Recently, affected by the strong cold wave, the temperature in Shencheng has dropped "cliff-like". The sudden drop in weather has caused many citizens to reduce the frequency of going out, but it cannot stop the pace of family doctors visiting the community health service centers in various streets and towns in Jing'an. A medical bag and a white coat under a down jacket have become the most heart-warming existence at the moment.
Stethoscopes, blood glucose meters, blood pressure monitors...... At 3 o'clock in the afternoon, Zhang Yu, a family doctor from the Pengpu Xincun Sub-district Community Health Service Center, started the day's door-to-door service with Wu Tingting, a nurse at the community health service station in Lane 1513 of Linfen Road, after sorting out the doctor's visit bag.
"In the morning, our medical staff as a health service station under the center are usually at the site to provide outpatient care services to residents. In the afternoon, according to the health needs of the contracted residents, home visits and rehabilitation, appropriate technology of traditional Chinese medicine and other related services will be arranged. Zhang Yu told reporters.
Shanghai Heyang No. 2 Elderly Apartment is the second batch of "five-bed linkage" pilot units in Jing'an District, and the Pengpu Xincun Sub-district Community Health Service Center provides medical and health services for all contracted residents. Zhang Yu and Wu Tingting, as responsible medical care, are responsible for the daily medical care and health management services of the 85 elderly residents in the nursing home.
"Uncle Zhang, your blood pressure is a little high this time, did you take the blood pressure medicine prescribed to you on time? Recently, it has been cold, so you should keep warm a little, especially the head and neck. Check your blood pressure again tomorrow, and if it's still high, your blood pressure medication will be adjusted appropriately. In the nursing home, Zhang Yu and Wu Tingting inquired in detail about the current diet and medication of the elderly, and focused on the precautions and preventive measures according to the seasonal characteristics and climatic factors of the cold winter season, reminding everyone to maintain a comfortable mood, develop good life Xi habits, and improve their own immunity.
"Each of the 85 elderly people must be cared for and cared for. Although the scope of services is wide, serving the elderly is more important to 'work hard'. The 80-year-old Grandma Jin, who is now in the chemotherapy stage for multiple myeloma, was implanted with an "infusion port" in June this year. In addition to the daily health management for her, Grandma Jin needs to carry out catheter maintenance once a month, which has become a "top priority" for Zhang Yu and Wu Tingting. "Grandma Jin, have you felt any pain or swelling at the location of the 'infusion port' recently? At this time next week, we will come to you for maintenance, and you will prepare the maintenance record sheet and social security card in advance. The meticulous and patient communication gradually eased Grandma Jin's sad face.
Referring to whether the cold wave weather will bring certain difficulties to the family doctor's home visits, Zhang Yu shook his head again and again: "Whether it is a cold wave or a scorching summer, it is normal for us. Instead, we will consider the impact of the sudden change of weather on the elderly, from physical to psychological, which is what we are most concerned about. ”
According to reports, the number of patients with respiratory diseases such as myocardial infarction and stroke, upper respiratory tract infection, pneumonia, and acute attack of chronic artery will increase significantly, and from previous years, the elderly are more likely to be affected by climatic factors, and their condition will be more serious.
"It can be said that protecting and taking care of the elderly is the 'top priority' of our health and health services in winter. Zhang Yu said.
In addition to weekly door-to-door visits, the Pengpu Xincun Sub-district Community Health Service Center will also implement full coverage of SMS and WeChat reminders according to the current climate characteristics and changes in disease epidemic trends, and give residents warm reminders "one step forward".
Pengpu Xincun Street is a typical aging community, with more than 45% of the elderly population over 60 years old. Since 2011, the Pengpu Xincun Sub-district Community Health Service Center has set up a team of family doctors. In recent years, the team of family doctors has gradually expanded, and up to now, there are 5 family doctor service teams and 59 family doctors. Among them, 98.3% of them have intermediate and senior professional titles, and the contracted services cover all 33 neighborhood committees in the sub-district jurisdiction, and each neighborhood committee is equipped with 1 to 2 family doctors according to the service population and the contracted situation.
At present, 67,000 residents of the street have signed up with the center's family doctors, with a contract coverage rate of 47%, effectively realizing "opening up the 'last 100 meters' of serving residents, and family doctors 'covering the bottom' of residents' health".
Source: Jing'an, Shanghai