护理教学查房双语详解.ppt

护理诊断 恐惧或焦虑 与对疾病缺乏了解和感知疾病威胁有关 护理目标 对疾病和预后 的焦虑与恐惧感减轻 Nursing interventions Emotional support: creating an environment in which he can express concerns and acknowledge fears showing a caring attitude offering encouragement ,acceptance. 护理措施 心理支持： 接纳和理解患者 创造有利于患者倾诉的环境 给予关怀、鼓励、支持 促进有效应对 Nursing Diagnosis 4 Lack of HCM self-management knowledge and skills Nursing Goals Adequate self-management knowledge and skills 护理诊断 知识缺乏 缺乏肥厚性心肌病自我管理知识与技能 护理目标 有足够的自我管理知识与技能 Nursing interventions Knowledge of HCM Explain the effects and side effects of medication Carry a medical condition card in case of emergency Family members be trained the basic life support techniques Keep adherence to the therapeutical regimen and self-monitoring Prompt self-management by health teaching 护理措施 健康教育 有关疾病知识 有关用药知识 家庭成员急救技能训练 携带病历简卡 遵从治疗方案，加强自我监测 促进自我管理 Nursing Evaluation Demonstrate an adequate cardiac output Increased exercise tolerance, improve the client’s quality of life. Demonstrate proper management of physical and emotional activities. Administer medications safely and recognize possible side effects. Obey the therapeutical regimen. 护理评价 足够的心输出量，无并发症发生 患者活动耐力增加，生活质量提高 患者显示对活动与情绪的恰当管理 患者能安全用药和识别可能发生的副作用 遵从治疗方案 Instructions Avoid over exciting and be emotionally stable. Adjust lifestyles. Monitor the effects and side effects of medications. Come back to the hospital for follow up checks regularly. Family member can master the basic life support techniques. 出 院 指 导 避免情绪激动，保持情绪稳定 改变生活方式 监测药物作用与付作用 定时复查 患者家庭成员掌握基本生命支持技术 讨 论 为什么该病人非常关心女儿的健康？ Discussion Why was he worried about his daughter’s health? The exact etiology of HCM is yet unclear. About one third of the affected clients have family history. It is currently recognized as a genetically transmitted disease that is associated with multiple gene alterations. 讨 论 患有HCM的病人常有明显的心理问题，为什么？ Discussion The patients with HCM often have more emotional reactions, why? To many people ,heart is the symbol of their life. A client wit