http___medeor.hr_zdravstvena-njega-u-kuci__1.xml
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How to get health care in the home: The selected family medicine doctor or the pediatricians makes a suggestion and a HZZO medical commission gives its consensus upon the doctors reference for the service fulfillment. The patient himself chooses which medical institution he/she wants to get treatment in, and the approved service is conducted by a nurse, and the professional surveillance by the selected doctor and patron nurse. THE HEALTH CARE PROCEDURES The care of chronic wounds • using the state– of– the – art compress for faster healing and constant professional education of our employees Prevention of long-term resting complications (primarily bed sore, contractures and thrombosis) • active and passive stretching • thrombosis prevention • pneumonia prevention • contracture prevention • bed sore prevention ( the state or the art therapy in bed sore treatment) • preservation and build up of muscular strength • the joint function preservation • prevention of deformations • circulation improvement • increase of strength and patients durability • relaxation Help and education for the patients family concerning patients personal hygiene, his/hers surroundings and equipment • maintenance of patients hygiene, his surroundings and equipment of a fully motionless patient in the bed, and the education and help for the family on how to accomplish those procedures in a more successful and simpler way without professional help How to give a motionless or partially mobile patient a bath in his/hers bed or in the bathtub • the daily or weekly personal hygiene of the patients (getting a bath, washing the hair, the mouth cavity hygiene, nail clipping, getting the patient dressed and setting the bed, changing diapers for incontinence patients) Hygiene and stoma maintenance • the care of trachea stoma, cysto stoma, ileo stoma, colo stoma and gastro stoma • our nurses are additional educated in working with patients who have stomas Conducting clyster for cleaning Taking laboratory test material • taking blood and urine samples for lab tests and wound swab material, taking it to the lab and if necessary collecting the results from the lab The parental therapy implementation, except the antibiotics, with doctors surveillance • upon request, and by the suggestion and the surveillance of the selected doctor the usage of infusion, the insulin therapy and education of the self use of the same is arranged Catheterization of urinary bladder in both female and male population • the preparation of the patient for the catheterization • the catheter change for women • the catheter change for men in collaboration with an urologist • usage of urinary catheter in cases when a patient can not urinate, when he is incontinent, after a urinary tract operation, the prostate operation and gynecological operations and in the measurement of secreted urine of the chronic patients The Oxygen Therapy Appliance Local and per- oral therapy usage • the tablets, syrup, drops etc appliance according to the selected doctor reference • surveillance of the therapy usage (in cases of irregular usage the nurse contacts the selected doctor about the same) • the local therapy appliance in form of ointment, cremes, antibiotic compress and baths all upon the selected doctor reference Setting up /exchange of nasogastric probe, feeding through the probe Measurement and registration of vital functions, the sugar level control in both blood and urine • measurement and registration of bodily temperature, the pulse and blood pressure Taking care of a dying patient Health care at home How to get health care in the home:
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Načini ostvarivanja prava na zdravstvenu njegu u kući: Preko uputnice HZZO-a: Izabrani liječnik opće medicine ili pedijatar izdaje odobrenje za uslugu zdravstvene njege u kući. Zdravstvenu ustanovu izabire pacijent osobno. Privatnim plaćanjem: Osobni dogovor sa Ustanovom za zdravstvenu njegu u kući. Odobrenu uslugu provodi medicinska sestra/ prvostupnica sestrinstva. Stručni nadzor vrši izabrani liječnik i patronažna sestra. POSTUPCI ZDRAVSTVENE NJEGE: Zbrinjavanje kronične rane • primjena najsuvremenijih obloga za brže zacijeljivanje rana uz stalnu stručnu edukaciju naših djelatnika Sprječavanje komplikacija dugotrajnog mirovanja (primarno dekubitusa, kontraktura i tromboze) • aktivno i pasivno razgibavanje • prevencija tromboze • prevencija upale pluća • prevencija kontraktura • prevencija dekubitusa (primjenjujemo najsuvremeniju terapiju u liječenju dekubitusa) • održavanje i izgradnja mišićne snage • održavanje funkcije zgloba • sprečavanje deformacija • poboljšanje cirkulacije • povećanje snage i izdržljivosti bolesnika • opuštanje Pomoć i poduka obitelji kod obavljanja osobne higijene bolesnika, okoline i pribora • održavanje higijene bolesnika,okoline i pribora potpuno nepokretnog bolesnika u krevetu, uz poduku i pomoć obitelji kako da te postupke što uspješnije i jednostavnije obave bez stručne pomoći Kupanje nepokretnog ili polupokretnog bolesnika u krevetu ili kadi • dnevna ili tjedna osobna higijena bolesnika (kupanje, pranje kose, toaleta usne šupljine, podrezivanje noktiju, presvlačenje bolesnika i uređenje bolesničkog kreveta, mijenjanje pelena kod inkontinentnih bolesnika) Toaleta i održavanje stoma • njega traheostome, cistostome, ileostome, kolostome i gastrostome • naše medicinske sestre su dodatno educirane za rad sa bolesnicima sa stomama Provođenje klizme za čišćenje Uzimanje materijala za laboratorijske pretrage • uzimanje krvi I urina za laboratorijske pretrage, te materijala za bris rane, odnošenje u laboratorij i po potrebi donošenje nalaza Primjena parenteralne terapije,osim antibiotika,uz nadzor liječnika • na zahtjev, po uputama i uz nadzor izabranog liječnika primjena infuzija,te po uputi liječnika primjena inzulinske terapije i poduka o samoprimjeni iste Kateterizacija mokraćnog mjehura žena i muškaraca • priprema bolesnika za kateterizaciju • izmjena katetera kod žena • izmjena katetera kod muškaraca u suradnji s urologom • urinarni kateter se primjenjuje u slučaju kad bolesnik ne može mokriti, kad je inkontinentan, poslije operacija mokraćnog sustava, prostate i ginekoloških operacija, te kod mjerenja količine izlučenog urina u kroničnih bolesnika Primjena terapije kisikom Primjena lokalne i peroralne terapije • aplikacija tableta, sirupa, kapi i sl. prema uputi izabranog liječnika • nadzor uzimanja terapije (u slučaju neredovitog uzimanja naša med. sestra obavještava izabranog liječnika) • primjena lokalne terapije u obliku masti,krema,antibiotskih obloga i kupki po naputku izabranog liječnika Postavljanje/izmjena nazogastrične sonde, hranjenje sondom Mjerenje i registracija vitalnih funkcija,kontrola razine šećera u krvi i urinu • mjerenje i registracija tjelesne temperature,pulsa i krvnog tlaka Skrb za umirućeg bolesnika Višesatni nadzor bolesnika 24 sata dnevno