Summary of personal work of gerontologists

Summary of personal work of gerontologists

The busy and substantial work has come to an end. Looking back on my past work, I feel enriched and gained a lot, which means I'm ready to start writing my work summary again. Presumably, many people are worried about how to write a good work summary. The following is my personal summary of the work of gerontologists. Welcome to reading. I hope you will like it.

Personal Work Summary of Geriatrists 1 In a blink of an eye, 20xx years have passed. Under the guidance and leadership of the leaders of our brain hospital, with the efforts of all geriatric psychiatrists and the support of all departments in the hospital, all the colleagues in the 13 ward team worked hard, highlighted the difficulties and key points, and did a good job in all aspects. We completed about 3 million jobs in 20xx. The work in 20xx years is summarized as follows:

First, the overall goal of department management is gradually clear, and the workflow is further rationalized.

At the beginning of the year, Luo xx's falling from the building brought a great negative impact to our department. Because of this, the staff in our hospital 13 ward changed from passive to active, and the hospital logistics provided our department with more active safety precautions, which made the work change from treading on thin ice to active, practical and confident. Through the summary of the department staff, the overall goal of "not accepting new patients, but also stabilizing old patients" was drawn up. On the one hand, it is for the needs of opening departments in our hospital, and on the other hand, it is for the elderly patients with mental disorders who are hospitalized in our department to feel at ease, prolong their life as much as possible, experience the wonderful modern civilization as much as possible, and enjoy the care, care and treatment of our staff. Focusing on a "stable" department, taking patients as the center and improving medical quality as the purpose, we constantly improve medical conditions, handle the doctor-patient relationship with patients, and strive to provide quality services for patients, which has achieved obvious social benefits and won unanimous praise from patients and their families. After the second quarter, complaints decreased significantly and disappeared compared with previous years.

Second, continue to study theoretical knowledge and build a learning team.

Because there are too few staff, only three doctors work in shifts throughout the year, but they still adhere to the regular study system on Tuesdays for one year, rely on the personal rounds of Director Zhou Mingan of the Rehabilitation Department of the Central Hospital, learn new technologies and new therapies of rehabilitation medicine, and organize special study and discussion for the difficulties and common problems in our department to find more suitable treatment means and methods. In the second quarter, organize general practitioners to learn general anesthesia ventilator-assisted ventilation treatment. The third section mainly studies the correct treatment of respiratory related diseases that often appear in geriatric psychiatry. The fourth section organizes medical staff to strengthen the study of psychiatry knowledge and apply it to the special group of geriatric psychiatry.

Third, medical ethics continue to be excellent.

Following the pioneering education last year, at the beginning of the year, our hospital called on the cadres and workers of the whole hospital to study the mass line education of the CPC Central Committee. Our department held many meetings to publicize the principles and ideas of the mass line, and actively applied them to practical work, so that the opinions of cadres and workers in the department were reflected. After detailed research, some preliminary plans were tried out among the masses before revision. Really "from the masses to the masses", so that the relationship between doctors and nurses, the relationship between doctors and patients, the relationship between nurses and patients, the relationship between property and nurses, and the relationship between departments and hospitals can form a good interaction, ensuring the quality, safety and efficiency of departments.

Four. Shortcomings and lessons in work

1. The new patients admitted at the beginning of the year were not properly closed. According to the conditions of our department, some special patients need to be transferred to a closed ward or transferred to a higher hospital.

2. Patients in the hospital failed to communicate with their families in time, and made communication records, which was a profound lesson. It is necessary to simplify the signing process to make the signing easier, more convenient and better.

3. The dispersion coefficient of the health of the elderly is relatively large. Some people are poor before they are 60 years old, and some people are still good at 90 years old. Professional knowledge in treatment is very important, and experience is also very important. Departments need to learn from each other.

Summary of personal work of geriatric doctors 2 Clinical probation is the starting point of medical students' contact with clinic, which is from classroom to clinic. During the important transition period, students lack communication between doctors and patients and clinical practice experience. In addition, patients in geriatrics have the characteristics of complex illness, diverse diseases and frequent diseases, and the service groups of geriatrics in our hospital are mostly knowledge-based elderly people, which will inevitably put forward higher requirements for doctors' clinical skills, knowledge level and service attitude. Therefore, they are more likely to have fear and increase when they are internship in geriatrics. As a trainee doctor, it is very important to master the physiological and pathological characteristics of elderly patients, build up confidence, operate boldly, gradually complete the transformation of roles, thinking and learning modes, and cultivate the communication and coordination ability between doctors and patients.

1, master the clinical characteristics of senile diseases, and make good knowledge reserves and ideological preparations for clinical probation.

In old age, the structure and function of human tissues and organs will undergo a series of changes, such as hearing and vision decline; Cardiopulmonary dysfunction, prone to respiratory infection, respiratory failure, chronic heart failure; The nervous system degenerates, prone to brain atrophy, cerebral arteriosclerosis, Alzheimer's disease and so on. Nephron decreases with age, renal function decreases with age, degenerative changes of bones and joints, such as osteoporosis and other diseases; The probability of elderly people suffering from malignant tumors is also relatively high. Moreover, the internal environment stability of the elderly is poor, even if it seems that the condition is not serious, it is easy to destroy the internal environment of the elderly, and the balance of water, electrolyte and acid-base is out of balance; Excessive pressure in the body leads to abnormal blood sugar, blood oxygen, endocrine, coagulation and immune mechanism.

Elderly patients have many basic diseases and relatively many kinds of drugs, and most of them take drugs for a long time. However, due to the increase of body fat and the decrease of water content, the drug concentration in fat is high in the elderly. Plasma albumin level decreased and free drugs increased. Decreased cardiac output, decreased liver blood flow, kidney atrophy and decreased liver and kidney function in the elderly lead to prolonged drug half-life. Therefore, medication for the elderly has its particularity.

The physiological function of the elderly is low, and the reserve capacity is reduced. Once overloaded, diseases can be induced. Susceptibility to chronic diseases is an epidemiological feature of senile diseases. The incidence trend and epidemiological data show that the common chronic diseases of the elderly in China are hypertension, coronary heart disease, cerebrovascular disease, malignant tumor, diabetes, chronic obstructive pulmonary disease, cataract and prostatic hyperplasia. Multi-factor pathogenesis is the etiological feature of senile diseases. Due to the aging of the body, the decline of immune function and the decline of organ and tissue function, any factor may cause the disease of the elderly. In most cases, the cause is unclear, and sometimes it is even difficult to distinguish between natural aging and independent diseases.

Geriatric diseases also have the characteristics of many diseases, atypical symptoms and signs, hidden onset, unique onset mode, easy occurrence of complications, rapid progress of the course of disease and so on. In addition, there are many problems that elderly patients are prone to, such as weakness, sarcopenia, bedsore, constipation, insomnia, pain, deep vein thrombosis, pulmonary embolism, aspiration pneumonia, malnutrition and so on. , as well as dementia, depression, delirium, vision and hearing impairment, sleep disorders, falls, fractures, incontinence, pressure ulcers and peripheral vascular diseases. And the elderly.

From the first day we entered the department, the teachers asked us to keep these characteristics in mind, emphasize the difference between geriatric diseases and specialist diseases, think carefully about each case, experience carefully, formulate the best and individualized diagnosis and treatment plan according to the characteristics of the elderly population and geriatric diseases, as well as different physiological conditions and pharmacokinetic characteristics, and drive the three aspects to change gradually in geriatric practice.

2. Gradually complete the transformation in three aspects in the practice of geriatrics.

When medical students enter clinical probation, put on white coats and stand by the bed, they are no longer just students; For clinical teaching teachers, when taking interns, they are not only teachers, but also brothers and colleagues.

For example, addressing students, teachers call us "Dr. xx" in front of patients, rather than simply "Dr. xx", which is conducive to increasing the self-confidence of medical students in the process of clinical internship and helping students understand the real situation of doctor-patient communication, doctor-patient cooperation and medical cooperation. However, because students have been studying in school for a long time, only have theoretical knowledge and lack clinical experience, they are often at a loss when facing patients. Therefore, before entering the ward, teachers should let students know about the patient's situation and teach them to take empathy and treat the patient as their relatives. They should not simply regard patients as teaching tools, ignore their psychological feelings, be rational and emotional, which greatly promotes students' sympathy and love for patients.

A clinician's working ability is first manifested as clinical thinking ability. Probation is an important stage in the formation of clinical thinking. Because the courses of medical students follow the traditional course system centered on disciplines, and the courses are relatively independent, it is easy for students to form a single longitudinal way of thinking. Geriatric diseases involve the intersection and integration of physiology, pathology, pathophysiology, immunology and microbiology, which requires teachers to pay special attention to the combination and integration of knowledge points when explaining a specific patient, and adopt PBL teaching method to cultivate students' clinical thinking mode of horizontal connection. For example, there are several, dozens or even more diseases that show certain symptoms in clinic, and different diseases may also show the same symptoms. Due to many factors, the occurrence and development of many diseases do not have a theoretical "typical" process. How to use professional knowledge flexibly, understand and analyze diseases through various symptoms and signs, so as to get a correct diagnosis and choose a reasonable treatment plan, which requires a horizontally related clinical thinking mode.

Clinical probation has shifted the learning place from the classroom to the ward, and the learning object has shifted from books to patients, which requires students to change their learning style and realize the change from the learning style based on subjects and exams to the learning style based on problem solving as soon as possible. Because in clinical work, patients are always the center of work. Therefore, in the process of clinical probation, students should first contact patients, ask about medical history and physical examination, consult relevant auxiliary examination results, and then use what they have learned to make informed analysis, make a diagnosis and determine the best treatment plan. Finally, the teacher will comment and summarize, introduce some related research trends, and put forward some viewpoints and unsolved problems, so as to clarify the students' thinking and stimulate their spirit of seeking knowledge.

3. Understand the psychology of elderly patients and improve their communication and coordination skills.

There are many retired cadres or senior intellectuals and elites in geriatrics department. These patients are relatively rich in medical resources and information, have strong dominance and self-esteem, and have stronger independent thinking and control ability than patients in general wards. Therefore, some patients do not adapt to the intervention and guidance of doctors and nurses' medical lifestyle, and their compliance is relatively poor; The level of diagnosis and treatment is higher and the expectation of treatment effect is higher; Require complete control of your illness and treatment process; Easy to produce anxiety, depression, paranoia and other psychology; Strong sense of self-protection, often trivial and lengthy description of symptoms, very concerned about the doctor's every move, patients and their families are also very concerned about the development of the disease.

According to the humanistic and psychological characteristics of elderly patients, what kind of communication can convince patients and actively cooperate with treatment? This requires that geriatric medical interns should not only have rich medical foundation and clinical knowledge, but also integrate the characteristics of different groups to make the language more popular and pass it on to patients scientifically and rigorously. During my internship in Geriatrics, the communication between teachers and patients really touched me deeply. They listened patiently, were modest and prudent, mastered the language arts and skills, spoke and behaved appropriately, established an equal relationship between doctors and patients, respected patients, put themselves in their shoes, really influenced patients with "love", "patience" and "care", eliminated doubts and gained trust. Students report that during their internship in Geriatrics Department, they will consciously remind themselves to fully respect and care for patients, and not to increase the pain of patients for their own study.

The internship time in the hospital is very short. From the intern's point of view, in addition to learning as many clinical operations and skills as possible, we should watch, listen and ask more questions, learn scientific learning methods, improve the communication ability with patients, and lay a solid foundation for future internship and medical life.

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