英语护理查房

Nursing rounds of cerebral hemorrhageXu guiying：Department of NeurologyCerebral hemorrhageRefers to the primary substance of non-traumatic brain hemorrhage，which accounts for 20% to 30% in acute cerebrovascular diseasecerebral vascular disease.脑出血是指原发性脑实质出血占全部脑卒中的20%~30%Etiological factor（1）Hypertension with atherosclerosis (most common)。

（2）Intracranial aneurysms (mainly congenital aneurysm)。

（3）Cerebral arteriovenous malformations（4）Other: moyamoya disease, blood disease.病因（1）高血压并发细小动脉硬化（最常见）。

（2）颅内动脉瘤（主要是先天性动脉瘤）。

（3）脑动静脉畸形（4）其他：脑动脉炎，脑底异常血管网症、血液病。

PathogenesisBasis of disease: hypertension and cerebrovascular diseaseAdditional factors:force and emotional changes发病机制基础疾病：高血压，脑血管疾病其他因素：用力，情绪改变Clinical manifestations1.it Often occurs in the hypertensive patients who are over 50 years old2.Prodromal symptoms often do not have a feeling, a small number of dizziness, headache, numbness and slurred speech, and many more in the emotional stress, excitement, bowel movements, hard, and when the incidence of severe climate change.2.临床表现1。

医学英语专科查房培训计划1. IntroductionThe medical specialty ward round is an essential component of clinical practice, providing an opportunity for clinicians to review patient progress, discuss management plans, and make crucial decisions regarding patient care. For medical specialty residents and trainees, participation in ward rounds is critical for developing clinical skills, enhancing medical knowledge, and mastering the art of patient care. Therefore, a structured and comprehensive training program is essential to ensure that residents are proficient in conducting and participating in medical specialty ward rounds.2. Goals and ObjectivesThe primary goal of the medical specialty ward round training program is to prepare residents to perform effectively and efficiently in a clinical setting, providing high-quality patient care and driving positive patient outcomes. The specific objectives of the program include:- Understanding the purpose and structure of medical specialty ward rounds- Developing effective communication skills for presenting and discussing patient cases- Mastering the art of clinical reasoning and problem-solving during ward rounds- Learning to collaborate with multidisciplinary teams and specialists to optimize patient care- Enhancing knowledge of evidence-based medicine and clinical guidelines for the management of medical specialty patients3. CurriculumThe ward round training program will encompass a range of educational activities designed to equip residents with the necessary skills and knowledge for successful participation in medical specialty ward rounds. The curriculum will include the following components:3.1. Didactic SessionsInteractive lectures and seminars will cover topics such as the purpose and structure of ward rounds, effective communication strategies, clinical reasoning and decision-making, and evidence-based management of medical specialty patients. These sessions will provide residents with essential theoretical knowledge and frameworks for understanding the principles and strategies of ward rounds.3.2. Case-Based LearningResidents will engage in case-based discussions, where they will have the opportunity to present patient cases, discuss management plans, and receive feedback from faculty members and peers. This approach will allow residents to apply their knowledge and skills in real-life scenarios, fostering critical thinking and problem-solving abilities.3.3. Simulation ExercisesSimulated ward rounds will be conducted to replicate the dynamics and challenges of a clinical setting. Residents will practice conducting ward rounds, presenting cases, and engaging in team discussions in a controlled environment. This hands-on experience will help build confidence and competence in managing complex medical specialty patients.3.4. Multidisciplinary CollaborationResidents will be encouraged to collaborate with specialists from other disciplines, such as nursing, pharmacy, and allied health professionals, to gain a holistic understanding of patient care. Interprofessional rounds will be conducted to facilitate communication and teamwork, emphasizing the importance of coordinated care for medical specialty patients.3.5. Personalized Feedback and MentoringFaculty members will provide individualized feedback and mentoring to residents, offering constructive guidance on their performance during ward rounds. This personalized approach will help residents identify areas for improvement and develop targeted strategies for enhancing their skills.4. Assessment and EvaluationA comprehensive assessment and evaluation process will be implemented to monitor residents' progress and proficiency in conducting and participating in medical specialty ward rounds. Assessment methods will include:- Objective Structured Clinical Examinations (OSCEs) to simulate ward round scenarios and evaluate residents' performance- Direct observation of residents' participation in actual ward rounds, with feedback from faculty members- Written assessments to evaluate residents' knowledge of medical specialty patient management and evidence-based practices- Peer evaluations to gather insights into residents' teamwork and communication skills during ward roundsThe evaluation process will be ongoing, allowing for continuous feedback and support to ensure that residents are meeting the program's learning objectives.5. Program Implementation and DeliveryThe medical specialty ward round training program will be integrated into the existing residency curriculum, utilizing a combination of face-to-face sessions, online resources, and hands-on experiences in clinical settings. The program will be delivered by a team of experienced faculty members with expertise in medical specialty patient care, clinical education, and communication skills training.Residents will be expected to actively participate in all components of the training program, demonstrating their commitment to developing the necessary skills and knowledge for medical specialty ward rounds. Regular attendance, active engagement, and reflective practice will be encouraged to maximize learning outcomes.6. Program Evaluation and Quality ImprovementA continuous quality improvement approach will be adopted to monitor the effectiveness of the ward round training program and make necessary adjustments to ensure its success. Residents' feedback, faculty input, and programmatic assessments will be used to identify areas for improvement and innovation. The program will undergo periodic review and refinement to align with best practices and evolving standards in medical specialty patient care.7. ConclusionThe medical specialty ward round training program aims to prepare residents to excel in conducting and participating in ward rounds, ultimately enhancing the quality of patient care and optimizing clinical outcomes for medical specialty patients. By fostering strong clinical and communication skills, promoting interprofessional collaboration, and emphasizing evidence-based practices, the program will empower residents to become skilled and compassionate medical specialty clinicians. Through ongoing assessment, feedback, and continuous improvement, the program will strive to meet the evolving needs and challenges of medical specialty patient care, ensuring that residents are well-equipped to succeed in their clinical practice.Overall, the medical specialty ward round training program will serve as a cornerstone of the residency curriculum, providing a solid foundation for residents' professional development and their ability to provide high-quality, patient-centered care in the medical specialty setting.。

护士培训课件：护理查房Nursingrounds(一)护士培训课件：护理查房Nursingrounds随着医疗技术的不断发展和医疗体制的改革，护理人员扮演着越来越重要的角色。

而护理查房作为病人每天的重要环节之一，是评估病情、指导治疗、观察护理效果和沟通交流的重要途径。

因此，护士培训课件中的护理查房已经成为现代护理教育中不可或缺的一部分。

护理查房是护理工作中的核心环节。

护理查房不仅仅包括对患者的身体状况的观察，还包括了对社交、心理以及健康教育等方面的关注。

因此，护理人员需要通过专业的培训，学会如何开展护理查房的流程和方法。

针对护理查房的培训，护士培训课件“护理查房Nursingrounds”应运而生。

该课件基于新型医学教育理念，将学生的自主学习、交互式学习和移动学习三者有机地融合起来，使得课件的效果变得更加突出和实用。

护理查房Nursingrounds主要分为以下几个方面：护理查房概述、护理查房目的、护理查房方法及护理查房流程。

其中，护理查房概述包括了护理查房的基本知识，介绍了护理人员在每天检查病人时，需要重点关注的要素。

护理查房目的则主要介绍了护理查房的目标和意义，如病情评估、疗效判断、护理记录等内容，强调护理查房的重要性。

护理查房方法是护理查房教育最重要的部分，这些方法包括了对患者体征数据的分析、对患者资料的记录、护理措施的制定以及医护人员间协同的沟通与互助。

通过对护理查房方法的学习，护理人员可以领悟到性别、年龄、病情、心理及福利等方面的特点，并有效地评估患者的身体健康状况。

最后，护理查房流程展示了护理人员每天如何开展护理查房的完整流程。

通过对护理查房流程的学习，护理人员可以更好地掌握护理查房的方法和步骤，并且深入了解到不同的护理方法对患者的身体健康状况会产生怎样的影响。

护理查房Nursingrounds的课程内容丰富，方法全面，可以帮助护理人员更好地掌握护理查房的技能和方法。

通过学习，护理人员可以更好地了解病情，更好地解决患者的痛苦，并为患者的康复做出积极的贡献。

Lumbar disc herniation in nursing roundsPatient data：Patients with Zheng Baorong, female, 54 years old, a chief complaint of low back pain 8 years, increase with double lower limbs pain numbness and weakness in 2 monthsThe patient is now history：The patient said in 8 years ago five apparent inducement appear gradually lower back pain, lower limb swelling and discomfort, fatigue after the increase of rest after remission, and occasional pain, line of symptomatic treatment, symptoms can be relieved, then still recurring symptoms. 2 months ago the exacerbation of symptoms and gradually appeared in both the lateral lower leg and foot pain, posterolateral, lower extremity weakness, pain like stabbing, burning, was continuing, especially with the double foot is heavy, night is obvious, the intense pain affect sleep, oral pain because of poor efficacy, and double the dorsum of the foot, foot numbness, consciously plantar " on the cotton ". The patients for further treatment to the hospital, outpatient investigation to " lumbar disc herniation " for the diagnosis of wards. In the course of the disease in patients without obvious fever, night sweats, fatigue symptoms, right foot fracture after long time bed double lower limb muscle atrophy, and decreased body weight of about 10kg, poor sleep, diet, two times can be.Characteristics of disease：Lumbar disc herniation is refers to the degeneration of intervertebral disc, fibrous ring rupture, the nuclear organization salient stimuli and compression of the nerve root and cause a syndrome. Traditional Chinese medicine books without lumbar intervertebral disc protrusion in the name of. Lumbar disc corresponds to an amphiarthrosis, is covered by hyaline cartilage plates, annulus fibrosus and nucleus pulposus composition, distribution in the lumbar spine bone room. Lumbar intervertebral disc degenerative changes or trauma induced by fibrous ring rupture, nucleus pulposus prolapse from rupture, compression lumbar nerve, and leg radioactivity pain, so the medical profession that lumbar disc herniation is a " low back and leg pain, rheumatism " category. Here's Bian Tingting to introduce the symptoms of lumbar, lumbar disc herniation patients the most common symptoms are pain, low back pain, sciatica performance, typical sciatica is at the back of the thigh, hip, leg lateral to the heel or foot back pain radiation. According to clinical statistics, about 95% of the lumbar disc herniation patients have varying degrees of pain, 80% patients with lower extremity pain. Especially low back pain, lumbar disc herniation not only is the most common symptom, is also one of the earliest symptoms. The pain occurs mainly due to the prominent, degeneration of nucleus pulposus on adjacent tissues ( mainly for sinus vertebral nerve and spinal nerve root stimulation and oppression, and at the same time ) in the nucleus pulposus in glycoprotein and other biological material overflows, the release of histamine and other local chemical inflammation, induced by chemical and mechanical nerve rootcaused by inflammation, cause or light or heavy chronic pain of waist and leg. And the lumbar degeneration also often occurring simultaneously in the waist of the other organizations, such as the lumbar facet joints, ligaments, muscles of waist, causing the local tissue of chronic inflammation, cause pain. Two factor interaction, mutual aggravation, the back and leg pain for sexual development. Protrusion of the lumbar intervertebral disc herniated nucleus pulposus in front of posterior longitudinal ligament called " outstanding ", through the posterior longitudinal ligament into the spinal canal, known as the " prolapse ". According to the nucleus pulposus rearward protrusion part is divided into 3 type:1 after the outer lateral protrusion: fibrous ring of the weakest part of the rear in the intervertebral disc in the midline, this itself is weak, and lack of the posterior longitudinal ligament of the powerful central fiber support, therefore, is the waist intervertebral disc prominent the most common site of. Clinically most common, accounting for about 80%.2 central protrusion: refers to the nucleus pulposus through the annulus posterior central projection, reach the posterior longitudinal ligament under. In addition to cause sciatic nerve symptoms, but also can stimulate or compression of the cauda equina, manifested as perineal paralysis and the size of obstacles.3 prominent within the intervertebral foramen and far lateral: refers to the nucleus pulposus through the rear of the fiber ring back and posterior longitudinal ligament into the spinal canal, into the intervertebral foramen, easily missed, but fortunately, its incidence is low, only about 1%. The following from Wu Junhua to tell you about the etiology.Nursing diagnosis and measure ofPain from a herniated nucleus pulposus pressure edema of nerve root compression and spasm.( 1) the rest: patients in the acute phase of absolute horizontal rigid bed rest, three weeks after illness allows ambulation.( 2): the patient supine posture, head elevation of 30 degrees, knees, the popliteal fossa on a soft pillow.( 3) and pelvic traction( 4): according to the prescribed application drug analgesia analgesics ornon-steroidal drugs.( 5 ): psychological nursing can relieve distractions such as listen to music and chat.Constipation with cauda equina compression and prolonged bed rest on( 1) bowel training: training the patient bed defecation, guide patients to use the potty.( 2) diet and drinking water: to give the patient is rich in fiber digestible diet, encourage patientsMore water to reduce fecal dry.( 3) drugs: severe constipation, according to medicineWill give enema or laxatives.( 4) to create a suitable environment: defecation as mentionedFor the secret of environment and enough time to wait.Somatic dyskinesia and intervertebral disc herniation, traction and operation about( 1) relieve muscle spasm: for pain caused by restricted activities give the pain measures, while the local hot compress to relieve muscle spasm.( 2) position: pelvic traction supine position, postoperative patients for pillow lying on a hard bed, turning over once every 2 hours.( 3) low back muscle exercise1) five point support method2) three point support method3) four point support method4) head of upper limbs and the back back5) lower limbs and waist back6) the whole body backwardThe potential complications of cerebrospinal fluid leakage, urinary retention or infection( 1) for monitoring vital signs: in addition to detection of basic life signs observed sensory and motor.( 2) position: according to the condition and operation of different types of anthropometric, generally slightly raised bed.( 3) strengthen the incision and drainage nursing: Observation of incision and drainage tube is smooth, colour and quantity of liquid, such as abnormal timely report to a doctor.( 4): urinary tract nursing recording intake and output volume, assist the urination and so.( 5 ): strengthening the prevention of infectionVital signs monitoring; cutThe observation and nursing.。

产房护理业务查房范文（中英文实用版）英文文档：Labor Ward Nursing Business Round ExampleLabor ward nursing is a critical aspect of healthcare services, ensuring the safety and well-being of both mothers and infants during childbirth.To maintain high-quality care, regular nursing rounds are conducted to assess and monitor the patients, address any concerns, and ensure adherence to best practices.The objectives of labor ward nursing business rounds include:1.Assessing the physical and emotional status of laboring mothers and their fetuses.2.Monitoring progress of labor, including dilation, fetal heart rate, and contractions.3.Providing emotional support and education to patients and their families.4.Ensuring a safe and comfortable environment for labor and delivery.5.Collaborating with the healthcare team to provide appropriate interventions and care.During the rounds, the nursing team reviews the patient"s medical history, performs a physical examination, and assesses the fetal heart rate.They also discuss any concerns or questions the patient may have,provide updates on the progress of labor, and offer encouragement and reassurance.To ensure the best possible outcomes, labor ward nurses utilize evidence-based practices and guidelines, including:1.Monitoring the mother"s vital signs, including blood pressure, heart rate, and temperature.2.Monitoring the fetal heart rate and rhythm.3.Assessing the mother"s fundus height and cervical dilation.4.Providing pain management options, such as analgesics or epidurals, as needed.5.Encouraging breastfeeding and skin-to-skin contact immediately after delivery.In conclusion, labor ward nursing business rounds are essential for providing comprehensive and high-quality care to laboring mothers and their infants.Through regular assessments, emotional support, and adherence to evidence-based practices, labor ward nurses play a crucial role in ensuring the safety and well-being of their patients.中文文档：产房护理业务查房范例产房护理是医疗服务的重要组成部分，它确保了分娩期间母亲和婴儿的安全和健康。

护理教学查房流程英文版及顺序As a nurse, conducting regular nursing rounds is an essential part of providing quality patient care and ensuring that all patients' needs are met. The nursing rounds process involves several steps to be followed in a systematic orderto ensure that all aspects of patient care are thoroughly reviewed and addressed.The first step in the nursing rounds process is to gather all necessary information about the patients assigned to you. This includes reviewing their medical history, current diagnosis, treatment plan, and any specific care requirements. It is important to be well-prepared before starting the rounds.The next step is to introduce yourself to the patientsand their families. Building a rapport with the patients is essential for gaining their trust and cooperation during therounds. It is also an opportunity to address any immediate concerns or questions they may have.During the rounds, it is important to assess thepatient's vital signs, pain levels, and overall condition. This includes checking their blood pressure, pulse, temperature, and oxygen saturation. Any changes or abnormalities should be noted and addressed accordingly.The nursing rounds also involve a thorough examination of the patient's physical and emotional well-being. This includes assessing their level of comfort, mobility, and any signs of distress or anxiety. It is important to address any issues related to the patient's psychological and emotional state.In addition to the patient's condition, the nursing rounds also involve reviewing and updating the patient's care plan. This includes evaluating the effectiveness of thecurrent treatment and making any necessary adjustments, such as medication changes or additional interventions.Finally, it is important to communicate with the rest of the healthcare team, including physicians, therapists, and other nurses, regarding the patient's progress and any changes to their care plan. Collaboration and effective communication are essential for providing comprehensive care to the patients.In conclusion, conducting nursing rounds is a crucial component of providing high-quality patient care. By following a systematic and comprehensive process, nurses can ensure that all aspects of the patient's well-being are addressed and that they receive the best possible care.。