I. What is HDU?
? HDU is a medical unit between ICU and general ward, mainly for patients whose condition is relatively relieved after intensive treatment in ICU and can be taken out of close supervision, but are still not very stable and need a higher degree of dependence on monitoring and nursing care, such as those who have been with an artificial airway for a long time, those who need to turn over regularly, those who need to be closely monitored for changes in their conditions for basic diseases, and those who need to be actively maintained for life with advanced tumors, etc. In clinical practice. In clinical practice, many critically ill patients have reached the condition of transferring out from the intensive care unit (ICU) after their vital signs have stabilized, but their conditions are still in the stage of high dependence on medical monitoring and nursing care, which is difficult to be received by ordinary wards, and patients are in urgent need of active physical and psychological rehabilitation treatment. In response to this dilemma, the Hyperbaric Oxygen Section has established the HDU Ward.
Second, the difference between Icu and HDU treatment
? ICU doctors emphasize on specialized treatment to maintain the stability of the patient's vital signs, similarly, HDU doctors have to have comprehensive basic knowledge of the full range of diseases, but also need to have complete knowledge of rehabilitation, for what stage the patient is in, what needs to be done to rehabilitate, there are HDU doctors to understand. For this reason the Hyperbaric Oxygen Unit is also equipped with specialized rehabilitation physicians. Mainly for some bedridden for a long time, limb muscle weakness, swallowing function weakened patients to carry out a series of rehabilitation treatment. At the same time to relieve the patient's pain, but also to patients to establish the ability to return to society, back to the family.
Three, for HDU patient care and general ward what is the difference
? HDU patients in hyperbaric oxygen department are mainly cared for by nurses in all aspects of their care, mainly: suction care, tracheotomy care, turning over and buckling the back, oral care, perineal care, etc. Nurses working in HDU wards must have experience in the care of critically ill patients. Hyperbaric Oxygen Department nurse station and HDU ward is very close to each other, only one wall, so that when there is a change in the patient's condition in the ward, the nurses are able to find it in time and do the treatment.
Four: What are the rehabilitation techniques done in the Hyperbaric Oxygen Unit HDU?
In Hyperbaric Oxygen Unit HDU, the medical management and rehabilitation treatment techniques that have been widely used and are relatively mature in technology are:
1. Electric rising composite bed training: It is mainly for paralyzed patients (including paraplegia, hemiplegia and quadriplegia) who are lying in bed for a long period of time due to the weakening of their physical ability, insufficient active movement of paralyzed limbs, and abnormal muscle tone, which leads to a variety of problems such as generalized muscular atrophy, stiff joints, and postural hypotension. And postural hypotension and many other complications, lower extremity orthopedic patients standing rehabilitation training, foot inside and outside the patient ankle joint rehabilitation training, spinal nerve injury patients standing rehabilitation training.
2, lung expansion technology and pulmonary rehabilitation: due to long-term bedridden patients, lung infections are more common, the respiratory capacity will be relatively weakened, in order to make the patient's lung function to reach the normal level, hyperbaric oxygen HDU using positional management, thoracic relaxation training, respiratory muscle training, airway contouring technology to help solve the problem of sputum expulsion of patients.
3, tracheotomy patients to remove the tracheal tube: some patients' sanity after treatment gradually recovered, can have independent breathing, independent cough reflex, can cough out the tracheal secretion of the situation, the doctor will consider the patient to remove the tracheal tube.
4, respiratory management / sputum drainage: due to the poor coughing ability of the patient, the respiratory secretions can not be discharged in time, which will cause many unavoidable complications, for this reason, Hyperbaric Oxygen Division HDU wards are equipped with special coughing machine, HDU nurses will also be based on the patient's needs, on-demand suction sputum.
5. Swallowing promotion and nutritional support: swallowing dysfunction is the main problem blocking the recovery of critically ill patients, and the HDU of Hyperbaric Oxygen Department has a specialized therapist to conduct swallowing training for patients with regard to swallowing function.
6, motor function training: mainly for long-term bedridden people limb tissue strain, accompanied by peripheral neuropathy, resulting in muscle atrophy patients.
V. What are the HDU devices in Hyperbaric Oxygen Section?
Hyperbaric Oxygen Department according to the needs of patients, generally each patient will be set up with cardiac monitoring, sputum, oxygen inhalation device, in order to prevent the patient's condition changes, in the HDU wards will also be configured with emergency carts, tracheal intubation appliances, in order to rescue the patient quickly and quickly. Hyperbaric Oxygen Division HDU ward has enough space to access the treatment equipment, electric stand-up composite bed, multi-functional respiratory therapy machine, continuous joint passive motion therapy instrument, sequential circulator, vibration sputum expectorator, extracorporeal diaphragm pacing, transcranial magnetic stimulation, wheelchair transfer equipment, etc..
VI. How is the humanistic care in HDU different from ICU?
The nurse station of HDU of Hyperbaric Oxygen Department is set up outside the ward to ensure the privacy of the patients on the one hand, and to handle the change of condition in time on the other. There are curtains between the wards to ensure patient privacy. Most ICU wards have a very short visiting time for patients' family members, or they are not able to enter the patient's body during the visiting period, which will cause a sense of security to the patient's heart, the Department of this problem, the patient's family members are allowed to visit, and some patients with stable conditions are allowed to allow their family members to enter the companion, and the family members will be given a series of lectures on HDU wards when they enter the companion to make them understand some basic operating procedures of the companion, and let the patient's family members understand the basic operating procedures of the companion. Family members can master some basic operation of escorting, patient's family one-on-one escorting, on the one hand, can make the patient itself have a sense of security, on the other hand, it is also conducive to timely detection of the patient's condition changes.
? In order to make more critically ill patients recover, hyperbaric oxygen section of all medical staff will move forward, live up to expectations, aiming at the forefront of medicine, constantly study theoretical knowledge, improve specialized treatment technology, bearing in mind the "virtue, fine medicine, loyalty, dedication" motto. For the majority of soldiers and officers as well as the whole society to contribute to the power of rehabilitation medicine!