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With the progress of society, economic development and the improvement of people's living standards, the average life expectancy of human beings has been generally extended, and the problem of aging has become increasingly prominent. China has a large population base and a fast aging rate, and has entered an aging society at the end of the 20th century. The declining changes in the functions of various systems of the body with the increase of age increase the probability of the elderly suffering from various diseases, and because the elderly are very different from adults and young people in physiological, psychological and social aspects, the clinical manifestations, diagnosis, and especially nursing of the elderly after the disease have their particularity.
In order to meet the needs of the development of nursing discipline and social aging, cultivate more grassroots geriatric nursing professionals, improve the quality of geriatric nursing, and meet the health needs of the elderly, under the leadership and organization of Henan Health Vocational Education Association, we have compiled Geriatric Nursing. This textbook is divided into nine chapters, including: Introduction to Geriatric Nursing, Characteristics and Mechanism of Aging, Issues Related to Geriatric Nursing, Assessment of the Elderly, Mental Health of the Elderly, Daily Life Care of the Elderly, Medication for the Elderly, Health Care for the Elderly, Geriatrics and Nursing.
The textbook strives to be focused and concise, especially in the geriatrics and nursing section, and the overlapping content with medical and surgical nursing is not repeated, and the clinical characteristics of the same disease that occurs in the elderly and related care are emphasized. In order to help students consolidate what they have learned and improve their practical application ability, there are learning points and related thinking questions before and after each chapter, and learning tips under the key and difficult contents. This textbook is intended for use by nursing students in higher vocational education and can also be used as a reference book for continuing education in geriatric care and for professionals working in geriatric nursing.
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The elderly with disability and dementia have no ability to take care of themselves, and generally need 3-4 people to take turns to take care of them, which is difficult to do in ordinary families. At present, Changsha Yongji Nursing Home has a new type of elderly care model "combination of medical care and elderly care", which can solve this problem, improve the quality of life of the disabled and dementia elderly, and reduce the burden of the disabled and dementia elderly families.
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If it is an incontinent elderly, in the case that the family does not have enough time to take care of it, it is generally asked to take care of the nurse, but now life is getting smarter, there are many intelligent instruments have come out, and the fifty-six flower excretion robot is a very good choice, which can automatically collect urine and deodorize, and protect the self-esteem of the elderly.
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Geriatric care is the response to diagnosing and managing existing or underlying health problems in an older person. For example, the mental health of the elderly, and the care of various diseases.
Health care for the elderly is mainly medicine, fitness, and few people think about mental health issues. However, in real life, due to the long-term lack of communication with others, many elderly people are prone to loneliness, low self-esteem and old and useless feelings, and the more they complain, the more they affect their mental health, and they do not know how to adjust their mentality.
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1 Specialized Nursing for Common Diseases of the Elderly**Nursing 2 Medication Methods and Common Knowledge for the Elderly 3 First Aid Methods for Common Emergencies 4 General Use of Medical Devices and Basic Knowledge of General Housekeeping 5 Health Care and Massage for the Elderly 6 Nutritional Diet and Food Safety for the Elderly.
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1. Strengthen exercise.
Elderly care needs to involve exercise, with the change of weather, many people have a high incidence of chronic diseases, in the autumn and winter to talk about the season of cold do not want to move, always stay at home, feel that the home is warmer, but do not know that more exercise is an effective way to regulate the body.
If your blood pressure is high and your blood sugar or blood lipids are unstable, you should choose the right exercise according to your physical conditions, so that your metabolism will speed up and your circulation will be good in the process of exercising, so that you can supply blood to the parts you need.
Of course, more heat is generated during exercise, which can keep the whole body warm. Those with high blood pressure will find that their blood vessels dilate and their blood pressure improves. Exercise burns calories, blood viscosity, high blood sugar and other conditions are improved, which is the right way to maintain health.
2. Strictly control your diet.
When the weather changes, middle-aged and elderly people can adjust their diet and take proper care of their bodies, so as to effectively control the development of chronic oral diseases. Many people have an inappropriate diet, and when the weather is cold in autumn and winter, they think that eating more nourishing food can safely survive the winter, but they don't know that they often make bone soup, drink too much chicken soup, etc., and it is easy to get more fat, cholesterol, and may also induce gout due to excessive uric acid indicators, and these incorrect behaviors need to be corrected.
Even if winter comes, the diet should still be light and refuse to be greasy. In addition, don't get too much high-calorie food, and avoid eating too much, the body needs enough nutrients to provide enough nutrients, not overeating, so as to control multiple indicators, and stabilize the weight at the same time.
3. Have enough sleep time.
Maintain a regular schedule and have enough sleep time, and after being adjusted, the function of multiple organs is enhanced, and the indicators are also stable, so that the disease can take a detour. Many people get cold and don't do a good job of keeping warm, and they can't sleep at night in the cold.
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With the aging of China's population, the number of elderly patients is also increasing, so how to care for the elderly patients?
First, try to keep the elderly patients in a normal, optimistic and happy state of mind
No matter what disease the elderly suffer, we must let him have a normal mentality, let him face the disease squarely, and establish the confidence to fight the disease tenaciously. The mentality of the family should not be anxious, otherwise it will make the elderly patient more anxious, which will exacerbate the deterioration of the condition. Recommendations:
Tell the old man more happy things and communicate with him more, so that he feels <> not alone
Second, choose a comfortable, hygienic and quiet exercise environment for elderly patients
Life is in motionWhen the elderly are sick and need to do some exercises that suit him, cultivate his hobbies, and let him find other life sustenance, then it is naturally better to have a quiet, comfortable and hygienic exercise environment.
Third, strengthen nutrition and enhance immunity
According to the factors of the elderly patient's own preferences, physique and condition, choose different nutrients for him, try to achieve a reasonable diet, a variety of collocations, and eat on time, so as to increase the resistance of the elderly. Try to eat bland foods as well as foods that are easy to digest and absorb. <>
Fourth, try to keep the elderly patients in a regular life
Let the elderly develop the habit of going to bed early and getting up early, and take medicine on time, and the family needs to supervise the elderly patients in this regard.
Fifth, help elderly patients to quit smoking, alcohol and other bad habits
Tobacco and alcohol are very harmful to the elderly patients, and it is better for the health of the elderly to get them to quit.
Sixth, pay attention to the cleanliness and hygiene of elderly patients
Elderly patients are often unable to take care of themselves, so it is important for them to pay special attention to their oral hygiene and let them stick to brushing their teeth every day. You also need to help them wash their faces and feet, and they need to take a bath every day in the summer and every three days in the winter. When bathing, care must be taken to prevent elderly patients from slipping.
For those elderly patients who are bedridden, it is necessary to turn him over frequently, change his sleeping position, and be careful not to let him develop pressure sores. <>
Seventh, pay attention to the urine and urine of elderly patients
Urine and urine are a "barometer" of the physical condition of elderly patients, and family members need to pay special attention to it, and if they find abnormalities, they need to seek medical attention.
8. Chronic diseases need to be treated scientifically and not blindly
The illness of elderly patients is not obtained in one or two days, and it needs to be treated scientifically and realistically.
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Drink alkaline ionized water and drink less acidic water, such as purified water, cola, etc. Secondly, it is necessary to ensure a moderate amount of exercise and eliminate bad habits such as smoking and alcoholism. Finally, emotions have a big impact on the acidification of body fluids, so it's also important to maintain a good mood.
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Maintain emotional stability. Emotional overtension. Agitated.
Furious. can cause vasospasm. Blood pressure rises suddenly.
The blood thickens. Thus affecting the normal blood circulation of the human body. Induces thrombosis or rupture of blood vessels.
Therefore. Middle-aged and elderly people should be in a cheerful mood every day. Optimism.
to keep the mood relatively stable. Develop good habits. Long-term poor eating habits are an important factor in the formation of blood clots.
High in fat. A high-cholesterol diet can lead to a calorie surplus. Elevated blood lipids.
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You should pay attention to your health, eat some foods with high nutritional value, and learn to mix your diet reasonably, which may help alleviate the disease.
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Due to the decline of physiological function, elderly patients often have multiple diseases, such as diabetes and heart disease. After surgery and anesthesia, recovery is slower. Therefore, in postoperative care, it is necessary to pay attention to the impact of surgery and the recovery of one's own function, such as blood pressure, blood sugar indicators, and whether respiratory function is restored.
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Compared with young patients, elderly patients often have multiple diseases, their physiological functions will decline, and their functional reserve will be reduced, so after the blow of surgery and anesthesia, their recovery from surgery and anesthesia may be slower than that of young people.
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Maintain emotional stability. Emotional overtension. Agitated. Furious. Make sure you drink plenty of fluids. If you don't drink enough water, the blood viscosity in your body will increase.
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First of all, we must pay attention to personal warmth, we must go to bed early and get up early and don't stay up late, and we must strengthen outdoor exercise, you can choose to play Tai Chi, and then you can also choose to walk briskly, and at the same time, don't eat too greasy food, don't smoke, don't drink, don't drink strong tea.
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Try to keep the elderly in a peaceful and optimistic state of mind. No matter what kind of disease the elderly suffers from, they must face up to the reality and build confidence. All negative emotions such as anxiety and nervousness of patients and their families will not only not help, but will make things worse.
Therefore, patients and families should come out of the shadows as soon as possible.
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Try to keep the elderly in a regular life, get up and sleep on time, and urge and supervise the elderly to take medicine on time according to the doctor's instructions. 5. Help the elderly resolutely quit smoking, drinking and other bad habits.
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