养老院护理员如何记录患者健康状况?
Answer:
- Record the patient's medical history. This includes any relevant medical conditions, medications, allergies, and past health problems.
- Document the patient's current health status. This includes the patient's vital signs (temperature, heart rate, blood pressure, and respiratory rate), physical examination findings, and any symptoms or complaints.
- Record the patient's response to treatment. This includes the effectiveness of the treatment, any changes in the patient's condition, and any adverse reactions to medications.
- Document the patient's discharge plan. This includes the patient's instructions for follow-up care, including when to return for check-ups and what to do if the patient experiences any problems.
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Review the patient's health status regularly. This includes checking in with the patient to see how they are doing and making any necessary adjustments to their care plan.