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PatientCareEnglish目錄CONTENTSPatientreceptionandcommunicationDailynumberingoperationsObservationandrecordingofmedicalconditionsEmergencysituationhandlingDischargeguidanceandfollowup01PatientreceptionandcommunicationCHAPTERItisessentialtogreetthepatientwarmandmakethemfeelwelcomeUsephraseslike"Goodmorning/afternoon/evening,howmayIassistyoutoday?"or"Hello,welcometoourclinic.It'snicetomeetyou."GreetingsIntroduceyourselfandyourroletothepatientSayyourname,yourjobtitle,andifyouareanurseoradoctorForexample:"Hello,mynameis[YourName],I'maregisterednumber.Iwillbeassistingyoutoday."IntroductionGreetingandintroductionsInquiryAskthepatientabouttheircurrenthealthstatus,anypreviousillnesses,surgeries,allergies,andcurrentdiagnosesUseopenendedquestionslike"Howhaveyoubeenfeelinglately?"or"Haveyoubeenexperiencinganydiscomfortorpain?"RecordsDocumentalltheinformationyougatherfromthepatientduringtheconsultationThisincludestheirvitalsigns,symbols,andanyotherrelevantinformationEnsurethattherecordsareaccurateandlegalInquiriesandRecordsofMedicalConditionsNursingplanandpreparationsNursingPlan:DiscussionswiththepatientthenursingplanthatwillbefollowedExplainwhattheplandetails,includingtheprocedures,tests,andtreatmentsthatwillbeadministeredEnsurethatthepatientunderstandstheplanandiscompatiblewithitPrecautions:InformthepatientofanypotentialrisksorsideeffectsassociatedwiththeplanProvidethemwithnecessarypreventivemeasurestotakebefore,during,andafterthetreatmentForexample:"Pleasetaketheseprecautionstoensureyoursafetyduringtheprocedure:avoideatingordrinkingforafewhoursbeforetheprocedure,donotdriveaftertheprocedure,andtakethesesubscribedmedicineasdirected."02DailynumberingoperationsCHAPTERMeasurevitalsignsVisualsignsrefertothebasicphysiologicalindicatorsofaperson'shealthstatus,includingbodytemperature,heartrate,respiratoryrate,bloodpressure,andoxygensaturationItisimportanttomeasurevitalsignsregularlytoassessapatient'sconditionanddetectanychangesthatmayrequireinterventionMeasurementofvitalsignscanbedoneusingvariousdevices,suchasthermometers,bloodpressurecups,pulseoximeters,andstethoscopesAccuracyandconsistencyareessentialinmeasuringvitalsignstoensurethatanyabnormalitiesaredetectedpromptlyDrugmanagementinvolvestheproperhandlingandadministrationofmedicinetopatientsItincludesobservingthecorrectdrugs,ensuringtheyarestoredinappropriateconditions,preparingthemforadministration,andmonitoringforanyadversereactionsDrugmanagementProperdrugmanagementiscrucialtoensurepatientsafetyandeffectivetreatmentoutcomesNursesplayakeyroleindrugmanagement,collaboratingwithotherhealthcareprofessionalstoensureaccuracyandsafetymedicineadministrationDrugmanagementDietsandnutritionareessentialformaintaininggoodhealthandpromotingrecoveryfromIllnessAbalanceddiethatprovidesthenecessarynutrients,vitamins,andmineralsiscriticalforpatients'wellbeingNursesassessmentpatients'dietaryneedsbasedontheirconditionsandmedicaladvice,andprovideguidanceonappropriatemedicalchoicesandportsizesTheyalsomonitorforanydietaryrestrictionsorallowancesandensurethatpatientsreceivethenecessarysuppliesoralternativefoodasrequiredDietsandNutritionMaintaininggoodhygieneisessentialtopreventinfectionsandpromotepatientcomfortTheyalsomonitorskinintegrityandidentifyanyareasofbreakdownorinfectionthatrequireadditionalcareortreatmentCleaningandhygienepracticesareessentialforpromotingpatientdensityandwellbeing,aswellaspreventingnosocomicinfectionsinhealthcaresettingsNursesassistpatientswithbathing,showering,andchanginglinestoensuretheyremaincleananddryCleaningandhygiene03ObservationandrecordingofmedicalconditionsCHAPTERContinuouslyobservingandrecordingchangesinthepatient'ssymptomsisanimportantbasisforevaluatingthepatient'sconditionandnursingeffectiveness.Nursesneedtoregularlyobservethepatient'scondition,includingbutnotlimitedtophysiologicalindicatorssuchasbodytemperature,bloodpressure,breathing,heartrate,aswellassubjectivefeelingssuchaspain,fatigue,andappetite.Atthesametime,nursesalsoneedtopayattentiontochangesinthepatient'sbehavior,suchassleepqualityandactivityability,whichcanhelpdeterminethepatient'sprogressandnursingeffectiveness.SymptommonitoringDetailedrecordingofchangesinthepatient'sconditioncanhelpdetectandhandledeteriorationorcomplicationsinatimelymanner.Nursesneedtoregularlyrecordchangesinthepatient'scondition,includingfluctuationsandabnormalmanifestationsofphysiologicalindicators,aswellasanynewsymptomsorissues.Thesepiecesofinformationnotonlyhelpdoctorsassessthepatient'scondition,butalsoprovidereferenceforsubsequenttreatmentandcare.RecordofchangesinmedicalconditionsEvaluationofnumberingeffectivenessEvaluatingnursingeffectivenessisanimportantstepinimprovingthequalityofpatientcare,whichhelpstoidentifyandimprovedeficienciesinthenursingprocess.Nursesneedtoregularlyevaluatetheirnursingeffectiveness,includingpatientsatisfactionwithnursingandthedegreeofimprovementintheircondition.Throughevaluation,problemsinthenursingprocesscanbeidentified,suchaspoorcommunicationandnon-standardoperations,andimprovementscanbemadeinatimelymanner.Meanwhile,theevaluationresultscanalsoprovidefeedbacktonurses,helpingthemcontinuouslyimprovetheirnursingskillsandlevel.04EmergencysituationhandlingCHAPTERCardiopulmonaryaccommodationprocessCPRstandsforcardiovascularresuscitation,whichisalifesavingtechniqueusedtorestarttheheartbeatandbreathinginemergencysituationsThestepsofCPRincludechestcompressionsandrescuebreaks,giveninaspecificrhythmanddepthtoensureeffectivecirculationofbloodandoxygentovitaltissuesCPRshouldbeperformedimmediatelyincasesofcardiacarrestorrespiratoryfailure,asitcansignificantlyincreasethechancesofsurvivaluntilprofessionalmedicalassistanceriversTraininginCPRisessentialforindividualswhomaybeinapositiontorenderaidinemergencysituations,suchasfirstresponders,medicalpersonnel,andlaypeoplewhoarerequiredwiththeknowledgeandskillstoactquicklyandeffectivelyEmergencymedicineuseInemergencysituations,mediationmaybenecessarytostabilizeapatient'sconditionortoreverselifethreadingsymptomsMedicationsusedinemergenciesmustbesubscribedandignoredbyahealthcareproviderandshouldonlybeusedundertheguidanceofatrainedprofessionalMedicationsmayincludepainrelievers,sedates,pathologists,orbloodpressureassessments,dependingonthespecificemergencysituationAdministrationofemergencymedicinerequiresathoroughunderstandingofthedrug'saction,sideeffects,andpotentialinteractionswithothermedicineorunderlyingconditionsAccidentalentryhandlingAccidentalinjuriesarecommonoccurrencesthatcanrangefromminorcutsandinjuriestomoreseveretraumassuchasfracturesorinternalinjuriesInitialassessmentoftheentrysiteincludesobservationforsignsofbleeding,dissolution,occupancy,ordeformityImmediatefirstaidmeasuresmayincludestoppingbleeding,cleaningandaffectingsounds,applyingiceorcompressiontoreduceswelling,andimmobilizingframesorspraystopreventfurtherdamageSeekingmedicalattentionpromptisessentialforappropriatediagnosisandtreatmentofaccidentaljudgments,specificallyincasesofseveretraumaorsuspectedinternaljustice05DischargeguidanceandfollowupCHAPTERDischargeproceduresprocessingEnsurethatpatientsunderstandtheprecautionstobetakenafterdischarge,includingguidanceonmedication,diet,exercise,andthetimingandlocationofregularfollow-upvisits.Assistpatientsincompletingdischargeprocedures,includingsettlingmedicalexpenses,receivingmedication,andobtainingdischargecertificates.Providetransportationandaccommodationarrangements:Forpatientsfromotherplaces,medicalstaffshouldprovideadviceontransportationandaccommodationtofacilitatetheirsmoothreturnhomeorcontinuedtreatment.Informpatientsoffollow-upplans:informpatientsofthefollow-uptimeandplanafterdischarge,inordertopromptlyidentifyandaddresspotentialissues.RehabilitationguidanceGuidepatientstoundergorehabilitationtraining:Basedonthepatient'sconditionandrehabilitationneeds,guidethemtoundergoappropriaterehabilitationtraining,suchasphysicaltherapy,occupationaltherapy,etc.Remindpatientstotakemedicationontime:Explaintopatientsthemedicationsthatneedtobetakenduringrehabilitation,theireffects,andprecautionstoensurethatpatientstakemedicationontime.Remindpatientstoundergoregularfollow-upexaminations:informpatientsofthefollow-uptimeandplandur
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