Summary of the management of the elderly 1 The elderly are precious wealth of human beings, and their health is an important symbol of social civilization and progress. Carrying out health management for the elderly is related to family happiness, political stability and social harmony. Over the past year, according to the management requirements of basic public health services and the actual situation in our town, the health management of the elderly is an important part of basic public health work. As a concrete fact of respecting, respecting, loving and serving the society, it is the unshirkable sacred duty of public health service workers to carry out the health management of the elderly in a down-to-earth manner. The specific performance is as follows:
First, seriously study the work plan and make the work plan in time.
In the middle and late March, we sent leaders in charge and full-time public health personnel to attend the county public health lecture. Immediately, a training meeting was held for rural doctors and all public health personnel in the town. At the meeting, in addition to conveying the spirit of the health lecture document of the county public and learning the health management work plan of the county public, we also discussed and implemented the specific work steps of our town, confirmed the staff, formulated the work plan, analyzed and put forward the solutions to the problems existing in the physical examination work of the village in previous years, and ensured the smooth development of the health management work of the elderly in our town.
Two, establish and improve the town and village level organization network.
In order to ensure the progress of the work, we have implemented health management for the elderly for all public health personnel, and the person in charge is clear. At the village level, it is also clear that the village doctors in the village clinics are personally responsible, forming a top-down work force. Through up-and-down communication and doctor-patient interaction, the health management of the elderly in our town has reached a higher level.
Third, carry out health education and health promotion activities.
In view of the physiological and psychological characteristics of the elderly, we have carried out extensive and in-depth health education and health promotion activities for the elderly in a popular form, such as interactive health education in the square, health window display, special health knowledge lectures, distribution of health care brochures for the elderly, and joint health lectures on chronic diseases for the elderly with clinicians in our hospital, so that more and more elderly people agree with scientific knowledge such as hypertension, diabetes, tumor, family first aid, fall prevention, sports activities for the elderly and healthy lifestyle for the elderly.
Fourth, do a good job in lifestyle and health assessment, physical examination and health guidance for the elderly.
1 1 There were 7,025 elderly people over 65 in the town who underwent physical examination, and 6,840 health records were established, with a filing rate of 97%, and 6,840 electronic files were entered, with an electronic file entry rate of 100%. According to the requirements of the annual physical examination, organize public health, clinical and inspection personnel to go out of the hospital, go deep into the countryside and carry out their work in a down-to-earth manner. By the end of165438+1October 25th, 4,523 people had completed the physical examination task, and the physical examination rate was 68%, which was 7% lower than the target physical examination rate. During the physical examination, we timely evaluated the lifestyle and health status of the elderly. 3245 patients with hypertension and 554 patients with type 2 diabetes have been transferred to the chronic disease group in time for chronic disease management, and the health management system for the elderly has been basically improved through efforts.
Verb (abbreviation of verb) implements performance management.
In the aspect of health management for the elderly, we take the lead in introducing performance management mechanism, timely assess the quality and efficiency of work at township and village levels, and link the assessment results with individual bonuses, rewarding diligence and punishing laziness, and improving work efficiency.
Annual summary of intransitive verbs
20xx physical examination is over. During this year's physical examination, there were some problems such as the work of rural doctors was not in place and the notice was not issued in time. Health publicity and education for the elderly is not strong enough; The elderly have low trust in the medical examination team.
Summarize the problems existing in the work in the past year, strengthen the health publicity and education of the elderly, and combine the management of health publicity and education in our hospital to publicize the health of the elderly at least twice a year in each village; Strengthen the sense of responsibility of rural doctors, and urge them to finish the assigned work seriously and in time; Strengthen the skills training of the elderly medical examination team and improve the level of the whole medical examination team.
Due to the lack of standardized operation mode and work experience in health management of the elderly, shortcomings are inevitable. We will strive to improve next year, give full play to the intelligence and wisdom of public health workers in our hospital and the spirit of being good at hardship, hard work, dedication and courage to climb, so as to push the health management of the elderly to a new level and create greater glories!
The summary of the management of the elderly in 20xx years, guided by the spirit of the above documents, insists on establishing the health records of the elderly as the main line, taking the standardization of the health management of the elderly patients as the central axis, and people-oriented to solve their actual health problems, so that many elderly people benefit from it and are welcomed by elderly friends. Their enthusiasm for participating in health education and chronic disease management has been significantly improved. Our hospital has established residents' health records for the elderly over 65 years old in the town to let them know about the health care problems of the elderly. The elderly health care work in the past six months is summarized as follows:
First, clear your mind, work hard and strive to achieve "three satisfactions"; Overall planning, combining the "three" into one and common development.
To do a good job in health care for the elderly is to take "prevention first, health care first and care first" as the management idea, aiming at injecting "fresh vitality" into the aging society, and reducing or delaying the occurrence and development of senile diseases through health education, file management and screening or monitoring of chronic diseases for the elderly. Therefore, first of all, we regard health care for the elderly as one of the key tasks of the 1 1 public health service project, give full play to our accumulated experience in health education and chronic disease management, make full use of resources, designate special personnel to take charge, earnestly strengthen health care management for the elderly, formulate feasible annual plans and implementation plans, and constantly improve the contents of health care services for the elderly. In particular, it has made certain characteristics and achievements in health education and knowledge propaganda for the elderly, and the "three satisfactions" of the satisfaction of the elderly residents, the government and the team are taken as the standards to test the health care for the elderly.
Two, the organic combination of chronic disease management, health education and health care for the elderly, play a balanced role, get twice the result with half the effort.
We use the experience of chronic disease management and health education to effectively improve the situation of heavy workload and monotonous content of health care services for the elderly. In order to do a good job in health education and publicity in general subjects, we have formulated a prescription for health education, focusing on health knowledge propaganda of senile diseases. For the convenience of the elderly residents, we held health education lectures in schools, sent physical examination services to village groups, and the general survey of chronic diseases also focused on the elderly.
Third, the next step of health care for the elderly.
Our hospital will seriously prepare for the small-scale physical examination of the elderly over 65 years old in 20xx. Our center has set up a leading group, which is responsible for organizing the arrangement and implementation of specific work in each stage. 20xx August 1 a few days ago, the elderly in the jurisdiction will be fully registered, with key management and standardized management.
This year, although the health care for the elderly has made some achievements and been well received by the villagers, there are many problems in the work, such as insufficient concept change, insufficient investment in funds and manpower, and inadequate management. For example, the content of health education for the elderly is mainly chronic elderly, but the general elderly are less healthy and it is difficult to carry out home visits or family health guidance. Although the health records have been established for the elderly residents, the management is not standardized enough, and the file update rate is not enough, which needs to be further improved in the future work.
Summary of Elderly Management 3 According to the work plan of the basic public health service elderly health management project in 20xx and the requirements of the district health bureau, our hospital has carried out the elderly health management service project.
First, it is combined with the establishment of residents' health records.
Register and manage the elderly aged 65 and above in their hometown, conduct free health examination for all registered elderly people, and provide health guidance such as self-care, injury prevention and self-help.
Second, health intervention for the elderly.
Manage patients with hypertension and type 2 diabetes who have been diagnosed and included in the corresponding chronic diseases; Follow-up the elderly residents who have risk factors and are not included in the management of other diseases regularly, and inform the residents to have the next free health examination one year later.
By the end of 20xx65438+February, our hospital registered 4964 elderly people aged 65 and above. And enter it into the resident electronic health record system as required.
Third, the management of chronic diseases
In order to effectively prevent and control chronic diseases such as hypertension and diabetes, according to the work plan of chronic disease management project of basic public health service for 20xx years and the requirements of district health bureau, our hospital has established health records of chronic diseases such as hypertension and type 2 diabetes in the community, carried out follow-up management and rehabilitation guidance of chronic diseases such as hypertension and type 2 diabetes, and grasped the incidence, death and epidemic situation of chronic diseases such as hypertension and type 2 diabetes in our street.
1, management of hypertension patients
First, make the first blood pressure diagnosis for residents aged 35 and above; Blood pressure was measured during the diagnosis and treatment of residents; Blood pressure is measured in healthy people; And query in the process of establishing health records.
The second is to register and manage the diagnosed hypertension patients and provide face-to-face follow-up. Every follow-up asks about the illness, measures blood pressure and provides health guidance such as medication, diet, exercise and psychology.
The third is to carry out free health examination (including general physical examination and random blood sugar test) for registered hypertensive patients.
By the end of 20xx65438+February, there were 2665 hypertensive patients registered, managed and followed up in our hospital. And enter it into the resident electronic health record system as required.
2. Management of patients with type 2 diabetes mellitus
First, blood sugar is detected through health examination and screening of high-risk groups; In the process of establishing residents' health records, patients were found by asking.
The second is to register and manage the diagnosed patients with type 2 diabetes and provide face-to-face follow-up. Every follow-up should ask about the condition, measure fasting blood glucose and blood pressure, and provide health guidance on medication, diet, exercise and psychology.
Third, free physical examination (including general physical examination and fasting blood glucose test) is carried out for registered patients with type 2 diabetes.
As of 20xx65438+February, a total of 556 diabetic patients were registered and managed in our hospital and provided with follow-up. And enter it into the resident electronic health record system as required.
Summary of the management of the elderly in 4-20xx years, based on the basic public health service standards, our hospital constantly improved the health service needs of residents, and strived to do a good job in the health care of the elderly with the aim of serving the people wholeheartedly. The main work of health care for the elderly in the first half of 20xx is summarized as follows:
First, do a good job in health management:
The health of the elderly in the jurisdiction shall be managed at different levels. According to the different health conditions of the elderly, targeted health education management services are provided, so that individuals and doctors can more accurately evaluate the risk degree, development trend and acquired risk factors of the clients, and on this basis, help the clients to intervene, control and track the risk factors through behavior correction. For example, if the risk factors of high-risk individuals with diabetes are overweight, hyperglycemia and smoking, the guidance of central doctors will include weight loss and reasonable dietary guidance. At the same time, from individuals to groups, extensive and in-depth long-term health education activities and intervention measures are carried out, and through the close cooperation between central medical staff and clients, the purpose of preventing and reducing the occurrence of diseases and controlling or delaying the progress of diseases is finally achieved. It can not only take care of the particularity of sick individuals, but also intervene against the existing and known risk factors of the group.
Second, do a good job in health risk factors investigation and education:
Through centralized physical examination in the village and home interview, the chronic diseases and their risk factors of the elderly were investigated, with emphasis on the prevention and treatment of chronic diseases in the elderly, with emphasis on hypertension, diabetes, heart disease, chronic bronchitis, cholecystitis, cataract and cerebrovascular diseases. In view of the differences in age, gender and position, the risk factors of chronic diseases in the elderly are smoking, drinking, lack of exercise and high-salt diet, and health education is carried out one by one to remind them to change their bad lives.
Third, do a good job in health guidance and intervention:
According to the psychological characteristics of the elderly, give correct health care guidance. Community health service stations and central clinics in each village provide health guidance to the elderly every day, with the focus on targeted guidance on common diseases and high-risk factors:
1, do a good job in health education, impart knowledge of self-care and disease prevention to the elderly, make them understand the occurrence, development and prognosis of common diseases of the elderly, cultivate their abilities of self-observation, self-judgment, self-treatment, self-care and self-prevention, and master simple self-help methods. Vigorously quit smoking, publicize and quit bad habits, cultivate good living habits, and reduce the occurrence of various diseases.
2, guide reasonable exercise, exercise can improve the functions of various organs and systems of the body, improve thinking and reaction ability, control obesity, delay aging, and enhance human disease prevention ability. According to the different age, sex and health status of the elderly, we should choose different exercise methods and pay attention to gradual and persistent long-term exercise, so as to adjust the body function to the best state and achieve the purpose of preventing diseases, strengthening the body and delaying aging.
3, daily life health care guidance, develop a regular life, develop a healthy lifestyle, pay attention to personal hygiene, do what you like, keep your healthy lifestyle, indoor ventilation, keep the air fresh, moderate light, appropriate temperature and humidity, the ground should not be too slippery, ensure adequate sleep, regular diet, diversified food, and mix meat and vegetables to prevent constipation.
4. Mental health care guides the elderly to appear anxiety, depression, rage, even mental breakdown and despair in different degrees in psychological cognition, emotion, will and personality, influenced by their physiological characteristics and many social factors. Medical staff should help them gradually restore their healthy psychology of self-confidence, eliminate their inner anxiety, maintain psychological balance, actively participate in social activities, get in touch with the outside world, and overcome loneliness.
Fourth, do a good job in the annual health examination:
According to the 20xx health care plan for the elderly, our hospital began to conduct centralized physical examination and guidance for the elderly in March of 20xx, and set up a physical examination team to go deep into the countryside to carry out physical examination for the elderly. By the end of 65438+February 30th, a total of 3,233 people had physical examinations, including 4 elderly people in the township (KLOC-0/06), which completed 79% of the physical examination tasks for the elderly in the whole year. For chronic diseases such as hypertension and diabetes found in physical examination, timely notify rural doctors for standardized management and regular follow-up to ensure the healthy life of the elderly.
Over the past year, we have done some work in health care for the elderly and achieved certain results, but there is still a big gap with the needs of the broad masses of the people. We should further strengthen health care for the elderly, improve the quality of work and do it better.
Summary of elderly management. The elderly are precious wealth of human beings, and their health is an important symbol of social civilization and progress. Carrying out health management for the elderly is related to family happiness, political stability and social harmony. Over the past year, in accordance with the requirements of basic public health service project management, combined with the reality of our town, we have listed the management of the elderly as an important part of preventive health care work, and taken the health management of the elderly as a concrete fact of respecting, respecting and loving the elderly and serving the society, and as a sacred duty of public health service workers, and carried it out in a thorough and down-to-earth manner. The specific summary is as follows:
First, seriously study the work plan and make the work plan in time.
We sent full-time doctors for chronic diseases to participate in the xx special training meeting on prevention and treatment of chronic diseases. Then a training meeting was held for rural doctors and all the medical staff in the town. At the meeting, in addition to conveying the spirit of the chronic disease work conference and learning the xx chronic disease management work plan, we also discussed and implemented the specific work steps of our town, implemented the staff and formulated the work plan, which ensured the smooth development of the health management of the elderly in our town.
Two, establish and improve the town and village level organization network.
In order to ensure the progress of the work, we put the responsibility of health management of the elderly on all the prevention and care personnel, and made it clear that the X section chief and the X manager are at the village level, and the village clinic doctors are personally responsible, which constitutes a top-down collaboration. Through up-and-down communication and doctor-patient interaction, the health management of the elderly in our town has achieved a real zero breakthrough.
Third, carry out health education and health promotion activities.
According to the physiological and psychological characteristics of the elderly, the well-known situation is used to carry out extensive and in-depth health education and health promotion activities for the elderly, such as interactive health knowledge education in the square, health window display, special health knowledge lectures, distribution of health care brochures for the elderly, and joint development of traditional medical services for the elderly into the community with xx University. These include more and more scientific knowledge about hypertension, diabetes, cancer, family first aid, fall prevention, sports activities for the elderly and healthy lifestyles for the elderly.
Fourth, do a good job in lifestyle and health status assessment, physical examination and health guidance for the elderly.
Xxxx people over 65 years old in the town have established health records, with a filing rate of 100%, xxxx electronic files and 100% electronic files. The physical examination rate is 90%. During the physical examination, we timely evaluated the lifestyle and health status of the elderly. The information of patients with hypertension and diabetes was transferred to the chronic disease group in time for chronic disease management, and the health management system for the elderly was basically improved through efforts.
Verb (abbreviation of verb) implements performance management.
In the aspect of health management for the elderly, we take the lead in introducing the performance management mechanism, timely assess the quality and effectiveness of work at the township and village levels, and link the assessment results with individual bonuses, rewarding diligence and punishing laziness, so as to improve the effectiveness of work.
Due to the late start of health management for the elderly and the lack of standardized operation mode and work experience, shortcomings are inevitable. For example, the physical examination of the elderly is unbalanced, the health management mechanism of the elderly abroad is not perfect, and the management of patients with essential hypertension and diabetes needs to be further strengthened. In the new year, we will strive to improve. Promote the health management of the elderly to a new level through the spirit of being good at suffering, being diligent in work and being brave in climbing.