消化系統疾病患者的健康評估HealthAssessmentofTheDigestiveSystem消化系統疾病患者的1習目標1./熟悉腸胃系統的正常功氜認識腸胃系統的異常表現掌握腸胃系統的評估要點4.熟悉腸胃系統評佔技巧分辨不同年紀、性別、疾病譜在消化系統的表現習目標2GlSystemAssessment消化系統評估健康史生活背景Biographicalanddemographicdata目前健康狀況Currenthealth過去健康病史PastHealthhistory家族史FamilyHealth5.心理社會因素PsychosocialFactors系統回顧ReviewofsystemGlSystemAssessment3DemographicData背景資料評估eGender●AgeMaritalstatusWorkingconditionWomen(calcium),elderly(inadequatefoodintake,gastriculcer,coloncancer),teenagersDuodenalulcers,gastriccancers)mayhavedifferenthealthproblemandnutritionalneedsDemographicData4CurrentHealthAssessment且前健康嚴估評估主訴是否出現惡心、嘔吐吞咽困難:梗阻與疼痛不消化:反酸或噯腹痛●嘔血、便血腹瀉、便秘腹水黃疸體重及食欲改變CurrentHealth5PastHealthHistory過去病史1.Bleeding-ironJaundicedeficiencyGallbladdersisease6.Pancreatitisanemia7.CancerLiverDisease:8.Changeofbowelproteinhabitsmalnutrition9.Tarryst3.PepticUIcer10.UnexplainedweightlossorgainWithbleedingPastHealthHistory過去6HealthHistoryofTheGlSystemeHealthPerception-healthmanagementpatternsNutritional-metabolicpatternEliminationpatternActivity-exercisepatternSleep-RestPatternsCongitive-preceptionpatternSelf-Perception,self-conceptpatterneRole-relationshippatternsSexuality-reproductivepatternLewis.2004sCoping-stresstolerancepatternp955HealthHistoryofTheGl7Assessformedications藥物評估UseofAspirin,NAISD(Nonsteroidalanti-inflammatorydrugs)-gastritis//bleeding是否使用阿斯匹林,非激素類止痛藥,胃出血Antacids:typeandfrequency制酸劑,種類頻率Laxativesorstoo|softeners?軟便劑sDietarySupplement:vitamins,minerals,herbsaminoacids食品補充,維生素、草藥、蛋白質Assessformedications8AssessmentforAllergies評估過敏史eFoodallergies:hivesordyspneaFoodintolerance:Glabdominalcramping,flatulence,ordiarrhea(lactoseintolerance)eCommentfoodallergiesitems:nuts,shellfishcow'smilkfoodadditivesAssessmentfor9AssessmentforFamilyHistoryeGlproblemmayassociatewithfamilyhistoryandenvironmentfactorseU|cerativecolitis潰瘍性結腸炎eCrohn'sDisease克羅恩病A|coho|ism酗酒eLiverdiseases肝臟疾病FamilyhistoryofDM,anemia,jaundicehepatitis,Pancreatitis,obesity,irritablebowesyndrome.糖尿病家族史、貧血、黃疸、肝炎、胰臟炎、肥胖、小腸激惹癥候群AssessmentforFamily10消化系統疾病病人的健康評估課件11消化系統疾病病人的健康評估課件12消化系統疾病病人的健康評估課件13消化系統疾病病人的健康評估課件14消化系統疾病病人的健康評估課件15消化系統疾病病人的健康評估課件16消化系統疾病病人的健康評估課件17消化系統疾病病人的健康評估課件18消化系統疾病病人的健康評估課件19消化系統疾病病人的健康評估課件20消化系統疾病病人的健康評估課件21消化系統疾病病人的健康評估課件22消化系統疾病病人的健康評估課件23消化系統疾病病人的健康評估課件24消化系統疾病病人的健康評估課件25消化系統疾病病人的健康評估課件26消化系統疾病病人的健康評估課件27消化系統疾病病人的健康評估課件28消化系統疾病病人的健康評估課件29消化系統疾病病人的健康評估課件30消化系統疾病病人的健康評估課件31消化系統疾病病人的健康評估課件32消化系統疾病病人的健康評估課件33消化系統疾病病人的健康評估課件34消化系統疾病病人的健康評估課件35消化系統疾病病人的健康評估課件36消化系統疾病病人的健康評估課件37消化系統疾病病人的健康評估課件38消化系統疾病病人的健康評估課件39消化系統疾病病人的健康評估課件40消化系統疾病病人的健康評估課件41消化系統疾病病人的健康評估課件42消化系統疾病病人的健康評估課件43消化系統疾病病人的健康評估課件44消化系統疾病病人的健康評估課件45消化系統疾病病人的健康評估課件46消化系統疾病病人的健康評估課件47消化系統疾病病人的健康評估課件48消化系統疾病病人的健康評估課件49消化系統疾病患者的健康評估HealthAssessmentofTheDigestiveSystem消化系統疾病患者的50習目標1./熟悉腸胃系統的正常功氜認識腸胃系統的異常表現掌握腸胃系統的評估要點4.熟悉腸胃系統評佔技巧分辨不同年紀、性別、疾病譜在消化系統的表現習目標51GlSystemAssessment消化系統評估健康史生活背景Biographicalanddemographicdata目前健康狀況Currenthealth過去健康病史PastHealthhistory家族史FamilyHealth5.心理社會因素PsychosocialFactors系統回顧ReviewofsystemGlSystemAssessment52DemographicData背景資料評估eGender●AgeMaritalstatusWorkingconditionWomen(calcium),elderly(inadequatefoodintake,gastriculcer,coloncancer),teenagersDuodenalulcers,gastriccancers)mayhavedifferenthealthproblemandnutritionalneedsDemographicData53CurrentHealthAssessment且前健康嚴估評估主訴是否出現惡心、嘔吐吞咽困難:梗阻與疼痛不消化:反酸或噯腹痛●嘔血、便血腹瀉、便秘腹水黃疸體重及食欲改變CurrentHealth54PastHealthHistory過去病史1.Bleeding-ironJaundicedeficiencyGallbladdersisease6.Pancreatitisanemia7.CancerLiverDisease:8.Changeofbowelproteinhabitsmalnutrition9.Tarryst3.PepticUIcer10.UnexplainedweightlossorgainWithbleedingPastHealthHistory過去55HealthHistoryofTheGlSystemeHealthPerception-healthmanagementpatternsNutritional-metabolicpatternEliminationpatternActivity-exercisepatternSleep-RestPatternsCongitive-preceptionpatternSelf-Perception,self-conceptpatterneRole-relationshippatternsSexuality-reproductivepatternLewis.2004sCoping-stresstolerancepatternp955HealthHistoryofTheGl56Assessformedications藥物評估UseofAspirin,NAISD(Nonsteroidalanti-inflammatorydrugs)-gastritis//bleeding是否使用阿斯匹林,非激素類止痛藥,胃出血Antacids:typeandfrequency制酸劑,種類頻率Laxativesorstoo|softeners?軟便劑sDietarySupplement:vitamins,minerals,herbsaminoacids食品補充,維生素、草藥、蛋白質Assessformedications57AssessmentforAllergies評估過敏史eFoodallergies:hivesordyspneaFoodintolerance:Glabdominalcramping,flatulence,ordiarrhea(lactoseintolerance)eCommentfoodallergiesitems:nuts,shellfishcow'smilkfoodadditivesAssessmentfor58AssessmentforFamilyHistoryeGlproblemmayassociatewithfamilyhistoryandenvironmentfactorseU|cerativecolitis潰瘍性結腸炎eCrohn'sDisease克羅恩病A|coho|ism酗酒eLiverdiseases肝臟疾病FamilyhistoryofDM,anemia,jaundicehepatitis,Pancreatitis,obesity,irritablebowesyndrome.糖尿病家族史、貧血、黃疸、肝炎、胰臟炎、肥胖、小腸激惹癥候群AssessmentforFamily59消化系統疾病病人的健康評估課件60消化系統疾病病人的健康評估課件61消化系統疾病病人的健康評估課件62消化系統疾病病人的健康評估課件63消化系統疾病病人的健康評估課件64消化系統疾病病人的健康評估課件65消化系統疾病病人的健康評估課件66