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27 Cards in this Set

  • Front
  • Back

Implementing care

Actions, measures, strategies, activities that enhance patient outcomes reflects direct and indirect care

The patient care partnership states that patients have the right to

Make informed decisisions

Teach

Tune in to patient


Edit patient info


Act on every teaching moment


Clarify often


Honor patient as partner in education process

Speak up initiatives

Joint commission

Outcomes can be written as

Psychomotor


Cognitive


Affective


Physiological

6 evaluate care

Examine results


Compare achieved results with expected outcome


Interpret and summarize findings


Self reflect/ recognize errors


Document judgment


Terminate, continue, modify

What is healthy literacy

20% 5th grade or below

Smart

Specific


Measurable


Attainable


Realistic


Time bound

Process for the care plan (6)

1 Make problem list after assessment


2 Prioritize problems


3 Make nursing diagnosis


4 Planning phase identify goal


Interventions


5 Evaluate care plan

Level of hierarchy of needs

1 physiological


2 safety


3 love/belonging


4 esteem


5 self actualization

What's in the care plan (5)

Nursing diagnosis (problem statement)


Parts of diagnosis (1-3)


Goal


Interventions


Evaluations

Goal must be

Patient centered and measurable

Nursing diagnosis

2-3 part statement that includes the problem statement and the etiology




It provides basis for interventions

Percussion

Tap for sohnd

Ausculation

Listening with stethoscope

Assessment must be

Must be accurate and complete BC it provides the foundation from which the rest of the process is built

Assessing

Collecting


validating and


communicating patient data

Diagnosing

Analyzing patient data to identify strengths and weeknesses


Planning

Specify patient outcomes and related nursing interventions

Implementation

Carrying out plan of care

Evaluation

Measuring extent to which patient achieved outcomes

5 QSEN competencies

Patient centered care


Teamwork and collaboration


Evidence based practice


Quality improvement


Safety


Informatics

Nurse as an investigator

Notice


Interperate


Respond


Reflects

Characteristics of nursing process (5)

Systematic


Dynamic


Interpersonal


Outcome oriented


Universally applicable in nursing situatiins

Benefits of nursing process (6)

Scientifically based


Holistic


Individualized care


Collaborative with nurses


Clear and efficient


Cost effective plan of action

Steps of nursing process

Adpie

Key to patient centered care

Teaching and learning