Interv final

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  1. Nursing dx vs medical dx
    Nursing dx: based on pt's response to treatment of problem or disease. Focuses on pt

    Medical dx: describes a disease, illness. Purpose is to ID pathology so appr med tx can be given.  More focused then nurse dx
  2. Steps in nursing process
    • assessment
    • nursing dx
    • planning 
    •   --planning outcomes
    •   --planning interventions
    • implementation
    • evaluation
  3. Theraputic communication
    comprised of 5 communication qualities

    • Empathy
    • Respect
    • Genuineness
    • Concreteness
    • Confrontation

    *Every Respectful Guy Carries Condoms
  4. defenses against infection
    • Primary : nonspecific. intact skin, GI tract, mouth etc.  
    • Secondary: non-specific.  Phagocytosis, inflammation, fever
    • Tertiary: specific immunity. body creates antibodies against specific pathogens
  5. type/classifications of infections
    • A. local vs systemic
    • B. Primary/secondary
    • C. Exogenous/endogenous (Exo is acquired from healthcare envir, endo arises from pt normal flora issues)
    • D. Acute/ChronicLatent
  6. What is universal/standard precautions
    • Considered first tier of protection, applies to all pts
    • Includes hand hygiene; use of gloves, gown, mask, eye protection or face shield (depending on expected exposure) and safe injection practices
    • Practice respiratory hygiene and cough etequette
  7. Contact precautions
    • Is a tier 2 protection:
    • wear non sterile gloves
    • wear clean gown
    • remove PPE and observe hand hygiene before leaving room
    • use disposable equipment
    • Ex: MRSA, scabies, shingles, diarrhea
  8. droplet precautions
    • is a tier 2 protection: keep droplet precautions outside pt room
    • wear mask, donning on entry
    • change PPE and perform hand hygiene btwn pts
    • Ex: flu, RSV, Pneumonia, pertussis, strep
  9. airborne precautions
    • is a tier 2 protection: keep airborne supplies outside pt room
    • Don mask on entry, wear special fitting N-95 respirator if pt has TB or smalpox
    • remove respirator/mask outside room after closing door
    • EX: TB, measles
  10. protective (reverse) isolation
    • is a tier 3 protection: for pts with suppressed immune systems
    • Pt in private room
    • restricted visitors
    • wear mask, gown and gloves
  11. Benefits of bathing
    • serves three purposes: health, social interaction, and pleasure or relaxation
    • Bathing removes perspiration and bacteria from skin surface, helping to prevent body odor
    • Warmth from water dilate blood vessels near surface of skin, increasing circulation
    • Stimulates depth of respirations and improves sensory input
  12. Mentors vs preceptors
    mentor: offers broad teaching, helps with career development. 

    Preceptor:  someone who has more experience who provides practical teaching and guidance.  More focused
  13. Moral principles of nursing
    • Autonomy
    • Nonmaleficence
    • Beneficence
    • Fidelity
    • Veracity
    • Justice
  14. Nonmaleficence
    • a two-fold duty to do no harm and to prevent harm
    • refers to both actual harm and risk of harm, as well as intentional and unintentional

    Ex: Nightingale Pledge of nurses state that care providers have a duty to cause no harm
  15. Autonomy
    • refers to a person's right to choose and ability to act on that choice
    • based on respect for human dignity
    • freedom of choice
  16. Paternalism
    treating others like children
  17. beneficence
    • the duty to do or promote good
    • can be thought of as a continuum with nonmaleficence
  18. fidelity
    faithfulness, is the duty to keep promises
  19. Veracity
    duty to tell the truth
  20. justice
    obligation to be fair
  21. My obligation in ethical decisions
    • Be aware
    • assume responsibility
    • function as team member
    • Support pt and family
    • support pt who are not allowed to decide
    • Participate in ethics committees
    • advocate for your pt
  22. invasion of privacy
    • violates a person's right to be left alone
    • pt has right to:
    • have private info protected
    • Not be falsely portrayed or intentionally misrepresented in character
    • Be free from unwanted intrusion (spying, eavesdropping)
  23. Malpractice vs negligence
    Malpractice involves a professional person who has failed to act in a reasonable and prudent (careful) manner

    Negligence is the failure to use ordinary or reasonable care of the failure to act in a reasonable and prudent manner
  24. informed consent
    the permission for any and all types of care given by the pt with full knowledge of the risks, benefits, costs, and alternatives
  25. dealing with suspected abuse
    you must report it
  26. leading causes of death
    • 1. MVA
    • 2. Poisoning
    • 3. Falls
    • 4. Drowning/submersion
    • 5. Smoke/fire/flames
  27. when using restraints
    • can be physical or chemical
    • Avoid when possible
    • Doc specifically and in detail
    • Maintain 1-on-1 view of pt
    • know guidelines
    • do not depend on side rails
    • use bed alarms or other devices before resorting to restraints
  28. How can we prevents falls
    • fall risk assessment (Morse fall scale)
    • call light in reach
    • frequent reorientation
    • room by nurses station
    • bed in lowest position
    • keep water, urinal, bedpan w/in easy reach
    • adequate lighting
    • night light
    • keep floors dry, clutter free
    • etc
  29. Nurses teaching responsibilities
    • Provide health teaching that addresses topics like healthy lifestyles, risk-reducing behaviors, developmental needs, ADL's, preventive self-care
    • Use methods appropriate to situation and pt values, beliefs, health pratices, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture, socioeconomic status
    • Seek opportunities for feedback and evaluation of effectiveness of strategies used
  30. documenting teaching
    • important to record responses of pt and family to teaching interventions
    • write objective statements about what was taught, client skills and behaviors that demonstrate learning
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Interv final
2015-12-16 23:10:34

intervention final
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