The first article: Self-evaluation of graduation of acupuncture and massage major
note:
The writing of graduates' self-evaluation is simply a summary of their own ideological and political, moral quality, professional study, extracurricular activities and social work. Seriously and realistically, emphasize their achievements and practical ability, and put forward their future efforts and development direction in order to carry forward their advantages and overcome their shortcomings in their future study and work. I hope this model template can help graduates.
Self-evaluation of graduates majoring in acupuncture and massage
Time flies, and four years of college life will be over in a blink of an eye. Since I entered the major of acupuncture and massage in XX University in 20xx, I have made great progress in all aspects and successfully completed my studies through the careful guidance of teachers and my own efforts. Looking back on four years, it is an extraordinary four years for me, four years of harvest, four years of continuous absorption of nutrients, four years of growth and four years of unforgettable. On the occasion of graduation, I summed up the dribs and drabs of the past four years, and I grew a lot. At the same time, I deeply realize that learning is endless, and we need to step up our pace to improve ourselves, improve our skills and realize the value of life.
Acupuncture and massage is a highly specialized subject. Under the guidance of the teacher, I systematically and comprehensively studied the basic theoretical knowledge of acupuncture and massage, and firmly mastered the professional knowledge and skills of acupuncture and massage. At the same time, the theoretical knowledge of acupuncture and massage is applied to practical activities, and what we have learned is transformed into practical ability, application ability and creativity, so as to strive for the unity of theory and practice. While learning and mastering the theoretical knowledge and applied skills of this major, we also strive to broaden our knowledge, cultivate other abilities, extensively dabble in other disciplines, and improve our ideological and cultural quality. English, computer, Putonghua and other aspects have all reached the standard. Besides improving my professional knowledge of acupuncture and massage, I also use my spare time to study computer professional knowledge, so that I can skillfully operate various office software, thus improving my ideological and cultural quality. (This section can be clicked.
Chapter II: Continuing Education Report
Thanks to the ardent expectations of hospital and department leaders, I participated in the training of Chongqing county-level TCM backbone doctors organized by the Municipal Health Bureau from April 20 14 to June 2014. In April, he participated in theoretical training in Chongqing Higher Medical College, and in May-June165438+1October, he studied in the Department of Rehabilitation and the Department of Integrated Traditional Chinese and Western Medicine of the First People's Hospital affiliated to Chongqing Medical University. Now I report my experience and feelings as follows:
1, learning purpose'
2. Learning content
Step 3 feel and gain
4, the next step plan
5. Business and effect after returning to the hospital
Objective: To master the basic knowledge of traditional Chinese medicine systematically, improve the clinical ability, gain wide recognition from peers, have great social influence, and be competent as the technical backbone of clinical departments of traditional Chinese medicine (including integrated traditional Chinese and western medicine) in county hospitals.
Learning content: 1, theoretical study (four books of traditional Chinese medicine, traditional Chinese medicine, prescription, acupuncture, massage and lectures by famous teachers) 2, clinical study for half a year (rehabilitation department of integrated Chinese and western medicine) 3, summary and improvement.
Feeling and harvest: integrated traditional Chinese and western medicine department
Key clinical disciplines of traditional Chinese and western medicine in state administration of traditional chinese medicine
State administration of traditional chinese medicine "Eleventh Five-Year Plan" Key Geriatrics College
Demonstration unit of traditional Chinese medicine work in national comprehensive hospitals
Chongqing health bureau combination of Chinese traditional and western medicine rheumatism immunity primary college
The earliest authorized point of doctor's degree in integrated traditional Chinese and western medicine in Clinical Fellow.
Department settings:
Traditional Chinese Medicine (Integrated Chinese and Western Medicine) Outpatient
Integrated traditional Chinese and western medicine ward
Acupuncture and massage physiotherapy room
laboratory
Traditional Chinese medicine decocting room
Professional features: 1. Rheumatoid immune diseases focus on the diagnosis and treatment of connective tissue diseases such as rheumatoid arthritis, systemic lupus erythematosus, polymyositis, scleroderma and Sjogren's syndrome. Bone and joint diseases such as hyperosteogeny, osteoporosis, cervical and lumbar spondylosis, various joint pains and abnormal immune function.
2, geriatric diseases and difficult diseases focus on the diagnosis and treatment of various geriatric diseases, coronary heart disease, diabetes, hypertension, chronic bronchitis, etc. ; All kinds of paralysis (including facial paralysis), debilitating diseases, malignant tumors after surgical radiotherapy and chemotherapy, etc.
Acupuncture physiotherapy
Special treatment methods such as acupuncture and physical therapy are used to focus on the diagnosis and treatment of paralysis symptoms such as facial paralysis and apoplexy sequelae, neck, shoulder, back and leg pain such as rheumatoid arthritis, acute sprain, cervical spondylosis, lumbar spondylosis, headache, trigeminal neuralgia, peripheral neuritis, intractable hiccups, constipation, urinary retention, insomnia, obesity, etc.
Senior management:
Responsible doctor system, nurse in charge system, distribution according to work system, detail management.
Make full use of modern medical scientific diagnosis and treatment methods, and closely combine the essence of TCM syndrome differentiation and treatment to form the clinical diagnosis and treatment characteristics of complementary Chinese and western medicine.
Rehabilitation department
Composition mode: doctors (rehabilitation, psychiatry, bone injury, internal medicine, etc.). ), rehabilitation therapists (exercise therapy, physical factor therapy, occupational therapy, speech swallowing therapy, acupuncture and massage) and nurses.
Process: Rehabilitation evaluation and rehabilitation treatment.
Stroke is a common and frequently-occurring disease in clinic, with high incidence, disability rate and mortality, and limb motor dysfunction after stroke is the main symptom of disability. It is reported that 73%-86% patients have hemiplegia, 765,438+0%-77% patients have difficulty in moving, and 47% patients cannot sit alone. The incidence of cerebrovascular accidents in China is 2 17/65438+ 10,000; The prevalence rates were 765,438+09/65,438+10,000 (urban) and 394/65,438+10,000 (rural) respectively. The disability rate of cerebrovascular accident is very high, and about 3/4 patients have different degrees of labor loss, which requires life care and brings a heavy burden to patients, families and society. A large number of clinical studies show that the comprehensive treatment of stroke with integrated traditional Chinese and western medicine has a good effect on the recovery of patients' functions. 1. Rehabilitation in acute stage
Acute stroke usually refers to 1 ~ 2 weeks after onset. Rehabilitation treatment is based on routine treatment in neurology (including treatment of primary disease, treatment of complications, control of blood pressure, blood sugar and blood lipid, etc.). ) and the patient's condition was stable for 48 hours. The purpose of rehabilitation treatment at this stage is to promote the recovery of muscle tension of hemiplegic limbs and the emergence of active activities through passive activities and active participation, as well as the correct placement of limbs and the change of posture (turning over), and to prevent possible pressure sores, joint swelling, deep venous thrombosis of lower limbs, urinary and respiratory infections, etc. At the same time, all kinds of sensory stimulation, psychological counseling and related rehabilitation treatment (such as swallowing function training, vocal organ exercise training, respiratory function training, etc.) were carried out on the hemiplegic side. ) helps to improve the impaired function of stroke patients.
2. Restore early rehabilitation treatment
(1) 2 ~ 4 weeks after onset. It is equivalent to Brunnstrom's I-II phase, Bobath's delayed phase, and the early stage of the Tenth Five-Year Plan for tertiary rehabilitation of acute cerebrovascular disease (from onset to full 1 month).
Rehabilitation goal: prevention and treatment of complications (such as bedsore, pneumonia, urinary tract infection, shoulder-hand syndrome, etc.) ), disuse syndrome (such as osteoporosis, muscle atrophy, joint contracture, etc. ) and misuse syndrome (such as joint muscle injury, fracture, spasm aggravation, etc. ); Transition from passive activity in bed to active activity as soon as possible; Independent conversion from supine position to bedside position; Initially achieve I-II sitting balance; Adjust mental state and strive for patients to cooperate with treatment; Start self-care training in bed to improve self-care ability in bed.
1) maintain the correct body position: a. the affected side position: b. the healthy side position: c. supine position:
2) Passive movement of limbs: mainly to prevent joint activity from being limited, and may also promote blood circulation of limbs and enhance sensory input. Start from the healthy side, and then move the affected side according to the range of motion of the healthy joint. Generally, it is carried out in sequence from the proximal end to the distal end of the limb, and the movement should be gentle and slow. Emphasis is placed on shoulder supination, abduction flexion, elbow extension, wrist and finger extension, hip abduction and extension, knee extension, dorsiflexion of foot and valgus. Do it twice a day in acute phase and three times a day thereafter. The patient starts to do self-help passive exercise as soon as possible after waking up.
3) Body position change: mainly to prevent bedsore and lung infection. In addition, supine position strengthens the advantages of extensor, healthy lateral position strengthens the advantages of flexor and affected lateral position strengthens the advantages of extensor. Constantly changing posture can balance the tension of extensor and flexor muscles of limbs and prevent spasm. Generally 1-2h, change the body position. Postural changes include passive and active reflexes to the healthy side and the affected side, and active and passive lateral movements to the healthy side and the affected side.
4) Training from supine position to bedside position: Sit-ups from supine position to lateral position are adopted.
5) Sitting posture balance training: correct sitting posture, bedside sitting posture balance, including front, back, left and right directions. You can also use sitting posture exercises to strengthen balance training.
6) Nerve promotion technology: Bobath technology, Brunnstrom technology, Rood technology and PNF technology can be selected as appropriate to induce gross movement and inhibit abnormal movement.
7) Functional electrical stimulation and biofeedback therapy: have certain rehabilitation effects on preventing muscle atrophy, maintaining joint mobility and promoting the formation of normal exercise patterns, and can be applied as appropriate.
8) When the bed is transferred to a wheelchair (or chair), standing training can be carried out as appropriate. 9) Speech therapy: People with speech disorders should be evaluated and treated.
10)ADL training: it mainly evaluates and trains diet, dressing and personal hygiene during bed rest.
1 1) Psychotherapy: Because of the short time after onset, people can't accept the reality for a while, so there are often many psychological obstacles such as denial, rejection, fear, anxiety and depression. First, the patients' current psychological disorders are evaluated, and then psychological treatment is carried out according to the patients' psychological disorders, and appropriate drugs are added when necessary.
3. Resume mid-term rehabilitation treatment
From the second month to the third month after onset. It is equivalent to Brunnstrom period, Bobath period and spasm period, and the mid-term of the third-level rehabilitation plan for acute cerebrovascular disease in the tenth five-year plan.
Rehabilitation goal: inhibit spasm and * * * the same movement pattern, induce separation movement, and promote the formation of normal movement pattern; Promote and improve the independence and coordination of hemiplegic limb movements; Achieve class III sitting balance; Initially reach the balance of three stations; Achieve therapeutic walking ability; Improve the ability of daily life such as bed chair, toilet transfer, indoor walking and personal hygiene.
1) Upper limb function training: The key point is to inhibit the abnormal movement pattern formed by * * * simultaneous movement, joint reaction and abnormal posture, and induce the separation movement of lower limbs, especially hands.
2) Lower limb function training: The key point is to suppress abnormal movement patterns caused by simultaneous movement, joint reaction and abnormal posture. And induce the separation movement of lower limbs, especially feet, and install corrective braces for varus of lower limbs when necessary.
3) Balance training: focus on three-level sitting balance training and one, two and three-level standing balance training. For the trunk muscles and gluteal muscles with poor recovery, increase the training of kneeling posture and crawling posture.
4)ADL training: mainly to improve the ability of daily life, mainly to carry out personal hygiene, putting on and taking off clothes, defecation, sitting and standing conversion, walking and other training, and the use of braces and orthoses.
5) Speech therapy: People with speech disorders should be evaluated and treated.
6) Cognitive function training: Cognitive function training should be evaluated and treated.
4. Rehabilitation treatment in the later stage of recovery.
4 months to 6 months after onset. It is equivalent to Brunnstrom stage Ⅴ-Ⅴ, Bobath stage relative recovery stage, and the later stage of the Tenth Five-Year Plan key project "Three-level Rehabilitation Plan for Acute Cerebrovascular Diseases".
Rehabilitation goal: to restrain spasticity and the same movement pattern as * * *, and correct the wrong movement pattern; Improve and promote fine and technical movements; Increase and improve the speed of movement; Improve the actual walking ability; Mastering ADL skills to improve the quality of life.
1) upper limb function training: the key point is to improve and promote the fine and technical movements of the hands; Increase and improve the speed of movement; For patients who still have spasms and * * * same movement patterns, methods of inhibiting * * * same movement and promoting separation movement should continue to be adopted. For those with poor hand function recovery, handshake training should be carried out.
2) Lower limb function training: focus on improving gait, gait coordination and complex walking training to improve the actual walking ability. For patients who still have spasms and the same movement pattern, methods should be taken to inhibit the same movement and promote the separation movement.
3)ADL training: The purpose is to strive for self-care, focusing on necessary housework and gfd (washing face, brushing teeth, shaving, combing hair, making up, cutting nails, etc.). ), outdoor activities, bathing, training on going up and down stairs, etc.
Chapter III: Summary of Acupuncture and Massage Department (20 14)
Summary of work in acupuncture and massage department
(20 14)
In 20 14, under the leadership of our hospital and under the guidance of Scientific Outlook on Development, the acupuncture and massage department adhered to the people-oriented principle, and all the medical staff Qi Xin worked together to overcome difficulties and successfully completed all the work, achieving good social and economic benefits. In order to sum up experience, overcome shortcomings and facilitate better work in the future, the work is summarized as follows:
1.20 14 With the joint efforts of all staff, our business has made remarkable progress. 1-65438+2 months, hospitalized patients 1000 person-times, with a total income of over 8 million yuan. The total number of treatments such as acupuncture, massage, physical therapy and physical therapy has reached more than 50,000. Compared with last year, there is a significant increase of more than 20%. Bed utilization rate 100%, bed turnover rate of 300%; The registration rate, completion rate and curative effect level of TCM clinical pathway diseases meet the relevant requirements, and analyze and summarize the implementation of TCM clinical pathway in time; Strictly implement the application of superior disease diagnosis and treatment scheme in clinical work, and optimize and summarize it in time;
Second, medical business management
There are 20 employees in our department, including full-time title 1 person and intermediate title 1 person. All members actively study and study medical technology, improve the quality of medical and pharmaceutical services, coordinate the work order of general practitioners, warmly receive patients, carefully diagnose and treat patients, and have good medical ethics, practice style and excellent medical technology. Our department has a good reputation in the eyes of patients. In the process of diagnosis and treatment, it not only has good curative effect on common diseases and frequently-occurring diseases, but also has unique treatment experience on many intractable diseases.
Three, safe production, beware of mistakes and accidents.
On the basis of strict labor discipline, our department requires medical staff to strictly abide by various technical operating procedures and peer-to-peer medical core systems such as rounds and inspections. Be responsible for patients' health and prevent mistakes and accidents.
Fourth, strengthen ideological and political study and improve ideological awareness.
In order to improve the ideological and political quality of employees, our department has strengthened the study of political thoughts and hospital rules and regulations. Through political and ideological study, employees' ideological and political awareness has been greatly improved, and they can consciously abide by national laws and regulations and hospital rules and regulations. Over the past year, most of the staff of our University of Science and Technology have been able to consciously abide by the rules and regulations of the hospital, obey the leadership's division of labor, and go to work on time, with few cases of being late, leaving early, leaving work or leaving their posts without permission.
Verb (abbreviation of verb) talent training and hardware construction
One year 1 person was sent to the Second Affiliated Hospital of Guiyang Traditional Chinese Medicine for further bloodletting treatment; 1 person sent to the Rehabilitation Medical Center of Zhejiang Tongde Hospital for further study; And actively apply to send personnel to participate in various academic seminars, improve the overall medical level of medical staff in departments through exchange and study, and develop new technologies and new businesses.
Replace old equipment, purchase a batch of new equipment, pay attention to the use and maintenance of equipment, and ensure the smooth operation of equipment.
Disadvantages of intransitive verbs and prospects for future work
Disadvantages:
1, due to the slow progress of hardware construction and update, rehabilitation venues and equipment are extremely lacking, resulting in insufficient development potential! It is urgent to further improve and strengthen hardware construction, purchase rehabilitation facilities and equipment, improve the level and ability of rehabilitation treatment for senile diseases such as stroke sequelae, traumatic paraplegia and cerebral palsy, and expand and strengthen modern rehabilitation treatment business.
The lack of technical resources of traditional Chinese medicine, business premises, facilities and equipment and other hardware configurations has obviously limited the establishment and business development of acupuncture rehabilitation department.
2. The academic development of Chinese medicine is relatively backward, and the scientific research consciousness and innovation ability of Chinese medicine personnel still need to be strengthened; Compared with traditional therapies such as acupuncture and massage, the lack of professional rehabilitation technicians, especially PT (exercise therapy) and OT (occupational therapy) therapists, has become a bottleneck restricting the business development of our department.
3. The concepts of prevention, health care, rehabilitation, health preservation and treatment of TCM failed to give full play to its advantages.
4. TCM, acupuncture, massage, physical therapy and other treatments should be further combined.
In short, we will take improving the quality of personnel as the basis, strengthening the connotation construction as the content, reducing the burden on patients as the purpose, pay attention to inheriting and developing the characteristics and advantages of traditional Chinese medicine, further clarify our thinking, clarify our responsibilities, and strive to improve the academic level of traditional Chinese medicine and the ability to prevent and treat diseases. The above summary, if there is any discomfort, I hope the leaders will criticize and correct me.
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