Traditional Chinese medicine has a complete theoretical system, and its uniqueness lies in the holistic view of "harmony between man and nature" and "correspondence between man and nature" and its treatment based on syndrome differentiation. Summary is a reflection of a unit or individual's practical activities, its content comes from his own practice, and its conclusion is also to guide his future practice. Whether you are looking for or preparing to write a summary of the work of treating stomach diseases with traditional Chinese medicine, I have collected relevant information below for your reference!
Summary of treatment of gastropathy 1 3
The first time I learned from an old professor of traditional Chinese medicine in the internal medicine clinic, I benefited a lot. I often talk with Mr. Wang Rongxin, an expert in nephrology of traditional Chinese medicine, about various academic problems of traditional Chinese medicine. We spoke freely, and many of my problems were solved. Finally, we are both teachers and students and good friends. She often borrows some books I bought to read, and I often go to her clinic to listen to her post-reading, so that I can compare it with my post-reading experience. Those three weeks and subsequent visits were the times when I learned the most.
Later, it was a continuous ward internship. At that time, I deeply realized that these doctors lacked knowledge of Chinese medicine. I sometimes ask myself, "Is this a Chinese medicine hospital?" Because almost all their medical care is based on western medicine. Traditional Chinese medicine only supplements healthy qi and improves immunity, and it is not the main means of treating diseases at all. They also smiled and said, "Thursday is a generous day." And some big prescriptions, many kinds of drugs, the price is also very high. Not only that, they also asked students to prescribe these prescriptions, "just look around" and then give the doctor's advice. Occasionally, I will change the prescription, but the reason is that some drugs prescribed by students are too cheap, and I have changed several drugs with similar effects and higher prices. Is this the situation of our Chinese medicine hospital in China where I will work in the future?
When I was in the second ward of neurology, my classmate was scolded by the director because he didn't accompany the teacher to communicate with the patient. He just wanted to supplement the collection, but the teacher didn't collect the complete information of the four diagnoses of traditional Chinese medicine.
The school requires us to write 16 clinical medical records. Although I found it difficult to improve my self-cultivation by copying these medical records, I decided to bite the bullet and copy two papers for a job. Before writing, the director scolded me and said a few words. This is the patient's privacy. You can't copy it. It seems that she doesn't have a good impression of me. Good scolding! I think this is a waste of my time, so I won't copy it.
When I wanted to transfer to general practice, I finally couldn't help it. I flatly refused the arrangement of the hospital, and went to see Professor Li Jiyan, director of Dalian Internal Medicine Clinic, the most famous traditional Chinese medicine doctor in Dalian for treating spleen and stomach diseases. He usually takes no students. But after seeing my sincerity and discussing it with science and education many times, he finally agreed. I finally feel like I'm starting to learn Chinese medicine. He first treated a patient, wrote a prescription, handed it to me, and I copied it. I looked at the patient again (then he looked at another patient), looked, smelled, asked and cut. I made it myself, and then I wrote a prescription and compared it with the teacher's. Thanks to the teacher's slow reading, I have enough time to do it. After copying the prescription for almost a month, I gradually understood the teacher's thinking and user habits, and also put forward some suggestions to him, some of which were adopted by him. I feel that I have suddenly made a lot of progress, and I have unspeakable joy in my heart.
Summary of gastropathy treatment II
The internship is over. I used to be confused and ignorant, but now I'm full. Therefore, we are very grateful to the First Affiliated Hospital for providing us with such a good internship environment and various superior conditions, and to all the teachers for their hard teaching, so that we have such a good internship opportunity before we set foot on our posts. Clinical practice is the consolidation and strengthening of theoretical learning stage, as well as the cultivation and exercise of nursing skill operation, and it is also the best training before our employment. Although this period of time is short, it is very important to each of us. We cherish this time, cherish the opportunity of daily exercise and self-improvement, and cherish this rare mentoring relationship with teachers. When I first entered the ward, I always felt at a loss I am in a strange state about nursing work, and I still don't have a formed concept about what I can do in such a new environment.
Fortunately, we have a teacher to introduce the ward structure, the work of each class and rich experience in teaching teachers, which makes us quickly adapt to the nursing work of various departments in the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for internship and work in the hospital, which should be regarded as the first harvest in the internship stage: learning to adapt and learn to grow and survive in the new environment. A nurse's job is very heavy and messy. Although I felt something before I entered the consulting room, I felt it more deeply after I really entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. Because of clinical practice, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry.
The second gain from entering the clinic is to correctly understand nursing, establish correct professional ethics and develop a good working attitude. When I go to the ward for internship, I have the most contact with patients, and I have a deep understanding of diseases and a thorough grasp of basic nursing operations. The biggest and ultimate goal of practice is to cultivate good operating skills and improve the ability of nursing work. Therefore, under the teaching principle of "let go, don't look around, don't worry about looking around", actively strive for every exercise opportunity, such as basic nursing operations such as catheterization, inserting stomach tubes, washing hair in bed, bathing in bed, oral care, automatic gastric lavage, intravenous infusion and various enema methods. At the same time, I constantly enrich my clinical theoretical knowledge, actively think about various problems, humbly ask teachers or other teachers for questions that I don't understand, and take knowledge notes. When teachers don't have time to answer questions, we will consult books after work, or consult teachers and more people, so as to better strengthen the combination of theoretical knowledge and clinical practice.
Most of the internship departments in the First Affiliated Hospital are whole wards, and most of us are nurses in charge. While following the teacher in charge of patients, we should strengthen the observation of patients' condition, enhance the understanding of patients' diseases, educate patients with various health knowledge and exercise their ability to apply what they have learned. According to the requirements of schools and hospitals, I actively completed medical record writing, teaching rounds and lectures, and cultivated my writing, organization and expression skills. Generally speaking, the third harvest during the internship is also the biggest harvest: the nursing operation skills have been improved, the level of disease awareness has risen, and various nursing work has gradually become proficient. While cultivating excellent professional skills, they also cultivate good study habits. By thinking, we can draw inferences from others.
During the internship in the hospital, everything we do is for the health of patients and the prognosis of diseases. We strictly abide by the rules and regulations of the hospital, all operations strictly follow the aseptic principle, and strictly implement the "three inspections and seven pairs". In orthopedics, internal medicine, surgery, gynecology, ICU, operating room, emergency, acupuncture and other departments, we all do a good job, abide by the principle of sterility, implement the check-up system, and cultivate a good work style. This should be regarded as the fourth harvest. Although it can't be said to be great, it is also an important and indispensable harvest. During this short internship, we gained a lot. If summed up in simple words, it will look pale and powerless, at least it can't be expressed accurately and clearly, but we have benefited a lot. There are fifth, sixth and even more gains, but there is no need to list them one by one, because we know that the gains during the internship will be better reflected in the future work, so we use some dotted lines instead of face and special to represent individuals. In short, while thanking the First Affiliated Hospital for cultivating our dribs and drabs, we will take up our respective jobs with a more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical nursing ability and do our best for the nursing cause!
Summary of gastropathy treatment work 3
20 _ _ _ 65438+February, under the leadership of teachers, I came to Dagang Hospital again with a brand-new and nervous mood. First of all, I am very grateful to the teachers for their hard explanation and knowledge transfer, which made me discover my own shortcomings, understand that I need to work harder both in study and practice, make my thirst for knowledge stronger, and give me a new understanding and understanding of my future position in advance. Although the internship time is short, it has gained a lot.
This time I mainly went to internal medicine, cardiovascular medicine, neurology, gastroenterology and endocrinology. Every time the teacher braved the cold to meet us downstairs ―― it moved me very much. After entering the department, the head nurse impressed me the most. She assigned us to the corresponding teachers. The warm reception and greetings from the teaching teachers make us feel warm, and the nervous, uneasy and confused mood is gradually suppressed by the active desire to learn.
First of all, I know the corresponding responsibilities of nurses in various positions in the department. Teaching teachers are basically divided into ordinary class nurses, main class nurses, responsible nurses, head nurses and nurses. They collectively guide us separately and alternately. The nurses and teachers in the general affairs class told us:' The general affairs class is equivalent to the logistics department of the department, and the most important work every day is to sort out, count, check, summarize and deal with articles regularly and regularly, and the articles are fully prepared'. The main nurse teacher told us that the main nurse is the second-in-command in the department after the head nurse, and plays a very key role in the nursing treatment process of the whole department, not only to process, check and verify the doctor's advice, but also to have solid theoretical medical knowledge. The nurse on duty teacher told us that the nurse on duty is the closest friend of the patient, not only the concern from friends, but also the stock of a family and the most important thing.
It is a concern for the disease. The head nurse told us that the head nurse plays a very important and indispensable role in the department, which is the decisive factor to determine the effective start of nursing treatment and the key factor to affect the effect of nursing treatment. The main nurse's job is to timely, accurately, completely and effectively handle nursing information and doctor's orders. Then there is the head nurse teacher. At the end of each internship, the head nurse teacher will guide us.
Summarize and summarize the knowledge in our laboratory, and supervise our analysis and understanding from the aspects of the arrangement of commuting time in the most basic departments, the shift of nurses, the daily counting and sorting of items, the basic nursing related to patients, different nursing models related to different diseases, and the medical records of different patients in the departments at that time, so as to guide us to draw inferences. We are still in a strange and familiar state with the specific work of nursing. Looking at the busy figure of nurses, with the skilled and accurate operation technology and excellent nursing ability of teachers, I can have a more comprehensive and profound understanding of nursing work and a more detailed understanding of the industry. In fact, the job of a nurse is a process of practice making perfect. Only by constantly studying, thinking, operating and exercising can we have solid skills! This should be the first harvest!
Next, I want to talk about the departments that have the greatest influence and the deepest impression on me in these three internships-neurology and endocrinology.
Neurology-as the name implies, is the pathological changes of brain, spinal cord, peripheral nerves and blood vessels caused by various reasons. I just understand here that the ambulance-it includes the first-aid drugs on the upper level (mostly injected drugs and rescue drugs that are continuously infused with normal saline), and the lower level is mainly various simple rescue devices (including oxygen inhalation devices; Sputum suction device; Opener; Tongue depressor; )。 Here, I understand the importance of nurse-patient communication. The teacher asked us to chat with this uncle in his fifties, only to find that he was so amiable. Uncle told us his own story-he has been suffering from diabetes for over 20 years. A few years ago, he suddenly had a heart problem and went to the hospital for treatment. As a result, he was diagnosed with myocardial ischemia, and his three blood vessels were blocked. The doctor suggested heart bypass surgery, but it cost hundreds of thousands. Uncle is very helpless. Results He heard that a hospital in China had a good effect in treating myocardial ischemia, so he took several courses of treatment, and the blood supply to the heart really eased. However, this method, after all, treats the symptoms rather than the root cause. Now my uncle is hospitalized with vascular embolism, numbness, limping and cerebral infarction in his lower limbs. My uncle's experience made me feel a lot, and there was also a kind of knowledge that I seemed to have learned. I suddenly realized and solved it. Here, I also gained several typical cases about neurology.
First, it is middle-aged women who use hormones for a long time. She has a round face, a bloated body, thin and fragile skin and bedsores. Due to the long-term use of hormones, her whole body immunity decreased, which induced complications such as hypertension and atherosclerosis, and finally endangered her brain and caused cerebral embolism. Neurological diseases are interlocking, interrelated and influencing each other. Secondly, it is a patient who has just been transferred from the emergency department to the ICU after thrombolytic therapy. He is a 50-year-old uncle He heard from his family that he suddenly felt sick at three in the morning and the patient was unconscious at five in the morning. At this time, he was rushed to the hospital for emergency treatment by his family. By ten o'clock in the morning, the patient was diagnosed with cerebral embolism and had completed thrombolytic therapy. Now he is conscious. This is a very successful case. For this kind of patients with cerebral embolism, it is necessary to grasp the best rescue opportunity and complete thrombolytic therapy in the best time. In this way, under normal circumstances, patients will not leave sequelae, otherwise, most of the rescued patients are also multifunctional obstacles such as hemiplegia and dementia. Third, I have always thought that neurology is particularly difficult to learn, but after going to neurology, I found that many things I learned before are self-evident, which should be my second gain-for medicine; I should read more, watch more, think more and do more. I should cherish the opportunity of combining practice with theory, which is completely comparable to the efficiency of reading a book for a few days under the stage.
Department of Endocrinology-Department of Digestive Endocrinology-Patients with various digestive system diseases and various hormone secretion disorders. Because this time we went on probation in the afternoon. The first is the postprandial blood sugar test. The teacher first showed us blood collection through a patient, but the clinical blood collection needle is a disposable blood collection needle instead of a blood collection pen, which deepened and consolidated the blood sugar operation we just learned. Next, the teacher pushed a seemingly tall machine and led it to the ward. This is a patient with hyperglycemia and hyperlipidemia. Later, it was found that it was an operation-human sensory threshold test and analysis system.
This is to test the sensory nerve function of patients, mainly through the test and analysis of sensory nerves in both feet. The process includes: 10g nylon silk touch, cold and hot feeling, acupuncture pain and Achilles tendon reflex. Next, another teacher did an arterial blood flow test for the patient ―― mainly using a conductive pen to rub the coupling agent, using a small instrument to find the correct arterial position in the left and right upper limbs, the dorsal tips of the left and right feet, and ankles, and then judging the value by listening to the sound of arterial blood flow through a table. Then out of the ward, the teacher showed us the normal operation process of medication and nursing for diabetic patients. Among them, the teacher introduced that the drugs for treating diabetes are divided into sulfonylurea insulin secretagogue, non-sulfonylurea insulin secretagogue, biguanides, glycosidase inhibitors and insulin (human insulin, insulin analogues). Personally, I am not sensitive to drugs, but after the teacher said it again, I always remember it clearly. Then, the teacher took us to the treatment room to see the insulin pen. At present, it is mainly divided into 4/5 insulin pens. The only difference is that the insulin pen is 5 than the insulin pen.
One more function-you can see the last insulin dose before each injection, and the other is a disposable insulin pen. Then the teacher showed me the whole process of insulin injection, including that the insulin pen and albumin should be placed in the refrigerator at MINUS 4 degrees Celsius, and then the installation, inspection, exhaust, dose adjustment, application and selection of injection site of the insulin pen. Clinically, in order to facilitate the treatment of patients, another insulin pump appeared. The teacher took us to see a mother-in-law's insulin pump, which is about the size of our usual Mp4. Mp5, and then connected to the patient through a very thin tube. Adjust the dose and time according to the doctor's advice, and then the insulin pump will inject the corresponding dose of insulin into the patient at the corresponding time.
Finally, the teacher told us about the health education for diabetic patients. In normal times, when patients use insulin by themselves, after using insulin too much, patients will have hypoglycemia reaction, which is manifested as dizziness, fatigue, sweating, hunger, blurred vision and other symptoms. At this point, they should immediately take sugar water or eat a piece of sugar or intravenous glucose, and stay in bed. When the dose of insulin is insufficient, patients will be extremely thirsty and thirsty. At this point, the patient should appropriately increase the insulin dose twice and pay attention to rest. My third harvest is also the deepest experience. To be an excellent nurse, you must have a solid theoretical foundation and excellent nursing skills. I also need to keep learning, redouble my efforts and keep practicing. Learning has only a starting point, but no end.
A nurse's job is very heavy and messy. Even so, we find that nurses have their unique charm.
Force. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. This is also the fourth harvest: correct understanding of nursing, correct professional ethics and good work attitude.
In this short time, simple language can't express my benefits accurately and clearly. Through this understanding, I have more clearly defined my direction. Only by studying hard and cherishing the learning opportunities every day can I live a wonderful life. We should cultivate our own dribs and drabs, gradually integrate ourselves into future jobs with a more positive learning attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical nursing ability and do our best for the nursing cause.