Chapter 19.txt

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coolexy
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303435
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Chapter 19.txt
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2015-05-31 00:08:06
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ch19
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Chapter 19 Implementing nursing care
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  1. How does the nurse apply critical thinking to implementation of the nursing care plan?
  2. What are clinical practice guidelines and protocols?
    A systematically developed set of statements that helps nurses, physicians and other health care providers make decisions about care for specific clinical situations
  3. What is a standing order?
    Preprinted document containing orders for the conduct of routine therapies, monitoring guidelines and /or diagnostic procedures for specific pts identified clinical problems.
  4. Why is it necessary for the nurse to understand the following five preparatory activities when implementing the patient care plan?
    • a. reassessing the client: when you collect new data on a pt you sometimes identify new nursing diagnoses or determine the need to modify care plan
    • b. reviewing and revising the existing nursing care plan: to see if care plan is still the most appropriate for clinical situation
    • c. organizing resources and care delivery: makes timely, efficient skilled patient care possible
    • d. anticipating and preventing complications: lowers pt risks
    • e. implementing nursing interventions: you need each type of skill to implement direct and indirect nursing interventions. You are responsible for knowing when one type of implementation skill is preferred over another and for having the necessary knowledge and skill to perform each
  5. What are the differences between direct and indirect nursing care?
    • Direct Care are treatments performed through interactions with the patient.
    • Indirect Care related to implementation are treatments performed away from the patient BUT on behalf of the patient.
  6. What are the components of direct care?
    • Activities of Daily Living (ADLs): activities performed in course of normal day, including ambulation, eating, dressing, bathing, and grooming
    • Instrumental Activities of Daily Living (IADLs): skills like shopping, preparing meals, house cleaning, writing checks, taking meds.
    • Physical Care Techniques: involve safe and competent administration of nursing procedures eg turning and positioning, performing invasive procedures, administering medications and providing comfort
    • Lifesaving Measures: physical care technique that you use when a pt¬ís physiological or psychological state is threatened
    • Counseling: direct care method that helps a pt use a problem-solving process to recognize and manage stress and facilitate interpersonal relationships
    • Teaching: essential especially when pts are inexperienced and being asked to manage health problems that are facing for the fist time
    • Controlling of Adverse Reactions: learn to anticipate and know which adverse reactions to expect. Nursing actions that control adverse reactions reduce or counteract the reaction
    • Preventive Measures: promote health and prevent illness to avoid the need for acute or rehabilitative health care
  7. What are the components of indirect care?
    • Communicating Nursing interventions
    • Delegating, supervising and evaluating the work of other staff members

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