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52 Cards in this Set
- Front
- Back
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4 aims of nursing
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wellness, prevent illness, restore health, facilitate coping
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5 roles of a nurse
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CCLART- communicator, counselor, leader, advocate, research, teacher
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Wellness
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subjective, based on beliefs, values, optimal balance between ext & int. environment "higher level of functioning"
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health
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subjective, considers all dimensions of a person, goal of holistic care "expressions of success or failure..."
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illness
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a response to a disease
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acute illness- characteristics and example
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1)rapid s/s onset, short duration, may be life threatening
2) diabetes, appendicitis |
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chronic illness
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1) worlds leading health problem, remission/ exacerbation, may cause/ be caused by permanent change in body part
2)lung disease, diabetes? |
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ADL
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activities of daily living
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health behavior
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action for good health
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health- illness continuum
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a dynamic state
well<->dead |
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high level wellness
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maximum function with balance, purpose
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agent- host environment
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agent- must be present/ absent to cause illness
host- can be infected environment- contributes to illness |
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health- belief model- 3 factors
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based on what ppl believe is true r/t health
1.percieved susceptibility 2. seriousness 3.value of action |
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transtheoretical model, factors
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intent, active participation, time
factors- perception of behavior, balance, self efficacy, support |
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illness behaviors
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coping with changes caused by disease, individualized by upbringing, culture, demographics, important for RN to give care based on priority
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4 stages of illness behavior
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experienceing s/s, assuming sick role, dependent role, recovery & rehab
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altered health maintenence
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inability to identify, manage or seek out help to maintain health
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3 levels of care
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primary- first contact0 nurse, np, doctor
sec.- specialist or hospital tertiary- specialty icu, technical |
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What is nursing process?
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systematic way of giving humanistic care achieving desired outcomes cost effectively
improves critical thinking |
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6 parts of nursing process
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assessment, diagnosis, goals, intervention, rationale, eval/ replan
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assessment
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includes subjective/ objective data, client facilitators and barriers
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nursing diagnosis- characteristics
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uses NANDA terminology, based on assessment, prioritized (ABCS), describes patient response to a problem
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3 parts of nursing dx
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1)description- "altered health maintenence"
2)related factors "r/t lack of knowledge" 3)evidence "AEB wound on foot" |
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nursing goals
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planning based on dx, by end of shift, ask pt and family, opposite of the problem
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RUMBA
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Realistic, Understandable, Measurable, Behavioral (pts), Achievable
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Example of a nursing goal
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"Patient will demonstrate lower s/s by the end of shift AEB...."
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Nursing Interventions
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"Nurse will.." , need at least 5, utilize all nursing roles, have scientific rationale, prioritized
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What is always the 1st intervention?
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FOCUSED assessment to find the status of the problem
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Qualities & example of a good intervention
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how, how much, how many, how long, how often, whos doing it?
x. ROM- which joints, type of movement, how many reps, how often? |
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example of a nursing dx
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knowledge deficit: wound care r/t lack of exposure to accurate info
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3 Domains of learning
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affective- feelings, attitudes
cognitive- rational, thoughts psychomotor- hands on skills |
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3 Steps of the Teaching Process
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1) assess learning level, style, needs
2)set learning objective- STG, LTG 3)plan what to teach- bulleted list |
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Reservoir (5 examples)
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place where pathogens are harbored
1)human body 2)food 3)oxygen 4)insects 5)inanimate objects |
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portal of exit (6 examples)
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respiratory, reproductive, GI, urinary, blood, skin/mucous
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contact precautions require?
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gown, gloves, mask
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surgical vs medical asepsis
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surgical- no microorganisms
medical- reduced microorganisms |
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What are the 5 core nursing values?
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altruism, autonomy, human dignity, integrity, social justice
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altruism
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concern for the care or well being of others
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autonomy
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right to self- determination
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incongruent response
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when words and actions do not match the inner experience of self or are inappropriate to the context
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SOLER
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S-sit facing client
O- open posture L- lean in E- eye contact R-relax |
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SBAR
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Situation, Background, Assessment, Recommendation
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medication reconciliation
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comparing medication that a client was previously on to what is currently being given
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5 stages of group development
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forming- intro and trust
storming- provocations norming- cohesive work begins performing- cohesion to achieve goals termination- closure, express feelings |
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4 parts of the nursing metaparadigm
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person, environment, nursing, health
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general systems theory
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relationship of the whole and individual parts
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stress/ adaptation theory
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internal, social and px... adjustment of living things to environment
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developmental theory
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process of G&D in humans is orderly across the lifespan
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Levine's holistic theory
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the essence of nursing is human interaction
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Orem's self care model
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person has the need for some self care actions
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Roy's adaptation model
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responce to a decrease in body integrity creates a need state & a person acts with a behavior
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Watson's Nature- Human Science & Human Care
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based on values of kindness, concern and love, respect for spiritual dimension
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