4000 to 5000 nursing homesThere were nursing homes in different areas that charged 4000 to 5000 yuan. In a first-tier city like Shanghai, the price of some nursing homes was around 5000 yuan. For example, the Yangpu branch of Zhongxin Xinyang Home, Huakang Hengyu nursing home in Huangpu District, Shanghai Yichuan nursing home, etc., the reference price was 5000 yuan per month; the reference price of Meiyuan nursing home was 4500 yuan per month; and the reference price of Tangqiao nursing home was 3500 - 6000 yuan per month. In second and third-tier cities, the price of nursing homes generally ranged from 3000 to 4000 yuan, but there were also nursing homes that charged 4000 to 5000 yuan. The fees of nursing homes were affected by geographical location, service quality, facilities, physical condition of the elderly (such as whether they could take care of themselves), room type (single room, double room, etc.), nature of nursing homes (public or private), and other factors.
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Daily inspection records of nursing home nursing departmentThe daily inspection records of the nursing department of the nursing home mainly included the following aspects:
1. ** Elderly's physical condition **: such as health, whether there are any changes in the patient's condition, vital signs, etc. For the seriously ill elderly, it may take 1 - 2 hours to record, including time, input, output, elderly complaints, major changes in the condition, treatment, nursing measures and effects, elderly consciousness, spirit, psychological state, etc.
2. ** Elderly's Living Condition **:
- ** Dietary Condition **: For example, the elderly's diet preferences, whether the nutritional mix is reasonable, etc.
- ** Physical Activity **: Record the daily activity of the elderly and other related information.
- ** Sleep Status **: The quality and duration of the elderly's sleep.
3. ** Living environment **:
- ** Room hygiene **: Check if the room is clean and tidy.
- ** Item arrangement **: Check if the items in the room are arranged in an orderly manner and if there are any expired items.
4. [Special circumstances: If the elderly's family has special concerns, they should also be listed.]
5. ** Self-care elderly service record (if services are provided)**: Date, bed number, name, service content, etc. The service content includes shopping, receiving and sending letters, cleaning the room environment, psychological counseling, notification of special circumstances, etc.
6. ** Semi-self-care and completely self-care elderly nursing records (excluding daily records)**:
- ** Daily Care Record for the Bedridden Elderly **: Name of the ward, bed number, name of the elderly, gender, age, diagnosis, daily care content, number of operations, etc.
- ** Case nursing record **: General condition, subjective data, objective data, physical and mental assessment, nursing plan, nursing measures, implementation effect record, stage evaluation, discharge guidance record, etc.
The classification of 37The classification of pseudo-ginseng included ordinary pseudo-ginseng, high-quality pseudo-ginseng, green pseudo-ginseng, and organic pseudo-ginseng. In addition, there were also different varieties of pseudo-ginseng, such as Tianqi, Teng Sanqi, Lan Sanqi, Ju Sanqi, and Jingtian Sanqi.
Reflection on nursing assessmentThe following are some reflections on the nursing assessment:
** 1. Theory assessment **
1. ** Comprehensiveness of Knowledge Mastery **
- In the nursing assessment, theoretical knowledge was assessed in a wide range of areas, from nursing safety management, knowledge of hospital infection, to nursing related laws and regulations. This required nurses not to be limited to knowledge related to clinical operations, but to learn all the fields involved in nursing in a comprehensive and systematic manner. For example, in the Three Basics Theory assessment for new nurses, although the accuracy of the single-choice questions was high, the answers to the questions were not comprehensive enough. This reflected that the nurses did not have a good grasp of the overall knowledge. They needed to strengthen their comprehensive understanding of the knowledge and could not just memorize the knowledge points in fragments.
2. ** Knowledge update and in-depth learning **
- With the continuous development of medical science, the theoretical knowledge of nursing was also constantly updated. Nurses should develop the habit of learning new knowledge regularly and pay attention to the latest research results and clinical guidelines in the field of nursing. For example, the knowledge of children's medication in paediatic care not only required a master of traditional medication principles, but also new knowledge such as the application of new drugs and the basis for drug dosage adjustment to cope with the new content that might appear in the assessment.
** 2. Operation assessment **
1. ** Skill Proficiency **
- The operation assessment reflected the nurse's practical ability. Judging from the performance assessment of the new nurses and nursing graduate students, they were not very familiar with the operation. This could be due to a lack of practical opportunities or a lack of systematic practice. For example, if the new nurse was not skilled enough in CPR, IV fluids, and other operations, it would affect the treatment effect of the patient in an emergency. Nurses needed to spend more time on practical training and practice various operations repeatedly to improve the fluency and accuracy of the operation.
2. ** Humanistic care and communication skills **
- There were many problems in the operation assessment, such as language stiffness, lack of communication, lack of humane care, and so on. The nursing work was not only about completing various operations, but also paying attention to the patient's psychological and emotional needs. During the operation, effective communication should be carried out with the patient and their family members. For example, when giving injections to children, the emotions of the children and their parents should be appeased first, and the purpose and process of the operation should be explained. This would help to improve the patient's satisfaction, which was also an important aspect emphasized by modern nursing concepts.
3. ** Awareness of details and norms **
- In the operation assessment, although the concept of asepsis, environmental assessment, and terminal treatment basically met the requirements, they still needed to be improved. For example, in any nursing operation, a slight negligence in the concept of asepsis could lead to an increased risk of infection for the patient. Nurses should pay more attention to the details of the operation and strictly follow the operation specifications to execute every step to ensure the safety and effectiveness of the operation.
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vegetative nursing centerThe vegetative patient nursing center was an institution that specialized in providing care and nursing for vegetative patients. For example, the vegetative patient nursing center established by Xiangjiu University was established to solve the difficulties faced by vegetative patients and their families.
In reality, vegetative patients were in a difficult situation. Public tertiary Grade A hospitals might think that their treatment was of little significance and recommend discharge, nursing homes were unwilling to accept them due to their limited nursing level, and family members lacked professional nursing knowledge and energy to undertake home care tasks. The nursing center established by Xiang Jiuda provided a place for vegetative people to be cared for. It was located next to Beijing's Miyun Reservoir and was a three-story building provided by his friends who lived overseas for free.
The nursing center had its own characteristics in terms of operation. The fee was relatively low at 7500 yuan per month, far lower than the high cost of the hospital's ICU. The center adhered to four basic principles, namely non-invasive operation, basic medication, humane care, and natural death. This not only guaranteed the patient's dignity, but also made the family feel at ease and warmth. Here, patients could receive meticulous care so that their families could return to their normal lives in peace.
There were only a few nursing centers for vegetative patients nationwide. The nursing center established by Xiangjiu University was the first and only one in the mainland of China as of August 2020. A total of nearly 80 vegetative patients had spent the rest of their lives here.
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honestly the story is quite good, but there are too much classification. It is really frustrating to have to look at the glossary every time to understand the level of classification. I think you should make an identical classification (grade / quality) for the Items/ Manuals....