24 Ingrijiri in geriatrie.pdf

7/25/2019 24 Ingrijiri in geriatrie.pdf

1/14

cipnotul

21 iNctlt,t

RI iN

cEru,\Tru

li

2.1.1 No$rni

introductivc.

imbilliitrirc

uic

un

Dr...s

carlcrcri,at

prin

narunza r in dhpul copjlirjcl,

puhcnatii

ri

luncriialc

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carc

o n$

in

24.2

Evaluarea tuncti0n,l ,

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de ingrijire

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$

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divn4ile

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2/14

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3/14

MON TORLIL

OF C

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4/14

UON

'OR LOF

C

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5/14

dc cAtc o.i sc

scoalirc

norpre:

cc

dcpnndfi

arc

ituimc d0

ctrlcarc:

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o

lust.rc,

umicic progrinrcle Tv,

asculri

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lecturea/i

ccva.

fdcc cxditii

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lav.nri in

p.t.

condiliile de

micrlolind

dln

crner,

(1,

vcntil.lic.

iluilimre):

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ake ncdic.ncnlc luarc

h

mod obi$nuit ctrc-i

no.

alecta

crtlcihrea

de

a

$rM dd hdltuni(

criycnltulii:

'

percepli sririi

de

sin

rb

(pcnhL

r dcleh

pdsibilc

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pers$n :lrinicli tcbuic c.nlrunurd cu rle

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eu

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l

s.mNlui

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rsigrD

o

inr.ginrre

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a

rroblcnrclor

lcgalc dc

somn

i

va

idcnrifica cauzclc

hletrent

iLc lor arca

locduni

o

cdificaic colrplcd

asup.i isbnculli

soD

ului.

Masurilc aplicatc

pc.m

asigurea unli

$mn de

cllltlre

pcntu plcientul

in

rt$li viltali:

-

hcnlincrcr ..nditiiloi

carc

thvorizcua $nnul

(fhdon

dc

ncdiu

ti

obi:nuirtclc

dirolnr

aiuiool

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pacienrului

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relaxare

iiralnie dc culcrrc

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rMsrma \FrclLLi

piciorrDlorsru

scrvn$ unor

eushlidrci

sc soricni

(

oplc

eld.

vjn,

conirc)l

-

pozilioiarc

ln

pdl.

calnrorc.

(lurcrild

ti

rsigtrkrca

caldurii

yiind

ci

rlrstnicii sunr m.i

cLi'ninrer

Fleinei i

r tcinc i dupi amia?r

tiseaE

(caiia,

ccii. cift.iaii):

-

inou&jareacxcrciliilor

zilnice

rireducerea

soturului dc

zi

lami

purin

dc 2

orci

- efeonrarca

unci bai

caldc dacd

vaNhicul

o aelcc.za

tl

nu se

phngc

dc onrctclidupabdc

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oic d

disliDrtio

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prtsisrcnri

\iou

elohtic

nmgresivi,

atifitrd

fcl

purin

douidin

Lmiloardlc

troccsc

n$rale:

lirbajuL,

ncmori.,

onenrarca

tcnrDoro-sprlixlt.

cdinno@nrentul

dnolional

j

pebonaharc.,

coeni .

(crlculul,

nionomcmul.

gtndirl

(:ea

Dui

prcc.cc

maritcsrorc

dcucrrci.src dc

obicoiuiLrrca.

Uncrl'

apoi

pictdsc.

toemoiei

.cccnlcmaialcs. l in hml

dczoric .rcasidczinscnirsdciali

Pxcjontii

sc

sint ninjcniri si

ltustari

dc

nicrdcrca

rbiliiililor,

refuzind 3.r

fie ajulati.

Accst

hnr

dmc

la incd(lrci de

a

si

asclnde

difictrlriiiLe,

la

rczisrenli in

.

pnfri

aiuro

ri

10 rcluzut dc

I

'lipuldc

dcNcnti

(AlzciNcr

dcnrcnlc

vasularc)

inrlucnrcazi cvolulia

ri thhnenul

acc$cia

ln

N mcroasc

c{/rtri Jcmcnli

{ox

isri

c u dcprus id si d d

clin

L D irgno{i$l

sc bazcaz:l

pc:


6/14

MONTORIL

OF C

ALAL

ROMAN

E

.

c\rmcnut

tizi. s

xlniri

rdrxt.

,e iarn&fuDrir

ncLti.rricixdDrini\rdc

n

x

cofnnrhrL

dc rLcoot

i,rrc$lrfi

dc l,boirLor pcnh

I

etirnr

rLtc

crtr7

rtc di\turcrirtr

c.iiirnc

rlo/

?l

i.n,

'.

n\Dr. rc,.'.

',

t..pv\,.,,i,

crni

c.L scmn.

Darolc

dc

dcrn.nri rFnrc

ni.m

i

err.t d. i

np

rh(n srd.

d. rircyx

l'tr,i

tli',i'

h I 2

: nb.lc inve(isarir

\ trritc

ncDrru

crchd(..

(rcr

b.li

c.

por

ni,nr

dcnriLr de

dp r\l/1.inre runr

un

hrnxtr nreLc

si

nnnoritc c.drrrlc.

rrrtdc

ctc

vrs

Lrrc

i\d,eDcc

srtr

hern..aglc..

Principiidcnr .iiircrp,riennrtuicud.hcnr,

s. tricir

trc

nrd.ncDJetrb

p.cirntrtur

frii

nrtr,i

rr0

rrcsn,ir

si hcr

usur xnunirc

lctrvr i

['.

sufi mi

usr

de

r.?.lld:

niLtri

I mcnlji.jta

{ii].

dc si,je

iFr.unc

Sc

c\nr

coiftonriiit.

dc

ii.

.rr

.ic

po\ibit.

Sc inrerrci sij

du li. lonrazifi

drci

s|nnj

trcn'Lr

cndne su

|nNr.tii.

Li

s. dntrrgcli

dc hl ttr.i

dor.sc str

iir.i

c.vr nqrtr;r

1.

schinhind

n,Lri.drlsN'

n

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'

S.

nlhil.sc ntr

r nr nrlirn.r

1r.rsoii.r

ctr dcnrDri.licrnJ

rcet..si

tudnrila

( t(?\jon,

s. rnlutu

o mrJiu

sgur

pcnrtr

tJci.

0t

uj d.ncflj.

CoifL,ir.

Dir,d.rca

cooLdoriri:

riliro

rcic

0osilil1rft.a

de I cad.x.

d. r.cN, bui.

$iticd.

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ncri.rt ,\r.i

.

. l

Adivnrih

zilir. trn

n..renii

xc.jix

po,

dcschnh gr?

.

Ar

lunm.n.nsil.

rn ..

clribiuri rrriDsc

inru..r.L

hirte.

c

t)c rc.c;.

Munne

xreDlioniri

sc is.

(.jrdrdclj

- r^L

...opnh

rpr') ..

si .lnnin.ltr

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.r pcricuoxsc

tor

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ras

..

Se n.fri,i

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li drn

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i,

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iri

i.

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i.

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ejc rtcdrt d.

rulbuiri

dc

auu.

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su de

pLoblcrne

{onxbl.

cc:

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tr.

cl?r

nr.

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tri

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an

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u oli.ds

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sa

ru

\c

s

trrl

corrrziti

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co,rdindn

i.u

hrus.h.r

Si sr

tuos.rs..

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i'Scrcalrentu

crlr

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semmenrc.r

2,1.6 Cndcrirr

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nzi.i.

nrd\ut

indabit.

c:idcritei

cid..Le.q,r.Ti,rroprhlonim.jodpeDr

rir ri.i

nuirl.spcfrtr

Jrou

rchilibtr'l

si nri\rrea

ncccsi{i

o

i'ncrotrcriunc

comtl.ril

3.onjilnutri.

I tufciiLtn

Dqtrdn,usluLxra

ji

mrduxsctrh'r

0..{m

\i crpicir.r.r

d.

&lrDrirc

tuprdi

h o scr nbrr.

anb,cnLrla.

vrlicnbihrd.r

ix

cidu. I

pcrtrornctor

ftnri[.

.rcrrc rtrn i

.rind

.n..rc

dn

rr

)rencsntcfieei.{'|n.nniu[{dcuf

factursupi'ncDr]r.i,rcm\rucrr.h


7/14

6.

ROVaNFTpaoTE^

r

boeo,,r/2orr

Irldoii

de

risc c6re

pcdispun

li

cidcn,

por

fi

indnscci

(ulbldn

scnzo' iale,

afecliuni Dusculo-

schclcralc. dcmcntclc.

clcctul

secundrr

al unor medica'ncntc.

eic.) dar

si

lacrori

dc

ncdiu.

carc

in

de

/om

rmbienrrlr, dc obiacolclc

din

ncdiut iiconjurdtor ca

in rabDlclcde

maijos


8/14

MONTORILOF CALAL

RO]\IAN

E

1rb.k'lnr

.

lrctoril

dc mcdiu carc

influcnlcr2n rhcDrilc dr cnd.rc

ubiec

e i'eron,ndiri

a.

a\iguratoa

dc

incuicion

acccsibils

b.

ilu'nirutulnoctumallDluLui,bili.

.. l).suri

rntidcmndrtc

pcrtru coDctc,

trl

lizdtua

do carpcrc cr linl

d Firarcd

capcrclorcrlpdrclor

e.

lplicarcadecea riidc

nanri

|e

podelc

i:

irdcDnnarco

obicdclor nrrunrc

(cx.

incalriminr.)

:.

llumiDarc

s,ricicnri

cu comutxtolr.la

cclcdo0li

crpclo alc

h Bxl0sl

dc bihrcrxl.

bid.llrdrc si h

d

disraDri

suficientn

{t

pcrcli

i

vn

,,.rc.q.i

c-.. o'

r1r'.t' ,e

L,,|'tr.

'.nr

i.

llnaft {G

Doznirii

uror obicdc

Dc

tcn icle

scrrilor

i're.io

a

c

I

cnarc3.hjc.rc

nj

.r{'nc

'

r\a

'n

lixrdi n \cLnDenhur ntr se

denlas

D. Bare dc

sprijln

pentn

crdii.

duiu.i

iitoo

crii

o

Plasr.cr

dc..\nrosc

antidcrp

lc itrL

dc crucnLc

in

c

i

sau

la

p.

Utilizxr{ do r.dunc dc dtrs cu cdD dc

dus mancvnbil

q.

Crpclcanridctuplnrc.

scaln

de

ioaled

inill.r

r. lndepinareanrcuietotlordchnslpcituainlc$ri&ccn'lii.az

s.

Rcpimre sDirlrril.r din

p.dosodli.

r groDilordincnnc

r.

lndop:lnaM

pictclor.

scdlclor

si a

rlrorob$.olc.

lreounr

litrroldr lnodc si

r

qhcldi

n nomjii

cr

in ereqncle

dc

mai $

v.

Pabl

sa

ribi

o

iMliiinc

conlcnrbila

(cirx

60

cn

)

w.

cuahrca

prlmpra

d

pcrclar

si

hchidcktr virs*c pc podcr

x.

Fdlosind

codspudilo.r

a

nijloacelor

dc

sprijin

penrumeA

sia

y.

Utili/rrea

de

prntoii

curilDid rc.

nc.l0nccorsc

si

?

P

trTcr dc

nlili

'

intr u uruflluJ(

.uap' \r n

n, D

ldr

dc


9/14

MONITORUL

OFICIAL AL

ROMiN

E

Tabclulnr

2l

actoride

rhc

(duN

|inctuME,Speecl

cy

intinseci

cnh pr.dhDu

l

Il:

Prcrenri.n

ol

ldlls

nong

tidcri

d

posibilc

intrvehlii

tjarr.trorxruddcnsraul

ruktonrh'.rr

'

rnr

ri tL'i

-.ntonancrtuI

cchilibnrlur

cx.rciln

dc

loniicrc

Drrcotaii

s|il'nutr

li$hicuhrl

in dntul

DcEolui

sau

urilizartr

uli \upon

-

cv.lurrca

si trdrrei

in

jnediu

i'rgijisa

unghii

or nrcatrituinre

picioru

uic0.prcdlpu

la

d unoane-

dclomr.i cdcnr

exhg9ca

dnrio

i,r

d

dr.

rrrar

-punr.ad..iompi

cl.sici

o'

r

di.dca

cxtrslritii

.chth a

-

r.losnc.

ilisutcLorad4rlbilc

ta

suprafih patulri

daci

afccliuner

L

-orheiai

cdchi t@rcrrut

RccuDemtor

ii

srr rslpra

ncdnrtul

.valurca

sisurrDrci

l,rrinr.l

atcdc.zi

sisrernul

vcslibtrlrr

-

craften nenr.logic.

crdnrcn

dccchro

cauzclor

reveribilc

.

cvirarea

sedaiir.lorsatr I

medicaiic

or

iori[.d

pe

sNc

evaluarer

slgutu tr rci

in nr

ediu

c.snlc

ii

idcpin.Ea

elcm'dte

o.

corNtir rdccvda

x mcrsului

'

cotu{r

r

nr.alrimlnci

.u litpi

.valrr.ca

\lgurdldl

in

nr dful

riramin Bl2

si

a g.rduhr

dc

rfeciirii

clruolarici

ccrebr.lc

a

.Liorxrud

dcnsirirli.\.r1e

Hinureny

'ne

fl(ntri

a c\Jlure

nc,J(r citr

nrtu

siruaiiorili

(cxlhrlu,

ncsclc,


10/14

MON

OR.LOF CF'

A

ROVNNF

Rducc@

ntrnitutut

rolai

dc

Drcdicahcntc

adnrlnisr

c

-

slcctbnarca

nr cdicd ricii sc

a lege

agcrtu

I

lannacd

Logic

cel

naipuiir aotiv asupD

SNC.

ccl

hipotcnsiunea ponuDli

ti

c.l

cu

rimpul

dc

.c iu.c

ccl mai

-

tdscrierca cclci

mai

rtduse

suprdvcgherea

vd^tnicuLui

pcnrru

evnrrea

rctrdintoi

h

-

cd..a ir vi6tni.ului/fanilici

privlnd

clllblc

$cundarc

rtc

ulor mcd icanentc

i

riscul

dc


11/14

IION

IORULOF CAL

AL ROMANIE

24.T

Sindmnnrr

dc

inobirizfc

rvilrsrni.rlui

s

rLtuin'ld. i,nob,lvmcn(

ru

\n

tuD\p.rifi.qoirrirdrcadtr...coriiriour.Iht.gi(

on,pl*,

n

i'npli.dii

mJicrLr

1i

ccononrirc

irnpo{ur.

In

lrl,,]tr..rtr

in{tlnrlu dc

i'noblTrr

s.

dsdn

firorir

chol.li.i

ii\orLrrru.$

l'.itrii

ded

Nmdf. in

r.tnrl.

(rin\

i'rticrh. in

tft,0.ni,

si

t.n.l.n

xrnib

l.dclncx/ lJIt

- \'iir{r

-

Qciir \ii' r

c$ mir nri'ixli'

cL dirn'bicctr'le{e

'nar

cxttrs

sii

rici si r.n

Tr.r a, rla.riL ind.oscbi h

bolile muLopsihic..

subr.cfi rn\ion.

dcD( vi.

rci

pLcdsprsl

h

i bolfird

p

l$ so alicc fii'rd

rn ic\f

si lx

I llcc un si'rdrun lr

Condutu

rntur:,rlr

finilLt

so.r

dc

irrg,0ir

ncdi$1., fuirc

roniitr'i

un

lador in\orizxir

$u .hia

d.rci

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i,i

ir

r

t

s

i,rir

R.hrlc..x

dr xcLivirrl.r prutcsio

rti

(I)e'snnlr.r)

f,.ft.rci

rlrr\.binaLior.

r n,t(rlui

)i

DlLtr,lor

socni

ptufesion.lc.

suhmncr5 ici.trnl

f,rdLpmi

lt

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pllxdd

n'

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o

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.

nix dc

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ir

boati..chr7.

ra

$

ridire

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cc

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i.r(

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uta.

m

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Jc m.hitTrr od

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o

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si o

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t.

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dc

lr dcbftrl

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i

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I

ui Fmr

tatiDntr.iLrl

. ,1t' .' p,

.1. .,.


12/14

MONITORUL OFICIAL AL

ROMiNIE

finrcoogic. s ru....o

dr

i

icxchyirrorrc'.

dc

iirnut.rc.

xjur,.rc. vii,jri.Llli

s, \c

ir

.rolulia

\ifdRrntrLL'i

Je irnobili/rc

sc dcs..tr :l

grtrnc

dc si'I]rron.

p\ihicc,

{'nlicc

sr

dcJr( {

dc^neDuFa.

dar

si

d+cDd.Dh

rcgrGivi.

i"t,'fiili.

rxniloirrii

pmdcr

cr.s

|pnqnrxrlsn,.

rgrnnn.nliDs.

.nnr.

UD siDproni

ituponrn cxr.

i. iinrlex/i

ratid si

|i. rciv.

rdirclnd nratldtr

cx.

cil

itrro olix.rc

hmrcrn

i'ri1ia i\duil. a.in..

qr.r

rli\r

Ll.

pr\n..

iu itDd

h iinrtrrer

de

r.rtuchi

nlsctrlr.

s

'.do,irii.ulm st\nufolJ$i|.

dtruor

ie

iNrat../i

iirca

r.7ni.rri

L

i..r....1.ch,c1i,r.

hobitn cx

At

trr

btrn,i

$ ucc cr sc

dc^olr:i

trn

lrc

r'otrJtrl

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r

lnoriz.rca on(iru.ci si

.

ttcrtonrtLri

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rr\nintri i. .i' cuhtu'

i.

iDledii urin.rc

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tuLmonlt

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r

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ra n Jc

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tr lizxrard rlrnpessaunrnsoftiidcnrcu.:

- hdfukru

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