Obukhovets tp nursing in therapy. Nursing in Therapy with Primary Care Course

Obukhovets tp nursing in therapy.  Nursing in Therapy with Primary Care Course

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Year of issue: 2005

Genre: nursing

Format: DjVu

Quality: Scanned pages

Description: In nursing at last years there have been big changes. The attitude of society towards nursing practice, the system of professional nursing education are changing, modern nursing technologies are being created, and scientific methods of organizing nursing practice are being introduced. The conditions for providing effective and high-quality nursing care are changing. The Russian model of nursing is substantiated, the core of which is the nursing process. Work has been launched to ensure the high quality of nursing care. By 1994, a three-level system of nursing education was formed: level 1 (medical school), level 2 (medical college), level 3 (higher professional education). A new State educational standard of 2002 was adopted for the specialties "Nursing", "General Medicine", "Obstetrics".
Today, nurses, paramedics, midwives, regardless of the level of education, need modern knowledge in the field of philosophy and theory of nursing, communication in nursing, knowledge of nursing pedagogy, psychology, modern requirements sanitary and anti-epidemic regime of medical institutions, the ability to perform nursing manipulations in strict accordance with the requirements for standardization of nursing procedures. Order of the Ministry of Health of Russia dated December 31, 97 No. 390 “On measures to improve nursing in Russian Federation» it was decided to develop and implement in the prescribed manner medical and technological protocols for nursing manipulations.
Today there is an excellent textbook, teaching aids on the "Fundamentals of Nursing" by famous authors S.A. Mukhina and I.I. Tyarnovskaya, various teaching materials on nursing. But a student of a college, faculties of higher nursing education, a student of a medical school needs compact teaching aids that maximally meet the requirements of the educational standard in the discipline "Fundamentals of Nursing".
This manual does not claim to be an exhaustive presentation of the issues of nursing practice, but it sufficiently covers all topics of the discipline of the new State Educational Standard of 2002 and can provide significant methodological and practical assistance to students and teachers in preparing and conducting classes. It can help improve the quality of nursing care, the prestige of the profession of nurse, paramedic, midwife.
In the book "Fundamentals of Nursing", new topics are outlined, such as "Bioethics", "History of Nursing", "Human Needs for Health and Disease". "Models of Nursing", "Safe Hospital Environment", "Proper Biomechanics of the Body of the Patient and Sister" are given modern medical, demographic and other indicators characterizing the state of public health and the human environment, which were not previously studied within the framework of the discipline "Fundamentals of Nursing" , some topics and sections of the program, such as “The subject, place and role of public health and health”, “History of nursing”, “Human needs for health and disease”, “Nursing models”, “Nursing education”, “ Safe Hospital Environment”, “Loss, Death and Grief” revised and supplemented. This enables students and teachers to fill the gap that exists today in providing educational process specialized literature, reduces the search for the necessary information.
The authors would like to thank everyone who helped produce this new edition. study guide.
The textbook "Fundamentals of Nursing" is intended for students medical colleges, schools, as well as practicing nurses.

Available in formats: epub | PDF | FB2

Pages: 418

The year of publishing: 2014

Language: Russian

The workshop is written in accordance with the Federal State educational standard in the specialty "Nursing" for secondary specialized educational institutions. The features of nursing care for specific diseases of the internal organs are highlighted, starting from the outpatient level. Emphasis is placed on the skills of the nurse to carry out the nursing process and use nursing models. Medical and technological protocols (algorithms) of nursing manipulations and procedures with justifications are presented, 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 care for various conditions in therapy are proposed. It is recommended as a textbook for students of the department of "Nursing" of an increased basic level of medical colleges, schools, as well as practicing nurses.

Reviews

Maxim, Dnepropetrovsk, 30.09.2017
Very convenient service, I advise everyone. Everything is very simple and clear, no extra steps are required.

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This manual is presented by nursing manipulation algorithms. Unfortunately, "Technologies for performing simple medical services" approved as standards of nursing practice are still rare. Therefore, it is algorithms that make it possible to train nurses today. modern technologies, at the same time I discipline both the teacher and the students. It is not easy to create a worthy algorithm, to make it ideal. In creating this manual, the results of scientific research in accordance with the principles of medicine, many years of experience of nursing teachers and representatives of practical healthcare, "Technologies for performing simple medical services created within the framework of the joint Russian-Canadian project" ROXY ". Worthy attention in the manual is paid to the teaching role of the sister, which is becoming increasingly important today. The manual (the current version is already 5) is used in the preparation of both students and trainees of the department of additional professional education.

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The workshop was written in accordance with the Federal State Educational Standard in the specialty "Nursing" for secondary special educational institutions.
The features of nursing care for specific diseases of the internal organs are highlighted, starting from the outpatient level. Emphasis is placed on the nurse's ability to carry out the nursing process and use nursing models.
Medical and technological protocols (algorithms) of nursing manipulations and procedures with justifications are presented, 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 care for various conditions in therapy are proposed.
It is recommended as a teaching aid for students of the advanced basic level department of medical colleges, schools, as well as practicing nurses.
TABLE OF CONTENTS
Introduction
CHAPTER 1. Basic provisions of models of nursing
Similarities and differences in the interpretation of the concepts of models V. Henderson, D. Orem, M. Allen
CHAPTER 2. Health of the population, basic concepts
CHAPTER 3. Nursing process, its content in the conditions of modern practical healthcare in Russia
Organization of the nursing process for therapeutic patients
The Importance of Research in Nursing
An example of solving a patient's problem associated with a violation of the satisfaction of the need to sleep (according to the model of V. Henderson)
Scheme for solving the patient's problem associated with a violation of the satisfaction of needs according to the D. Orem model
Scheme for solving the patient's problem associated with a violation of the satisfaction of needs (according to the model of M. Allen)
CHAPTER 4. Preparation of patients and technique for performing clinical, laboratory and instrumental studies
Blood sampling for general analysis
Taking blood from a vein for a biochemical study
Taking blood from a vein for blood culture (sterility) and sensitivity to antibiotics
Collection of material from the pharynx and nose for bacteriological examination
Collection of material for meningococcus from the nasopharynx
Sputum examination
Bacteriological examination of sputum
Urine collection for general clinical analysis
Collection of urine for sugar from the daily amount
Urine collection for research according to the Nechiporenko method
Urine collection for research according to the Zimnitsky method
Teaching the patient (female) to collect urine for bacteriological examination
Examination of feces for a coprogram
Examination of feces for protozoa and eggs of worms
Examination of feces for occult blood
Stool collection for bacteriological examination
Scraping for enterobiasis
X-ray examination of the stomach and duodenum
Oral cholecystography (x-ray examination of the gallbladder and biliary tract)
Cholegraphy (x-ray examination of the gallbladder and biliary tract)
Irrigoscopy (X-ray examination of the colon)
Intravenous (excretory) pyelography (X-ray examination of the kidneys and urinary tract)
Bronchoscopy (endoscopic examination of the bronchi)
Fibrogasgroduodenoscopy (endoscopic examination of the esophagus, stomach and duodenum)
Sigmoidoscopy (endoscopic examination of the rectum and sigmoid colon)
Colonoscopy (endoscopic examination of the large intestine)
Cystoscopy (endoscopic examination of the bladder)
Ultrasound of the abdominal organs (ultrasound of the liver, gallbladder, pancreas, spleen) and kidneys
Ultrasound with the definition of the contractility of the gallbladder
Ultrasound of the pelvic organs (bladder, uterus, ovaries, prostate)
Ultrasound of the kidneys, heart and blood vessels
CHAPTER 5
Thermometry
Body temperature and its measurement
Measurement of body temperature in the armpit
Registration of thermometry data
Wet rubdown
Staging mustard plasters
Canning
Ice Pack Serving
Application of cold lotion
Requirements for ventilation and air environment of the premises in which the patient is located
Oxygen therapy (supply of humidified oxygen from an oxygen bag)
Humidified oxygen delivery through a nasal catheter
Sputum collection for Mycobacterium tuberculosis
Disinfection of sputum and pocket spittoons at home
A set of breathing exercises to improve lung ventilation
Rules for using a pocket inhaler (spray)
Calculation, dilution and administration of antibiotics intramuscularly
Puncture of the pleural cavity (thoracocentesis)
Primary care for respiratory diseases
Help with dry (unproductive) cough
Help with a wet (productive) cough
Help with an attack of suffocation (bronchial asthma)
Help with hemoptysis
Help with chest pain
Drainage position (Quincke position)
Positional drainage
Help with hyperthermia (fever)
CHAPTER 6. Patient preparation and care techniques for circulatory diseases
Mustard foot baths
Pulse counting and determination of its quality
Blood pressure measurement
Measurement of daily diuresis and determination of water balance
Accounting and determination of water balance
Determination of the patient's body weight
subcutaneous injection
The introduction of oil solutions intramuscularly
Hirudotherapy
Setting up leeches
Venous tourniquet technique
Hypertonic enema
oil enema
Out-of-hospital cardiopulmonary resuscitation
Signs of clinical death
Restoration of airway patency
Artificial lung ventilation
Artificial ventilation of the lungs by the mouth-to-mouth method
Closed (indirect) heart massage in adults and the elderly
Signs of biological death
Primary medical care for diseases of the circulatory system
Help with heart pain (angina attack)
Help with an asthma attack (cardiac asthma)
Help with fainting (syncope)
Help with collapse
Help with shock (general anti-shock measures)
Help with hypertensive crisis
ECG recording protocol (electrocardiogram)
CHAPTER 7
Gastric lavage
Taking gastric contents by fractional method
acidometry
Tubeless method for determining gastric secretion (acidotest)
duodenal sounding
Care for vomiting
Cleansing enema
The use of a gas tube
Setting up a medicinal enema
Application of a drip enema
The use of a siphon enema
Feeding the seriously ill
Planning for the necessary care for the patient in case of problems associated with feeding
Help with meals
Feeding the patient through a nasogastric tube
Examination of bile pigments in urine by an express method (Rozin's test)
Primary care for diseases of the digestive system
Help with gastrointestinal bleeding
Help with pain in the epigastric region
Help with constipation
Help with diarrhea
Help with hepatic colic
CHAPTER 8
Washing a seriously ill patient
Bladder catheterization for a woman
Bladder catheterization for a man
Primary Care
in diseases of the excretory organs
Help with acute urinary retention
First aid for edema in kidney disease.
Care of the perineum of a patient (female patient) with a urinary catheter
Care and prevention of bedsores
CHAPTER 9 Patient Preparation and Techniques for Blood Care
intravenous injection
Intravenous drip fluids
Calculation and administration of heparin
CHAPTER 10 Patient Preparation and Technique
performing care procedures for diseases of the endocrine system
Insulin administration
Glucose tolerance test (PTH)
Urinalysis for glucosuric profile
Primary care for diseases of the endocrine system
Help with a lack of knowledge about the disease (diabetes mellitus)
Help with hypoglycemic coma
Help with hyperglycemic coma
Table of the content of bread units (XE) in food
CHAPTER 11 Patient Preparation and Techniques for Joint Care
Applying a warm compress
Primary care for joint diseases
Help with joint pain
CHAPTER 12. Primary care for acute allergies
Help with anaphylactic shock
APPS
Annex 1.
SAFE PATIENT TRANSFER
Patient Transfer Technologies
Safe Techniques for Holding Patients When Lifting or Moving
Appendix 2
INFECTION CONTROL. INFECTIOUS SAFETY
EXAMPLE BANK OF PATIENT PROBLEMS
AND NURSING INTERVENTIONS
CHARACTERISTICS OF THERAPEUTIC DIETS
DRUG COMPATIBILITY
TABLES ON PREPARATION FOR LABORATORY RESEARCH METHODS
COLLECTION OF TASKS FOR SELF-CONTROL (WITH STANDARDS OF ANSWERS)
Sample answers to tasks in a test form for self-control
LITERATURE


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