Common diseases of the elderly take care ppt courseware
The common diseases of the elderly are taken care. I. Depression in old age is based on the following: (1) There are three major symptoms of depression, namely lowering, slow thinking and "three lows" of behaviors. The more depressed, lethargic, lonely, unwilling to word, slow pace, and apathy. Things that used to be fun, such as playing cards, copying stocks, and dancing, are just boring. He sensed that he was old and could do nothing. (2) Suspected characteristics of depression in the elderly: I feel terminally ill due to discomfort. I am doing detailed examinations in many hospitals without detecting positive signs. But he did not believe these results, and he was still seeking treatment. He paid too much attention to his general functions, even if he sometimes showed mild colds, etc. (3) Hidden characteristics of depression in the elderly: showing discomfort such as stomach pain, constipation, abdominal pain, snoring, loss of appetite, insomnia, but no positive signs of response. (4) Aggressiveness of the characteristics of the elderly's depression: Mr. Li is extremely emotional and irritable. He often argues with his family for some trivial matters, making no one dare to ignore him and provoked him. He often felt that he had done many wrong things when he was young, and failed. For this reason, he often worried that he and his family would be unlucky, and he was afraid to go out. (5) Delay in the characteristics of depression in the elderly: Do not want to word, walk slowly, and look cold and dull. (6) Thoughts and behaviors: Mr. Li Lao failed to get an electric shock, but he is still inexhaustible (cutting the veins, taking medicine, hanging ...). (7) Duration spans 2 weeks: half a year. 2. Secondary nursing diagnosis / problem (1) Personal response is invalid: take inability to handle the problem, consider my ability, determination for the future, and make the psychological defense mechanism inappropriate. (2) Yes: Depression, sadness, indecent feelings, self-guilt, indecent thoughts, depression, indecent thoughts, and behavior and worthlessness. (3) Disorders of sleep pattern: Depression is related to impulsiveness, full of sadness and indecent emotions, and difficulty falling asleep. (4) Disorders in the thinking process: The depression and the behavioral program shown by depression are related. 3. Key points of nursing methods (1) Daily living care: ① Connect reasonable rest and sleep. ② Strengthen nutrients. (2) Medication care: ① Closely observe the efficacy of the medicine and possible adverse reactions, and report it to the doctor in a timely manner. ② emphasize medication. (3): ① Identify the trend. ② The light is bright and the colors are bright. ③ Special guard. ④ Keep all things and medicines available. 2. Alzheimer's disease-medium-term basis: (1) the onset of the onset of the disease, the state of the disease is irreversible and continues to progress, with the recent symptoms of obstruction as the first symptom. (2) It is completely unacceptable for further study and recall of new news, and the memory of distance events is impaired but incomplete. (3) Directional force has been further improved, leaving home without knowing it, and showing aphasia, apraxia, and failure to recognize. (4) Decreased daily living ability, such as washing, combing hair, dressing and urination, etc., need help from others. (5) Personality and behavior disorder, no emotional instability and noisy behavior. (6) There has never been a stroke in the past. The physical examination did not detect the localization of the nervous system. The CT test reminded mild brain atrophy. 2. Secondary nursing diagnosis / problems (1) Impaired recall: related to progressive decline in recall. (2) Self-care defect: It is related to cognitive behavior obstacles. (3) disorder of thinking process: taking thinking hinders the correlation. (4) Impediment to verbal communication: take thinking to hinder the correlation. (5) The role of the caregiver is serious: the severe illness and unpredictable course of the disease are related to the lack of care and physical and mental fatigue of the caregiver. 3． Main points of nursing methods (1) Daily living care: ① Helping to take care of the daily living of patients with dementia in old age, such as dressing and sleeping. ② Give the opportunity of care as much as possible, and exercise the ability of care. (2) Medication care: ① Accompany medication throughout the process. ② Check for adverse reactions to medication. ③ Do well in drug handling. (3) Intelligent rehabilitation exercise: ① Recall exercise. ② Intellectual training. ③ Exercise in understanding and expression. ④ Exercise of social compliance. (4) Safety care: ① Provide a more stable livelihood. ② Wear a mark to help people get back when they are lost. ③ Anti-rebellion, hot, burning, accidental taking, accidental occurrence from someone. 3. Elderly gastroesophageal reflux disease 1. Evaluation of Wang Laobo includes the following: ① Health history: Wang Laobo has a hiatal hernia, which can lead to increased stress reflux and cause symptoms of response. ②Physical evaluation: The secondary symptoms are reflux symptoms, which are expressed as acid reflux and eating after meals. The second is the symptoms of reflux irritating the esophagus, such as heartburn and hard swallowing. Others are irritation symptoms other than the esophagus, expressed as cough and asthma. ③ Assistant check: X-ray barium meal check showed that there was a hiatal hernia, which further showed the reasons for the symptoms of acid reflux and food loss. ④ Psychological-social situation: The old man was horrified at meals due to his discomfort and after-meal. 2. List secondary care diagnoses / questions based on the assessment. ① Chronic pain and sorrow: related to taking reflux to stimulate the esophagus. ② Nutrient disorders: less than the body's requirements, less swallowing and less discomfort after eating. ③ Anxiety: suffering after taking and inability to be related to general diet 3. Do a good job in psychological care of Baijiu ① Give Baijiu patiently and thoroughly the cause of post-meal discomfort, the treatment plan to be adopted and the expected treatment results, and give Baijiu Hopefully. ② The methods and techniques of alleviating stomach upset in the daily life of Amaranth, including body position, activities, diet, etc. Fourth, elderly osteoporosis 1. Causes of Aunt Li's osteoporosis are: ① Bone sedimentation in the bone metabolism of the elderly is in a negative equilibrium state. ② The degree of estrogen decreases, which slows down the composition of bone and accelerates the reception, resulting in a decrease in bone mass. ③In elderly patients, parathyroid hormone (PTH) increases, and the bone marrow cell's expression of OPG decreases, resulting in accelerated bone loss. ④ Lack of nutrients such as calcium, vitamin D, albumin and trace elements that promote bone formation. ⑤ High-salt diet is a prone factor for loose bone. 2. At present, the most minor nursing diagnosis / problems of Aunt Li are: the program is obstructed, and the program caused by bone pain and fracture is related to the limitation. 3. Health instructions: ① Add awareness of the disease: introduce the causes, indications, auxiliary examination results and treatment methods of the occurrence of loose bone. ② Daily guidance: Point Baibai to do appropriate programs and outdoor sunlight every day to prevent falling again and avoid exertion. Learn to complete the daily programs with the assistance of East and West. ③ dietary guidance: should be a low-salt diet, eat more calcium and vitamin D rich foods, learn the reasonable mix of various nutrients. ④Medicine instructions: Point out the white ration to take the medicine on a regular basis, and you should take a tasteful calcium tablet 1 hour before meals and before going to bed. Calcium should be taken at the same time as vitamin D. Bai Ye looked at the adverse reactions of various drugs, and understood the use of different types of drugs and the course of treatment. V. Elderly degenerative osteoarthropathy 1. Uncle Zhao's secondary nursing diagnosis / problems ① Chronic pain and sorrow: Take the joint cartilage and bone plate disease caused by joint degeneration. ② Program obstruction: taking joints is painful, sad, and normal. ③ There is loneliness: Restricted access to programs leads to inaccessibility.