care, support and care for the patient, so as to eliminate the patient's loneliness, despair and abandonment, and enhance the patient's ability to resist disease.

Care measures. 1 General care.

Pay attention to room temperature and body warmth to improve microcirculation.

Pay attention to the patient's consciousness, temperature, pulse, breathing, and blood.

pressure, urine output, and peripheral circulation, such as when capillary refill.

Occasionally, the affected limb is fractured.

Distal pulse, skin temperature and color, presence or absence of swelling, sensory and motor disturbances.

2. Pain relief. Use three-step analgesic ** infiltration silver, and administer the drug on time according to the ladder or.

Use analgesic medications as prescribed, and watch how well they work.

and adverse effects.

3**Care.

For patients who have been bedridden for a long time, it is necessary to give a turnover at regular intervals.

Massage into the area under pressure. Be gentle during your care. Disable.

Pushing, pulling, pulling and other actions should be done by using the hand to translate the patient.

4. Dietary care.

Bone metastases belong to the late stage of cancer, and the patient consumes a lot of appetite.

Sluggishness or even anorexia. It is necessary to pay attention to strengthening the nutrition of the diet and ensuring that it is sufficient.

Adequate nutrient intake to improve the body's resistance and **.

Eat more high-protein foods such as fish, eggs, lean meat, and milk.

Thing. Due to low activity and prolonged bed rest, stool is more common.

Eat more crude fiber foods.

Such as celery, spinach.

Carrots. etc., to promote intestinal peristalsis and keep the stool smooth.

5. Observe closely.

Observe the blood. changes to correct electrolytes.

Calcium balance. Concentrate.

Observe the patient for signs and symptoms of infection, and follow the doctor's instructions.

Give antibiotics from time to time and appropriately.

6. Psychological nursing.

Due to the torment of cancer pain and the adverse reaction after medication.

Yes, patients are prone to anxiety, irritability, and even despair.

Should. Nursing staff should be patient and meticulous to explain to the patient.

Release work. Introduce the effect of the drug to the patient before taking the drug, no.

Good response and precautions. Eliminate the patient's nervous and fearful heart.

and create a comfortable and quiet environment for patients. Satisfy.

Psychological and physical needs of the patient.

7. If combined with radiotherapy.

Care during radiotherapy.

Pay attention to the radiotherapy irradiation field ** care, keep the local clear.

Clean and dry, underwear should be soft, and the bed should be flat and dry.

Dry. Prevention of radiotherapy dermatitis.

and the occurrence of pressure sores. Keep the hospital bed.

Clean, dry and comfortable. Patients tend to develop after 1 or 3 days of radiotherapy.

Local pain is exacerbated. This is due to local tissue filling caused by radiotherapy.

Caused by hemoredema. When the patient's pain is unbearable, pain relief is given.

Plug anal plug. Pay attention to the patient's safety during radiotherapy and daily life.

Prevent fractures caused by falls and falls. Turn to the thoracic and lumbar vertebrae.

Patients who have impaired body mobility should lie flat on a hard bed.

to maintain the stability of the spinal cord and prevent spinal cord compression. Cervical spine rotation.

Shift the patient with a head support to limit head movement to avoid pressure.

Forcing the cervical spinal cord, causing high paraplegia.

8. Health education.

Patients are bedridden for a long time, take painkillers, and need to eat more.

Rich in dietary fiber.

food, fresh fruits and vegetables, the end.

Water, keep the large congregation stool unobstructed, and pay attention to the amount of urine and sex. Change.