Nanjing, January 7 news (reporter Li Meng) in order to strengthen the construction of the elderly hospital, and actively respond to the problem of population aging. Not long ago, the Jiangsu Provincial Health Commission officially approved the promotion of Nanjing Central Hospital to a tertiary geriatric hospital.
Recently, the reporter came to Nanjing Central Hospital and walked into the hall of the medical center, with eye-catching warm prompts, ageing handrails, green channels for elderly patients, priority treatment windows and convenient service boxes, all of which are remarkable in the warm background of the hospital.
The hall of the medical center (Photo by Li Meng, a reporter from the Central Broadcasting Network)
In order to improve the efficiency of medical treatment, Nanjing Central Hospital has added a "no health code" green channel in the pre-examination triage office, and elderly patients can enter the medical center only after registering with paper certificates, ID cards and other documents after body temperature measurement and artificial epidemiological investigation. In order to solve the problem that elderly patients will not use smart phones, the hospital has reserved on-site appointments and cash payment channels at the registration window, and there are full-time medical staff or volunteers at the window to help them register, pay, and take report forms, and answer the problems encountered by elderly patients one by one.
Priority window for elderly patients (Photo by Li Meng, reporter of the Central Broadcasting Network)
Volunteers are helping the elderly print electronic invoices (Photo by Li Meng, a reporter from the Central Broadcasting Network)
"One-stop" medical treatment to open a "new model" of health
Dong Li, director of the Department of Geriatrics of Nanjing Central Hospital, told reporters that most of the elderly patients show the characteristics of many basic diseases, difficult treatment, and the coexistence of multiple diseases, due to physiological and pathological factors, there are different degrees of psychological disorders. In order to solve the problem of comorbid diseases of elderly patients in a "one-stop" manner, it is necessary to transform the single-disease treatment model into a multi-disease co-treatment model, start a multidisciplinary team, and formulate and implement an individualized comprehensive treatment and rehabilitation plan, so as to achieve better, faster and more accurate service and diagnosis and treatment purposes.
Medical and nursing joint rounds (courtesy of Nanjing Central Hospital)
90-year-old Wu Lao suffered from right inguinal hernia for nearly 10 years, and also suffered from hypertension, coronary heart disease and other diseases, the family took into account the patient's high age, and finally decided to abandon the operation. Since last year, patients have noticed that the hernia sac has become larger, unable to walk on the ground, and sometimes painful.
Accompanied by his family, the patient came to Nanjing Central Hospital, and after multidisciplinary consultation in general surgery, endocrinology, physical diagnosis, cardiovascular medicine, anesthesiology, rehabilitation medicine and other departments, the surgical team designed a plan for the patient according to his own situation, and after the consent of the family, he smoothly performed surgery for Wu Lao. The entire operation lasted less than half an hour, and the next day the patient was already walking on the ground.
Digital Empowerment Helps the Elderly "New Life"
For the operation to achieve the minimum injury, the central hospital has effectively explored this, the hospital will be the elderly minimally invasive surgery as a feature, including general surgery to carry out laparoscopic cholecystectomy; orthopedic department to carry out minimally invasive hip joint and knee replacement; ophthalmology to carry out cataract minimally invasive surgery. According to statistics, according to the national examination indicators, the current proportion of minimally invasive surgery is 41.7%.
In recent years, central hospitals have adopted methods such as bedside ultrasound localization, hemodynamic monitoring, and prone ventilation to strengthen the clustered and fine management of elderly patients with severe diseases. On the basis of routine rehabilitation such as exercise therapy and occupational therapy, adjustments are also made to the actual situation of the elderly and highlight the characteristics of the elderly.
Medical staff are guiding elderly patients to do rehabilitation training (Photo provided by Nanjing Central Hospital)
The 76-year-old Liu Lao has been "entangled" by osteoarthritis of his left knee for many years, and in recent years, the pain has doubled and he cannot walk for a long time. Since Liu Lao came to Nanjing Central Hospital, the expert group decided to implement digital precision treatment and rapid rehabilitation for Liu Lao according to his condition, and also designed and produced a personalized 3D printed surgical guide for Liu Lao.
With the cooperation of the Department of Anesthesiology, the Department of Rehabilitation Medicine and the nursing team, the hospital carried out digital precision treatment and postoperative rehabilitation of artificial knee replacement for Liu Lao. One hour after the operation, Liu Lao has freely completed the joint flexion and straight leg elevation movements, and there is no common subcutaneous hematoma around the surgical incision. Two hours after the operation, accompanied by medical staff, Elder Liu successfully walked back to the ward from the operating room to rest.
Caring for patients is the eternal theme of the hospital, in the process of building a tertiary geriatric hospital, Nanjing Central Hospital regards the overall medical model as an important medical feature, establishes a systematic diagnosis and treatment routine and specialized nursing routine, and carries out special diagnosis and treatment projects such as comprehensive assessment of the elderly, physical rehabilitation treatment and palliative care.
Under the continuous exploration, Nanjing Central Hospital is based on the elderly patients as the center, rooted in the cause of elderly health, deeply cultivating the concept of elderly health services, optimizing the health management and medical service level of elderly patients, and striving to provide high-quality and efficient medical and health services for the majority of elderly people.