By 吉隆坡循人中学圣约翰救伤队

1. HOME NURSING

2. Video

3. What is home nursing??
• Caring
• An art
• Science
• Client委托人 cantered
• Holistic整体的
• Concerned with health promotion,
maintenance, restoration复原.
• Helping profession.

4. Definition :
Looking after an patience but without losing his dignity自尊
and independence.
The purpose:
• To promote and maintain health.
• To take care of patient health.
• To assist recovery.
• To encourage independence.
• To help needs.
• To maintained well life.

5. Advantages?
• Lower cost
• Fell more comfortable at home.
• Family also can take part
• Patient are taught to be independence..
• Remove the family burden by travelling to hospital.
• Know how to self care.

6. The nursing process
(when approach to patient):
1. ASSESSMENT: collect data.
2. NURSING DIAGNOSIS: according to the data to determine
the diagnosis.
3. OUTCOME结局 IDENTIFICATION: identify expected outcome
of client
4. PLANNING: develops plan of care
5. IMPLIMENTATION: action types in the plans of care
6. EVALUATION: evaluates 鉴定client conditions after treatment

7. MEETING THE PATIENT NEEDS

9. 1.Physical needs
• Breath
• Eat and drinks
• Rest and sleep
• Safe environment
2.Psychological needs
• Esteemed尊重
• Valued
• Accepted
• Recognized as an individual
• Needs for security and privacy

10. 3.Social needs
• Companionship- visitor , radio, tv
4.Financial needs
• Money
5.Spiritual needs
• Respect patient’s belief

11. STANDARD PRECAUTIONS

12. Standard precautions预防??
• Infection control care for all the patients regardless of
their diagnosis and perceived infection.
• BLOOD
• ALL BODY FLUIDS,SECRETIONS分泌,EXCRETIONS排泄
.(contain visible blood)
• Non-intact skin(wound)
• Lips.

13. How to prevent infection??
• Hand hygiene
• PPE(personal protective equipment):
1.Gloves
2.Mask
3.Face shield

14. Hand hygiene
• To avoid the transmission of harmful germs

15. Step of hand washing
https://youtu.be/zCVu_1d9AJ8

16. Vital Sign
• Temperature
• Pulse Rates
• Respiratory Rates
• Blood Pressure
• Pain score
Why do we need to check ?
• To know patient condition
• To determine the baseline value for future comparisons对比
• To detect the changes of the patient condition

17. Body Temperature
• Normal: 37-37.4 °c
Where can check?
1. ORAL
2.AXILLARY
3.EAR
4.RECTAL
5.FOREHEAD
WHAT FACTOR INFLUENCE BODY TEMPERTURE
• Environment
• Gender- female temperature higher than male(0.6C)
• Exercise
• Emotional and stress

18. NO MEASURE TEMPERATURE?
• After smoking, eat ,drink(wait for 20-30min)
• Unconscious patient
• Children (should hold the thermometer
carefully )
• Patient who use mouth breathing(oral
measuring)

19. Pulse• Pulse rates
• Pulse rhythm
• Pulse volume(strong or weak)
Pulse point: Carotids颈, Radial手腕, Brachial上
手臂, Femoral大腿内侧
Respiration
Factor influence respiration:
• Exercise
• Pain
• Stress

20. Pain Assessment鉴定
SHOULD ASK!
1.Character (name)
2.Onset(when it begin)
3.Location
4.Duration(how long does it last)
5.Severity(how bad it is)
6.Aggravating加重 and alleviating缓解 factor (what makes it better or
worse)

21. Pain?How??
• Warm compression
• Cold compression
• Deep breathing exercise
• Relaxation therapy治疗
***between 24-28 hour (cold compression)
***after 48 hour (warm compression)
• All compression should between 2-5min,and rest a
while

22. Practical :
•Tpr tray(temperature, pulse rate, respiration)
•Wound dressing
•Bed making
•Food tray/medication tray