Obukhovets t n sister business in therapy. Nursing in therapy with a course of primary medical care: workshop

Available in formats: Epub | PDF | FB2.

Pages: 418

The year of publishing: 2014

Language: Russian

Workshop written in accordance with the Federal State educational standard Specialty "Nursing" for secondary special educational institutions. The features of nursing assistance in specific diseases of the internal organs, starting from the outpatient polyclinic level, are covered. The focus is on the skills of the nurse to exercise the nursing process and use the model of the nursing business. Medical and technological protocols (algorithms) of nursing manipulations and procedures with justification, which help to comprehend the actions set out in the Protocol, to understand the need to perform each of them. Standardized plans for nursing interventions for the provision of primary medical care in various states in therapy are proposed. It is recommended as a tutorial for students of the selection "Nursing" basic level medical colleges, colleges, as well as practicing nurses.

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Year of issue: 2005

Genre: Nursing

Format: Djvu.

Quality: Scanned Pages

Description:In nursing business in last years There were big changes. The attitude of society to nursing practice, the system of professional nursing education is changed, modern nursing technologies are being created, introduced scientific methods Organizations of nursing practice. Conditions are changed to provide effective and high-quality nursing assistance. The Russian model of the nursing case is justified, the stem is the nursing process. Work is deployed to ensure high quality nursing care. By 1994, a three-level sister education system was formed: 1st level (medical school), 2nd level (medical college), 3rd level (higher professional education). The new State Educational Standard 2002 was adopted in the specialties "Nursing", "therapeutic case", "obstetric cause".
Today, medical sisters, paramedics, obstetrics, regardless of education, are needed by modern knowledge in the field of philosophy and the theory of nursing, communications in the nursing business, the knowledge of the nursing pedagogy, psychology, modern requirements of the sanitary and anti-epidemic regime of medical and prophylactic institutions, the ability to perform nursing manipulations in accurately compliance with the requirements for the standardization of nursing procedures. Order of the Ministry of Health of Russia dated December 31, 97 No. 390 "On measures to improve the nursing case in Russian Federation"It was decided to develop and implement the medical and technological protocols of nursing manipulations in the prescribed manner.
Today there are a wonderful textbook, teaching aids on the "Basis of Nursing Case" of the famous authors S.A. Mukhina and I.I. Tyricovskaya, various publishes educational and methodical materials in nursing. But college student, faculties of higher nursing education, student medical school Compact textbooks are needed as satisfying the requirements of the educational standard on the discipline "Basics of Nursing Affairs".
This manual does not claim a comprehensive statement of the issues of nursing practice, but it sufficiently covers all the topics of the discipline of the new state educational standard 2002 and may have a substantial methodical and practical help Students and teachers in the preparation and conduct of classes. It can promote the quality of nursing care, prestige of the profession of medical sister, paramedic, midwifery.
In the book "Fundamentals of the Nursing Cause", new topics are set out, such as Bioethics, "History of Nursing Cause", "Man's Needs in Health and Diseases". "Models of the nursing case", "Safe Hospital Environment", "Proper biomechanics of the patient's body and sister" are given modern medical and demographic and other indicators that characterize the state of public health and human habitat who have not studied in the framework of the discipline "Basics of Nursing Cause" , some topics and sections of programs, such as "subject, place and role public Health and health "," History of Nursing Cause "," Human Needs in Health and Diseases "," Sursing Models "," Learning in Nursing Business "," Safe Hospital Environment "," Losses, Death and Mount "are revised and supplemented. This allows students and teachers to fill the gap that today exists in providing educational process Special literature reduces the search for the necessary information.
The authors are grateful to everyone who helped release a new edition of the tutorial.
The training manual "Basics of Nursing Affairs" is intended for students of medical colleges, schools, as well as practicing nurses.

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Workshop written in accordance with the Federal State Educational Standard with a specialty "Nursing" for secondary special educational institutions.
The features of nursing assistance in specific diseases of the internal organs, starting from the outpatient polyclinic level, are covered. The focus is on the skills of the nurse to carry out the nursing process and use the nursing models.
Medical and technological protocols (algorithms) of nursing manipulations and procedures with justification, which help to comprehend the actions set out in the Protocol, to understand the need to perform each of them. Standardized plans for nursing interventions for the provision of primary medical care in various states in therapy are proposed.
It is recommended as a textbook for students of the department "of an increased basic level of medical colleges, schools, as well as practicing nurses.
TABLE OF CONTENTS
Introduction
Chapter 1. The main provisions of sister models
Similarities and differences in the interpretation of concepts of models V. Henderson, D. Orhem, M. Allen
Chapter 2. Population Health, Basic Concepts
Chapter 3. Nursing Process, its maintenance in the context of modern practical health care of Russia
Organization of the nursing process therapeutic patients
Value of conduct scientific research in nursing business
An example of solving the problem of a patient associated with a violation of meeting the need to sleep (according to the model V. Henderson)
Scheme solution of the problem of a patient associated with a violation of satisfaction consumption according to the model D. Orhem
Scheme solution of the problem of a patient associated with a violation of the satisfaction of needs (according to the model M. Allen)
Chapter 4. Preparation of patients and techniques for clinical and laboratory and instrumental research
Blood fence for general analysis
Taking blood from veins on biochemical research
Taking blood from veins on hemoculture (sterility) and sensitivity to antibiotics
Selection of material from a zea and nose for bacteriological research
Material fence on naked meningococcus
Survey study
Bacteriological examination of sputum
Urine collection for general clinical analysis
Collection of urine on sugar from daily quantity
Urine collection for research on the method of Nechiporenko
Urine collection for research on the Zimnitsky method
Patient learning (patient) urine collection for bacteriological research
Calla study on a coprogram
Cala's study on the simplest and eggs of worms
Cala's research on hidden blood
Fence fence for bacteriological research
Scraping on enterobiosis
Radiographic study of the stomach and duodenum
Oral cholecystography (X-ray study of the gallbladder and biliary tract)
Hyproop (X-ray study of the gallbladder and biliary tract)
Irrigoscopy (x-ray studies of the colon)
Intravenous (excretory) pyelography (X-ray study of the kidneys and urinary tract)
Bronchoscopy (endoscopic study of bronchi)
Fibrogasgroduodenoscopy (Endoscopic examination of the esophagus, stomach and duodenal)
RectorOnoscopy (endoscopic study of the direct and sigmoid intestine)
Colonoscopy (endoscopic study of the colon)
Cistoscopy (endoscopic urinary bubble study)
Ultrasound of the abdominal organs (ultrasound examination of the liver, gallbladder, pancreas, spleen) and kidneys
Ultrasound with the definition of the contractile ability of the gallbladder
Ultrasound of a small pelvic organs (bladder, uterus, ovarian, prostate gland)
Ultrasound kidneys, hearts and vessels
Chapter 5. Preparation of patients and techniques for treating procedures for diseases of respiratory organs
Thermometry
Body temperature and its measurement
Measurement of body temperature in the axillary region
Registration of thermometry data
Wet wrath
Staging Mortychnikov
Setting banks
Ice Bubble Feed
Application of a cold bind
Ventilation requirements and air The premises in which the patient is
Oxygen therapy (supply of hydrated oxygen from oxygen pillow)
Supply of hydrated oxygen through the nasal catheter
Collection of sputum on mycobacterium tuberculosis
Disinfection of sputum and pocket cavity at home
Complex of the exercise of respiratory gymnastics to improve the ventilation of the lungs
Rules for using a pocket inhaler (Caller)
Calculation, breeding and administration of antibiotics intramuscularly
Puncture of the pleural cavity (thoraccentsis)
Primary medical care for respiratory diseases
Help with dry (unproductive) cough
Help with wet (productive) cough
Assistance in the attack of suffocation (bronchial asthma)
Help with hemophrics
Help with chest pain
Drainage (Position Quince)
Positioning drainage
Help with hyperthermia (fever)
Chapter 6. Preparation of patients and techniques for treating procedures for diseases of blood circulation
Mustard foot baths
Counting pulse and determination of its quality
Measuring blood pressure
Daily diurea measurement and water balance definition
Accounting and Definition of Water Balance
Patient body weight determination
Subcutaneous injection
Introduction of oil solutions intramuscularly
Hirudotherapy
Staging a leech
Technique imposing venous harnesses
Hypertensive enema
Oil enema
Cardiopulmonary resuscitation outside of medical institutions
Signs clinical death
Restoration of respiratory tract
Artificial ventilation of the lungs
Artificial ventilation of the lungs by the "Reta in Mouth" method
Closed (indirect) heart massage in adults and elderly
Signs of biological death
Primary medical care for diseases of blood circulation
Help with heart pain (angina attack)
Help with the attack of choking (heart asthma)
Help with fainting (syncopal states)
Collecting assistance
Help with shock (general anti-shock events)
Help with hypertensive crisis
ECG registration protocol (electrocardiogram)
Chapter 7. Preparation of patients and techniques for treating procedures for diseases of the digestive
Stomach washing
Taking the gastric content by the fractional method
Acidometry
Benefit method for determining the gastric secretion (acidotest)
Duodenal sensing
Care in vomiting
Cleaning enema
Application of a gas-conductive tube
Putting the medicinal enema
Application of drip enema
Application of siphon enema
Feeding seriously ill
Planning necessary assistance Patient in the event of problems related to feeding
Help during food intake
Feeding the patient through a nastastric probe
Study of biliary pigments in the urine by express method (rosa test)
Primary medical care for diseases of the digestive
Help with gastrointestinal bleeding
Help with pain in the epigastric area
Help when laying
Assistance for diarrhea (diarrhea)
Help with liver colic
Chapter 8. Preparation of patients and techniques for treating procedures for diseases of the authorities
Wake up serious patient patient
Water bubble catheterization woman
Water bubble catheterization man
Primary medical care
for diseases of the allocation bodies
Help with acute urine delay
Proponial assistance at eats for kidney disease.
Patient Crket Care (Patient) with Urinary Catheter
Care and prevention
Chapter 9. Preparation of patients and techniques for treating procedures for blood diseases
Intravenous injection
Intravenous drip injection of liquids
Calculation and administration of heparin
Chapter 10. Preparation of patients and equipment
performing procedures for care for diseases of the endocrine system
Introduction Insulin
Tolerance to glucose tolerance (PTH)
Urine study on glucosurial profile
Primary medical care for diseases of the endocrine system
Help with a deficiency of knowledge about the disease (diabetes mellitus)
Help with hypoglycemic coma
Help with hyperglycemic coma
Bread units (hehe) table in food
Chapter 11. Preparation of patients and technique for treating procedures for diseases of the joints
Staging a warming compress
Primary medical care for diseases of the joints
Help with joint pain
Chapter 12. Primary Medical Assistance for Serent Allergies
Anaphylactic shock help
Applications
Attachment 1.
Safe traveling patient
Methods of moving patients
Safe methods of holding patients when picked up or movement
Appendix 2.
Infectious control. Infectious security
Sample patient problem bank
And nursing interventions
Characteristics of therapeutic diets
Compatibility of medicines
Tables for preparation for laboratory research methods
Collection of tasks for self-control (with reference standards)
Reference standards for tasks in test form For self-control
LITERATURE

This manual is represented by the algorithms of manipulations in the nursing case. Unfortunately, the "technology of fulfilling simple medical services", approved as the standards of nursing practice are still single. Therefore, precisely algorithms allow today to train nurses modern technologiesSimultaneously disciplining as a teacher and students. Create a worthy algorithm, make it perfect not easy. When creating this manual, the results of scientific research were taken into account in accordance with the principles of medicine, many years of experience of nursing teachers and representatives of practical health care, "technologies for the fulfillment of simple medical services, created within the framework of the joint Russian-Canadian project" Roxy ". Decent attention in the manual is given to the learning role Sisters taking increasing importance today. Manual (this version is already 5) used in the preparation and students and students of the department of additional professional education.

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