Chapter 11 Flashcards
Admission ?
-entry of a patient into the health care facility
-begins in the admissions department
-patient will sign several forms
Admission routines that are efficient and show appropriate?
-concern for the patient can ease anxiety and promote cooperation and positive response to treatment
The patient self-determination act of 1991 ?
-addresses the patient rights to refuse or accept medical treatment
HIPAA (Health insurance portability and accountability Act ?
-addresses the privacy of all information received from the patient
Common Patient Reactions to Hospitalization on The nurse can anticipate some common ?
-fear of the unknown
-loss of identity
-disorientation
-separation anxiety
-loneliness
Nursing Interventions for Common Patient Reaction?
-have a warm,caring attitude and be courteous
-show empathy
-treat patient with respect
-maintain their dignity
-involve them in the plane of care -whenever possible,adjust hospital routine to meet their desires
Cultural Consideration?
-secure an interpreter when needed
-respect the patient as an individual
-avoid treating these patient differently than other patients “special” treatment may be interpreted as patronizing
-do not assume they are angry,aggressive or hostile if they speak loudly or more emotionally than most patients -use titles such as Mr or Mrs
Nursing Process ?
-assessment
-patient problem
-expected outcome and planning
-implementation
-evaluation
Nurses Responsibilities?
-when unit staff is notified that a new patient is being escorted to a room,the room should be made ready
-special equipment should be placed and ready when the patient arrives
-greet the patient
-give an orientation to the unit and the room
-explain the hospital routine
Admitting Procedure on the Patient Care Unit?
-check the ID band and verify the information with patient
-assess immediate needs such as a pain,shortness of breath or severe anxiety
-introduce roommate,if present
-jewelry,money and medication should be given to the family to take home
Once the patient is established in the room,the nurse should?
-take the health history
-perform the initial assessment
-the provider is notified when the patient has been admitted
Transferring A Patient?
-the changing condition of a patient,whether improved or more critical,may require transfer either to another unit in the hospital or to another health care institution,such as nursing home or rehabilitation hospital
-the patient transfer requires thorough preparation and careful documentation
Discharge Planning ?
-systematic process of planning for patient care after discharge from the hospital
-although discharge from a healthcare facility is usually considered routine ,effective discharge requires careful planning and continuing assessment of the patient needs during hospitalization
-risk factors should be identified
-discharge planning involves multidisciplinary action with participation by all members of the health care team,the patient and the patient family
-referrals for health care service are considered
Discharge Process?
-many hospitals have a form with written instruction and teaching documentation for the patient to sign and acknowledge understanding of the instructions
-these instructions serve as a guide for the patient to use at home
Against Medical Advice (AMA)?
-this is when a patient leaves a healthcare facility without a provider’s order for discharge
-notify the provider immediately
-if the provider fails to convince the patient to remain in the facility,the provider will ask the patient to sign an ama form,releasing the facility from legal responsibility for any medical problem the patient may experience after discharge
-do not detain the patient this violates his or her legal right
Admission ?
(entry of a patient into the health care facility) to a hospital
-other health care facility (any agency that provides health care ) is an anxious time for patients and their families
Some common reactions include?
fear of the unknown , loss of identity , disorientation ( mental confusion characterized by inadequate or incorrect perception of place , time , and identity ) , separation anxiety ( fears and apprehension caused by separation from familiar surroundings and significant people ) , and loneliness
ability to recognize and to some extent share the emotions and state of mind of another and to understand the meaning and significance of that person’s behavior?
empathy
Culture Considerations ?
religious beliefs
- religious beliefs , this belief must be considered an influencing variable
-Many Haitians believe that leaves have a special significance in healing
-Haitian cultures , a nurse is given more authority and status than a physician
-A traditional Japanese belief is that contact with blood, skin disease, and corpses causes illness. Some Japanese also believe improper care of the body including poor diet and lack of sleep , causes illness
-Orthodox Jewish patients observe sundown Friday to sundown Saturday as the Sabbath which is a time of rest The
The role of the LPN /LVN in the nursing process as stated is that the LPN /LVN will ?
-Participate in planning care for patients based on patient needs
-Review patient’s plan of care and recommend revisions as necessary
-Review and follow defined prioritization for patient care -Use clinical pathways , care maps, or care plans to guide and review patient care
Subject date and objective data are collected ?
Assessment
do staff ensure continuity of care?
(continuing of established patient care from one setting to another ) and provides legal protection for the transferring facility and its staff.
Discharge planning is defined as the ?
systematic process of planning for patient care after discharge from a hospital or health care facility
discharge?
from a facility usually is considered routine, effective discharge requires careful planning and continued assessment of the patient’s needs during the stay in facility
