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19 Cards in this Set
- Front
- Back
Utilize Maslow's Hierachy Of Human Needs Theory to Prioritize client's needs.
|
Physiological Needs
Safety and Security Needs Love and belonging Needs Self-esteem Needs Self-Actualization Needs |
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Physiological Needs
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Oxygen
Water Food/Elimination Temperature Sexuality Physical Activity Rest |
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Safety and Security:
(Physical) |
Hand Hygiene (Sterile)
Using Electrical Equipment Proper Med Admin. Proper Tech. while moving pt. Pt. education |
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Safety and Security:
(Emotional) |
Trusting Others
Free of Fear, Anxiety, and Apprehension |
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Love and Belonging:
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Accepting Others
Giving/Receiving Love Feeling Belonging Family and Friends in Care |
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Self-Esteem:
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Feel Good about self
Pride/Accomplishment Confidence/Independence Effecting: Role Change/Body Image |
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Self Actualization
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Need to reach full potential
Acceptance of Self/Others Happiness/Affection of Others Respect for People Discriminate between good/evil Focus on strengths Sense of Direction/Hope |
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Identify and describe the components of the nursing process:
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Assessing
Diagnosis Planning Implementation Evaluation |
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Assessing:
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Collect Data (Objective/Subjective)
Purposeful Complete Factual/Accurate Relevant(charting) |
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Patient Interview:
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Prep- char
Itro - Introduce/ Pt Participation Working - actual interview Termination - Interview Concluded |
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Nursing Diagnosis:
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Interpret/Analyze Data
ID Responses to health/life processes ID Cause of Health Problems ID Resources to Prevent Problems Surgery --> at risk for infection What might go wrong (look ahead) |
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Nursing Diagnosis:
(Example): |
Diag -> Why -> Evidence (objective)
Pain r/t Surgery AEB Rate pain as 10 Actual > Risk Risk = no evidence |
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Planning:
|
Write expected pt outcome
(Time + Measureable)*** (what you want to happen) Pt will rate pain as 5 in 4 hrs |
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Implementation:
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Actions Carried Out
Promote Health Prevent Disease/Illness Restore Health Facilitate Coping |
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Implementation:
|
Prioritize Needs (physiological etc.)
Perform Nursing Intervention+Document Actions |
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Planning:
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Individualize
Initial Ongoing (hip surgery) Discharge soon as possible |
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Implementation:
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Promote self care
Reassess How your going to perform Why your going to perform Reactions from Meds |
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Interventions:
|
Sores: Flip Pt
Low blood sugar, treat right away No MD order Dependent Nursing Action |
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Evaluation:
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Did goal happen?
Measureable Criteria (BP) Collect Evaluative Data |