社區(qū)老年人健康保健與護(hù)理867PPT學(xué)習(xí)教案

1、會(huì)計(jì)學(xué)1社區(qū)老年人健康保健與護(hù)理社區(qū)老年人健康保健與護(hù)理867第1頁(yè)/共70頁(yè)n老年人疼痛經(jīng)常伴有抑郁、焦老年人疼痛經(jīng)常伴有抑郁、焦慮、疲勞、睡眠障礙、行走困慮、疲勞、睡眠障礙、行走困難和康復(fù)緩慢的特點(diǎn)。難和康復(fù)緩慢的特點(diǎn)。第2頁(yè)/共70頁(yè)第3頁(yè)/共70頁(yè)第4頁(yè)/共70頁(yè)第5頁(yè)/共70頁(yè)第6頁(yè)/共70頁(yè)n急性疼痛的特征是急性起病，持續(xù)時(shí)間多在1個(gè)月內(nèi)。q有明確的原因，如骨折、手術(shù)。q急性疼痛常伴有自主神經(jīng)系統(tǒng)癥狀，例如心跳加快、出汗，甚至血壓輕度升高。第7頁(yè)/共70頁(yè)第8頁(yè)/共70頁(yè)第9頁(yè)/共70頁(yè)第10頁(yè)/共70頁(yè)q平均疼痛程度（API）q當(dāng)前的疼痛程度（PPI）q最重的疼痛程度（WPI）q

2、最輕的疼痛程度（LPI）第11頁(yè)/共70頁(yè)第12頁(yè)/共70頁(yè)第13頁(yè)/共70頁(yè)n影響正確評(píng)估的因素影響正確評(píng)估的因素連接第14頁(yè)/共70頁(yè)第15頁(yè)/共70頁(yè)第16頁(yè)/共70頁(yè)第17頁(yè)/共70頁(yè)第18頁(yè)/共70頁(yè)第19頁(yè)/共70頁(yè)第20頁(yè)/共70頁(yè)第21頁(yè)/共70頁(yè)第22頁(yè)/共70頁(yè)第23頁(yè)/共70頁(yè)n吟不止，強(qiáng)迫體位，無法應(yīng)答。吟不止，強(qiáng)迫體位，無法應(yīng)答。第24頁(yè)/共70頁(yè)第25頁(yè)/共70頁(yè)第26頁(yè)/共70頁(yè)第27頁(yè)/共70頁(yè)第28頁(yè)/共70頁(yè)第29頁(yè)/共70頁(yè)第30頁(yè)/共70頁(yè)第31頁(yè)/共70頁(yè)第32頁(yè)/共70頁(yè)第33頁(yè)/共70頁(yè)適用于不能口服的病人和已經(jīng)適用于不能口服的病人和已經(jīng)適應(yīng)于大劑

3、量阿片的病人。適應(yīng)于大劑量阿片的病人。2.5mg/2.5mg/貼，貼，3 3天更換一劑。天更換一劑。第34頁(yè)/共70頁(yè)第35頁(yè)/共70頁(yè)第36頁(yè)/共70頁(yè)第37頁(yè)/共70頁(yè)n按糞便貯留部位不同，分為結(jié)按糞便貯留部位不同，分為結(jié)腸性和直腸性腸性和直腸性第38頁(yè)/共70頁(yè)第39頁(yè)/共70頁(yè)第40頁(yè)/共70頁(yè)第41頁(yè)/共70頁(yè)第42頁(yè)/共70頁(yè)n口服瀉藥的護(hù)理措施第43頁(yè)/共70頁(yè)第44頁(yè)/共70頁(yè)第45頁(yè)/共70頁(yè)第46頁(yè)/共70頁(yè)第47頁(yè)/共70頁(yè)第48頁(yè)/共70頁(yè)1、重建良好的排便習(xí)慣2、調(diào)整飲食3、局部護(hù)理4、應(yīng)用止瀉劑5、針灸6、生物反饋治療7、健康指導(dǎo) （1）盆底肌鍛煉 （2）自我評(píng)價(jià)

4、護(hù)理措施第49頁(yè)/共70頁(yè)第50頁(yè)/共70頁(yè)第51頁(yè)/共70頁(yè)第52頁(yè)/共70頁(yè)第53頁(yè)/共70頁(yè)第54頁(yè)/共70頁(yè)第55頁(yè)/共70頁(yè)第56頁(yè)/共70頁(yè)第57頁(yè)/共70頁(yè)第58頁(yè)/共70頁(yè)第59頁(yè)/共70頁(yè)第60頁(yè)/共70頁(yè)人。人。第61頁(yè)/共70頁(yè)第62頁(yè)/共70頁(yè)第63頁(yè)/共70頁(yè)齒、牙列缺失、齒、牙列缺失、吞咽吞咽困難有關(guān)。困難有關(guān)。第64頁(yè)/共70頁(yè)第65頁(yè)/共70頁(yè)第66頁(yè)/共70頁(yè)第67頁(yè)/共70頁(yè)第68頁(yè)/共70頁(yè)E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWk

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6、s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D

7、2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOd

8、LaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZ

9、oWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&a

10、mp;s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H5E2B+x(u%r%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w&t!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNc

11、K8H5D2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcLcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)v&s#pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qY

12、nVjSgPdLaI6F3C0y)v&s#pXlUiRfNcK9H5E2A+x(u$rZoWkThPeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6E3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)w&s!pXmUjRfOcL9H6E3B

13、+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$u$qZnWkShPeMaJ7

14、F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)v&s#pXmUiRfNcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiR

15、fNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-w&t!qYmVjRgOdL9L9I6F3B0y(v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)w&t!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w&s!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)v&s!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G5D1A-w*t

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19、&s#pXmUiRfNcK9H5E2B+A+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-w&t!pYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)w&t!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)w)w&s!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)v&s!pXmUiRfOcK9H6E2B+x(