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Elderly common diseases and nursing ppt courseware

Updated: 2019-09-12

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Common Diseases and Nursing of the Elderly Section 5 Chronic Obstructive Pulmonary Disease in the Elderly [Overview] Chronic obstructive pulmonary disease refers to a lung disease with airflow restriction characteristics. The airflow restriction is not completely reversible, and it grows progressively. . (Bronchopulmonary pneumonia and emphysema are closely related)) Section 5 Etiology and pathology of chronic obstructive pulmonary disease in the elderly: smoking, infection, physical and chemical factors, weather, allergic factors, internal factors: defense function, immunologically impaired nursing assessment 1, Health history 2. Physical conditions: 1) Hard breathing, cough, sputum with wheezing 2) Poor body response, atypical symptoms and signs 3) Frequent infections, more complications 3, Psycho-social conditions (depression and insomnia, social intercourse ...

Common Diseases and Nursing of the Elderly Section 5 Chronic Obstructive Pulmonary Disease in the Elderly [Overview] Chronic obstructive pulmonary disease refers to a lung disease with airflow restriction characteristics. The airflow restriction is not completely reversible, and it grows progressively. . (Bronchopulmonary pneumonia and emphysema are closely related)) Section 5 Etiology and pathology of chronic obstructive pulmonary disease in the elderly: smoking, infection, physical and chemical factors, weather, allergic factors, internal factors: defense function, immunologically impaired nursing assessment 1, Health history 2. Physical condition: 1) Hard breathing, cough, sputum with wheezing 2) Poor body response, atypical symptoms and signs 3) Frequent infections, many complications 3, Psycho-social conditions (depression and insomnia, social interaction Reduction) 4. Assistance check: Nursing diagnosis1. Impaired gas exchange2. Ineffective airway cleaning 3. Nutrient imbalance 4. Sleep disorder 5. Potential complications: Nursing guideline 1. Patient's breathing is stable, 2. Cough, Sputum reduction. 3, patients with increased appetite. 4. The patient's sleeping environment improves. Nursing methods 1, Connected airway access 2, Oxygen care 3, Dietary care 4, Rest program 5, Medicated care 6, Respiratory function training 7, Psychological care 8, Health guidance care evaluation After nursing intervention, the patient's respiratory function Improved, and can maximize the daily self-care ability, strengthen appetite, improve sleep, and improve the quality of food. Section 6 Elderly Hypertension [Overview] Elderly hypertension refers to the elderly over the age of 60. On the same day, blood pressure is continuously systolic (SBP) 140mmHg (18.7kPa) and / or diastolic blood pressure ((DBP) 90mmHg (12.0 kPa) more than three times ... Nursing assessment1, health history2, physical condition: 1) the rise in systolic blood pressure is 2) the blood pressure fluctuates 3) the clinical manifestations are different or there are complications 4) other diseases coexist 3, Psycho-Social Situation (Frightening Psychology) 4. Assistance Checkup: Nursing Diagnosis 1. Chronic Pain and Sadness: 2. Acceptance 3. Ineffective Health Link 4. Potential Complications: Nursing Guidelines 1. The patient can tell all blood pressure Usage, dosage and side effects of the medicine. 2. The patient can maintain the general blood pressure under the guidance of medical care. 3. Patients can have common diet, activity treatment and nursing. Nursing methods 1, inspection of the condition 2, improvement of living conditions, elimination of controllable elements 1) reasonable cooking 2) appropriate amount of activity 3, rational use of antihypertensive drugs 4 according to the doctor's advice 4, psychological care 5, health guidance nursing evaluation Can tell the usage, dosage, side effects of the antihypertensive drugs used, and can maintain blood pressure to a general level under the guidance of medical care; patients can eat, exercise and treat together. Section VII Coronary Heart Disease in the Elderly [Overview] Coronary heart disease is an abbreviation of coronary atheromatous soft heart disease, which refers to the narrowing or blockage of blood vessels by coronary atherosclerosis, and / or the functional changes of coronary arteries (spasm) Causes myocardial ischemia, hypoxia or bad heart disease. . Section VII Coronary Heart Disease in the Elderly [Clinical Features] 1. Long history, lesions involving multiple vessels, often with old myocardial infarction, and may be accompanied by divergent degrees of cardiac insufficiency. 2. It can be expressed as chronic invariant angina pectoris, or acute coronary artery disease as the first symptom. 3, often accompanied by hypertension, diabetes, chronic obstructive pulmonary disease and other chronic diseases. 4, multiple existing degenerative diseases of organ function. Nursing assessment 1. Health history: Incentives 2. Physical conditions: 1) Elderly angina pectoris: Atypical chest pain with persistent angina pectoris 2) Acute myocardial infarction complications in the elderly 3. Other psycho-social conditions (horror psychology) 4 Assistant check: ECG myocardial enzyme care diagnosis1, elderly angina pectoris1) Painful sorrow: Painful sorrow in the anterior region of the heart, coronary blood supply is insufficient, which leads to myocardial ischemia and hypoxia. 2) Anxiety is related to the pain and sorrow of the anterior region of the heart and the worry of prognosis. 3. Potential complications: Nursing diagnosis of acute myocardial infarction 2. Elderly acute myocardial infarction 1) Pain and sorrow: Pain and sorrow in the precardiac area are related to myocardial ischemia, hypoxia and bad. 2) Cardiac output reduction is related to decreased myocardial contractility or uncoordinated contraction, papillary muscle dysfunction or rupture. 3) The reduction of the output of endurance and coring of the program caused the inadequate oxygen supply and prolonged bed rest. 4) Horror, chest pain, dysphoria, fear of prognosis, ward and emergency trauma. 5) Potential complications: abnormal heart rhythm, shock, and suddenness. Nursing policy 1, the number of occurrences of colic is reduced, and the activity tolerance is improved. 2. Strengthen the understanding of patients and heart and net functions, reduce the occurrence of complications and improve the quality of life. Nursing methods1. Nursing of elderly patients with angina pectoris 1) Nursing care during the period of remission 2) Nursing period of remission ① Medication as prescribed by the doctor ② Reasonable diet ③ Discipline 3) Medication care 4) Health-oriented nursing measures 2 ) Surveillance 2) Rest 3) Dietary care 4) Prevention of constipation 5) Nursing of patients with diarrhea 6) Medical and nursing problems 7) Psychological nursing evaluation After treatment and nursing intervention, the number of angina pectoris reduction and activity tolerance Increased power. Improved patient connection and understanding of heart and net functions, reducing the occurrence of complications and improving the quality of life. Section VIII Geriatric Diabetes [Overview] Geriatric diabetes refers to elderly people over 60 years of age who have poor insulin excretion or obstruction of insulin sensation, which causes increased blood sugar, high blood lipids, and disorders of albumin, water, and electrolytes. Diabetes is mostly type 2 diabetes, and its prevalence increases with the addition of spring and autumn. Nursing assessment1, health history2, physical condition1) onset of symptoms and atypical symptoms 2) more complications 3) multiple geriatric diseases coexist 4) Prone to hypoglycemia 3, psychological-social conditions 4, assisted check-up nursing diagnosis 1, nutrient imbalance: less than the body's need to take the reduction of body sedimentation caused by metabolic disorders. 2, Anxiety for long-term treatment, frequently related to the condition. 3. Lack of knowledge: Lack of knowledge about diseases. 4. Potential complications: coronary heart disease, various infections, kidney damage, nerve damage. Nursing guidelines 1. Patients can tell the risks of diabetes. 2. Active diet and active healing. 3. Patients can measure blood glucose by themselves. 4. Prevent and delay various complications. 5. Improve the quality of food. Nursing methods 1, general care 2, inspection of the condition 3, dietary care 4, medication care 5, psychological care 6, health guidance nursing evaluation After nursing intervention, patients can speak out the risk of diabetes, actively eat together, and take active treatment. Patients can detect blood sugar, prevent and delay various complications, and improve quality of life. Section IX Cerebral Infarction in the Elderly [Overview] Cerebral infarction refers to the degeneration and deterioration of local brain tissue due to impaired blood perfusion, and long is indicated as focal neurological impairment of acute onset. . Including: the composition of cerebral thrombosis and the cause of cerebral embolism: 1. Atherosclerosis softens with increasing age 2. Impact of the disease 3. Nursing assessment of other factors 1. Health history 2. Physical conditions 1.) Composition of cerebral thrombosis 2.) Cerebral embolism 3. ) Asymptomatic cerebral infarction is more common 4) Complications are more frequently diagnosed 1. Removal is related to tissue damage around the thrombus. 2. Paralysis and cognitive impairment related to deficiency of self-care ability. 3. Impediment to speech communication is related to impairment of speech center. 4. Permanent bedridden with impaired skin integrity, related to obstruction of awareness, impediment to movement 5. Related to paralysis of limbs with disuse analysis. Nursing policy 1. The patient can smoothly pass through the acute period, prevent complications and prevent recurrence. 2. The patient recovers neural function as much as possible. 3. The patient's ability to exercise, speech exercise and intelligent connection have improved. Nursing methods1. General care 1) Quiet 2) Monitoring the condition 3) Skin care 4) Diet care 5) Linking limb functional positions 2, Medication care 3, Preventing complications 4, Psychological care 5, Rehabilitation exercise 1) Speech function exercise 2) Performance training 3) Coordination ability training Nursing evaluation After nursing intervention, patients can smoothly pass through the acute phase, preventing complications and preventing recurrence. The patient's degree of difference restored neural function, and the patient's activities, exercise, speech, and intelligence improved.

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