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1、Asthma,At the age of 42,for asthma,died in Thailand,Chiang mai,On May 8,in 1995.,The Definition Of Asthma,A chronic inflammatory disease of the respiratory tract.Many cells and cellular components.Chronic inflammation in airway of high reactive and recurrent wheezing cough,chest tightness,and shortn
2、ess of breath.Extensive,different levels of,usually reversible airflow limitation.,Pathogenesis,Associated with many genetic,and at the same time by the dual effects of genetic factors and environmental factors.,The Pathogenesis Of Asthma,Genetic factors Environmental factors,Airway hyper responsive
3、ness,Airflow obstruction,Risk factors(seizures),symptoms,The Highest Rates Of Asthma Disease In China:,In China,36.7 per 100000 asthma patients in asthma patients will die because of asthma.,Clinical Manifestations,signs Wheezing sound and breath sounds.Chest is too much air condition.Mild or severe
4、 asthma can be without wheezing sound silence(lung).Serious HR,pulsus paradoxus,cyanosis,and so on.,Clinical Manifestations,The typical bronchial asthma:Attacks:recurrent of the breath difficulty breathing,there is seasonal,associated with exogenous inhaled allergens,and light night heavy day.Diffus
5、e:acute onset,dual pulmonary diffuse wheezing sound,give priority to with expiratory phase.Reversible:the signs and symptoms can alleviate by oneself,from allergens or application after bronchodilators.,Clinical Manifestations,Not the typical bronchial asthma:paroxysmal bosom frowsty or refractory c
6、ough.,咳嗽变异性哮喘,Clinical Manifestations,Critical asthma(fatal):often referred to as status asthmaticus,characterized by difficulty breathing,violet purple,sweat,cold limbs,pulse fine velocity,both lungs with wheezing sound.Can be threatening the life of the patient.So severe asthma attacks is asthma i
7、s one of the most common emergency.,The Differential Diagnosis,Cardiac asthma A high heart,induction,rheumatic history.Cough,pink foam sample phlegm,widely detect rales and wheezing sound.X-ray enlarged heart and pulmonary edema.Lung function:restrictive ventilation dysfunction(rather than the airfl
8、ow limitation)Avoid using epinephrine and morphine.Lung cancer Blood phlegmy,sputum found in cancer cells、Fiber lens,computed tomography(CT)Allergic lung infiltrates.,Control Drug-Long-Acting Bronchodilators,Anticholinergic medicines agonists,Other Medicines For Asthma,Drugs Ketone for Finn,color Ke
9、nnedy sodium Non-hormone anti-inflammatory drugs,prevent seizures Allergens specific immune therapy Give common inhaled allergens extract(such as dust mites,cats,ragweed,etc.),can reduce asthma symptoms and reduce airway hyper responsiveness,suitable for allergen clear but it is difficult to avoid a
10、sthma patients.Other oral drug allergy QuNis,The Prognosis Of Bronchial Asthma,Rational drug use,can reduce attack or heal.About half of the children,or to adulthood can complete remission after treatment.Unable to remove the factors such as induced asthma,asthma attacks and increase again and again
11、.Status asthmaticus,must be timely strengthening treatment,such as concurrent emphysema,cor pulmonale,cardiopulmonary function not entire,prognosis is poor,need to control in a timely manner.,Community Service,The Definition Of Community Service,Community service is to point to the government,the co
12、mmunity committee and other various aspects strength directly for community members to provide public services and other material,culture,life and other aspects of the service。,Recently,along with our country economy ingredients,life style,social organization form and employment form becoming more d
13、iverse,more and more unit person to social people,a large number of retirees,laid-off workers and flow workers into the community,the community residents material and cultural life demand is more and more of the masses revealed a trend of diversified,multi-level,the development of society and econom
14、y and residents of the various needs to community service puts forward the new higher requirements.,Case Analysis,In the early 1980 s,in the case of no preparation,Shanghai has entered the aging society.Dapuqiao station street at that time is typical horns of Shanghai.According to the liberation,in
15、shanty town residents of the regions total population 49.1%,50 s,shanty town gradually.But 1993 years ago,residents living conditions and no substantial changes.In addition,1982 dapuqiao station street of luwan district 65 years of age or older population has 9.83%of the total population,luwan distr
16、ict 65 years of age or older population has reached 13.19%in 1990,the old people take care of the problem is very serious.Many poor living conditions,the life cannot provide for oneself,the poor old people serious lack of daily life care.In addition,the elderly also a poor state of mind,spiritual em
17、ptiness,already more and more affect the normal life of the community.,In The Case Of Community Service,1、Task goal：Through the community service for residents,promote the effective integration of community resources,improve the participation of residents and mutual consciousness,improve peoples sta
18、te of mind,improve the community old-age care security system,improve the life quality of old people,strengthen the practical needs of spiritual civilization.,2、Process goals：Set up the consciousness of the inhabitants of new citizens.To help the service object.normally into the community.To establi
19、sh an ideal and care the community.The government establishing partnership with the community.,3、Workers in role:Intermediary role:To help the community residents and use all kinds of resources Advocates role:represent the interests of the community residents.Consultant:in their own professional kno
20、wledge for community residents and puts forward some directional is practical guidance.,4、Intervention strategies and actions:Goes down to the basic unit build trust relationship,get support and participation of the residents.Mobilize community effectively in all aspects of resources.Such as homes,r
21、ehabilitation centers,bear the professional service of community.Typical special objects within the community for psychological counseling and guidance.To efforts to get the government and the local enterprises contact,to promote the further development of community service system.Support to the goo
22、d development of the community,and puts forward some feasible perfect community development plan,and to the community problems in propaganda and education,in order to get more and more the attention of social power,so as to solve the problem of community.,5、Advantages:After a year of service,communi
23、ty appeared a surprising change,advocate the equality of the new type of interpersonal relationships and work values.Respect every elderly care.For the needs of the old man offered a lot of different types of social welfare services,promoted the local old age at the time,especially the lack of famil
24、y care of the weak elderly peoples quality of life,the inhabitants of the enhanced awareness of participation in community activities,willing to take part in various community activities,spiritual life enriched,effectively promote the healthy development of the community.Disadvantages:Lack of adequa
25、te resources input and circulation,limited only by the altruism behavior of spontaneous neighborhood help each other and informal social capital to maintain the operation of the organization,is still relatively weak and unstable.Government administrative department of the participation of relatively
26、 less,the formal organization and community the combination of the informal organization is yet to be strengthened.,The Significance Of This Case For The Development Of Community Service,To strengthen and improve the community service work to expand the partys ruling foundation and reflect the gover
27、nments policy objective;To expand employment and solving social problems,resolve social conflicts,and promoting social harmony;To continuously satisfy the needs of residents of the masses,improve the peoples living quality,promote the all-round development of human beings.The problem of this case is
28、 the period of social transformation in our country community a miniature,through it,can let we clearly recognize the importance of community service in community construction at the present stage,has a great influence in solve community problems,of course we have our own special national conditions,and cant move the western social theory of community service,should be in the process of we solve community problems,try to develop and perfect our special community service concept,to better applied to the problems that would arise.,Thank you!,
