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AN415 > 2Practice Settings > Flashcards

2Practice Settings Flashcards

1
Q

Home health nursing

Focus of the home visit

A

Assess interaction between pt and family

Provide education

Administer interventiosn

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2
Q

Omaha system model

A

Framework used to implement the nursing process

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3
Q

Home health

Documentation of services

A

Each visit

Need for services

Family members could not provide some level of care (this helps get it paid for)

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4
Q

Home health reimbursement

A

Medicare (60 days)

Medicaid

Private insurance

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5
Q

Home health services

Same as any nurse

A

Assessments
Wound care
Labs
IV therapy (TPN, ABX)
Central line care
Urinary catheter insertion/care
Home dialysis
Pediatric services
Education

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6
Q

Home health

Whats needed to get home health
How long visits last

May involve environmental assessment

A

Referral is needed for health care provider, hospital, individual or family

Last 30-90 mins

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7
Q

What is involves within an

Enviornmental Assessment

A

Shopping proximity
Functional abilities of the client
Food availablilty
Potential sources of disease
Utility availability (water, heat, a/c)
Safety

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8
Q

Home health

Nurses need to ensure what

Part of the interdisciplinary team

A

Ensure their own safety in the home health

Team:
PT
OT
Home health aids
Social workers
Dietitians
Primary care providers

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9
Q

Hospice

Used to do what
Life expectancy

Focuse shifts from what to what

A

Used to enhance the quality of life for those that are terminally ill

Life expectact of 6 months or less

Focuse shifts from curative to comfort

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10
Q

Priorities of hospice

A

Controlling symptoms

Helping family cope with the transition from the hope of recovery to the acceptance of death

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11
Q

Palliative

Anyone with what

Best to provide when

Imporves what and helps pt understand what
Does not depend on what

A

Anyone with a serious illness

Best to provide from the point of diagnosis

Improvs quality of life
Helps pt understand their choices for tx

Does not depend on prognosis and can be provided along with treatment (unlike hospice)

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12
Q

Workplace hazards

Biologic agents

Chemical exposure

Mechanical agents

A

B:
-insect, spiders, viruses, bacteria, fungi, blood borne pathogens

C:
-cleaning solution, asbestos, smoke

M:
-motion strains, poor workstations, heavy lifting

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13
Q

Workplace hazards

Physical hazard

Psychosocial

A

Physical:
-noise, extreme temps, falls, radiation

Psychosocial:
-sexual harassment, assault, burnout, violence

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14
Q

Occupational health

Protection from

A

Workplace violence

Fall injuries, burns

Environmental hazards

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15
Q

OSHA (occupational safety & health act (1970)

A

Federal standards

Prevent work-related injuries, illnesses, and fatalities

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16
Q

Occupational health

Promotion of workplace health results in

A

Improved health
Decreased workplace expenditures
Decreased use of sick time
Decreased workers compensation claims
Decreased usage of group health insurance

17
Q

School health

Schools focus on what

Schools can attain/influence a significant number of what

A

Focuses:
-whole school, whole community
-whole child model-addressing education and health needs within a school

Number of healthy people objectives

18
Q

School nurse roles

5 Cs
3 Hs
1 R

A

Case management
Community outreach
Consultant
Counselor
Child advocacy

Health assessments:
-identify illnesses and injury
-screenings

Health promotion:
-youth behavior risk

Health education

Research

19
Q

IDEA (Individuals with Disabilities Act 1977)

Gives students who attend school what

A

Have allowances made for their special needs

20
Q

Faith community nursing

(Communities) (5 examples)

Faith factors

A

Churches, synagogues, mosques, parishes, temples

Faith factors:
-Positive correlation between religion and health
-Holistic aproach to health: mind-body-spirit

21
Q

faith community nursing roles

A

Integrator of faith and health

Health educator, advocate, counseling

Referral agent: gets them where they need to go

22
Q

Examples of FCN
Missionary nurse
Parish nurse

Do similar things but parish nurse is more catholic or christian

A

Meet health, spiritual, and emotional needs

Personal health counseling, education

Facilitated support groups

23
Q

Circle model of spiritual care (6)

A

Caring
Intuition
Respect for religious beliefs and practices
Caution (against doing stuff)
Listening
Emotional support

24
Q

Forensic and correctional nursing

A

Health and legal system interact

Collect documents, perserve evidence resulting from crime

Apply epidemiological knowledge to finding of intentional injury

25
Q

Who do forensic and correctional nurses care for

A

Perpetrators of injury
Substance use related injuries
Those who experiences accidental injuries

Victims of SA
Victims of phyiscal abuse
Victimes of gang violence
Victims of disasters

26
Q

Settings for forensic and correctional nurses

A

Clinics
ED
Law enforcement agencies
Mental health facilities
Correctional facilities

27
Q

SANE nurse (SA nurse examiner)

What do they do

A

Collect detailed: medical, physical, and emotional data following a SA

Collect and manage samples

Testifies in legal proceedings

28
Q

What do health coaches do

A

Help you reach goals:
Eating better
Exercise
Learn more about a chronic condition
Lifestyle change for chronic conditions

Med education
Med/appointment reminders
Arranging appointsments

29
Q

Motivational interviewing by health coach

A

Helping people find internal motivation for change:
-discuss needs for change
-discuss benefits that change bring

Encourage them to commit to change

Restate the reason for change and commitment

30
Q

Health coach: positive psychology

A

Focuses on what makes people happy, resilient, and sources of motivation for positive change

Increasing motivation by learning how to cope with stress

Removing negative thinking

Ways to enhance engagement

Improves health and mood

Focusing on what is right rather than what is wrong

31
Q

SMART Goals

A

Specific
Measurable
Attainable
Realistic
Time bound

32
Q

Example of smart goal

A

The client will lose 1 pound of body wt within the next 7days

AN415 (10 decks)

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