Review: Overcoming Barriers to Growth

Book Review:  Overcoming Barriers to Growth (Michael Fletcher)

This was one of the first books I read when we were stuck at our first growth barrier.  This book was incredibly helpful from a structural point of view.  As I read the first chapter, it was like reading about our own church.  His insights to barriers for church planters was right on.  What we needed to change was not so much about programs or how we did things, but was our leadership structure!

When we first started Crossroads Church, everyone pitched in to do everything.  We didn’t have the luxury of having different leaders for different areas of ministry.  But as a church grows, that core group begins to really struggle to find identity in the church.  Often what you have is a “committee” of people who have “been there from the beginning” sitting around trying to make decisions together.  That is death for a church.  That picture is the absence of leadership.

After spending over half a year praying about how to move us beyond our growth barrier, God gave me an incredible thought.  Leaders should lead something.  Duh!  Light bulbs went off.  At that point, I restructured our leadership so anyone who was a key leader in the church was going to be leading something.  It was one of our first moves to breaking through our growth barrier and set us up to move beyond the 2nd growth barrier defined in this book!

I really recommend this book to any pastor (especially a church planter) who might be dealing with early growth barriers.  Other leaders in the church might also find it helpful to understand what it will take on their part to help the church to grow.  I ordered and gave everyone one of my leaders a copy of this book so we could overcome barriers to growth together.

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    بیمارستان می تواند در امور درمانی
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    با اجازه ی رئیس بخش بیمارستان
    مربوطه باشد. که این مورد نیز توسط مراقبین موسسه آتیه پرستاران سلامت خدمات رسانی می شود .
    مراقبت از بیمار در منزل امر بسیار پیچیده و نیازمند دانش
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    خیر برای بیمار آقا همراه بیمار آقا و بالعکس برای بیمار خانم همراه بیمار خانم اعزام می شود .

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    با مشکلات مختلف از جمله لجاجت و
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    شد. در دیگر کشورهای دنیا نیز به همین صورت، در کشورهای آفریقایی نیز
    کمتر از ۴ نیروی کادر پرستاری
    به ازای هر تخت وجود ندارد، یعنی اگر یک بیمارستان ۱۰۰
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    نیازهای خرید و کارهای اداری او
    را به ما بسپارید. آیا بیمار شما
    به دلیل مشکل حرکتی یا ضعف جسمانی برای اجابت مزاج
    نیاز به لگن دارد یا می تواند با کمک همراه بلند شود و راه برود.

    پرستار همچنین باید منعطف باشد و امادگی لازم را برای
    شرایط ناگهانی و غیرمنتظره داشته
    باشد. در زمان مشخص و مقرر در محل کار حضور یابد و در زمان مشخص بیمار را ترک کند.
    و یا فقط در صورت نیاز به انجام خدمات
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    همان خدمات را با همان کیفیت در منزل
    دریافت کند برای بسیاری از افراد مقرون به صرفه نیست.

    مراقب و همراه بیمار باید در زمان توصیه های پزشک با دقت به توصیه ها گوش دهد
    و انها را با دقت انجام دهد.

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    شود که در این حالت همراه باید در کمترین زمان ممکن تب بیمار را پایین بیاورد و
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    بایستی بتواند میزان جذب و دفع مایعات توسط
    بدن بیمار را اندازه گیری کند و این کار را به خانواده بیمار آموزش دهد.
    طبق دستور پزشک بایستی پرستار خصوصی بتواند نمونه گیری آزمایشگاهی لازم را
    انجام دهد.
    برخی از خانواده ها بعد از ترخیص بیمار از بیمارستان
    برای مراقبت بیشتر و دقیق تر باز هم اصرار به حضور پرستار خصوصی می کنند.
    برای بیمارانی که در بیمارستان بستری هستند مدت
    زمان پرستاری به روزهای بستری بیمار در بیمارستان بستگی دارد.
    به طور معمول تا وقتی که بیمار بهبودی نسبی پیدا کند
    و بتواند تا حدی کارهای روزمره خود
    را انجام دهد در بیمارستان می ماند
    و نیازمند پرستار می باشد.
    وجود همراه بیمار در بیمارستان هم خیال فرد بیمار را
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    او را. برای این منظور شرکت چتر فیروزه‌ای پرستارانی با تجربه در اختیار دارد و می‌تواند با اعزام آن‌ها از دغدغه‌های
    فکری شما برای مراقبت از بیمارتان
    بکاهد. شما می توانید برای نگهداری و پرستاری از بیمار خود در بیمارستان از مراقب بیمار در بیمارستان
    کمک بگیرید . این عزیزان ساعات کاری مختلفی دارند که به صورت
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    من در بیمارستان همراه بودند و در روند درمان
    به من کمک زیادی کردند. بسیاری ازشرکت
    های پرستاریبرای راحتی حال بیمار
    و خانواده بیمار سرویس همراه بیمار خانم و همراه
    بیمار آقا را ارئه می دهند؛ بنابراین شما می توانید با توجه به نیاز و راحتی بیمارتان از هر یک از این ارئه دهنده‌گان استفاده کنید.
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    روند بهبودی بیمار خود
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  92. سرویس نمونه گیری در محل
    با آزمایش چکاپ کامل شما میتوانید از سلامت خود آگاه شوید و در صورت وجود مشکل میتوانید خدمات پزشک عمومی و متخصص در منزل دریافت کنید و از پیشرفت بسیاری از بیماری ها
    جلوگیری کنید. بسیاری از افراد به دلیل شرایط خاص خود توانایی
    مراجعه به آزمایشگاه را ندارند.
    برای مثال افرادی که به تازگی عمل جراحی انجام داده باشند، بیماران، معلولین، سالمندان، کودکان
    یا زنان باردار، تحمل و توانایی انتظار در صف آزمایشگاه ها را ندارند.

    این مجموعه آماده ارائه خدمات آزمایشگاهی برای کودکان بالای دو سال است.
    از آنجایی که شما می‌توانید سامانه هومکا را نوعی آزمایشگاه آنلاین در نظر بگیرید، پس نگرانی بابت نمونه
    گیری در منزل وجود ندارد. پس بجایی
    که کودکان خود را در محیط آزمایشگاه نگران
    کنید، با سامانه هومکا تماس بگیرید و آزمایش آنلاین
    را تجربه کنید. آزمایشگاه تشخیص طبی و تخصصی
    پیوند مفتخر است جهت رفاه حال شهروندان گرامی کلیه آزمایش‌ها چکاپ را در منزل و بدون نیاز به حضور
    فرد در آزمایشگاه را انجام نماید.
    توسعه تکنولوژیکی شامل خدمات ارائه شده توسط
    آزمایشگاه های پزشکی است؛ به طوری که می توان نمونه گیری آزمایش در منزل را به گونه ای انجام داد که مراجعه مکرر بیمار را برای نمونه گیری آزمایشگاهی
    راحت کند. ضمن اینکه این اقدام افراد را دوران همه گیری
    ایپدمی کرونا از این بیماری دور نگه می دارد.

    در ضمن می‌توانید با کلیک بر روی دکمه‌ی ثبت رایگان درخواست، همین الان و
    بدون معطلی درخواست خود را ثبت کنید.
    هومکا برای ارائه خدمات آزمایشگاهی، درمانی و مراقبتی در منزل دارای مجوز «ارائه خدمات و مراقبت‌های بالینی در
    منزل» است. هومکا برای ارسال نمونه به آزمایشگاه شرایط ایمنی را
    رعایت کرد و از تجهیزاتی مانند cool field برای انتقال
    نمونه استفاده می‌کند. نمونه گیری در منزل برای سالمندان، کودکان، مادران باردار، افرادی که نقص حرکتی یا معلولیت دارند و
    افرادی که به بیماریهای نقص سیستم ایمنی دچار هستند؛ توصیه میشود.

    فناوری همچنان در حال توسعه مداوم است و بخش های مختلفی را شامل می شود
    که مهم ترین آن ها بخش های بهداشتی هستند؛ به طوری که در حال حاضر امکان ارائه خدمات بهداشتی از
    راه دور و بدون نیاز به خروج بیماران از خانه وجود دارد.
    اما آیا می توان نمونه گیری آزمایش در منزل را انجام داد؟
    در ادامه به این سوال پاسخ می دهیم.
    با اجتناب از بیمارانی که از خون گیری شخصی و آزمایشات آزمایشگاهی خودداری می کنند .
    بسیاری از مطب های پزشکان،
    کلینیک ها و آزمایشگاه ها مجبور شده اند کارکنان خود را به ساعات پاره وقت منتقل کرده یا کارمندان خود را اخراج کرده، حقوق ها را کاهش دهند.

    ما برای ارائه خدمات آزمایشگاهی خود با آزمایشگاه‌های معتبرهمکاری
    داریم. نمونه‌گیرهای هومکا متخصص بوده و با شرایط نمونه‌گیری به طور کامل آشنا
    هستند. با همان شماره‌ایی که ثبت درخواست را انجام داده‌اید،
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    هومکا با آزمایشگاه‌های معتبر در سراسر
    مناطق تحت پوشش همکاری دارد، به همین دلیل
    در کوتاه‌ترین زمان ممکن خدمات خود را ارائه خواهد داد.

    نتیجه آزمایش مطابق با
    بازه اعلام شده، در پنل کاربری شما قرار می‌گیرد.

    آزمایش استرادیول در روز سوم پریودی برای فرد تجویز می‌شود و به منظور بررسی سطح استروژن در بدن است.
    این هورمون توسط فولیکول
    های تخمدان در بدن ترشح می‌شود
    و میزان آن در روزهای ابتدایی سیکل عادت ماهانه پایین است.
    آنچه که از آن به عنوان آزمایش هورمونی زنانه یاد می‌شود، در واقع مربوط به
    بررسی هورمون تحریک کننده فولیکولی ، آزمایش سطح استروژن، تیروئید، پرولاکتین، سایر هورمون‌های مربوط به تخمدان و
    آزمایش های هورمونی بزاق است. ترشح
    این هورمون‌ها از طریق غدد درون
    ریز و برون ریز است که از طریق جریان خون به بافت و
    اندام‌های مختلف بدن منتقل می شوند و اینکه این آزمایش‌های هورمونی زنانه روز چندم پریودی انجام می‌شود بسیار مهم است.

    تماس با شماره و انتخاب گزینه 5 و یا داخلی 108
    ، که دراین صورت فرد مسئول هماهنگی لازم را انجام داده و فرد نمونه‌گیر در ساعت مورد درخواست برای نمونه‌گیری مراجعه
    می‌کند. همانطور که می‌دانید در شهر مشهد آزمایشگاه‌های زیادی برای انجام آزمایش وجود دارند، اما اگر قصد دارید تا از بهترین آزمایشگاه مشهد، خدمات آزمایش در منزل را دریافت کنید،
    کافی است با مجموعه هومکا در تماس باشید.

    این خدمات همواره توسط زبده‌ترین پرستاران انجام خواهد شد و پاسخ آن را نیز در کوتاه‌ترین زمان دریافت خواهید کرد.
    نمونه گیری در منزل بخش رو به رشدی از مراقبت های
    بهداشتی است که در طول پاندمی کرونا
    توجه بیشتری را به خود جلب کرده است.
    این راهنما اطلاعات ضروری در مورد نمونه گیری در منزل
    را بررسی می کند که می تواند به هر فردی کمک
    کند تا انتخابی آگاهانه در مورد
    اینکه آیا نمونه گیری در منزل برای او مناسب است یا خیر، داشته باشد.

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