Nursing in therapy with a primary care course.

Available in formats: EPUB | PDF | FB2

Pages: 418

The year of publishing: 2014

Language: Russian

The workshop was written in accordance with the Federal State Educational Standard in the specialty "Nursing" for secondary specialized educational institutions. The features of nursing care for specific diseases of internal organs, starting from the outpatient clinic level, are covered. Emphasis is placed on the nurse's ability to implement the nursing process and use nursing models. Medical and technological protocols (algorithms) of nursing manipulations and procedures are presented with justifications that help to comprehend the actions set out in the protocol and understand the need to perform each of them. Standardized plans for nursing interventions are proposed for the provision of primary care for various therapeutic conditions. Recommended as a textbook for students of the “Nursing” department of an advanced basic level of medical colleges, schools, as well as practicing nurses.

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The workshop was written in accordance with the Federal State Educational Standard in the specialty “Nursing” for secondary specialized educational institutions.
The features of nursing care for specific diseases of internal organs, starting from the outpatient clinic level, are covered. Emphasis is placed on the nurse's ability to implement the nursing process and use nursing models.
Medical and technological protocols (algorithms) of nursing manipulations and procedures are presented with justifications that help to comprehend the actions set out in the protocol and understand the need to perform each of them. Standardized plans for nursing interventions are proposed for the provision of primary care for various therapeutic conditions.
Recommended as a textbook for students of advanced basic level departments of medical colleges, schools, as well as practicing nurses.
TABLE OF CONTENTS
Introduction
CHAPTER 1. Fundamentals of nursing models
Similarities and differences in the interpretation of model concepts W. Henderson, D. Oram, M. Allen
CHAPTER 2. Population health, basic concepts
CHAPTER 3. Nursing process, its content in the conditions of modern practical healthcare in Russia
Organization of nursing process for therapeutic patients
The Importance of Research in Nursing
An example of solving a patient’s problem associated with impaired satisfaction of the need to sleep (according to W. Henderson’s model)
Scheme for solving a patient’s problem associated with impaired satisfaction of needs according to D. Orem’s model
Scheme for solving a patient’s problem associated with impaired need satisfaction (according to M. Allen’s model)
CHAPTER 4. Preparation of patients and techniques for performing clinical, laboratory and instrumental studies
Blood sampling for general analysis
Taking blood from a vein for biochemical testing
Taking blood from a vein for blood culture (sterility) and sensitivity to antibiotics
Collection of material from the throat and nose for bacteriological examination
Collection of material for meningococcus from the nasopharynx
Sputum examination
Bacteriological examination of sputum
Urine collection for general clinical analysis
Collecting urine for sugar from the daily amount
Collection of urine for research using the Nechiporenko method
Collection of urine for research using the Zimnitsky method
Teaching a patient how to collect urine for bacteriological examination
Examination of stool for coprogram
Examination of stool for protozoa and worm eggs
Examination of feces for occult blood
Stool collection for bacteriological examination
Scraping for enterobiasis
X-ray examination of the stomach and duodenum
Oral cholecystography (x-ray examination of the gallbladder and biliary tract)
Cholegraphy (x-ray examination of the gallbladder and biliary tract)
Irrigoscopy (x-ray examination of the colon)
Intravenous (excretory) pyelography (x-ray examination of the kidneys and urinary tract)
Bronchoscopy (endoscopic examination of the bronchi)
Fibrogasgroduodenoscopy (endoscopic examination of the esophagus, stomach and duodenum)
Sigmoidoscopy (endoscopic examination of the rectum and sigmoid colon)
Colonoscopy (endoscopic examination of the colon)
Cystoscopy (endoscopic examination of the bladder)
Ultrasound of the abdominal organs (ultrasound of the liver, gall bladder, pancreas, spleen) and kidneys
Ultrasound to determine the contractility of the gallbladder
Ultrasound of the pelvic organs (bladder, uterus, ovaries, prostate)
Ultrasound of the kidneys, heart and blood vessels
CHAPTER 5: Patient Preparation and Respiratory Care Techniques
Thermometry
Body temperature and its measurement
Measuring body temperature in the armpit area
Temperature data logging
Wet wipe
Installation of mustard plasters
Setting up cans
Serving ice pack
Using a cold soak
Requirements for ventilation and air environment of the premises in which the patient is located
Oxygen therapy (supply of humidified oxygen from an oxygen cushion)
Delivery of humidified oxygen through a nasal catheter
Sputum collection for Mycobacterium tuberculosis
Disinfection of sputum and pocket spittoons at home
A set of breathing exercises to improve lung ventilation
Rules for using a pocket inhaler (canister)
Calculation, dilution and administration of antibiotics intramuscularly
Puncture of the pleural cavity (thoracentesis)
Primary care for respiratory diseases
Help with dry (non-productive) cough
Help with wet (productive) cough
Help with an attack of suffocation (bronchial asthma)
Help with hemoptysis
Help with chest pain
Drainage position (Quincke position)
Positional drainage
Help with hyperthermia (fever)
CHAPTER 6. Patient preparation and techniques for performing care procedures for diseases of the circulatory system
Mustard foot baths
Pulse counting and determining its quality
Blood pressure measurement
Measuring daily urine output and determining water balance
Accounting and determination of water balance
Determining the patient's body weight
Subcutaneous injection
Intramuscular injection of oil solutions
Hirudotherapy
Setting up leeches
Technique for applying venous tourniquets
Hypertensive enema
Oil enema
Out-of-hospital cardiopulmonary resuscitation
Signs of clinical death
Restoring airway patency
Artificial ventilation
Artificial ventilation using the mouth-to-mouth method
Closed (indirect) cardiac massage in adults and the elderly
Signs of biological death
Primary health care for circulatory diseases
Help with heart pain (angina attack)
Help with an attack of suffocation (cardiac asthma)
Help with fainting (syncope)
Help with collapse
Help with shock (general anti-shock measures)
Help with hypertensive crisis
ECG (electrocardiogram) registration protocol
CHAPTER 7. Patient preparation and techniques for performing care procedures for diseases of the digestive system
Gastric lavage
Taking gastric contents using the fractional method
Acidometry
Probeless method for determining gastric secretion (acidotest)
Duodenal sounding
Care for vomiting
Cleansing enema
Application of gas outlet tube
Administration of a medicinal enema
Using a drip enema
Using a siphon enema
Feeding the seriously ill
Planning the care needed for the patient when feeding problems arise
Help with meals
Feeding the patient through a nasogastric tube
Study of bile pigments in urine using the express method (Rosin's test)
Primary health care for diseases of the digestive system
Help with gastrointestinal bleeding
Help with epigastric pain
Help with constipation
Help with diarrhea (diarrhea)
Help with hepatic colic
CHAPTER 8. Patient preparation and techniques for performing care procedures for diseases of the excretory organs
Washing a seriously ill patient
Bladder catheterization for a woman
Bladder catheterization for a man
Primary health care
for diseases of the excretory organs
Help with acute urinary retention
First aid for edema due to kidney disease.
Caring for the perineum of a patient with a urinary catheter
Care and prevention of bedsores
CHAPTER 9. Patient preparation and care techniques for blood disorders
Intravenous injection
Intravenous drip administration of fluids
Calculation and administration of heparin
CHAPTER 10 Patient Preparation and Technique
performing care procedures for diseases of the endocrine system
Insulin administration
Glucose tolerance test (GTG)
Urine examination for glucosuric profile
Primary care for diseases of the endocrine system
Help with lack of knowledge about the disease (diabetes mellitus)
Help with hypoglycemic coma
Help with hyperglycemic coma
Table of content of bread units (XE) in food products
CHAPTER 11. Patient preparation and techniques for caring for joint diseases
Applying a warm compress
Primary care for joint diseases
Help with joint pain
CHAPTER 12. Primary medical care for acute allergies
Help with anaphylactic shock
APPLICATIONS
Annex 1.
SAFE MOVEMENT OF THE PATIENT
Patient transfer technologies
Safe techniques for restraining patients when lifting or moving
Appendix 2.
INFECTION CONTROL. INFECTION SAFETY
SAMPLE BANK OF PATIENT PROBLEMS
AND NURSING INTERVENTIONS
CHARACTERISTICS OF THERAPEUTIC DIETS
COMPATIBILITY OF DRUGS
TABLES FOR PREPARATION FOR LABORATORY RESEARCH METHODS
COLLECTION OF SELF-CONTROL TASKS (WITH STANDARD ANSWERS)
Standards of answers to tasks in the test form for self-control
LITERATURE