Tshuaj yog tag nrho ntawm ntau yam tshwj xeeb cov ntsiab lus thiab cov ntsiab lus uas meej rau cov neeg ua haujlwm kho mob nkaus xwb. Ib tug neeg zoo tib yam tsuas paub tsis tau lawv txhua tus. Yog li no, hauv tsab xov xwm no kuv xav tham txog dab tsi hauv keeb kwm kev laus.
About the concept
Ua ntej tshaj plaws, nws yuav tsum nkag siab cov ntsiab lus uas tseem ceeb hauv kab lus no. Yog li dab tsi yog keeb kwm kev laus? Ua ntej tshaj plaws, qhov no yog cov ntaub ntawv kho mob tseem ceeb, uas tsis muaj leej twg yuav tsum tsis nco qab (ob tus neeg mob thiab tus neeg ua haujlwm noj qab haus huv nws tus kheej). Raws li lub hom phiaj tseem ceeb, cov ntaub ntawv no yuav tsum muaj kev cuam tshuam tag nrho tsib theem ntawm kev saib xyuas neeg mob nrog rau ib tus neeg mob.
About the stage
Raws li tau hais los saum no, txhawm rau ua kom tiav cov ntaub ntawv kho mob kom raug, tus neeg ua haujlwm noj qab haus huv yuav tsum mus txog tsib theem tseem ceeb nrog nws tus neeg mob.
- Sau cov ntaub ntawv hais txog tus neeg mob thiab nws lub xeev kev noj qab haus huv. Tus neeg mob lub npe, hnub nyoog, poj niam txiv neej yuav qhia rau ntawm no. Raws li cov ntaub ntawv los ntawm kev kuaj xyuas, kuaj thiab ntsuas ntsuas (yog tiasxws li tau ua tiav).
- Lub tom ntej no tsis muaj qhov tseem ceeb tshaj yog qhov tsim thiab txhais ntawm cov teeb meem tseem ceeb ntawm tus neeg mob (tau kawg, ntsig txog kev noj qab haus huv).
- Lub sijhawm thib peb yog qhov muaj peev xwm ua tau raws li kev npaj kho mob, uas yog raws li qhov tseem ceeb ntawm tus neeg mob cov teeb meem. Nyob rau tib lub sijhawm, tus kws saib xyuas neeg mob yuav tsum tau teeb tsa lub hom phiaj luv luv thiab mus sij hawm ntev.
- Plaub theem: kev ua raws li txoj kev npaj kho mob, ob qho tib si raws li kws kho mob tau sau tseg thiab nws tus kheej (kev npaj rau kev tshawb fawb, ntsuas kub, thiab lwm yam).
- Theem tseem ceeb tshaj plaws: kev tshuaj xyuas tus neeg mob cov lus teb rau kev saib xyuas neeg mob. Nyob rau hauv cov ntaub ntawv no, cov txheej txheem yog ob lub hom phiaj (normalization ntawm lub cev kub, kev txhim kho nyob rau hauv kev sim kuaj) thiab subjective indicators as (normalization ntawm pw tsaug zog, txo qhov mob).
Tsim
Nws tsim nyog hais tias cov ntaub ntawv kho mob hauv tsev laus rau kev kho mob (nrog rau lwm ntu ntawm cov tshuaj, xws li kev phais lossis kev kho menyuam yaus) yuav tsum tau ua kom tiav raws li txhua txoj cai. Yog li, tus kws saib xyuas neeg mob yuav tsum ua raws li cov cai tshwj xeeb rau kev ua tiav ntawm daim ntawv no:
- Txhua kab yuav tsum tau ua kom zoo zoo, txawm tias, nyeem tau tes.
- Nco ntsoov ua raws li daim foos uas sau keeb kwm laus.
- Kev tsim yuav tsum luv thiab meej, cov lus xaus yuav tsum yog qhov tseeb.
- Cov ntaub ntawv tso tawm hauv keeb kwm kev laus yuav tsum nplua nuj thiab ua tiav raws li qhov ua tau.
- Cov ntaub ntawv yuav tsum yoghuv.
Tom qab sau cov ntaub ntawv kho mob keeb kwm ntawm tus kab mob, daim ntawv no tau txais kev txhawb nqa los ntawm ib daim ntawv tais ceev tseg nrog rau lwm cov ntaub ntawv ntsig txog tus neeg mob.
Example
Hauv kab lus no, kuv kuj xav kwv yees kwv yees tias keeb kwm kho mob rau kev kho mob zoo li cas. Yog li, nws tsim nyog hais tias nws tau sau raws li daim ntawv tsim, feem ntau tag nrho cov lus nug raug luam tawm, thiab tus kws saib xyuas neeg mob tsuas yog sau cov lus teb rau lawv. Nyob rau tib lub sijhawm, tus kws saib xyuas neeg mob yuav tsum tau tsim ib txoj kev npaj rau nws tus kheej txoj haujlwm, uas yog, kev ntsuas tshwj xeeb rau tus neeg mob. Yog li, nws tuaj yeem yog lub rooj ntawm kwv yees li hauv qab no:
| Hnub | Patient problem | Goal (piv txwv li qhov xav tau) | Nurse action | Frequency of patient assessment | hnub kawg lub hom phiaj | Kev Ntsuam Xyuas Tus Kws Kho Mob Kawg |
Nyob rau hauv txhua lub thawv, tus nais maum yuav tsum sau tag nrho cov ntsiab lus ntawm qhov yuav tsum tau ua thiab dab tsi tau ua rau tus neeg mob. Lub hom phiaj kawg ntawm daim ntawv no yog los sib piv cov hom phiaj yav dhau los thiab cov txiaj ntsig ntawm kev saib xyuas neeg mob. Nws tsim nyog hais tias raws li cov ntaub ntawv no, kev kho tus neeg mob los ntawm nws tus kws kho mob tuaj yeem hloov kho.
