A組PBL

系統評估

※口和喉嚨

  痛?牙齦流血?牙痛?傷口?無法吞嚥?聲音唦啞或改變?扁桃腺切除?味覺改變?

黏膜的顏色(潰瘍、白斑、結節)、牙齦(顏色、流血、腫大)、牙齒(有無鬆動、蛀牙)、硬顎的結構和顏色、舌背(顏色、表面裂縫、光滑)、舌繫帶過短、靜脈曲張、軟顎及後咽部的顏色有無潰瘍腫大

※頸部(甲狀腺)

陳先生，34歲男性，被送入急診室119個，陳發現沾滿了鮮血，放在台九線於2011年1月1日交通事故現場上午01:55。沒有人知道過了多久，他被發現，Con的丟失。你是急診室的護士，你有什麼進一步的資料蒐集？什麼護理包括診斷和介入，你會為他計劃在目前的條件？

題目一Chief complaints:

61 years old Mr. Wang felt weak and dizzy a few days ago, he didn’t pay much attention at that moment, he thought it may due to working overtime for the past a few weeks. Three days later he found that he had epigastric fullness feeling and passing dark stool so he went to Tzu Chi Hospital ER and he was admitted immediately to the ward for further treatment. You are the primary nurse, what information you need for a care plan?

題目二Chief complaints:

This 71 y/o female patient, Mrs. Fang, was transformed to ER from玉里榮民醫院due to fever and RHD s/p MV replacement Hx. She was admitted to R/O IE（Infective endocarditis）. According to her family’s statement, she has had fever, cough with sputum but not too much, and felt tired, headache for 1 weeks. She was admitted immediately to the ward for further treatment. You are the primary nurse on the ward, how do you approach the patient?

今天修改的文獻資料請於11點傳給小嫚。

          100/01/03(ㄧ)23：00前

                               第一幕給小嫚

                              第二幕給兩粒

Scenario 4
• After treatment, Mrs.葉’s conditions was
improvement. So she will prepare go home
and continue dialysis.
• You are the primary nurse of Mrs. 葉, and

1.已寄用運用羅氏適應模式照顧一位於適婚年齡尿毒症病患文獻給每一人了，請花時間看喔^^

2.會後會討論PBL的題目及文獻統整繳交時間。

W日晚上九點個小組長請傳給秋珊

潛在皮膚性損傷/下肢水腫、皮膚乾燥89、68、56

疲憊/77、99、96

睡眠型態紊亂/夜間睡眠時間中斷97、98、82

血糖偏高/69、73、67

議題

第三幕議題已出~~請各位美女看過喔。

Mrs. 葉was arranged two times hemodialysis for emergency needs through temporary lumen.

葉女士安排2次的緊急血液透析

After that she felt the symptoms have been relieved.

之後他覺得症狀改善很多

1.Map問題：12/20 10pm前發問題、12/21 10pm前回答問題

2.每小組討論護理措施3-5項。(明天要衛教+評值)

3.發佈訊息要回應，沒有問題也要給回答。

4.PBL問題請迅速、且幫忙做筆記。

A組的組員大家好：

要補充的、想問哪個系統、請回覆在迴響區

請大家回家看書、全部都要看一下喔!

當天不能帶評估紙張~就寫在自己的小筆記本裡!

禮拜天晚上記得要把第一分修改的MAP給我~

秀麗：

Objectives:

1. To give the students away(繼續不斷地) to structure(結構) their information

  seeking(追求).

2. To help the students to synthesize(綜合) and summarize(總結) information from a

一、個報採用羅氏適應模式，格式會放在平台上給大家參考，謝謝。

二、護理問題要用NANDA。

三、12/14(二)PBL上課所下的care plan如下：

1.氣體交換障礙/肺泡與微血管膜改變。

2.體溫過高/與疾病有關。

Scenario 2
• Through a series of treatment, Mrs. 葉was
admitted to Med-surg ward. However, these
symptoms didn’t improve. She still felt nausea and
poor appetite. Dr. arranged renal sona for her

1.搜尋資料單內文獻英文2篇、中文2-3篇。

2.老師說map要印成A3或B4，不要印成A4囉！

3.星期二PBL每個同學都要有其他12份同學的，給同學的就沒限定大小張，那請大家自己的搜尋單+MAP連同12份要給同學的MAP一起在禮拜天12PM前交至1022-2床。

4.星期二PBL每位同學要剪報MAP不要超過30秒，講重點就好。

5.同學你們想用何種理論寫個報呢？回去先想想囉！

A組同學明天第一節下課講PBL流程事宜

討論議題如下：

1.PBL第一幕工作分配。(暫定)

(1)急診流程(2位)：56.67

(2)Deta、檢驗/查(2位)：68.69