Nursing Care Management 106

7/23/2019 Nursing Care Management 106

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12/82

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13/82

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14/82

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15/82

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16/82

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17/82

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18/82

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19/82

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20/82

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21/82

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22/82

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23/82

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24/82

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31/82

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32/82

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33/82

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34/82


35/82

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36/82

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ANRGPARHCF HF \ARRGPF[ CI MGANRM

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51/82

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x Icpkg{ cygpzmgne a kceewfhrx&x [gpyhkg{ apg kce|pceh{gb&x Cwr{hbg a{{h{rafkg h{ pgqwhpgb&

0& Rx|g{ ci Bh{a{rgp{0&1& Farwpan

1&1&1 Gaprmqwadg{ % {madhfj afb yh`parhcf ar rmg {wpiakg cirmg gaprm pg{wnrhfj ipce wfbgpjpcwfb ecygegfr ancfj a

iawnr |nafg ci ipce ycnkafhk akrhyhrx&


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Hfrgpygfrhcf{ a{{h{rafkg zhrm kngaf w| ihfafkhan. ngjan. afb ra} hfic& pgigp rc a {w||cpr rgae pgigp rc a||pc|pharg kcee& Ajgfkhg{

Kapgjhygp{ Pgakrhcf{

[aeg a{ Yhkrhe Pcng [rpahf Kcfkgpf{ cygp \gp{cfan [aigrx ) Iaehnx \c{{g{{hygfg{{ rczapb{ yhkrhe{ Fwp{g % |apgfr hbgfrhihkarhcf zhrm |gbharphk yhkrhe{ Hfrgpygfrhcf{

kngap bh{a{rgp |naf{ ) bh{a{rgp g}gpkh{g{Kphrgpha icp \c{r Rpawearhk [rpg{{ Bh{cpbgp

Rmg rpawea h{ wfhygp{annx pgkcjfhgb Pg%g}|gphgfkg rmg rpawea Bgecf{rparg ghrmgp gecrhcfan fwe`hfj cp bgkpga{g hf fcpean gygfr{

Pcng ci rmg Fwp{g ar rmg Bh{a{rgp [hrg

Hf{wpg {aigrx Ihp{r Ahb Gegpjgfkx kapg

\phfkh|ng{ ci Bh{a{rgp Eafajgegfr

\pgygfr rmg bh{a{rgp Ehfhehg ka{wanrhg{ \pgygfr iwprmgp ka{wanrhg{ Pg{kwg rmg yhkrhe{ Ihp{r ahb Gyakwarg Egbhkan kapg Pgkcf{rpwkrhcf

\ma{g{ ci a Bh{a{rgp Eafajgegfr \pcjpae?

1& \pg|apgbfg{{% Rmg jcan ci gegpjgfkx |pg|apgbfg{{ |pcjpae{ h{ rcakmhgyg a {arh{iakrcpx ngygn ci pgabhfg{{ rc pg{|cfb rc afx gegpjgfkx{hrwarhcf rmpcwjm |pcjpae{ rmar {rpgfjrmgf rmg rgkmfhkan afbeafajgphan ka|akhrx ci jcygpfegfr{. cpjafharhcf{. afb kceewfhrhg{&

0& Ehrhjarhcf% gnhehfarg cp pgbwkg rmg |pc`a`hnhrx ci bh{a{rgpckkwppgfkg. cp pgbwkg rmg giigkr{ ci wfaychba`ng bh{a{rgp{& Hfknwbg{


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`whnbhfj kcbg{4 ywnfgpa`hnhrx afanx{g{ w|barg{4 cfhfj afb nafb w{geafajgegfr4 whnbhfj w{g pgjwnarhcf{ afb {aigrx kcbg{4 |pgygfrhygmganrm kapg4 afb |w`nhk gbwkarhcf&

;& Pg{|cf{g% rc |pcyhbg heegbharg a{{h{rafkg rc eahfrahf nhig. he|pcygmganrm afb {w||cpr rmg ecpang ci rmg aiigkrgb |c|wnarhcf& Rmg ickw{

hf rmg pg{|cf{g |ma{g h{ cf eggrhfj rmg `a{hk fggb{ ci rmg |gc|ngwfrhn ecpg |gpeafgfr afb {w{rahfa`ng {cnwrhcf{ kaf `g icwfb&

2& Pgkcygpx% ega{wpg{ `crm {mcpr afb ncfj rgpe. hfknwbg pgrwpfhfj yhrannhig%{w||cpr {x{rge{ rc ehfhewe c|gparhfj {rafbapb{4 rge|cpapxmcw{hfj4 |w`nhk hficpearhcf4 mganrm afb {aigrx gbwkarhcf4pgkcf{rpwkrhcf4 kcwf{gnhfj |pcjpae{4 afb gkcfcehk he|akr {rwbhg{&

Bh{a{rgp \naffhfj

Rx|g{ ci Ega{wpg{?

1& \pgygfrhyg ega{wpg{ % Rmg{g kcfrpcn{ apg ahegb ar|pgygfrhfj af gygfr ipce ckkwpphfj&

0& Bgrgkrhyg ega{wpg{ % Rmg{g kcfrpcn{ apg ahegb arbgrgkrhfj cp bh{kcygphfj wfzafrgb gygfr{&

;& Kcppgkrhyg ega{wpg{ % Rmg{g kcfrpcn{ apg ahegb arkcppgkrhfj cp pg{rcphfj rmg {x{rge airgp bh{a{rgp cp gygfr&

Ann% mazapb{ A||pcakm% a |pcjpae zmhkm anncz{ xcw rc|pcyhbg?

x Giigkrhyg kccpbhfarhcf ci akrhyhrhg{ aecfj rmgcpjafharhcf{ mayhfj a eafajgegfr#pg{|cf{g pcng4

x Gapnx zapfhfj afb kngap hf{rpwkrhcf{ rc ann kcfkgpfgb hia kph{h{ ckkwp{4

x Kcfrhfwgb a{{g{{egfr ci akrwan afb |crgfrhankcf{gqwgfkg{ ci rmg kph{h{4

x Kcfrhfwhrx ci `w{hfg{{ c|gparhcf{ bwphfj afbheegbhargnx airgp rmg kph{h{&

Rx|g{ ci Mazapb{?

Farwpan Mazapb{% a icpe ci {gygpg zgarmgpakrhyhrhg{ {wkm a{ gngkrphkan {rcpe{. hkg {rcpe{.

mwpphkafg{ ) rcpfabc{& Rgkmfcncjhkan Mazapb{% ihpg. {w||nx kmahf

{mcprajg{. {rpwkrwpan baeajg afb maapbcw{eargphan&

Mweaf Mazapb{% {wkm a{ rgppcph{e. mc{rajg{hrwarhcf{ hfknwbhfj YH\ {hrwarhcf{. `ce` rmpgar{

afb |crgfrhan |afbgehk{ &


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-eax w{g GP Fwp{g{ fcrg{( rc pgkcpb kmafjg{ hf |arhgfr*{kcfbhrhcf. abbhrhcfan hficpearhcf. grk&c @g {wpg rc w{g mc{|hran bh{a{rgp raj fwe`gp icp hbgfrhihkarhcf -rmgraj h{ hf rph|nhkarg(&0& @G [WPG rc| {mggr ci bh{a{rgp raj h{ eabg ayahna`ng rc Egbhkan Pgkcpb{

zhrm |gprhfgfr hficpearhcf&;& BC FCRngayg xcwp |arhgfr wfarrgfbgb& \arhgfr eax `g {hjfgb cii rc|gp{cf hf kmapjg zmgf abehrrgb rc a wfhr&

2& Jhyg ajjpg{{hyg ihp{r ahb rpgaregfr&7& Eadg cwr rmg a||pc|pharg na` {nh|{ afb }%pax pgqwh{hrhcf{ zhrm bh{a{rgpfwe`gp& Hr h{ g{{gfrhan rmar rmgx mayg rmg{g {nh|{ eabg cwr&

\crgfrhan [kgfaphc{?

Nc{{ ci |czgp. hfknwbhfj aw}hnhapx |czgp Nc{{ ci egbhkan ja{g{ Nc{{ ci zargp afb#cp zargp |pg{{wpg Nc{{ ci kce|pg{{gb ahp afb yakwwe {wkrhcf Nc{{ ci rgngkceewfhkarhcf {x{rge{ Nc{{ ci rgkmfcncjx {x{rge{ Rmpgar{ rc {aigrx ci |arhgfr{ afb {raii-yhcngfkg. rgppcph{e afb

`ce`{(

K& BH[A[RGP EAFAJGEGFR

Ngygn{ ci Bh{a{rgp

1& Ngygn H% hi rmg cpjafharhcf. ajgfkx. cp kceewfhrx h{ a`ngrc kcfrahf rmg gygfr afb pg{|cfb giigkrhygnx wrhnhhfjhr{ czf pg{cwpkg{&

0& Ngygn HH% hi rmg bh{a{rgp pgqwhpg{ a{{h{rafkg ipce rmg g}rgpfanpg{cwpkg{. `wr rmg{g kaf `g c`rahfgb ipce fgap`x ajgfkhg{&

;& Ngygn HHH% hi rmg bh{a{rgp h{ ci a eajfhrwbg rmar g}kggb{ rmgka|akhrx ci rmg nckan kceewfhrx cp pgjhcf afb pgqwhpg{a{{h{rafkg ipce {rarg%Ngygn cp gygf igbgpan a{{gr{&

Mc{|hran Hfkhbgfr Kceeafb [x{rge?

af hfkhbgfr kceeafb {x{rge bg{hjfgb icp mc{|hran{ afb hfrgfbgbicp w{g hf `crm gegpjgfkx afb fcf%gegpjgfkx {hrwarhcf{&

Hr |pcyhbg{ mc{|hran{ ci ann {hg{ zhrm rccn{ fggbgb rc abyafkg rmghpgegpjgfkx |pg|apgbfg{{ afb pg{|cf{g ka|a`hnhrx`crm hfbhyhbwannx

afb a{ ege`gp{ ci rmg `pcabgp pg{|cf{g kceewfhrx&


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Rx|g{ ci Rphajg?

1& [he|ng rphajg% w{gb hf a {kgfg ci ea{{ ka{wanrx. hf cpbgp rc {cpr|arhgfr{ hfrc rmc{g zmc fggb kphrhkan arrgfrhcf afb heegbharg

rpaf{|cpr rc rmg mc{|hran afb rmc{g zhrm ng{{ {gphcw{ hfowphg{&

[&R&A&P&R& -[he|ng Rphajg afb Pa|hb Rpgaregfr( %h{ a {he|ngrphajg {x{rge rmar kaf `g |gpicpegb `x nhjmrnx%rpahfgb nax

afb gegpjgfkx |gp{cffgn hf gegpjgfkhg{& Hr h{ fcr hfrgfbgbrc {w|gp{gbg cp hf{rpwkr egbhkan |gp{cffgn cp

rgkmfhqwg{&

Rphajg {g|aparg{ rmg hfowpgb hfrc icwp jpcw|{?Rmg bgkga{gb zmc apg `gxcfb mgn|Rmg hfowpgb zmc kaf `g mgn|gb `x Heegbharg rpaf{|cprarhcf

Rmg hfowpgb zmc{g rpaf{|cpr kaf `gbgnaxgb

x Rmc{g zhrm ehfcp hfowphg{. zmc fggbmgn| ng{{ wpjgfrnx

Hf rmg WD afb Gwpc|g. rmg rphajg |pckg{{ w{gb h{ {hehnaprc rmar ci rmg Wfhrgb [rarg{. `wr rmg kargjcphg{ apgbhiigpgfr?

Bgab % rmc{g zmc apg |pcfcwfkgb a{ {wkm `x a egbhkannxqwanhihgb |gp{cf cp |apaegbhk zmc h{ ngjannx qwanhihgb rc|pcfcwfkg bgarm &

Heegbharg % |arhgfr{ zmc mayg a rpawea {kcpg ci ; rc 1

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Nursing Care Management 106