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31 Cards in this Set
- Front
- Back
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Identify the purpose of the Rapid Response Team (RRT)
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pending
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Explain the primary roles of the medical-surgical nurse
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pending
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Identify three ethical principles that help guide clinical decision making
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pending
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Explain the importance of communication when collaborating with the interdisciplinary team
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pending
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Identify best practice interventions when teaching older adults
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pending
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Describe the nurse’s role in the systematic quality improvement process
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pending
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Evaluate patient and family use of complementary and alternative medicine (CAM) practices to determine the need for patient and family education
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Most emphasized: Herbal preparations due to potentially threatening pharmacological side effects in cases of over use, inappropriate use, herbal toxicities, and herb - drug or herb - herb interactions.
When caring for pts in health care setting always question them about the use of herbs and the purpose of use. Ask about frequency and dose of herb. Remind the pt about the importance of informing future care providers of herbal therapy use. Caution pts about unreliable sources of information in regards to herbal remedies. Educate patients about the limited oversight in preparation and use of herbs as they are not classified as drugs by the FDA. |
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Differentiate five domains of CAM therapies
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Systems of health care: Traditional Chinese Medicine, Ayurvedic, Native American/American Indian medicine, homeopathy
Mind-Body Therapies: Imagery, meditation, music, journaling, humor, biofeedback, yoga, prayer Manipulative and body-based therapies: Chiropractic treatment, massage, rolfing, light and color therapies, hydrotherapy Biologically based therapies: Herbs, aromatherapy, special diets (Ornish, Atkins), nutritional and food supplements Energy Therapies: healing touch, Therapeutic touch, Reiki, external, Qigong, magnets |
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Assess the patient’s need or desire for CAM therapies
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Most people living in the world use therapies other than ones in the traditional US biomedical system. With the growing immigrant population in the US it is vital that nurses increase their knowledge about other large systems of health care.
Examples include: *Meditation has been used to reduce anxiety, pain, symptom relief for Psoriasis, decreased BP, and "calming of the mind" *Music Therapy has been used to calm agitated patients and provides reminiscence for older adults *Animal assisted therapy aids in improvement of motor skills and ability to concentrate *Massage is used to promote relaxation and helps lessen aggressive behavior in patients with dementia, and in some cases pain reduction....NOTE: Always assess patient comfort levels with touch prior to use of massage *Tai chi - goal is to integrate body movements, mind concentration, muscle relaxation, and breathing * Accupressure is used in particular for treatment of pain, N/V *Journaling - expression of feelings and gaining of new perspectives * Imagery - used (while doing dressing changes or other painful procedures) to reduce pain, reduce N/V, anxiety, or promoting comfort care during treatment for cancer *Aromatherapy - essentials oils applied in various settings for different purposes (i.e. lavendar and rose for relaxation, sandalwood and lavender for mood improvement in depressed pts)...NOTE Always assess for allergies prior to adminstering *Therapeutic Touch (TT) - outcomes expected are reduced anxiety, decreased pain, improved immune system, and improved functional ability |
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Incorporate CAM therapies into the patient’s plan of care
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pending
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Evaluate patient outcomes of CAM therapies
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pending
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Follow the Joint Commission and federal/state standards when using patient restraints
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pending
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Teach selected lifestyle practices to promote health in the older adult
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Provide special needs care for patients over 65 years of age
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Assist the older adult to cope with stress and loss
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Explain the effects of drugs on the older adult
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Compare and contrast delirium and dementia
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Collaborate with members of the interdisciplinary team when caring for the dying patient and family or other caregivers
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pending
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Assess the patient’s and family’s ability to cope with the dying process
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pending
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Apply knowledge of the pathophysiology of death to palliative care interventions
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pending
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Assess patients for signs and symptoms related to the end of life
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pending
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Provide evidence-based end-of-life care to the dying patient
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pending
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Explain best practice guidelines for performing postmortem care
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pending
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Supervise the oral fluid therapy and intake and output measurements aspects of care delegated to unlicensed assistive personnel
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pending
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Teach healthy adults and patients how to prevent dehydration
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Assess patients for lifestyle practices and drug therapies that increase the risk for fluid and electrolyte imbalances
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pending
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Teach patients at risk for fluid or electrolyte imbalances as a result of drug therapy about the manifestations of the imbalance
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Identify patients at risk for fluid or electrolyte imbalances
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Apply knowledge of the anatomic and physiologic responses to aging when assessing hydration status of an older adult
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pending
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Prioritize interventions for patients who have dehydration or fluid overload
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pending
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Table 2-3; Commonly used Herbal Preparationantis, Intended Effects, Caution/Adverse Effects
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Ginkgo Biloba - reduces memory problems, dementia, peripheral vascular disease, has antioxidant and vasodilator properties: Cautions include: use with anticoagulants, rare dizziness, HA, GI Upset
Garlic - lowers cholesterol or BP, acts as a natural antibiotic; acts as an antiplatelet agent; Cautions - bleeding when used in conjunction with other antiplatelets, potentiates antidiabetic durgs; avoid before surgery Echinacea - Immunity building and wound healing; Cautioned in use for people with immune diseases; may surpress immune function if used >8 wks Ginseng - promotes general well being; anti aging; Cautioned in use with warfarin St. John's Wart - ease mild to moderate depression; cautions - photosensitivity; avoid use with major depression or with other antidepressants |
