1, please make an appointment for physical examination first [3]; Avoid alcohol the day before physical examination, limit the high-fat and high-protein diet, and avoid using drugs that affect liver and kidney function.
2. The diet should be light three to five days before the examination. Do not eat bloody food such as pig liver and pig blood. Please completely fast (including drinking water) after 0/2 o'clock the night before the examination.
3. When doing X-ray examination, you should wear cotton underwear instead of clothes and bras with metal buttons; Please take off your necklace, mobile phone, pen, keys and other metal objects. Female candidates who are pregnant or may be pregnant, please inform the health examination service staff first and have a careful X-ray examination.
4. Blood drawing and hepatobiliary ultrasound must be performed on an empty stomach; Do not urinate when doing B-ultrasound of bladder, prostate, uterus and appendix; If there is no urine, drink water until the bladder is full.
5. Female physiological period, not suitable for gynecological examination and urine test; Empty the bladder before gynecological examination; It is best to choose far-infrared breast reexamination within one week after the physiological period. Unmarried women should not have gynecological examination, and those with special needs need to sign relevant agreements (notices) before they can have corresponding examination.
Please measure your blood pressure, height and weight before the physical examination.
7, check the day need to draw blood, after abdominal ultrasound examination, before eating.
8. When there are thermal imaging items in the physical examination, you must empty your urine and urine before the examination, and you need to fast and drink water.
9. Dress requirements on the day of physical examination: wear convenient clothes, shoes and socks, and it is best not to wear necklaces. Lesbian bras should not be supported by strip steel and should not wear sequined underwear.
Five taboos of physical examination
Physical examination is one of the effective means to prevent diseases. Through physical examination, we can understand our own health status and find some early diseases that are not easy to detect, so as to intervene and prevent the occurrence and development of diseases in time and get twice the result with half the effort. However, due to insufficient attention to some key links of physical examination, or misunderstanding, there are various omissions in many subjects, which makes it difficult to achieve the purpose of physical examination.
First, avoid drawing blood too late. Physical examination and laboratory tests require fasting blood to be taken at 7:30-8:30 in the morning, no later than 9: 00. It's too late, because of the influence of physiological endocrine hormones in the body, the blood sugar value will be distorted (although it is still fasting). Therefore, candidates should draw blood as soon as possible and don't miss the time easily.
Two, it is forbidden to stop taking blood before physical examination, but patients with chronic diseases should be treated differently. For example, it is necessary for hypertensive patients to take antihypertensive drugs every morning to keep their blood pressure stable. Hastily stopping taking medicine or delaying taking medicine will lead to a sharp rise in blood pressure and become dangerous. Blood pressure is measured after routine medication, and the physical examination doctor can also evaluate the antihypertensive scheme. Taking a small amount of antihypertensive drugs has a slight effect on the test and can be ignored. Therefore, patients with hypertension should come back for physical examination after taking antihypertensive drugs. Patients with diabetes or other chronic diseases should also take medicine in time after blood collection, and routine treatment should not be interfered by physical examination.
Third, avoid giving up the examination items set in the physical examination form at will, including not only the basic items reflecting physical health, but also some special examination items for malignant diseases and common diseases. Some tests are of special significance for the early detection of diseases. Such as anal digital examination, is particularly important for the discovery of rectal tumors in patients over 40 years old. Some subjects give up exams automatically because they are afraid of trouble or shyness. If the subject really has a lesion, it will naturally lose the best opportunity for treatment, and the consequences are self-evident.
4. Never ignore the important medical history, especially the medical history of important diseases, which is an important reference for the medical examiner to judge the health status of the examinee, and accordingly formulate intervention measures, which has an extremely important impact on the prognosis of the disease. Some disciplines hold the psychology of "assessing" the level of physical examination doctors, and think that diseases can only be found out and cannot be said. Not knowing the result of doing so is often counterproductive. For example, before giving treatment guidance to patients with hypertension, we must understand the onset time, treatment process, medication situation and other key issues of hypertension, so as to put forward further treatment suggestions, including adding and subtracting dosage and adjusting medication varieties, so as to achieve the best treatment effect. If the examinee can't remember the name of the medicine, he can bring a medicine box to identify it. The medical history statement should be objective and accurate, and important diseases should not be omitted.
Verb (abbreviation of verb) Don't underestimate the conclusion of physical examination. The conclusion of physical examination is a summary of the health status of the subjects. It is a health prescription made by doctors based on the comprehensive analysis of the physical examination results of various subjects, which has important guiding significance for correcting bad living habits and preventing diseases. Some subjects pay more attention to the process of physical examination and ignore the conclusion of physical examination, which makes the physical examination meaningless without careful reading and execution [4].
Edit this paragraph to read health management.
Health management refers to the process of overall management of health risk factors of individuals or groups. Its purpose is to mobilize the enthusiasm of individuals and collectives, effectively use limited resources, and achieve the greatest health effect.
Implementing health management is to change passive disease treatment into active health management, thus saving medical expenses and maintaining health. Health management is provided by a third-party service organization (professional health management company) other than traditional medical institutions such as hospitals, and the health management company and medical institutions are cooperative. The specific approach is to evaluate the health status, lifestyle and living environment of individuals and groups through professional health management companies, provide targeted health guidance for individuals and groups, and intervene in implementation.
Health management is a personalized health affairs management service based on personal health records. Based on modern nutrition and information management technology, it provides comprehensive health protection services for everyone from the perspectives of society, psychology, environment, nutrition and sports. It helps and guides people to master and maintain their health successfully and effectively.
Generally speaking, from low-risk state to high-risk state, early lesions appear, clinical symptoms appear and diseases form. This process can be very long, often taking years or even decades. Most of the changes in the period are not easy to be noticed, and there is no clear boundary between stages. Targeted preventive intervention before the disease forms can successfully block, delay or even reverse the occurrence and development of the disease, thus achieving the purpose of maintaining health. However, the traditional medical professionals can no longer meet the growing demand for health care services. Therefore, it is necessary for health managers to become an independent profession.
Lifestyle diseases are rising all over the world, and the medical expenses are unbearable, which brings a heavy burden to families and society. It is an urgent problem for us to manage the health and diseases of the whole people from doctors in big hospitals to communities.
physical examination
Physical examination and physical examination have many similarities in physical examination methods, but there are many differences from hospital physical examination in terms of project portfolio, department structure, system management, physical examination result processing and communication.
Different clients: the clients of physical examination are "guests" who take the initiative to prevent diseases and have physical examination; The object of physical examination service is "patients" who seek medical treatment because of illness or pain.
The guiding ideology is different: the guiding ideology of health examination is "prevention first" and "prevention before illness"; The guiding ideology of medical physical examination is "saving lives by treating diseases" and "saving lives by treating diseases".
Different purposes: the purpose of health examination is to find abnormal signs and prompt the factors that may threaten health in healthy people; The purpose of medical examination is to find out the cause and location of the disease according to the symptoms of the disease, make a clear diagnosis and provide a basis for treatment.
Different centers: physical examination is the process and conclusion of physical examination centered on "health"; Medical physical examination is the process and conclusion of physical examination centered on "pain" The purpose is to find out the causes and symptoms of pain through physical examination according to the complaints of patients or their families, so as to make a clear diagnosis and provide basis for treatment.
Different items: the items of health examination are different from those of physical examination. The Standards for Students' Physical Fitness and Health and the Standards for China Adults' Physical Fitness promulgated by the relevant state departments are our standards for evaluating physical fitness, and physical fitness tests and psychological tests are set according to their requirements; The detection items such as trace elements, tumor markers and even genetic characteristics are not available in general physical examination.
The "quality" is different: the physical examination result is the final summary report of the physical examination, that is, the explanation, analysis and treatment suggestions of the abnormal signs found in this physical examination. The result of physical examination is to write medical records and course records, and eliminate pain and symptoms through effective treatment.
Different venues: the physical examination institutions are mostly graphic design, and the physical examination lines for men and women are different; Physical examination is set by department, and it needs to be repeated many times upstairs and downstairs to complete all the examinations, which may cross with patients and increase the chance of infection.
The method is the same: Western medicine has observation, pulse diagnosis, percussion and auscultation, while Chinese medicine has hope, smell, ask and feel. ECG machine, B-ultrasound machine, X-ray machine and blood biochemical analyzer are the same as those in the hospital. Mainly composed of medical staff is the same.