俇丏幚廗寁夋彂
暯惉21擭搙搰涀曐寬幚廗丂娕岇奀奜幚廗寁夋彂
妛惗巵柤丗旤掙嫳巕
[帺屓偺壽戣]
仜Guam丒Saipan丒Tinian偺廧柉偺擔忢惗妶傗昦堾偱偺庴恌忬嫷側偳偐傜抧堟摿惈傪
丂攃埇偟擔杮偲偺嫟捠揰傗憡堘揰偵偮偄偰妛傇丅
仜僿儖僗僙儞僞乕偺娕岇嬈柋傗朘栤娕岇側偳傪幚嵺偵尒妛偟丄寬峃栤戣偲寬峃惗妶巟墖
丂偵偮偄偰偺娕岇偺栶妱偵偮偄偰妛傇丅
仜摿偵丄搰涀偵偍偗傞暈栻娗棟偵偮偄偰丄僿儖僗僙儞僞乕偱偺張曽偐傜暈栻巜摫丄
丂嵼戭偱偺帺屓娗棟曽朄傑偱傪攃埇偟偦偺壽戣偲偦偺曽嶔偵偮偄偰妛傇丅
[幚廗栚昗]
1)丂Guam丗
仜僌傾儉丒杒儅儕傾僫抧堟偺曐寬娕岇偺忬嫷丄娕岇嫵堢媦傃娕岇怑偺尰擟嫵堢偺
丂尰忬偵偮偄偰妛傇丅
仜僌傾儉偺僿儖僗僙儞僞乕丒儊儌儕傾儖儂僗僺僞儖偺栶妱偲婡擻丄娕岇嬈柋傗嫵堢偵
丂娭偡傞撪梕偐傜娕岇怑偺栶妱偵偮偄偰妛傇丅
2)丂Saipan丒Tinian丗
仜廧柉偺寬峃栤戣傗抧堟摿惈傪抦傝丄抧堟偺拞怱偲側偭偰偄傞僿儖僗僙儞僞乕偲
丂搰涀偱摥偔娕岇巘偺栶妱傗壽戣偵偮偄偰妛傇丅
仜搰涀偵偍偗傞栻嵻娗棟偵偮偄偰徟揰傪偍偒丄堾撪偺張曽忬嫷傗暈栻巜摫偵偮偄偰
丂妛傃丄帺戭偱偺娗棟忬嫷傪攃埇偟壽戣側偳偁偘傞偙偲偑偱偒傞丅
[幚廗撪梕]
1)丂Guam
Giam戝妛丗
戝妛嫵堢偺搰涀娕岇偺僾儘僌儔儉偵偮偄偰
乮棧搰偱偺幚廗傗尋廋丒搰涀偵娭偡傞尋媶側偳乯
懖嬈屻偼宲懕偟偨娕岇巘傊偺尰擟嫵堢僾儘僌儔儉偑偁傞偺偐丅
僒僀僷儞傗僥僯傾儞丄懠偺廃曈偺搰乆偺娕岇巘偲偺娭傢傝丄嫵堢妶摦丒尋廋夛丒
丂岎棳側偳偺奐嵜忬嫷丅
Guam Central Public Health 仌Social丂Services丒Guam Memorial hospital丗
堾撪偺娕岇巘偺嫵堢丒尋媶偵偮偄偰
娕岇巘偺栶妱偵偮偄偰乮娕岇嬈柋偺幚嵺丄摿偵張曽曽朄偲暈栻巜摫偵偮偄偰
丂堾撪丒堾奜栻嬊偲偺娭傢傝摍乯
姵幰忬嫷偲抧堟摿惈偵偮偄偰偺尰忬偲壽戣偵偮偄偰乮棧搰偐傜偺姵幰庴偗擖傟
丂忬嫷偵偮偄偰摍乯
2)丂Saipan
Commonwealth Health Center丗
廧柉偺寬峃栤戣丒抧堟摿惈偵偮偄偰乮曐寬峴惌扴摉幰傛傝乯
恎婑傝偺側偄崅楊幰傗忈奞幰丒宱嵪揑偵崲偭偰偄傞恖偺働傾偵偮偄偰妛傇
HC偺栶妱偵偮偄偰乮儅僀僋儘僱僔傾傗僠乕僋搰側偳廃曈偺搰偐傜偺姵幰庴偗擖傟偵偮偄偰妛傇乯
HC偺婡擻傗娕岇偺堦擔偺嬈柋偺棳傟傪捠偟偰娕岇偺栶妱偵偮偄偰妛傇
抁婜擖強偲斃憲偺敾抐婎弨偵偮偄偰妛傇丅
栻嵻偺張曽曽朄傗栻嬊乮堾撪丒堾奜乯偱偺暈栻巜摫偵偮偄偰妛傃娕岇巘偺栶妱傪抦傞
朘栤娕岇偵偮偄偰乮僾儔僀儀乕僩僄乕僕僃儞僔乕偑峴偭偰偄傞朘栤娕岇偺撪梕偲
丂僿儖僗僙儞僞乕偱峴偆寢妀偺DOT儂乕儉働傾偵偮偄偰妛傇乯
堾撪偺娕岇巘偺嫵堢丒尋廋偵偮偄偰乮僥儗價夛媍僔僗僥儉偺妶梡傗Mobile Health Clinic堏摦幃庴恌僔僗僥儉偵偮偄偰丅娕岇妛峑偺幚廗庴偗擖傟傗岎姺棷妛惗惂搙側偳偵偮偄偰乯
3)Tinian
Tinian Health Center丗
偼僒僀僷儞偲摨條
朘栤娕岇偵偮偄偰
乮娕岇巘傊偺僀儞僞價儏乕偲朘栤娕岇傊摨峴偟丄嵼戭働傾傗廔枛婜偺働傾偺幚嵺偐傜娕岇巘偺栶妱偲姵幰偺僗僩儗儞僌僗傗壽戣傪抦傞丅傑偨撪暈娗棟忬嫷傪攃埇偟壽戣傪偁偘傞偙偲偑偱偒傞乯
堾撪偺娕岇巘偺嫵堢丒尋媶偵偮偄偰
乮僌傾儉傗僒僀僷儞偺HC偱偺尋廋摍偺嶲壛忬嫷丄堛巘傗娕岇偺晄嵼帪偺戙恌偺忬嫷側偳傪妛傇乯
[幚廗愭丄僗働僕儏乕儖摍]
幚廗擔帪丗暯惉22擭2寧14擔乣2寧19擔乮5擔娫乯
幚廗愭丗
僌傾儉丂University of Guam 丒 Guam Central Public Health 仌Social Services
丂丂丂丂Guam Memorial hospital
僒僀僷儞丂Commonwealth Health Center
僥僯傾儞丂Tinian Health Center
Individual Plan for Island Health and Nursing Practicum
Kyoko Misoko
<Purpose>
1.To learn about distinctive features of Guam, Saipan and Tinian from living situations of inhabitants and patients in HC; and to learn the differences and common features between these region and Japan.
2.To learn the health problems and nurses roles in supporting healthy life of Guam people, by seeing the nurses' activities including home visit nursing.
3.To learn especially about prescription, education and self management of medicine.
<Goals>
1. Guam
1) To learn about health and Nursing situation, basic nursing education and continuing education in Guam.
2) To learn about nurses' roles by knowing the roles and functions of health centers in Guam and Guam Memorial Hospital, nurses' activities and education for nurses.
2. Saipan/Tinian
1) To learn about nurses' roles and problems working in islands by knowing about health problems and characteristics of Saipan and NMI.
2) Focus on management of medicine intake; learn about prescription of medicine in health center and patient education of taking medicine, self-management of medicine in home.
<Contents>
1. Guam
1) University of Guam:
(1)Programs focused on nursing in little islands(practicum and seminar in little islands and research about little island.
(2)Continuing education programs for nurses.
(3)Relationships with the nurses in Saipan, Tinian and other little islands
Exchange and educational programs for them
2) Guam Central Public Health and Social Services/Guam Memorial Hospital
(1)Education of nurses and research by nurses in the facilities.
(2)The roles of nurses (nursing activities, the way of prescription and patient education about medicine, nursing role to pharmacy in facilities and out of facilities )
(3)Situation of patients in the region, and its problems should be solved (e.g. patient transition from little islands for medical treatment)
2. Saipan
Commonwealth Health Center
1) Information about distinctive features and inhabitants health problems in Saipan and NMI. Focus on elderly who are living alone, handicapped people and poor people.
2) Roles of HC in accepting patients from little islands.
Functions of HC and roles of nursing profession in HC(through attending to nurses' activity)
Rules of short time administration and rules of patient transition from other islands to Guam
Ways of medicine prescription and patient education for medication by a pharmacist, and nurses' role in medication.
3) Home visit nursing, and DOTS home care by HC.
4) Education for nurses in HC; telecommunication system and mobile health clinic system, practicum of nursing students and student exchange program in the region.
3. Tinian
1) Information about distinctive features and inhabitants health problems in Tinian, especially focusing on elderly who are living alone, handicapped people and poor people.
2) Roles of HC in accepting patients from little islands.
Functions of HC and roles of nursing profession in HC(through attending to nurses' activity)
Rules of short time administration and rules of patient transition from other islands to Guam
Ways of medicine prescription and patient education for medication by a pharmacist, and nurses' role in medication.
3) Home visit nursing
Roles of visiting nurse in HC, and patients' strength and tasks in their life, by interviewing nurses and attending on home visit nursing. To understand how the patient manages his medication and find out his problems in taking medicine.
4) Continuing education programs for nurse provided by Saipan HC and by Guam HC.
To know the way dealing with the absence of MD or nurses