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Thursday, April 12, 2012

Health Counseling of Gastritis

Health Counseling of Gastritis

1. General Purpose
  • To change, control or eliminate all physical complaints of gastritis that occurs that gives the client a bad influence on their daily activities.
2. Special Purpose
  • Having given an explanation of gastritis, the patient is able to:
  • Explain what is gastritis
  • Explain the classification of gastritis
  • Explain the tips in preventing and overcoming gastritis
  • Explaining the importance of information about gastritis
3. The Material
  • Definition of gastritis
  • Classification of gastritis
  • Signs of gastritis
  • The cause of gastritis
  • What things are done for the medium and treating gastritis.
4. Method
  • Lectures, and question and answer
5. Tools
  • leaflets


Health Counseling Process for Gastritis

1. Pre Interactions
Setting up a counseling unit events and leaflets.

2. Health Counseling
  • Introduction
  • Determine the time of contract
  • Provide greeting
  • Explain the material
  • Provide an opportunity to ask questions.
  • Again concluded that the explanation has been given.
3. Termination
Thank you and greetings


Evaluation

a. Evaluation of structures
  • Readiness of the media include:
  • Leaflets, Flipchart, Microphone.
  • the timing
  • determination of the place
  • Notice to residents
  • Organizing a small committee of community
b. Evaluation process
  • Health Working Group on time
  • Outreach activities running order.
  • Health Working Group to ask questions
  • Health Working Group to follow the activities to complete.
c. Evaluation Results
  • Health Working Group can be answered correctly 75% of the extension question.
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Tuesday, April 10, 2012

Impaired Physical Mobility related to Rheumatoid Arthritis

Rheumatoid Arthritis

Nursing Diagnosis : Impaired Physical Mobility

related to:
  • Skeletal deformities
  • Pain
  • Inconvenience
  • Activity intolerance
  • Decreased muscle strength.
Characterized by:
  • Reluctance to try moving / inability to move in with their own physical environment
  • Limit the range of motion, imbalance of coordination, decreased muscle strength / control and mass (advanced stage).
Expected results, patients will:
  • Maintain the function of the position with the absence / limitation contractures.
  • Maintain or improve strength and function of and / or compensation of the body.
  • Demonstrate techniques / behaviors that allow the activity.

Nursing Interventions for Impaired Physical Mobility related to Rheumatoid ArthritisNursing Interventions Impaired Physical Mobility related to Rheumatoid Arthritis

1. Evaluation / continue monitoring the level of inflammation / pain in the joints
Rationale: The level of activity / exercise depends on the development / resolution of the inflammatory peoses.

2. Keep the rest - bed rest / sit, if necessary schedule of activities to provide a continuous period of rest and sleep at night undisturbed.
Rational: Rest of systemic, recommended during the acute exacerbation phase of disease and all that is important to retain the power to prevent fatigue.

3. Assist with range of motion active / passive, and resistive exercises as well as isometris if possible.
Rationale: Maintaining / improving joint function, muscle strength and general stamina.
Note: Inadequate training cause joint stiffness, hence the excessive activity can damage the joints.

4. Change positions frequently with sufficient number of personnel. Demonstrate / aids removal techniques and the use of mobility aid, eg, trapeze
Rationale: Eliminates pressure on the tissue and increase circulation. Facilitate patient self-care and independence. Proper removal techniques can prevent skin abrasion tear.

5. Position with pillows, sand bags, rolls trokanter, splint, brace
Rationale: Increasing the stability (reduce the risk of injury) and memerptahankan necessary joint position and body alignment, reduced contractor.

6. Use a small pillow / thin under the neck.
Rationale: Prevent flexion of the neck.

7. Encourage patients to maintain an upright posture and sitting height, standing, and walking
Rational: To maximize joint function and maintain mobility.

8. Provide a safe environment, for example, raise the chair, use the handrails on the toilet, use a wheelchair.
Rational: Avoiding injuries due to accidents / falls.

9. Collaboration: consul with physiotherapy.
Rational: Useful in formulating training programs / activities based on individual needs and in identifying the tool.

10. Collaboration: Provide foam mat / converter pressure.
Rational: Reduce pressure on fragile tissue to reduce the risk of immobility.

11. Collaboration: Giving drugs as indicated.
Rational: It may be necessary to suppress the acute inflammatory system.
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