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Exam 2 Study
Terms in this set (49)
What are some characteristics of Implementation?
-help the patient achieve valued health outcomes
-facilitate coping with altered functioning
-specific to the patient
-feasible and realistic
Rights to intervention
Right patient, right intervention, right time, right situation, right documentation
Types of Nursing Interventions
Common Reasons for Noncompliance
Lack of family support
Lack of understanding about the benefits
Low value attached to outcomes
Adverse physical or emotional effects of treatment
Inability to afford treatment
Limited access to treatment
Cognitive Skilled Nursing
-offer scientific rationale
-select best nursing interventions
-use critical thinking
Technically Skilled Nursing
-use technical equipment with competence and ease
-manipulating equipment skillfully to produce desired outcome
Interpersonally Skilled Nursing
-Use interactions with patients & significant
others & colleagues to affirm their worth.
-Elicit personal strengths & abilities of
patients to achieve health goals.
-Provide the healthcare team with
knowledge about patient goals &
-Work collaboratively with healthcare team
as respected & credible colleagues.
Ethical/legal Skilled Nursing
-are trusted to act in ways that advance interests of patients
-are accountable for the practice
-act as effective patient advocates
-mediate ethical conflict among patient, significant others, and healthcare team
Patient Rights to Documentation
-see and copy their health record
-update their health record
-get a list of disclosures
=Request a restriction on certain uses or disclosures
-choose how to receive health information
How do you sign documentation?
Name and title like so:
C Manalo, RN
Types of Flow Sheets
24-hour fluid balance record
24-hour patient care records and acuity charting forms
Maslow's Hierarchy of Needs
physiological, safety, love/belonging, esteem, self-actualization
Types of family
nuclear, extended, blended, single parent
What is patient centered care?
providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions
Patients expectation of the healthcare team:
-to be listened to, taken seriously, and respected as a care partner
-to be told the truth
-to have information communicated to all my care team
community health nursing
focuses on whole populations within a community.
centered on the health care needs of individuals and families
Serious but preventable errors that should never occur
Institute of Medicine
a part of the National Academy of Sciences, and an organization whose purpose is to provide national advice on issues relating to biomedical science, medicine, and health.
The Joint Commission
independent not for profit organization that evaluates and accredits organizations to improve safety and quality of care; voluntary
National Patient Safety Goals
-These "goals" are developed by The Joint Commission annually, which focus on client safety as a priority in health care.
-Established to promote and enforce major changes in patient safety.
an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof
sentinel events include occurences:
-surgery on the wrong body part
-tubing and catheter misconnection
-overdose with commonly used anticoagulants
-discharge of infant to the wrong family
The National Quality Forum
Goal: to set national priorities, endorse national consensus standards for measuring and publicly reporting on performance, and promoting attainment of national goals through education and outreach.
List of serious reportable events (SREs)
-Product or device events
-Patient protection events
-Care management events
wrong site, wrong surgery, wrong patient, foreign object left in, intraop and/or postop death
product or device events
Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the healthcare setting
Patient Protection Events
Discharge or release of a patient/resident of any age, who is unable to make decisions, to other than an authorized person .
Care Management Events
death or serious injury associated with a medication error, unsafe administration of blood products, Maternal death or serious injury associated with labor or delivery in a low-risk pregnancy while being cared for in a healthcare setting, etc.
Patient or staff death or serious injury associated with an electric shock, Any incident in which systems designated for oxygen or other gas to be delivered to a patient contains no gas, the wrong gas, or are contaminated by toxic substances, Patient or staff death or serious injury associated with a burn incurred from any source in the course of a patient care process, etc.
Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed healthcare provider, Abduction of a patient/resident of any age, Sexual abuse/assault on a patient or staff member within or on the grounds of a healthcare setting, etc.
What happens after an error occurs?
-identify root cause
-evaluate new system
-not part of the medical record
-know the laws of your state
Failure to rescue
Failure to rescue has been defined as "deaths per 1,000 pts have developed specified complications of care during hospitalization".
I am Concerned
I am Uncomfortable
This is a Safety issue
when there is no response to the initial assertion; voice your concern TWO TIMES; if still not heard it is your responsibility to seek a third party.
goal of joint commission national patient safety goal
Improve the safety of electronic health records.
IOM's Six Outcomes for a New Health System for the 21st Century
behavior of an individual motivated by a personal desire to increase well-being and health potential
behavior motivated by a desire to avoid or detect disease or to maintain functioning within the constraints of an illness or disability
primary health promotion
directed toward promoting health and preventing the development of disease processes or injury
ex/ immunization clinics, family planning services, poison-control information, and accident-prevention education
secondary health promotion
focus on screening for early detection of disease with prompt diagnosis and treatment of any found
ex/ assessing children for normal growth and development and encouraging regular medical, dental, and vision examinations
tertiary health promotion
begins after an illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate patients to a maximum level of functioning
ex/teaching a patient with diabetes how to recognize and prevent complications, using physical therapy to prevent contractures in a patient who has had a stroke or spinal cord injury, and referring a woman to a support group after removal of a breast because of cancer.
risk assessment factors
social support system
Social support systems, health structure, environmental factors, and agencies providing assistance for those in need such as housing & food
Personal Support Systems
-Assist those in need financial , personal, physical and emotional help
-Family, friends and neighbors are the best support.
Rural vs Urban
Urban communities- public transportation for easier access to health care providers
(County and state funding for services is better in urban areas.)
Rural communities- Possibility of traveling long distances to receive care
Sets found in the same folder
Week 6 - Community-Centered Nursing Care
NCLEX QUESTIONS: NURSING PROCESS
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