護理學(xué)基礎(chǔ)臨終護理課件

則小故事只小鳥在樹上快樂地唱著歌,突然來了陣急風(fēng),把小鳥吹落到地上。小鳥的翅膀受傷了,在地上一動不能動。就在這時天上又下起了雪,雪越下越大,眼看就要把小鳥埋在雪里了就在小鳥絕望地等待死亡到來的時候,一頭牛經(jīng)過,拉了一坨牛糞在小鳥身上。凍僵的小鳥躺在糞堆里,覺得好溫暖,從未有過的溫暖。不久小鳥又開始唱起歌來,狐貍聽到歌聲后,尋著歌聲發(fā)現(xiàn)了糞堆里的小鳥,把它拽出來吃掉了。問題是這坨牛糞對于小鳥來說是好事還是壞事?答案有三個:A好事;B壞事;C不好不壞。你會選擇哪個答案?臨終護理陳莉莉祖木來提祝秋玥馬旭史學(xué)倩案例介紹相關(guān)知識講解3論搶答題目概念使家屬的身心健康得到維護和增強臨終關(guān)懷我國第一所臨終關(guān)懷中心于1988年7月在天津醫(yī)學(xué)院成立?，F(xiàn)在,許多人熱心關(guān)注臨終關(guān)懷事業(yè),積極投入適合中國文化和傳統(tǒng)的臨終關(guān)懷的研究和實踐臨終關(guān)懷是一項利國利民的社會工程。個86歲患有心力衰竭惡液質(zhì)的老人的臨終生活及護理MrsHwalksprimarilywithawalker(輪椅)andisdyspneic(呼吸困難的)withminimalexertion(稍有運動)Sheleavesherapartmentrarely,andalwayswithassistanceSheisabletobatheclothe,andtoiletherselfidependentlybutrequiresassistancewithmealpreparationandotheinstrumentalactivitiesofdailylivingHermobilityisseverelylimitedbyarthriticjointsandshehasdifficultywithbalance.Shehasfallenseveraltimes,requiringhospitalizationforminorinjuriesonnumerousoccasions案例介紹Mrshhashadinsulin-dependentdiabetes(胰島素依賴型糖尿病)sincethe1980s.Sheexperiencedamyocardialinfarction(心肌梗死)in2019andsubsequentlyunderwentplacementofastent(x>)Followingmultiplepercutaneouscoronaryinterventions(經(jīng)皮冠狀動脈介入治療)intermittentepisodesofatrialfibrillation(心房顫動),andimplantationofabiventricular/implantablecardioverter-defibrillator(PAB器)cardiacpacemaker(心臟起搏器),shehasseverecoronaryheartdisease(冠心病),withaleftventricularejectionfraction(左心室射血分?jǐn)?shù))of15%Onrecentphysicalexamination,Mrshlookedquitewellbutwaspale(蒼白).Herbloodpressurewas11070mmHgheartratewas50/min,andrespiratoryrate(呼吸率)was6/min正常呼吸頻率:16-20次/min。呼吸過緩:少于12次min呼吸過速:大于24次minRecentlaboratoryfindingsincludedcreatininelevels(LR&Afrangingfrom1.2to2.4mg/dL血清肌酸酐:正常值:男0.7-1.5mgd,女0.5-1.2mg/dl肌酸酐的排泄反應(yīng)腎小球的率過濾,反應(yīng)腎臟的功能,肌酸酐上升越高,腎功能越不好Andserumureanitrogenlevels(血清尿素氮)