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نگاهی به نقش پرستاران در بخش مراقبت های ویژه
در رشته ارشد پرستاری کودکان شما میآموزید که با کودکان به بهترین شکل ممکن برخورد…
دانش آموختگان این رشته دارای نقش های مراقبتی ، آموزشی ، پژوهشی و مدیریتی می باشند.
سلامت روانی بیمار به دلیل دوری از خانواده در بیمارستان دچار آسیب گردیده و باعث افزایش استرس در آنها و افزایش
طول درمان میشود. بیمارانی که تحت عمل جراحی بزرگ و طولانی مانند جراحی قلب، سیستم تنفسی، جراحی مغز و موارد دیگر که هر کدام برای طی کردن طول درمان نیاز به زمان بیشتری دارند.
مثلا اگر کسی دچار بیماری قلبی است
و ناگهان در منزل از هوش میرود ،
تنها کاری باید انجام دهید این است که
از خدمات نوار قلب در منزل استفاده کنید.
مراقبت های ویژه در منزل عبارت است
از ارائه خدمات ICU و یا CCU در منزل
به افرادی که بیماری آنها پیشرفته شده است و ملزم به استفاده از دستگاه های ICU و CCU
هستند.
این شامل خدمات رسانی به مشتریان در رستوران ها و فروشگاه ها و پذیرایی
از مشتریان یا مهمانان می شود.
✏️ مشاهده، دریافت و در غیر این صورت کسب اطلاعات از کلیه منابع مرتبط.
✏️ وارد کردن، رونویسی، ضبط، ذخیره یا نگهداری اطلاعات به
صورت مکتوب یا الکترونیکی/مغناطیسی.
تمامی کالا و خدمات اين فروشگاه حسب مورد دارای مجوزهای لازم از مراجع مربوطه میباشند و فعاليتهای
اين سايت تابع قوانين و مقررات جمهوری اسلامی ايران است.
پرستاری حرفه ای سخت و طاقت فرسا است
که نیاز به صبر و تحمل بی پایان در برخورد با بیمار و خانواده اش
دارد. این مسائل و استرس ناشی از آنها می تواند پرستاران را چه از نظر جسمی و چه از نظر
روانی در معرض خطر و آسیب قرار دهد.
به علاوه، احتمال ایجاد این آسیب ها در پرستاران بخش های مراقبت ویژه به دلیل استرس های تشدید شده حرفه ای، بیشتر
است. این مطالعه با هدف بررسی وضعیت بهداشت روان پرستاران بخش های مراقبت ویژه (آی سی
یو، سی سی یو، اورژانس، و دیالیز) بیمارستان های آموزشی
شهر تهران انجام شده است.
این بیماران بعد از درمان توسط پرستاران آی سی یو و قرار گرفتن در شرایط عادی
بهتر است از خدمات کاردرمانی
در منزل یا حتی فیزیوتراپی در منزل
استفاده کنند تا مشکلات جسمانی آنها نیز بر طرف شود و سلامتی آنها به تکامل
برسد.
✏️ برای برنامه ریزی یا ارائه درمان با متخصصان مراقبت های بهداشتی همکاری کنید.
✏️ ارزیابی تأثیر بیماری ها یا آسیب ها بر سلامت، عملکرد، رشد، رشد، تغذیه، خواب، استراحت، کیفیت
زندگی یا روابط خانوادگی، اجتماعی
و آموزشی بیماران. یک پرستار پرستار مراقبتهای حاد مراقبتهای پرستاری پیشرفتهای را برای بیمارانی
ارائه میکند که دارای بیماریهای مختصر اما جدی هستند که
به احتمال زیاد در بخش اورژانس، کلینیک مراقبتهای سرپایی یا سایر مراکز اقامت کوتاهمدت دیده میشوند.
شرکتی با ارزش های عالی ، خدمات با کیفیت و مسئولیت پذیر ،
در حوزه ی تأمین منابع اطلاعاتی، نرم افزارهای کتابخانه
دیجیتال/آرشیو سازمانی، خدمات داده و
علم سنجی هستیم.
✏️توانایی تشخیص زمانی که چیزی
اشتباه است یا احتمال دارد اشتباه پیش برود.
✏️ایجاد انگیزه، توسعه و هدایت افراد در حین کار، شناسایی بهترین
افراد برای کار. ✏️درک پیامدهای اطلاعات جدید برای حل مسئله و تصمیم گیری فعلی و
آینده. ✏️نظارت/ارزیابی عملکرد خود، سایر افراد یا سازمان ها برای
ایجاد بهبود یا انجام اقدامات اصلاحی.
✏️آگاهی از رفتار و پویایی گروه،
روندها و تأثیرات اجتماعی، مهاجرت های انسانی، قومیت، فرهنگ ها و تاریخچه و خاستگاه آنها.
بررسی ارتباط متغیرهای شغلی مندرج در پرسشنامه با
نگرش به معنویت و مراقبت معنوی نشان داد.پرستاران نگرش مثبت به معنویت و تمایل به ارایه مراقبت های معنوی دارند و فراهم آوردن بستر مناسب برای ارایه این مراقبت ها می
تواند سبب انجام آنها گردد.
این وضعیت حاد معمولاً به واسطه
اختلال در عملکرد یک یا چندین اندام اصلی
بدن از قبیل مغز، قلب، ریه، کلیه
و … مهم ترین استراتژی که از سوی کادر درمانی و
پزشکی در بخش مراقبت های ویژه در ابتدای امر مورد
اعتنا واقع می شود، برقراری ثبات و پایداری وضعیت فیزیولوژی بیمار، مدیریت مجاری هوایی بیمار و تامین امکان تنفس وی (به صورت طبیعی یا مکانیکی) است.
پرستار مراقبتهای ویژه ( آی سی یو ) بسیار آموزش دیده اند تا مراقبت های استثنایی
را برای بیمارانی که به مراقبت های پرستاری ۲۴/۷ وابسته اند، فراهم
کنند. یک بیمار در ICU اغلب مجهز شده به دستگاه تهویه، لوله گذاری شده و متصل به چندین دستگاه احیای
زندگی و تجهیزات دارویی میباشد.
پرستار مراقبتهای ویژه ( آی سی یو ) تبحر کامل با در نظر گرفتن
تمام جوانب برای بازگرداندن بیماران خود دارند.
دانش آموختگان این رشته با کسب دانش لازم، عملکرد مناسب
را در مراقبت از بیماران بدحال و مهارتهای لازم را در مورد رفتار حرفه ای و پژوهشهای کاربردی، فناوری اطلاعات و مدیریت و
برنامه ریزی در امور مراقبت
از بیماران بدحال فرا می گیرند.
این بخش ها علاوه بر این که از حساسیت مراقبتی
زیادی برخوردار هستند هزینه زیادی
برای بیمارستان، بیمه و اشخاص دارند.
از این رو استفاده از خدمات مراقبت های ویژه در منزل هزینه
را برای افراد تا حدود یک سوم کاهش
می دهد. این بیماران توسط پزشکان متخصص مربوطه پس از ترخیص از بیمارستان به
صورت روزانه ویزیت و تحت
معاینه قرار میگیرند و کاهش مدت اقامت بیمار
در فضای ICU میتواند خطرات ناشی از
عفونتهای بیمارستانی و سایر موارد را به
مراتب کاهش دهد. مرکز خدمات پرستاری و پزشکیطبیب اول همواره به طور شبانه
روزی و با پزشکانی متخصص و با تجربه
آماده خدمت رسانی به همشهریان عزیز در هر نقطه از شهر تهران می
باشد. تنظیم و نظارت بر تجهیزات و
دستگاه های پزشکی مانند
هواکش های پزشکی، دستگاه های رساندن
اکسیژن، مبدل ها و خطوط فشار.
پرستاران ICU اغلب از بیماران و خانواده هایشان حمایت عاطفی می کنند.
نوزادان بستري در بخش هاي ويژه و گسترش ساختاري در ارتقاء روند مراقبت هاي پرستاري و تربيت دانش آموختگاني كارآمد با توانائيها و فراتوانائيهاي لازم مي باشد .
هزینه هتلینگ بستری در بیمارستان بسیار گزاف
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همانند کینان به طور رسمی اعلام کرد.
کریستن جز بازیگرهای معروف امریکا است که بایسکشوال بودن خود را در سال 2017 اعلام کرد.
این فرد در مصاحبه خود گفته است که به
هیچ عنوان با این موضوع مشکل نداشته و
به راحتی با آن کنار آمده
است. میشل جز بازیگرهای معروف آمریکایی
است که در سال 2015 بایسکشوال بودن
خود را به طور رسمی اعلام کرد.
به عنوان مثال، آریستوفان آنها را euryprôktoi به معنای «آبهای پهن» مینامد و آنها را مانند زنان به تصویر میکشد.
این اصطلاح در حالی به کار میرود که لزوماً مشتریان اینگونه بارها همجنسگرایان مرد نیستند و دوجنسگرایان مرد نیز میتوانند به آن بارها بروند.
یکی از تستهای مهم و قابل اعتماد برای
تشخیص گرایش جنسی، یک آزمون
۱۵ سوالی است که توسط روانشناس مطرح، مایکل استورمز طراحی شده است.
این تست به دلیل دقت زیاد و سختگیرانه
به جزئیات، مورد ستایش و استقبال زیادی
قرار گرفته است.
این فرد معتقد است که به جای کلنجار رفتن با این موضوع میبایست صادق
باشد و حقیقت را بیان کند.
مجموعه ذهن نو برترین سامانه مشاوره روانشناسی در زمینه های مختلف روانشناسی از جمله مشاوره خانواده، ازدواج، کودک، طلاق، خیانت، نوجوان، بلوغ، جنسی و سکس تراپی ، ترک اعتیاد، اختلات روانی و شخصیت و …
اما بایسکشوال، انواع مختلفی دارد و
به دلایل گوناگونی ممکن است در
فرد پدیدی بیاید. آنها ممکن است یک رابطه
دگرجنسگرای ثابت همراه با یک رابطه گاه به گاه با شریک
جنسی مشابه داشته باشند یا برعکس.
فقط جاذبه های خود، تجربیات خود و اینکه چگونه ممکن است تحت تأثیر جنسیت قرار میگیرید
یا را در نظر بگیرید. به عنوان مثال، ممکن است فردی دلایل خاصی برای شناسایی به عنوان دگرباش و نه بایسکشوال داشته باشد، بنابراین مهم است که به نحوه شناسایی هر فرد احترام بگذاریم.
مشکلات افراد دوجنسگرا حتی از افراد همجنسگرا نیز بیشتر است.
نماد Bisexuality هم سه دایره در هم ادغام شده هستند که از قسمت
پایین به یک علامت مثبت و از بالا به یک فلش یا پیکان رو به افق، محدود شدهاند.
بد نیست بدانید که این نماد، به نوعی ترکیبی از نمادهای
همجنسگرایی مردان و همجنسگرایی زنان است.
تمامی افرادی که تمایلاتشان دچار تفاوتهایی با استانداردهای جنسی است و مثل
بیشتر افراد جامعه، دگرجنسگرا نیستند، در یک مخفف لاتین، تحت عنوان LGBT شناخته
میشوند. عبارت L مخصوص به خانمهای همنجنسگرا،
قسمت G مربوط به آقایان همنجسگرا و قسمت T مربوط به افراد ترنسشکوال است که بر خلاف
اندام جنسی خود، اخلاقیات جنس مخالف خود را نشان میدهند.
با دقت به این موضوع، متوجه خواهید شد که بایسکشوال، مربوط به افراد
همجنسگرا نیست و کاملا از آن مجزا
است. برای کسب اطلاعات بیشتر
درباره ترنس جندر مقاله «ترنس چیست» را مطالعه کنید.
همجنس گرایی یکی از گرایش های جنسی است که در آن فرد
نسبت به همجنس خود حس عاطفی و فیزیکی دارد.
دوجنس گرایی یا بایسکشوال Bisexual ( كه عوام آن را به اشتباه دو جنسیتی مینامند )، زمانی است که فرد هم زن و هم مرد را از نظر جسمی، جنسی یا عاطفی جذاب می یابد.
دوجنس گرایی فقط یک اصطلاح کلی است، زیرا تفاوت های زیادی بین افراد وجود دارد.
در موارد دیگر، ممکن است یک فرد
نسبت به مردان و زنان احساسات جنسی داشته باشد، اما فقط با افرادی از یک جنسیت رابطه جنسی داشته باشد یا به طور کلی از رابطه جنسی خودداری کند.
جذابیت همیشه به طور مساوی سنجیده نمی شود، زیرا یک فرد دو جنسگرا ممکن
است احساسات قوی تری نسبت به یک جنسیت نسبت به جنس دیگر داشته باشد.
این می تواند بسته به افرادی که ملاقات می کنند متفاوت
باشد، زیرا شیمی جنسی بین افراد پیچیده و غیرقابل پیش بینی است.
در گرایش بایسکشوال فرد به دو جنس دختر و پسر گرایش پیدا
میکند.
از آنجایی که بیش از نصف افراد دگرباشگرا را بایسکشوالها تشکیل میدهند، میتوان
گفت که اکنون فقط در کشور آمریکا، بیش از ۴.۵ میلیون نفر دوجنسگرا
زندگی میکنند. حال اگر از میان این فاکتورها، فردی به
مقدار تقریبا مساوی از فاکتورهای مرد بودن و زن
بودن برخوردار باشد، مقیاس جنسیت وی در جایی بین زن و مرد قرار میگیرد.
کلمه Bisexuality برای اولین بار در سال ۱۸۲۴ وارد فرهنگ لغت شد.
این گونه افراد، معمولا علاوه بر گرایشات خود به جنس مخالف، گرایشات عاطفی و جنسی به
همجنسشان هم در روحیات خود دارند.
اما به دلیل ترس از قضاوت شدن و رفتارهای بدی که در جامعه
به همراه آنها خواهد بود، از بازگو کردن این موضوع وحشت دارند.
متون مذهبی یونان باستان، که منعکس
کننده اعمال فرهنگی بودند، مضامین دوجنسی
را در خود جای دادند. زمانی که
سربازان جوانتر به بلوغ رسیدند، قرار بود این رابطه غیرجنسی شود، اما مشخص
نیست که چقدر این امر به شدت رعایت شدهاست.
مردان جوانی که روابط خود را با مربیان خود تا بزرگسالی
ادامه دادند، انگ وجود داشت.
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