英文护理查房模板.pptx

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2024-09-19 发布于广东
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英文护理查房模板.pptx

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汇报人：文小库2024-03-18英文护理查房ppt模板

目录PatientInformationNursingCarePlanVitalSignsMonitoringMedicalAdministrationWoundCareandDressingChangesNutritionandDietaryNeedsDischargePlanningandFollowupArrangements

01PatientInformation

BasicInformationFullNameTobefilledinbythenumberormedicalstaff

Male/FemaleGenderTobefilledinbythenumberormedicalstaff(Note:Ageshouldberepresentedasanumericalvaluewithoutanyreferencetospecificyears,decks,orcenters.)AgeBasicInformation

BasicInformationNationalityOccupationAllergiesTobefilledinbythepatientortheirrepresentativeListofknownallergies,ifanyTobespecifiedbythepatientortheirrepresentative

PreviousIllnessSummaryofsignificantpastmedicalconditionsSurgeriesDetailsofanyprevioussurgicalproceduresHospitalizationHistoryofhospitaladmissionsandreasonsforadmissionMedicationsCurrentandpasttreatments,includingdosagesandfrequenciesMedicalHistory

CurrentmedicaldiagnosisorreasonforadmissiontothewardDiagnosisRegularmonitoringofvitalsignssuchastemperature,pulse,respirations,andbloodpressureVitalSignsListofcurrentsymptomsexperiencedbythepatientSymptomsOngoingtreatments,therapies,andtreatmentsadministeredtothepatientTreatmentsCurrentCondition

NursingNeedsAssessmentEliminationAssessmentofBowelandBladderfunction,includinganyassistancerequiredNutritionEvaluationofthepatientsnutritionalstatusanddietaryrequirementsMobilityAssessmentofthepatientsabilitytomoveindependentlySkinIntegrityObservationanddocumentationofskincondition,includinganysoundsorlossesEmotionalWellbeingEvaluationofthepatientsemotionalstateandsupportneeds

02NursingCarePlan

GoalsofCare01Ensurepatientsafetyandcomfortduringhospitalization02Provideholographicnursingcarethataddressesthepatientsphysical,emotional,andsocialneeds03Preventcomplicationsandpromoteoptimalhealthoutcomes