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高護-內科實習心得-恩主公醫院  7916  2013-06-10 18:55:44

/blog/attach/916/7916/courseware/51/Doc_342_6918462_50852.doc


      
老人報告-父與子  7916  2013-06-10 18:54:31

Father & son 父與子

Dear son: 親愛的兒子

The day that you see me old and already not, have patience and try to understand me.

If I get dirty when eating….if I can not dress…have patience,

Remember the hours I spent teaching it to you.

If, when I speak to you, I repeat the same thing thousand and

one times…do not interrupt me…listen to me.

When you were small, I had to read to you thousand and

one times the same story until you get to sleep.

When I do not want to have a shower, neither shame me nor

scold me…

Remember when I had to chase you with thousand excuses I invented, in order that you want to bath…

When you see my ignorance on new technologies…give me the necessary time and not look at me your mocking smile…

I taught you how to do many things…to eat good, to dress well

…to confront life…

When at some moment I loss the memory or the thread of our conversation…let me have the necessary time to remember…and if I cannot do it, do not become nervous…as the most important thing is not my conversation but surely to be with you and to have you

listening to me...

If everI do not want to eat, do not force me. I know well when

I need to and when not.

When my tired legs do not allow me walk…give me your hand

…the same way I did when you gave your first steps.

And when some day I say to you that I do not want to live any more…that I want to die…do not get angry …some day you will understand…

Try to understand that my age is not lived but survived.

Some day you will discover that, despite my mistakes, I always

Wanted the lost thing for you and that I tried to prepare the way

for you.

You must not feel sad, angry or impotent for seeing me near you.

You must be next to me, try to understand me and be help me as I did It when you started living, Help me to walk…help me to end my way with love and patience.

I will pay you by a smile and by the immense love I have had always for you.

I love you son…

your father

哪天你看到我日漸老去,已經沒有耐心,並試著了解我。
如果我吃的髒兮兮......如果我不會穿衣服......有耐心,
記住我花時間教給你

如果,當我一再重覆述說同樣的事情…不要打斷我,我說….. 
你小時候,我必須一遍又一遍的讀著同樣的故事,直到你靜靜睡著……..
當我不想洗澡,不要羞辱我也不要責罵我……

還記得,當我有多少理由來追你,你想要洗澡為了...
當你看到我對不了解技術,能給我一點時間,不要掛著嘲弄的微笑看著我......
我教你如何做很多事情...吃的好,穿得好
面對生活......

在某些時刻,我失去了記憶,我們的談話,讓我有必要時時刻刻記住,如果我不能做到這一點,請不要緊張,但肯定和你在一起,有你聽我說...

我發燒,我不想吃,不要勉強我。我清楚地知道,當我需要和什麼時候不需要什麼

當我疲憊的雙腿不讓我走......給我你的手 ......我做了同樣的方式,當你給你的第一個步驟。當有一天我對你說,我不想再活下去......我想死......不要生氣....總有一天你會明白...

試著了解我已是風燭殘年,來日可數. 
有一天你會發現,即使我有許多過錯,我總是盡我所能要給你失去的… 
當我靠近你時不要覺得感傷,生氣或無奈.

當我靠近你時不要覺得感傷,生氣或無奈. 
你要緊挨著我,如同我當初幫著你展開人生一樣的了解我,幫我…. 

扶我一把,用愛跟耐心幫我走完人生… 
我將用微笑和我始終不變無邊無際的愛來回報你. 

我愛你兒子

你的爸爸

 


      
教學原理心得  7916  2013-06-10 18:50:16

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凱茲量表  7660  2013-06-10 17:19:05

Katz Index of Independence in Activities of Daily Living

凱茲量表在日常生活中的獨立性

Activities

活動

Independence

獨立

Dependence

依賴

Points (1 or 0)

分數(1or0)

(1 Point)  NO supervision, direction or personal assistance

1分)不須監督,指導或個人援助

(0 Points)  WITH supervision, direction, personal assistance or total car

0分) 需要監督,指導

BATHING 洗澡

Points分數: __________ 

(1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity 

(1分)完全可自我沐浴,需要幫助的只有一個洗澡的身體部位,如背部,生殖器部位或肢體殘障者

(0 POINTS) Need help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing

0分)需要幫助洗澡不止一個身體的一部分,進入或離開浴缸或淋浴。

DRESSING 穿衣

Points分數: __________ 

(1 POINT) Get clothes from closets and drawers and puts on clothes and outer garments complete with fasteners. May have help tying shoes. 

1分)可從壁櫥和抽屜,拿衣服,穿衣服,可穿著鈕扣。需可能幫助系鞋帶。

(0 POINTS) Needs help with dressing self or needs to be completely dressed.

0分)自己穿衣或需要幫助,需要完全的協助打扮。

TRANSFERRING 運用交通工具

Points分數: __________ 

(1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are acceptable 

1分)移動床或椅子求告無門。機械輔助傳輸是可以接受的

(0 POINTS)Needs help in moving from bed to chair or requires a complete transfer. 

0分)移動從床到座椅或需要幫助,需要一個完整的數據傳輸。

CONTINENCE大小便控制

Points分數: __________

(1 POINT) Exercises complete self control over urination and defecation.

1分)練習過完整的自我控制排尿和排便。

(0 POINTS) Is partially or totally incontinent of bowel or bladder 

0分)是部分或完全失禁大小便失禁

FEEDING 飲食

Points分數: __________

(1 POINT) Gets food from plate into mouth without help. Preparation of food may be done by another person. 

1分)獲取食物從盤子到嘴沒有幫助。需透過將另一人的食物放入嘴。

(0 POINTS) Needs partial or total help with feeding or requires parenteral feeding.

0分)需要部分或全部餵養或需要幫助腸道餵食。

Total Points: ________  Score of 6 = High, Patient is independent.  Score of 0 = Low, patient is very dependent. 

總積分:=________

分數為6,病人是獨立的。分數為0=低,病人是非常依賴。

**Slightly adapted. Katz S., Down, TD, Cash, HR, et al. (1970) progress in the development of the index of ADL. Gerontologist 10:20-30. Copyright The Gerontological Society of America. Reproduced by permission of the publisher.                                           (最後三行粗體字部分不必翻譯)


      
凱茲量表日常生活活動獨立指數  7661  2013-06-10 16:55:27

凱茲量表日常生活活動獨立指數

活動

獨立

協助及依賴程度

分數(10)

(1)

沒有監督,指引或協助

(0)

有監督,指引或協助或全職照顧

沐浴

分數: __________

(1)

完全可以自己沐浴
或需要幫助,只有在單個地方,如背部,生殖器域或残疾

(0)

洗澡需要幫助多個部
進入離開浴缸
或淋浴。須全身洗澡需要幫忙

穿衣

分數: __________

(1)

從壁櫥和抽屜拿衣服,穿衣服或外衣.可能需要幫忙穿鞋子

(0)

穿衣須幫忙或完全需要幫忙

如廁

分數: __________

(1)

可自行至廁所,可以自行脫褲穿褲,可把生殖器區擦乾淨,不須幫忙

(0)

轉移到廁所,自我清洗或使用便盆或馬桶

分數: __________

(1)

自由上下床和椅子或可使用輔具

(0)

上下床和椅子須幫助或無法完全轉位

大小便控制

分數: __________

(1)

可自我控制排尿排便。

(0)

部分或全部腸道或膀胱失禁

進食

分數: __________

(1)

從平面到口吃食物不用幫忙.可自己或他人準備食物

(0)

部分或全部須協助進食或需要腸道外進食

總分: ________ 

六分:,個案是獨立的

零分:,個案是依賴的

 


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