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91 Cards in this Set
- Front
- Back
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Independent nursing interventions that the nurse initiates w/out medical orders
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autonomy
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helps the clients regain health and maximum level of independent functions
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Caregiver
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Protects the client's human right and legal rights and provides assistance in asserting those rights
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Advocate
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Explains, Demonstrates, Reinforces, and evaluates the clients progress in learning
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Educator
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What is essential for all nursing roles and activities
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A communicator
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Has personnel, policy, and budgetary responisbility for a SPECIFIC nursing unit
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Manager
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Responsible professionally and legally for the type of care rendered
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Accountability
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First contact in a given episode of illness that leads to a decision regarding a care of actions to resolve the health problems. ex: prenatal& well baby care, nutrition counseling, fam. planning, and exercise classes
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Primary Care
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Health services to which primary caregivers refer clients for consultations and additional testings. ex: Emergency care, acute- medical surgical care, radiological procedures (xrays,CT Scans)
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Secondary Care
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helath services provided at hospitals/ medical centers. Ex: Intensive care or subacute care
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Tertiatry Care
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Degree in which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge
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Quality
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Wht category would this be in:
Pt treated with dignity, respect, sensitivity to culture beliefs, values, and quality of life issues Pt wants to be informed and share in decisions about their care Pts perceptions of needs should not be completely diff, from those identified by care provider |
Respect Values, preferences, and expressed needs
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Competent and caring staff reduces feeling of powerlessness
Pt looks for someone to be in charge of care and comm. clearly w/ other healtcare members Pt expects to have service and care well coordinated pt needs to know at all times whom to call |
Coordination and integregation of care
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Pt expects to receive accurate and timely info on clinical status, progress, and prognosis
pt and fam needs to be informed of changes in therapies and stats Pt and fam. wants to know how to manage care on their own |
information, Communicaton, Education
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Physcial care needs to be provide comfort for pain management
Nurses need to respond in timely and effective way to request pain Pt expects privacy and to have their culture values respected Pts often need help to complete activies in Daily living Healtcare setting environment needs to be clean and comfortable with accessibility to fam |
Physical Comfort
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Pt shares fear and concerns with care provider
Pt needs to understand impact that illness will have on ability to take care of onself Pt worry about ability to pay medical care, identify staff that can help |
Emotional support and Relief of fear and Anxiety
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Care providers need to organize, respect, and meet the needs of pts, fam, and friends
Pts have the right to determine if fam members are to be involved in decision about care Pt expect fam and friends who will provide physical support and care after discharge to be informed |
Involvement of Family and Friends
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Pt wants info about meds to take, physical limitations, dietary or treatment plans to follow and danger signs
Pt expects to have continued healthcare needs met after discharge w/ well coordinated services, pt and fam expects access to necessary health care resources on continuing bases |
Transition and Continuity
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Pt wants to get to hospital, clinic, PCP easily w/out hassle
Pt needs to be able to find transpo when going to diff healthcare settings Pt wants to schedule appt at convenient times w/out difficulty Pt wants to be able to see specialist when referral is made Pt expects to receive clear instructions on how to obtain referrals to other healtcare Providers |
Access to Healthcare
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P-pt population of interest, I-intervention of interest, C- comparison of interest, O- outcome, and T- time are the five steps to
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Evidence Based Practice
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What is a problem solving approach to a clinical practice that involves the conscientious use of current best evidence, along with CLINICAL EXPERTISE and patient preference and values in making decisions about patient care
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Evidence Based Practice
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What based practice is when the knowledge are based on the results of research studies
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Research based
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What is a state of complete physical, mental, and social well being, not merely the absence of disease or infirmity
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Health
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What teaches people how to care for themselves in a healthyway and includes topics such as physical awareness, stress mngmt, and self responsibility. It help achieves new understanding and control of one's life
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Wellness
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The way ppl perceive their physical functon affects health beliefs and practices. The level of fatigue, SOB, or pain is erceived as the physical function
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Physical Health
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Pt's degree of stress, depression, or fear can influence health beliefs and practices. Manner in which ppl react to stress throughout each phase of life influences the way they react to illness.
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Emotional health
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Social and psychosocial factors increase the risk for illness and influence the way a person defines and reacts to illness. a person generally seeks approval frm a social network and thus desire for approval and support may affect their health, beliefs and practices
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Social Health
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Spirituality reflects in how a person lives his/ her life, including the values and beliefs exercised, the relationships established with fam and friends, and the ability to find hope and meaning to one's life.
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Spiritual health
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Human needs are factors that motivate behavior. they are grouped in a sequence of importance , and each level is less important for survival than the previous level.
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Maslow's Hierarchy of Human Needs
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WHat levele of Maslow are these in:
Oxygen, food, nutrition, bidy temp, elimination, shelter , and sex |
First Level
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WHat levele of Maslow are these in:
Physical safety, psychological safety |
Second Level
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WHat level of Maslow would this be:
Love and belonging needs |
Third Level
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WHat level of Maslow are these in:
Self- Esteem |
Fourth Level
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WHat levele of Maslow would this be:
Self actualization |
Fifth Level
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What are some physical changes of an infant
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Size increase rapidly during the 1st yr of life, birth weight doubles in approx. 5mths and triples in 12mth
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What are some cognitive changes in infants
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the sensorimotor period is expanded using the infants environment for developing visual and auditory skills . Last until 3rd bday
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What are some health risks when it comes to infants
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Injury frm falls, motor vehicle accidents, aspirations, suffocations, posisoning
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What are some health promotions concerning infants
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Quality and Quanity of nutrition influences the infants growth and development, Breastfeeding is recommended, immunizations are an important factor in health promoting during childhood
By 6mths most infants are nocturna; sleeping b/w 9-11 hrs |
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What are some physical changes in toddlers
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grow 6.2 cm in height, 5-7lbs each yr
allow them to participate in self care, by three can draw , stack blocks, and feed themselves w/out spills |
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Wht are some health risks when it comes to toddlers
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Poisoning bc curious and explore w/ mouth, lack of awareness... danger to water(drowning), motor vehicle accidents b/w ages 1-4
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What are some health promotions for toddlers
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Childhood obesity and chronic disease are concerns for health care providers. Children lifetime eating are established in early childhood
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What are some physical changes in school age
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More graceful bc of large muscle coordination improves, and strength doubles. Practice gross motor skills of running, jumping, balancing, throwing, and catching
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What are some physical changes in adolescents
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Sexual maturation occurs w/ development of primary and secondary characteristics. 4 main focus 1. increased growth rate of skeleton, muscle, and viscera 2. Sex- specific changes in shoulder and hip width 3. Alteration in distribution of muscle and fat 4. Development of the reproductive system and secondary sex characteristics
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what are some health risk for school age children
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Motor vehicle accidents, bicycle injuries, respiratory infections are most prevelant, and infections acct for majority of childhood illnesses
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What are some health risk issues for adolescents
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motor vehicle accident (74%), alcohol or drug abusem bicycling fatalities, suicide (3rd leading cause), eating disorder and teen pregnancy
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What are some health promotions for school age and adolescents
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identify self concept, discuss the changes in the body, define health, and find ways to reach physical, mental and emotional needs
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What are some physical changes in YOung and middle Adults
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Physical growth completed by age 20, active,
middle age graying of hair by mid age, wrinkling of skin, decrease in hearing and visual, menopause in women, climacteric in men |
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What are some health risk for young and middle adults
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Smoking, family history of disease such as myocaridal infarctation, personal hygeine habits such as gingivitis, violent death or injury, substance abuse, stds, unplanned pregnancies
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What are some health promotion for young and middle adults
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Lifestyle of young and middle age can put them at risk for illness or disabilities during middle and older yrs. Perform monthly skin, breast or genital exams.Young adults are susceptible to certain diseases such as diabetes mellitus and familial hypercholesterolemia. Jobstress, infertility, obesity, anxiety, depression are other concerns
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What are some physical changes in older adults
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The body changes continually with age and specific effects on particular older adults depend on health, lifestyle, stressors, and environmental conditions
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What are some health risks for older adults
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Stroke, smoking, alcohol abuse, cancer, heart diesease, poor nutrition, dental problems, exercise, falls, sensory impairment, prescription use, or under use
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What are some health promotion for older adults
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participate in screening activities, regular exercise, well balnced meals, moderate alcohol usem immunization for seasonal influenza, tetanus and diphtheria
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What are some cognitive issues for older aults
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delirium, dementia, and depression
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What are some pysosocial issues for older adults
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Retirement, social isolation, sexualtiy, housing and environment, death
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occurs within an individual
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Intrapersonal
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One to one interaction b/w two ppl
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Interpersonal
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interaction w/in a person's spiritual domain
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Transpersonal
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Interaction with a small number of ppl
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Small group
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Interaction with an audience
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Public
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Motivates one to communicate w/ another
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Referent
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One who encodes and one who decodes the message
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Sender and Receiver
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Content of the message
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Message
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Means of conveying and receiving messages
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Channels
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Message the receiver returns
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Feedback
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Factors that influence communication
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Interpersonal Variable
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The setting for sender- receiver interaction
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Environment
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The verbal and nonverbal symbolism used by others to convey a meaning
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Symbolic
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A broad term that refers to all factors that influence communication
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metacommunication
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Confidential permanent legal document
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record or chart
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Oral, written, audio taped of exchange of information
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Reports
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A professional caregiver that provides formal advice to another caregiver
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Consultation
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Arrangement for services by another care provider
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Referrals
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Charting by exception, the focus on documenting deviations
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CBE
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Incorporates a multidisciplinary approach to care
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Case mngmt plan and critical pathways
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Freedom from external control
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Autonomy
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Taking positive actions to help others
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beneficence
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Avoidance of harm or hurt
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Nonmaleficence
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Being fair
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justice
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Agreement to keep promises
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Fidelity
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Actions as right or wrong
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Deontology
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Proposes that the value of something is determined by usefulness
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utilitarianism
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Focuses on the inequality b/w ppl
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Feminine ethics
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Emphasizes the importance of understanding relationships, especially as they are revelaed in personal narratives
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Ethics of care
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Protects the rights of individuals who are disabled in workplace , eduaction, or throughout society
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ADA (American with Disabilities Act)
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When a pt comes to the emergency dept. or hospital they are not turned away and not discharged until condition is stabilized
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EMTALA (Emergency medical treatment and Active Labor Act)
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Law provides right to patients and protect employees . Right to consent to the use of disclosure of their protected health info, to inspect and copy medical records, or ammend mistaken or incomplete info
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HIPPA ( Health Insurance Portability and Accountability Act)
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Intuition guided by ethics, key problems by family, pt, community need, problem solving, and scientific method
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CLinical judgement
1. focus on pt 2.incorporates fam 3. going out to community |
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CLient focused outcome, nursing diagnosis
(wht cause the problem) |
Assessment
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Client- focused Outcome
(wht should the nurse do) |
Planning
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Nurse - focused interventions and alternative therapies
(actually doing) |
Implementation
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Client- focused outcome
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Evaluation
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