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Community nursing model essay 2000 words.

To explore the influence of psychological nursing on elderly patients during outpatient infusion, to ensure safe and effective treatment of outpatient infusion and to create a harmonious medical environment.

Keywords: effective communication, psychological care, elderly patients with psychological problems

At present, with the improvement of medical level and the decline of mortality and fertility rate, China has gradually entered an aging society. With the increase of age, the tissues, organs and physiological functions of the elderly gradually decline, their susceptibility to diseases increases and their repair ability decreases. The incidence of elderly patients and the rate of outpatient or inpatient treatment are higher than those of other age groups, and more and more elderly patients receive infusion treatment in outpatient department. The psychological problems of the elderly have become an important problem that nurses in infusion room must face and deal with. Now we will introduce our practice as follows.

1 common psychological problems of elderly patients undergoing temporary intravenous infusion in outpatient department

Fear and nervousness

Because most elderly patients lack medical knowledge, don't know their own diseases and treatments, their understanding and memory ability decline, and they can't understand the explanations of doctors and nurses, so they are prone to fear and nervousness during infusion. In addition, there are many elderly patients with chronic diseases. When other diseases appear in their bodies, they become more and more nervous and worry that it will bring a burden to their families.

1.2 anxiety

Because most of the elderly patients are short of economic conditions, most of the diseases they suffer are chronic diseases, with heavy economic burden, more ideological worries and greater psychological pressure, resulting in psychological problems of anxiety. At the same time, because the patient's own vascular elasticity is not good, puncture can not be successful at one time, and the drip speed is slow and takes a long time, which is easy to cause anxiety and other bad emotions of patients.

1.3 Irritability and impatience

Most elderly patients suffer from chronic pain, so they are prone to anger. At the same time, due to the long time and complicated procedures for patients to see a doctor during the peak infusion period in the hospital, the queue time from registration, treatment, payment and medicine collection is too long, and their physical strength is exhausted, which is prone to impatience and affects the improvement of their condition.

2 psychological care

According to the psychological characteristics of elderly patients, help them correctly understand intravenous infusion and actively cooperate to achieve therapeutic effect.

2. 1 Help patients understand infusion correctly.

In order to seek the best treatment and care for patients, nurses should first communicate with patients cordially and sincerely, understand the condition, explain the necessity of infusion, the role of drugs and the matters needing attention during infusion, and strive for effective communication.

2.2 humanized operation

Elderly patients are a special group, psychologically and emotionally more vulnerable than healthy people, and need more care than normal people. Nurses embody humanistic care everywhere in the nursing process. Before each operation, they introduced the purpose, function and precautions of the operation to the patients in gentle language. During the operation, they talked while puncturing to distract the patient's attention, apologized when the puncture failed, and asked whether to replace the patient. If the puncture is successful, thank you for your cooperation and observe and greet the patient regularly. It embodies the humanistic care of nurses for patients [1]. After the operation, the patient was placed in a position and covered with a quilt. When the patient is unwell, gently touch the patient's head with your hand and comfort the patient with gentle language. When the patient asks about his illness or other conditions, he should answer the patient's questions enthusiastically, sincerely and accurately, often with a smile, gentle language and proper touch.

2.3 Comfort care

Create a comfortable and orderly medical environment for patients who come to see a doctor, visit patients more, communicate with patients more, do some health education, and help some patients with mobility difficulties solve their physiological needs such as going to the toilet and drinking water.

Psychological care for elderly patients can play a role that drugs can not play, and can promote the physical and mental health of elderly patients. Psychological care for the elderly patients with infusion in outpatient department fully embodies the patient-centered service purpose, enhances the nurses' active service consciousness, maximizes the potential of nursing staff, reduces and avoids infusion complications, and improves the safety and satisfaction of infusion for the elderly patients.

Community nursing model essay 2000 word two

Through the investigation of the current situation of community nursing, it is found that the main problems are the lack of community nursing talents, the lack of trust and understanding of nursing work in society, and the lag of public health care awareness. In view of the problems existing in community nursing, this paper puts forward the development countermeasures, that is, perfecting the community service system, cultivating community nursing talents, carrying out health education through multiple channels, and raising the public's awareness of disease prevention and health care.

Keywords: community nursing; Community nurse; Community service system

Community nursing is a combination of nursing science and public health theory, which is used to promote and maintain people's health and provide continuous and dynamic comprehensive nursing services. Community nursing is an important part of community health service and general practice. Community nursing is characterized by taking the family as the unit, taking the community residents as the center, focusing on the elderly, women, children, the disabled and chronic diseases, and providing comprehensive and convenient nursing services integrating prevention, health care, medical treatment, nursing, rehabilitation education and family planning. The purpose is to solve the health problems of community residents, meet their needs for nursing technology and medical services, promote the health of community people and improve their quality of life. The clients are mainly people in the community, providing services for individuals and families. The present situation and development countermeasures of community nursing are introduced as follows.

1 the significance of community nursing

Community medical and health services enable patients to enjoy the same treatment services at home as in hospitals, and community services improve social benefits. In community work, through targeted health knowledge propaganda, people realize that learning self-care is the key to avoid diseases, reduce diseases and improve health. Nurses enter the community and use knowledge and technology to alleviate patients' pain and change people's bad hygiene habits. To enhance the social understanding of nursing work and improve nurses' sense of honor and self-confidence in their careers.

2 the status quo of community nursing

2. 1 Lack of community nursing talents In the process of investigating community nursing, it is found that in community health services, medical treatment and prevention are the main ones, while rehabilitation nursing and health care are less, which cannot fully reflect the' characteristics' of community nursing. 1 community service station service 1 street. 1 There are 3000 ~ 5000 residents in the street, and there are only 1 ~ 3 nurses. Community service is only a preliminary treatment, so it is difficult to carry out community health knowledge propaganda, self-care and disease prevention. For a long time, China's nursing service has always paid attention to clinical nursing, and community nursing service is very weak. Community nursing is a job with a wide range of knowledge, and its service is different from clinic, which requires community nurses to have comprehensive nursing knowledge and humanistic knowledge. At present, the general education level of community nurses is not high, and the standardized training and continuing education have not been paid enough attention by community nurses, which leads to the low overall quality of community nursing team and the inability to provide high-quality and in-depth nursing services. There is an urgent need for a large number of general nurses in community nursing, but community nursing education in China is still a weak link, and there is a lack of specialized nursing talents engaged in community nursing work.

2.2 The society lacks trust and understanding of community nursing. Three-part rule, seven-part protection? However, there is still prejudice against community nursing, some people don't really understand the value of nurses, and some people are skeptical about the independent nursing service of community nurses, which will inevitably lead to low patient compliance, naturally affect the nursing effect, and then inevitably restrict the development of community nursing.

2.3 The public's awareness of health care lags behind. Since the reform and opening up, people's living standards have been continuously improved, but people's demand for medical care has not been correspondingly improved. The main reason is that in the past, the medical and health departments focused on hospitalization, and there was little investment and publicity in disease prevention and health care. At present, most of the elderly in the community have low education level and low awareness of health care. In addition, at present, some people are laid off and their economic income is low, which affects people's investment in medical care. Their money can only be used to treat diseases, let alone prevent diseases.

3 Community nursing development countermeasures

3. 1 Perfecting the community service system The development of community nursing service must rely on the extensive support and participation of relevant disciplines and relevant administrative departments. The health department can redefine the functions and responsibilities of community nursing according to the development of disciplines and the needs of the community, and improve the understanding of leaders at all levels. Community medical personnel are the most direct executors of the health care of the party and the country, and they can also find the problems existing in preventive health care. There should be an organization to listen to their suggestions to solve the problems in community nursing.

3.2 Accelerate the construction of community nursing teaching materials and vigorously cultivate high-quality community nursing talents. Under the new medical model, the tasks and responsibilities of nursing workers are constantly expanding, and they assume multiple roles in nursing practice. In the future, most primary health care tasks will be undertaken by nurses, and community nursing is an important part of future nursing. Therefore, in addition to general nursing work, community nurses should also master other related disciplines, such as community nursing, health assessment, rehabilitation nursing and so on. As a community nurse, she must be clear about her role in community health service, establish a modern nursing concept, have a high sense of responsibility, extensive and solid professional knowledge and superb nursing skills, carry out protection, prevention and promotion work for individuals, families, groups and organizations in the community, and truly realize the nursing goal of maintaining and promoting human health. This requires speeding up the construction of community nursing teaching materials and vigorously cultivating high-quality community nursing talents.

3.3 Carry out health care education through multiple channels, raise public awareness of disease prevention and health care, and popularize health care knowledge through radio, television and news media. Promoting the importance of health care knowledge and community medical care through various media can improve people's awareness of health care and understanding of community nursing work, make people realize that community medical care is an effective and economical rehabilitation method, and make residents accept the services of community nurses from the heart.

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