۱۳۸۸ آبان ۹, شنبه

فقط برای خال ینبودن عریضه بدون شاواش

salam saleh

man az inja shuru kardam mese hamishe: kavidane bedune natijeye loghate towsifi bihude
,donbale ye riazi migashatam ke betunam hadafi ke jeloye rahame :yani accept shodan tu conference  epsychiatric nursing  ye chizi ro model konam, hich vaght fek nemikardam vasatehs paam be injaha keshide beshe,injahaye riazi, manteghhayi ke ostadamun esmeshuno nashnidan, karbordhayi az bazi ke bazam noch noch)dige fasle ghuru gzoashte, bayad khodemun begirim be dast...
alan man midunam chizi be esme riaziate ejtemayi hast,..mikham un bodhayi ke behesh tavajoh nashode bozorg beshe

10 top articles va laa gheir4 ruz pish:innovation practices,(1),,child or othere intersections(mitune bimarhayi bashe ke tu fazi an ke jense mobaleghehashun,tosifashun, raasthashun shenakhte shodanitare...) ,loghate patterns o didam(gheir az karaye aamari ru raftarha ke raste kare man nis,mitune olguye tette pete kardanha bashe , tekrarha , zamanhaye miane gozargahha takid ha...)orginal sin of mental health(be nazaram  khianate moshtarake  parastaras:bastane cheshme bimar be moshkelah-hata inam nanveshte bud) intensive care(ke age hamun psychiatry bud,tasmim dashtam baraye in ye bar soraghesh naramo in loghmeye charbo narmo bezaram baraye ye ruze dige,ya inke mitunes be surate tarhe azmayesh haye psychophysics ruye tasmimgiri ya raftare bimar  bahse) what kind of psychiatry for tomorrow...man chand sa'aty fekram in shod kebebinam tu jalasehaye bad ,chejuri bayad ba bimar interaction dashte beshe


   yeki az hamin shaba riaziate systemhayae dynamici ke taze tu hamin  kelase neuroscience beine khabo bidari shenide budam tu asab khordie kamel ke midunestam hich rabty be projam nadarero rikhtam ru kaghaz...

man mikham tamamie gozarehayi ke tahte zire ye manteghi gharar migirand(in mantegh ba chizayi ke shenidam mitune manteghe fazi bashe, mitune vagueness bashe ,mitune kenaye bashe..hame ina rush kar shode..va ye chand ta dige ke una ro alan nemigam)
v atedad marhalehayi ke ba ye tabehayi gozarehaye manteghi ba ham tarkib mishan ta be ye gozareye dige beresan ro begiram be onvane faseleye beine do ta gozare va ba in mafhuma age hameye gozareh ham az ham joda bashan yani chizaye az ye rah be dota gozare naresim, mituninm bebinim be onvane ye systeme dynamical che balayi saresh miat,
unja ma chizayi darim be esme  trajectorie ke khathaye momasesh modam tolid mishan o in khathaye momas shekli ro misazan mitune tu cycle biofte, mitune jazb beshe, mituni dar hale dur shodan az ye jayi bashe, mitune sabab ebifurcation bashe,yani yejayi ke system be kol avaz mishe,in early information ham bud, emruz chizaye dast eavvali giram umad,fahmidam ru gosasteye ina ham ke mikhastam kar shode o nash az ruye haminha papere bozorgesho dar avorde,baz man ye dar roye dige baz kardam.


raftaraye ashubi ro mitune dashte bashe...
surat masale dobare avaz mishavad:
nazarieye system ha ,anvae manteghhayi ke adamha mitunestan bezanan baram ashena bud,hame nazar midan tu in groupi ke tahte nazare nurse hastan,
gahi nazarha moghayere,
nazarha ziade,
kasi ke suje ra haml mikonad dar kenare assistant
gahi mikhahad kenar bekehad
follow
tori nashe ke dar ayande ehsase gul khordan bokone
cases deemed to be at risk

sohbat nakardan az ayande
adame agahi a chizhayi ke dust darad
darmane movaghat(na)
su e tafahom!(asase rabeteyi ke tu riazi behesh migan "bazi") bar payeye sue tafahom
chort..khabidan va adam..adame hozure eddeyi
ghanun behe?
mardomani dar hale shomareshe man(rules)..forsate kam ,everybody
labhayam ra kuk mizanam.. system(jor'at risk)
what kind of... for tomorrow, be in jomle beresim dar payane har jalase? system hame be yek kubidane dast mirese va chizi dar man delash garm mishavad
vali javab nadad

yek majmooe az ghavanine ejtemayi bayad daraye do khasiseye zir bashand
sazegari(ghavanin yekdigar ra naghz nakonand) tasmim paziri(dar har vaziaty baraye ejra konande,inke che amali ra bayad motabegh ba ghavanin anjamdahad ta ghabele tasmim ghiri bashad
..
man ye sokhanranie mofasal rajebe palp talk mikonam be zudi age be g naram.ina ro neveshtam chun mohem bud tuey systemi ke mikham tarh konam, bazi o protocpli ke mikham tarh konam

 man inaro nanvehste budam ta be salahiatesh beresamo ye post rajebe protocolha tu seda bezanam,bashe ye forsate khub, ba chizaye behtar az khejalat dar biaim

ghavanine naneveshte:ye mesale ba maze didam az gheseye mozo meymunhayi ke har kodom miraftane balaye nardebun baraye bardashtanesh aab rizesh mikardo un meimun az baghie kotak mikhord o ba avaz shodane tamame meimunha baz ghanun va tahdid bar ja munde bud
ide ,ideye bazi,dar marhalehaye kashfe ghanune poshte ghazie baraye fard shenakhte mishavad, va inke darajeye chizi ke kashf karde chi bashe az lahaze pichidegi ,in peida kardane be hal kardan va hazm kardane moshklee khode bimar ham monjar mishe... azinjaye kar jelotar naraftam hanuz.?

ya masaleye marufe filme 21 se dar age shakhs dare khod ra avaz konad, shans e borde ebshtari darad, inro hengame tasmim girie fard tu lahzehaye bohrani tasmmaye bohrani , masalan talagh dadan o inha bud ke baram mani peid mikard
-be edame dadane rabete ba oo fekr mikonam
nurse yeki az razhaye adame entekhabe oo ra miguyad:ayande ra bar ham mizanam:advantages
ayande ra bar ham nemizanam ke khode ayande doros mishavad
yeki az darha puch mishavad.. ghesmate mobhame ghazie ke dar nakhodagahe bimar be khodagah nemiresad puch mishavad

mohemtarin goal e man tavanayie tarhe masalehaye ejtemayi bud, mese hamin masaleye 21,
chi kar mikardam? dune dune masale gir miavordam ba har kudum misakhtam
age are befarmayin, age na,man rahe derazi pish eru daram??
ghazieyeye tayine gheimat dar harajihabalatarin geimat guyande  be gheimate dovomin balatarin ghemat mikharad...age har do taraf be ye chiz fek konan, mitunan harkodoom gheimat emonasebi ke bayad entekhab konan ro az ruye ta'adole nash be dast biaran.rabtesh be no'e ehsase bayan shode dar chand bar., natije :  
:( furukhtane ehsas
ya masaleye karthaye tuye dast va chand halaty budane moshkele ghazie va kasani ke az dast ehamdigar ettelayi nadarand vali midanand ke digari ghanun ra midanad ya nemidanad, hamin rabeteye etemad

ruze bad  ashena shodan ba manteghe shenakhty
sharhe system be vasileye yek modele riazi va manteghi.
do ashegh dokhtare javani ra mibinand va az oo mikhahand ke savare asbeshan shavad,dokhtar miguyad man savare asbi mishavam ke kondtar az digari be ghole beresad, az in roo harkodam az do ashegh kond tar miravand  vali moshkel injast ke ba inkar hich kodambe ghole nemiresand
pirezani ra mibinand va oo be aanha rahnamayi mikonad , miguyad che kar konand ta malom shavad asbe kondrotar kodam ast
javabe in masale ro shayd khodetun betunid begid

 do se barabare digash mund hanuz...riazi taran vali
faghat ino begam ke inchizayi ke bala goftam hadafe aslim nistan,hadafam chizie ke betunam ye gushe bezaramo bad betunmam khodamo azesh joda konam,faghat yadam bashe ke ye ruzi fathesh kardam, ye ruzi por eltehab tu in shakhe az riazi ye kari kardam



(1): hamin alan mogheye neveshtane ina bug i  ke dashtam unam inbud ke sohbatahey bimara chaotic hastan, age ma ba patient yek logic e khasi ro train konim ba un balahayike sare gzoarehaye manteghish tu zehnesh pish miat, mikhaym ke noghtehaye jazeb va dafe ro az ham dur o nazdik kone,(tu in mesal gozarehayi ke rush ta'asobe nakhod agah dare ya unayik farar mikone) khavase systemhaye dynamicisho avaz konim be ebaraty, hads mizanma kare rutine i bashe,magar inke ma ye fekre khubi ruye bazi bokonim




control nadram ruye chizayi ke migam...kam kam esh'aafamo az dast midam

mano vagehan bebakhshin nemitunam khub benvisam(ba narahaty salon ro tark mkonam va dar mohkam poshtam baste mishe)