The incidence of brain tumors in my country basically ranks among the top ten of all tumors and should be given sufficient attention. Brain tumors are generally treated with surgery, combined with comprehensive symptomatic treatment. Postoperative care and rehabilitation training for brain tumor patients should be carried out from the following aspects. Postoperative Care Pay attention to adjusting body position. When awake, raise the head of the bed 15°-30°. Avoid twisting the neck or compressing the chest to facilitate intracranial venous return. Keep the airway open, clear secretions in the respiratory tract promptly, give oxygen regularly, and use a hyperbaric oxygen chamber if conditions permit, 2-3 times a day, each time for 45 minutes. Try to avoid coughing, sneezing, and retching, treat constipation promptly, and keep bowel movements smooth. Limit water intake. Patients with brain tumors who have symptoms of increased intracranial pressure and cerebral edema should be supplied with a minimum amount of fluid and have their blood electrolytes checked regularly to prevent water and sodium retention from aggravating cerebral edema. Rehabilitation Limb function training: Patients who develop hemiplegia after brain cancer surgery need to pay special attention to limb function training. Family members can assist in passive limb function training while they are bedridden. Active activities, such as standing exercises, are encouraged after recovery. When you start training, you can lean your back against a wall, hold on to crutches, etc. to maintain your body's support point and sense of balance; at the same time, do sit-stand exercises and stair climbing exercises to improve lower limb muscle strength. The affected upper limb mainly performs active exercises on the joints, such as grasping, lifting, pinching and other fine movements, to improve the sensitivity and accuracy of the metacarpophalangeal joint activities. Language rehabilitation exercises: If the patient has language barriers, the first thing to do is to give the patient enough self-confidence and patience, starting from simple single sounds and double sounds to sentences, and promptly give praise and encouragement for every bit of progress the patient makes. Actively guide patients to express themselves correctly so that they can maintain a happy mood while exercising. Self-care skills training: As the patient's limb functions are exercised, the patient's self-care skills should be gradually trained, and the patient should be guided to do things within their ability, such as learning to use a comb and brush, practicing washing their face, taking a bath, and eating with their hands, etc. Having simple independent living skills will make the patient emotionally satisfied and feel satisfied with the ability to take care of themselves. |
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