Luwang, April 26 (Xinhua) -- The Intensive Care Unit (ICU) is the last line of defense to protect life, and the critically ill patients admitted to the hospital often need to undergo various invasive procedures, accompanied by tension, pain, anxiety and fear of entering an unfamiliar environment, etc., so that their bodies and minds experience huge choices and tests. In order to more truly experience the patient's medical experience, the Department of Intensive Care Medicine of Caoxian Hospital of Traditional Chinese Medicine recently carried out the "I am a patient in the ICU" transposition experience activity, aiming to experience orotracheal intubation, non-invasive ventilator ventilation, gastric tube placement, protective restraint, oral care and other medical operations, through real empathy, improve the workflow and details, reduce patient pain, and make medical and nursing more warm.
Experience project 1: non-invasive ventilator
Experiencer: Zhang Mingming
Experience and feeling: I have brought countless non-invasive ventilators for patients, but today I realized that it is not so simple. The huge airflow impact of the ventilator, as well as stomach discomfort, chest fullness, dry mouth, etc., are difficult to adapt. Because I was worried about air leakage, the mask was fixed too tightly, and there was a feeling of suffocation, which made me inexplicably irritable, and I always wanted to take off the ventilator. After only twenty minutes, I couldn't hold on, leaving visible marks on my face and a lot of pain above my ears.
Improvements: Teach patients to cooperate with precautions, choose the right mask, do a good job of protecting the patient's skin, and be more patient when nursing.
Experience project 2: endotracheal intubation
Experiencer: Wang Jingbo
Experience feelings: Endotracheal intubation is really uncomfortable, and this time it is already very uncomfortable just by inserting it into the mouth. Saliva swirls in my mouth, I can't swallow it even if I want to, my mouth is firmly fixed by the gas plug retainer, I feel nauseous, and my face feels numb when my mouth opens. There was only one thought, and that was to extubate. But his hands were still restrained, he couldn't move, he couldn't speak, he could only passively wait and endure...... I can't shout if I want to, I can't struggle if I want to, and I feel helpless......
Improvement: From the psychological point of view, we can better understand the feelings of tracheal intubation patients such as "irritability" and "non-cooperation with treatment", and improve the fixation method in the work, release the restraint as soon as possible, operate gently, pay attention to the patient's feelings, and try to make the patient comfortable and reduce the pain.
Experience item 3: Gastric tube placement
Experiencer: Zheng Zhitao, Hu Zhongtao
Experience: When the gastric tube is placed in the nasal cavity, it feels that it is not easy to breathe, and when it reaches the throat, it is the most uncomfortable, involuntary nausea and tears, and involuntary desire to resist, if the resistance is fierce, there will be a risk of injury. The nose strip is fixed on the wing of the nose and feels that the nose is being dragged all the time, which is very uncomfortable.
Improvement: Before intubation of awake patients, explain to them, operate gently during intubation, ask patients to take deep breaths, talk to them, divert attention as much as possible, and reduce discomfort. Awake patients should drink water and swallow and enter the gastric tube at the same time, and the fixation patch should also be fixed in a suitable position.
Experience Project 4: Protective Constraints
Experiencer: Zhu Lin Zhang Meng
Experience feelings: "When I started to restrain my hands, I was uneasy, as if I had no freedom. "The more you struggle, the tighter the restraint belt becomes!" "I can finally understand why patients are so resistant!" Although it was only a short twenty minutes, why is it so long!" "I want to change my position, but I can't change it!"
Improvement: In the future, we should do more empathy and pay more attention to the physical and mental feelings of patients. When carrying out the necessary restraints, attention should be paid to the tightness, and the restraints should be reduced or lifted in a timely manner without bringing danger to the patient.
Experience item 5: oral care
Experiencer: Dong Yulan, Sun Meicui
Experience the feeling: "The ceiling light is too dazzling!" "The tweezers accidentally poked my oral mucosa, it hurt!" The mouthwash irritated my mouth and secreted a lot of saliva. ”
Improvement: In the future, during the operation, if the patient has saliva, I will help them suck it out in time, help them deal with all the problems I can think of, and try to alleviate some pain for the patient.
Experience item 6: Barotherapy
Experiencer: Han Tao
Experience: "It feels very comfortable, inflated and deflated like a massage." "It turns out that the barometric pressure therapy is so comfortable!"
Improvement: Inform patients about their treatment experience before they receive treatment to dispel their fears.
Only by understanding can we understand, and only by transposing can we have a heart-to-heart, and the medical staff have a lot of feelings about the transposition experience activities. In medical care services, we should pay attention to details, find problems, think about problems, solve problems from the perspective of patients, and feel the pain of patients, so as to empathize, better guide daily work, improve service quality, and finally achieve accurate care.
In the next step, the medical team of the intensive care unit of Caoxian Traditional Chinese Medicine Hospital will continue to carry out the immersive transposition experience activity of "My Body, Your Pain", including sputum suction nursing, traditional Chinese medicine nursing operations, arterial blood gas collection, etc. Embody humanistic care from the details, be a warm critical care team, continue to improve the medical experience, and enhance the patient experience. (Correspondent: Zheng Xuan, Ding Pin)