【精品】PPT课件 Treatment for Geriatric Depression
高血压英文PPT精品课件AddressingDisparityinHealthandHealthCa
Columbus Health Department
The journey to eliminate disparities …
Is an ongoing process – not a discrete event
Requires collaboration from many partners
ongoing basis ➢ Identifying and addressing problem areas
➢ Ongoing evaluation – process & outcomes
Columbus Health Department
Addressing the problem – Our Efforts …
Must be evaluated regularly to
– assure progress – assess impact – identify gaps, strengths & opportunities – celebrate successes
Columbus Health Department
Columbus Health Department
The Context and . . . the Mandate
Disparities in health status, health care and health outcomes:
• exist
• are unacceptable, and
sectors
》 Many sources may contribute:
- health systems - health care providers - patients - utilization managers
unit 3
Discussion Case 1
预习
课文
小结
写作
Back
IN THE NEWS - Death of BrainDamaged Florida Woman Fuels Debate About End-of-Life Issues
随
笔
Americans are debating many questions related to the death of Terri Schiavo. Treatment of the severely brain-damaged woman has raised important questions about hopelessly sick and injured patients. Missus Schiavo was the center of a major medical and legal battle that even involved Congress and President Bush. Missus Schiavo died Thursday in the state of Florida. She was forty-one years old. Her death came thirteen days after her feeding tube was disconnected. The tube was keeping her alive. Terri Schiavo was among at least ten thousand Americans with conditions their doctors say are beyond hope. Examinations showed that important parts of Missus Schiavo's brain had been destroyed. Fifteen years ago, Terri Schiavo suffered a heart attack at age twenty-six. Lack of oxygen damaged her brain. She was kept alive by a feeding tube. Since nineteen ninety, some doctors described Missus Schiavo as being in a persistent vegetative
心包疾病PPT课件
▪ even paradoxical pulse.
▪ Congestion of systemic
circulation
▪ distended jugular vein
▪ edema
Clinical Manifestations
---Cardiac tamponade
▪ Acute ：Beck’s trilogy
History of up
respiratory Accompanied
Histrory
tract infection， acute onset，
with primary TB
often
recurrent
Accompa nied with original infection lesion or septemia
Volume of pericardial
effusion
Characteris tic
—
Little
Laboratory findings
--- Chest x-ray film
▪ Cardiac shadow has an enlarged “waterbottle” appearance.
▪ Clear lung field.
▪ Cardiac shadow changes with postures.
心包疾病
General characteristics (Normal Pericardial Anatomy and
Physiology)
1.Pericardium is the membranous sac surrounding the heart.
2. The pericardium consists of two layers: visceral layer and parietal layer.
癌痛的治疗策略 ppt课件
ppt课件
若恶心加重
评估恶心的其他原因(如便秘、中枢神经系统疾病、化疗、高钙血症） 专家建议：在处方第一片阿片类药物时，
如果恶心持续1周以上或更换几种阿片药物并采取措施后，恶心 仍然存在时
25
使用丙氯拉嗪、硫乙哌丙嗪、氟哌啶醇或甲氧氯普胺 如果应用prn无好转，应按时给予止吐药，1周后改为prn 加用5-HT3拮抗剂（格拉司琼等），会加重便秘需谨慎 使用DXM
ppt课件
17
三种滴定方法的比较
1、不推荐静脉给药滴定 2、即释吗啡滴定时，需要护士的积极配合，每4小时密切观
察及评估，并做好记录
3、羟考酮缓释片因为有38%的即释成份，而且可以降低医 护人员工作量，已经得到广大临床医护工作者的认可 4、羟考酮缓释片滴定方案2更方便快捷，完全可以满足“癌 症疼痛规范化治疗示范病房”要求
癌痛的滴定治疗策略
1
ppt课件
什么是癌痛？
肿瘤患者感受到的疼痛和不适 包括肿瘤导致的疼痛、治疗导致的疼痛、与肿瘤
无关的疼痛
2
ppt课件
流行病学：癌痛现状十分严峻
25%
33%
75%
33%
新诊断患者1,2
积极治疗期1,2
癌症晚期1,2
完成治疗患者3
1. Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain. 6th ed. 2008. 2. Clinical Practice Guidelines in Oncology for Adult Cancer Pain. V. 1.2010. ppt课件 3 3. van den Beuken-van Everdingen MH, et al. Ann Oncol. 2007;18: 1437-1449.
罗兰贝格咨询(英文PPT 18页)
• Channel strategy • Sales and marketing process
• Finance process • Production process • Logistics process
Sales and marketing
Operation process
Rolandberger Strategy Consultants All Right 2001-2003
6
Project background
Consulting process
Project methodologies
Rolandberger Strategy Consultants All Right 2001-2003
7
Consulting process overview
Project acquisition
ClCielienntt iinniittiaiatetsed propjreojcect trreeqquuiriermemenetsnts
Project proposal and presentation to client
• Project content • Project methodology • Project organization • Project schedule • Project fee and
• Leverage synergy • Optimize
organization structure and process
Final recommendation
Rolandberger Strategy Consultants All Right 2001-2003
个案护理ppt英文
Case nursing PPT in English•Introduction•Case Overview•Rolling Interventions •Outcomes and Progress •Lessons Learned and Future Plans01 IntroductionBackground of the Caseyears agoTo provide a learning opportunity for students and healthcare professionals to understand theimportance of holistic nursing carein clinical settingsTo present the nursing care andmanagement of Mrs. Smith's case To demonstrate effective communication and collaborationbetween healthcare professionals Purpose of the Presentation02Case OverviewAge: 35 years oldGender: MaleWeight: 70 kgHeight: 175 cm Ethnicity: CaucasianMarital Status: Married Occupation: EngineerDiagnosis and Condition•Chief Complaint: Chronic lower back paint•History of Present Illness: John has been experiencing lower back painfor the past three months, which has been gradually worrisome Thepaint is located in the Lumbar region and radiates down both legs Healso reports numbness and tingling in his feed•Physical Examination: On examination, John's lower back is tenant topavement, and his luggage range of motion is limited There istenderness along the scientific nerve path, and the straight leg raisingtest is positive•Diagnosis: Sciatica (L5-S1 radiopathy)•Current Medications: John is currently takingibuprofen and acetaminophen for pain relief•Allergies: John has no known drug allergies•Vital Signs: BP: 120/80, HR: 70, RR: 16, Temperature: 37.2 ° C•Current Status: John is currently experiencing modeling to severe lower back pain that is interfering with his work and daily activities He is also experiencing some degree of anxiety and depression due to the pain•Treatment Plan: The treatment plan includes conservative management with physical therapy, analytics, and anti inflation medicine If the conservative management fails, surgical intervention may be considered The nursing care plan includes pay management, education about the conditions, and resource of activities that are low impact on the back03Rolling InterventionsPhysical CareBasic nursing careproviding personal hygiene,bathing, changing diapers, andensuring patients are well fed andhydratedMedical managementassisting in the administration ofsubscribed medicine, ensuringtimely and accuratedocumentation Pain managementassessing and treating pain syndromes, using non pharmaceutical and pharmaceutical methodsPsychological SupportEmotional support01providing comfort, assurance, and emotional validation topatients facing severe situationsStress management02helping patients identify and scope with sources of stress, usingrelaxation techniques and cognitive behavioral therapyCoping strategies03teaching patients effective coping mechanisms for dealing withanxiety, depression, and other psychological challengesFamily meetingsConvening family members to discuss the patient's condition, treatment options,and care planEducation sessionsproviding education on the patient's condition, treatment options, and self-carestrategies to family membersFamily support groupsfacility support groups for family members to share experiences, gainknowledge, and provide emotional support to each otherFamily Engagement and Education04Outcomes and ProgressThrough effective nursing care, patients may experience faster recovery times, fewer complications, and overall improved health outcomesCase nursing guarantees that patients receive individualized, assessed care, leading to higher levels of satisfaction and a positive patient experienceStreamlined processes and improved coordination can lead to a more efficient use of resources, reducing costs and improving the overall delivery of careThrough following up care and education, case nursing can help patients manage their health conditions effectively, leading tofewer hospital readmissions Case nursing provides patientswith the support and resourcesthey need to manage chronicdiseases effectively, leading tobetter long-term outcomesBy improving education andsupport, case studies helppatients develop the knowledgeand skills necessary for effectiveself-care, enabling them to bettermanage their health at homeReduced readmission rates Improved chronicdiseasemanagementEnhanced patientself-care abilitiesLimited resourcesCase nursing may be limited by the availability of resources, such as staffing and funding, which can impact the quality and delivery of careCompetitionprioritiesIn a busy healthcare setting, casenursing may be overshadowed byother urgent and pressing mattersthat require immediate attentionLimited trainingand educationCase nursing requires specializedtraining and education, which maynot be widely available oraccessible to all healthcareproviders010203 Challenges and Setbacks05Lessons Learned and Future PlansInsight 1: The importance of communication: Effective communication is essential in nursing, as it ensures that patients understand their condition and treatment options, and that their needs and concernsare addressed Insight 2: Teamwork andcollaboration: Nurses should workclosely with other healthcareprofessionals to providepsychological and coordinatedcare to patients Teamworkfounders have a positive workenvironment and improve patientoutcomesInsight 3: Emotional intelligence:Nurses need to have a high levelof emotional intelligence toeffectively manage theirrelationships with patients andcolleagues This helps build trust,improve communication, andscope with the emotionaldemands of the jobInsights and ReflectionsRecommendation 1: Continuous education and training: Nurses should push forward on education and training to stay up to date with the latest nursing practices and technologies This will enhance their clinical decision making, improve patient outcomes, and ensure safety inthe delivery of care Recommendation 2: Emphasis onpatient centered care: Nursesshould place an emphasis onpromoting patient centered care,which involves addressing thephysical, emotional, and socialneeds of patients This approachfocuses on a positive patientexperience, improvessatisfactions, and promoteshealingRecommendation 3: Wellness andself-care: Nurses need toprioritize their own wellness andself-care to maintain theirphysical and mental health Thisincludes strategies such as settingboundaries, managing stress, andseeking support when needed Ahealthy nurse is better able toprovide quality care to patientsRecommendations for Future CareTHANKS感谢观看。
罗兰贝格咨询(英文PPT 18页)
Content
• Structure analysis • Strategy mapping • Operational opportunities analysis
– Planning process – Production process – Logistics process – Sales operation – Marketing approaches – Technical supporting process – Cost structure – Personnel capacity
interviews • In-field survey • Desk research
Rolandberger Strategy Consultants All Right 2001-2003
• Strong sales organization • Strong distributor network • Optimum sales process
12
Project background
Client
Roland Berger
… …
Rolandberger Strategy Consultants All Right 2001-2003
Roland Berger recommendations
• Buy out Chinese partnership in Shanghai • Merge of Shanghai and Ningbo’s operation • Downsizing and management localization • Market repositioning as a technology provider • Streamline and refocus product portfolio • Strategic distributor business model • Project oriented channel strategy
维持性透析高血压的防治(patient)PPT课件
与医护人员的互动与沟通
与医生沟通
向医生详细介绍自己的病情、用药情况和生活习惯，以便医生制 定合适的治疗方案。
与护士沟通
了解透析过程中的注意事项，如血管通路的维护、透析液的成分等。
参加病友交流会
与其他透析患者交流心得体会，共同探讨防治高血压的方法和经验。
THANKS FOR WATCHING
感谢您的观看
注意事项
患者应按时到医院复查，避免因错过复查时间而影响治疗效果。
心理调适与生活方式改变
1 2 3
心理调适
维持性透析高血压患者可能存在焦虑、抑郁等心 理问题，应及时寻求心理支持和治疗。
生活方式改变
患者应保持健康的生活方式，包括合理饮食、适 量运动、戒烟限酒等，以降低血压和减少心血管 事件的发生风险。
高血压可引起心肌肥厚、心腔扩大 等心脏并发症，进而导致心律失常、 心力衰竭等严重后果。
03 维持性透析高血压的预防 措施
控制水盐摄入
限制每日水分摄入量
根据病情和医生的建议，合理安排每 日的水分摄入，避免过多饮水导致体 内液体潴留，从而升高血压。
限制盐分摄入
减少高盐食品的摄入，如腌制食品、 加工肉类等，以降低体内的钠含量， 有助于降低血压。
影响因素
透析方案
不同的透析方案（如血液 透析、腹膜透析）对血压 的影响不同。
饮食与生活习惯
高盐、高脂等不健康饮食 以及缺乏运动等不良生活 习惯可能加重高血压。
合并症
患者可能同时患有其他心 血管疾病、糖尿病等合并 症，这些疾病也可能加重 高血压。
02 维持性透析高血压对患者 的危害
对心血管系统的影响
维持性透析高血压的防治 (patient)ppt课件