Nursing of the Patients with Creutzfeldt-Jakob Disease. Nursing Management and Care for Long-term Hospitalization of Creutzfeldt-Jakob Disease: The Examination of Four CJD Cases in National Saishunso Hospital.:THE EXAMINATION OF FOUR CJD CASES IN NATIONAL

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Kumamoto prefecture has organized the medical network for intractable neurological diseases in 1999, and National Saishunso Hospital was appointed as the principal institution for these diseases with long-term hospitalization. Four CJD cases have admitted to National Saishunso Hospital since 1999, we examined the actual status and problem of nursing management and care for these CJD patients that all were bedridden state (akinetic mutism) in chronic stage. Main management and care were conservative respiratory care, nasal tube feeding, exchanging body posture, observation on urinary catheter every two hours. These nursing cares were performed always using disposable glove, if necessary sometimes using gown, glass and cap. The difficult problem was that having bath for skin care was impossible because of sharing bath with many other patients, therefore CJD patients were toweled every day. The sickroom was always required isolation private room with lavatory for disposal of infectious excretions. The running costs for disposal of infectious medical wastes were expensive 1, 200-1, 600 yen per one patient every day. In future, the practical manual against CJD infection control accepted in the public is indispensable for sake of safety hospitalization of CJD.
一般社団法人国立医療学会の論文