2Nursing Roles Flashcards
Advocacy
Definition
4 reasons
Speaks or acts for those who may not be able to speak for themselves d/t:
Powerlessness
Disabilities
Lack of knowledge
Unable to articulate
Those in need of advocacy
6
Children
Elderly
illiteracy
Mentally ill
Unconcscious
Those who are uninformed
How can RNs advocate
Protect pts rights (rights stated in the American Nurses Association Code of Ethics)
Mandated that nurses advocate for their pts
Ensure nurse-patient relationship remains therapeutic and focused upon pt
Principles to remember when advocating
Assertive but not aggressive
May discuss uncomfortable information
Ideally proactive rather than reactive
4 steps to advocating for pt
Assessing needs
-awareness of condition and tx
-ability to refuse tx
-others involved in decisions
-cultural/spritual needs
Identify specific goals for pt
-explore pts wishes
Implementation
-communicating needs to appropriate people
Evaluate
Educator does what
Facilitates learning for positive behavior change
Communicates (facts, ideas, and skills)
5 things effective pt education can do
Ensure pt properly informed about condition, procedure, tx
Prevent serious medical issues (obseity, diabetes, heart disease)
Decrease potential for complications
Reduce hospital readmissions
Allow pt to be independent
What educator can provide to pt
Warning signs/ what to do if issue arises
Who to contact with questions
Best way to know if someone learned something
Teach back method
things to consider about person your teaching
Health literacy
Prior knowledge (dont assume)
Avoid medical jargon
Consider learning style
Abilities
Keep in mind co-occuring situations (pain, anxiety) that could hinder their learning
Nursing process
Assessment
Nursing diagnosis
Outcomes/goals
Interventions
Evalutation
Case manager
Type of process
Coordinate care to avoid what
A systemic process
Coordinate care to avoid gaps in services
Case manager
Nurse case manager does what
Assess clients needs
Plan and coordinate services
Refer to where they need to go
Monitor and evaluate progress
Use resources and services in best way
Case managers partial goal should be what
Reducing costs
Should not be the sole focus
What do case managers need to work
Commission for case manager certification