physicological needs-basic fundamental needs, food,water, air, exercise,shelter, sex.
patients desired goal for a problem area.
To achieve outcome must be measurable,realistic,and time frame.
should not be vague or open to interpretation,with the use of subjective words such as: normal, large, small, moderate.
example-pt short of breath will improve.
pt will be less short of breath within 15mins AEB pt breath scale 0-10.
prioritizing care maslow
1-ineffective airway/physiological need can be health threatening
2-constipation/physiological need can be health threatening
3-deficient knowledge/safety and security
4-disabled family coping/love and belong
5-readiness for enhanced self concept/self esteem needs
purpose of nursing process
achieving optimal health.
HEART ATTACK r/t INEFFECTIVE TISSUE PERFUSION.
nurse evaluates the pt progress toward the desired outcome and the effectiveness of each intervention.
ask the burning question
search for most relevant best evidence available.
measure outcome before/after change.
make it happen
evaluate the practice change.
EBP-quality and safety belong together.
insurance companies, businesses, patients and government are demanding quality care.
EBP framework-quality initiatives(to begin a task) require collection of data.
all quality initiatives should begin with a literature search to determine the most effective interventions.
tube feeding preparing to give oral care.
use a soft toothbrush and fluoride toothpaste to brush the teeth.
autocratic leadership-100%high degree of control. no control to others. determines goals and plans to achieve goals. no input by others. used for emergency/fast desicion.
democratic leadership-50/50%moderate degree of control, others are given some control and freedom, participation is encouraged,high quality outcomes.
laissez-faire leadership-0/0%no control over group, others have complete freedom, no one responsible for goal, poor outcome.
coaching leadership-active listening, clear communication, coaching leader works with others to develop problem solving skills(critical thinking, prioritize, effective communication) helps direct employees feel more empowered valued and respected.
initial direction for the task and then monitoring of the task and outcomes at intervals.
empowering another to action.
Right task-is it appropreate to delagate?
Right circumstances-is this situation safe and appropriate for delegating?
Right person-appropriate person for task ?
Right communication-is there clear understanding between you & delegatee of terms and reporting needs?
Right supervision-is it defined how and when direct supervision will occur?
obligation to be faithful to commitments made to self and others.
not promising something you cant keep. R/T confidentiality.
nurse can have a ethical dilemma when a hospital policy on staffing creates a situation that does not allow nurses to provide the quality of care they feel is needed.
doing no harm.
R/T beneficence and is opposite side of coin.
not telling truth because may cause more harm. protect from harm those who are vulnerable.
practical wisdom or common sense.
laws guarantee some rights, other moral rights such as based on values and ethical principles but are not enforced by law. "basic human rights"
right of self determination,independence and freedom founded on the notion that humans have value, worth and moral dignity.
principle of considering and offering treatments and care options that are likely to provide benefit to the pt.
principles of fairness ans equality.
scope of practice
state nurse practice laws and the attendant nursing regulations establish the parameters within which nurses must practice to obtain and maintain state license.
these regulations are refers to administrative laws.(scope of practice).
Health Insurance Portability and Accountability Act.
level of responsibility that society places on individuals for their actions.
rules of social behavior/action taken by a person against society.
dicate how disputes are settled among individuals and how liability is assigned for wrongful actions.
a civil liability suit
begins with filing a complaint with the court.
next is summons to court.
lawsuits involving civil wrong.
breach of duty' didn't purposely do anything wrong. Improper or negligent treatment of a patient, as by a physician, resulting in injury, damage.
accused of intentionally causing injury.
injury results from the failure of wrongdoer to exercise care.carelessness
didn't do the care right.
limitation of liability
ways to limit liability include ensuring pt rights, accurately documenting procedures, following institutional policies, acquiring individual malpractice or liability insurance, pursuing continuing education, and practicing in accordance with the current standards of the nursing profession.
do all your wk.
welfare rights (legal rights)
inforced by law. legal entitlement to some good of benefits. guaranteed by law bill of rights.
culture beliefs and religion come from?
family, community. is not inherited.
the tendency for humans to think that their ways of thinking acting and believing are the only right way/natural way.
something a person excepts as true. religion
standards that has meaning or worth.
Monitor take assessment
Action treat problem
Internal dysfunction with unknown cause.
is creating ethical dilemmas.
moral problem is by stopping ventilation.
hands on moving energy.
keep clock in front of them.
females don't look in eyes.
don't shake hands, bow.
don't talk loud to them and don't touch.
self accumulation of maslow
reach level fall potential
complementary or alternative whats the difference?
complementary therapy-therapy used in addition to a conventional therapy.
example-guided imagery, music and relaxation techniques for pain control.
alternative therapy sometimes called "unconventional" therapy, refers to a therapy used instead of conventional or main stream therapy.
example-acupuncture instead of analgesics.
primary system of medicine
is just called medicine in US.
or some ppl refer it as allopathic medicine(western medicine).
most common is western meds.
ancient hindu system of medicine which origanated in india.
ayurvedic medicine main goal are to maintain the health of healthy ppl and cure the illness of sick ppl.
ayurveda maintains that illness is the result of falling out of balance with nature.
diagnoses is based on 3 metabolic body typed called dosha (vata pitta kapha). diet herbal remedies yoga detox.
techniques is acupuncture(needles along meridians pathway were QI flows) and chi gong.
diagnosis and treatment of disturbances of QI GONG or vital energy, are distinctive characteristics of Chinese meds.
check health static by checking tongue pulse, face color,assess voice.
based on belief that illness is result of nerve dysfunction.
treatment-manual adjustment and manipulation of vertebral column and limbs.
no surgery no drugs.
based on Hahenemanns principle that " like cures like" meaning that tiny doses of a substance that creates the symptoms of disease in a healthy person will relieve those symptoms in a sick person.