Neurology Nursing Papers.doc

 PAGE \* MERGEFORMAT 4 Neurology Nursing Papers Neurology nursing papers - neurological problems in holistic nursing records and Countermeasures Keywords:: holistic nursing care Holistic nursing care records are an important part of writing the file, but also to carry out the whole hospital care, practice-based Nursing true record. With the continuous development of modern nursing. Writing on the quality of nursing records put forward higher requirements on the quality of medical writing good or bad, a direct reflection of a whole hospital nursing departments and the whole level of high and low. May 2003 ~ 2004 May the whole section as a whole to conduct random spot checks of nursing records, a total of 108 copies (one copy per nurse per month), is now checking on the common problems found are discussed below. A problem 1.1 part of the nurses to collect a history of not seriously lacks depth in Ward asked about the history and palpation, and some medical doctors or nurses, or even copy writing virtue of imagination, subjective assumptions, so that the true written record of the content is not enough. 1.2 care is an issue that there are inaccuracies in writing as a nursing diagnosis medical diagnosis, or nursing care as a nursing problems. 1.3 Conservation measures difficult to implement if the right one cases of cerebral hemorrhage in patient care per hour to monitor a second pulse, respiration, blood pressure, pupil, consciousness, but it has not been reflected on the nursing records 1h records a time. 1.4 Nursing diagnosis and measures do not correspond to patient care, such as cerebral infarction diagnosed with anxiety, the measures reflected care center is not clear. 1.5 nursing records were incomplete, records are not coherent or like a running account in mind, or doctor’s advice in mind, there is no detailed record of real change in illness and treatment, the effects observed after treatment. 1.6 discharged from the specific content of the guid