Chapter 4 Flashcards
Assessment
information gathering regarding the current status of the patient
-past history, physical exam,
Evaluation
determining the effects of interventions
Implementation
actions taken to meet a patients needs
-Giving meds
-Comfort
-Teaching
Nursing
Art of nurturing and administering to the sick, combined with application os science
Nursing Diagnosis
Statement of a problem, based on an assessment which directs nursing interventions
Nursing process
Problem-solving process
Assess
Diagnosis
Plan
Implement
eval
Planning
Prioritizing info gathered to develop goals and desired outcomes.
Taking info in assessment and diagnosis to plan care
For the assessment - past history what info is obtained?
Chronic conditions
drug use
allergies
Level of education & understanding
Social & financial supports
Pattern of healthcare
For the assessment - physical exam what info is obtained?
Weight
age
Physical parameters related to disease
For the implementation- proper drug admin - what info is obtained?
Drug
Storage
Route
Dose
Prep
Timing
Recording
For the implementation- comfort measures- what info is obtained?
Placebo effects
Managing side effects
Lifestyle adjustments
Why is the patient’s history important?
their past experiences and illnesses can affect a drugs effects
When asking the patient about current drug use what should I ask about?
OTC medicines
Herbal medicines
Vitamins
Birth control
What are the 8 rights to safe drug administration?
Right drug
Right Patient
Right storage
Right route
Right dose
Right preparation
Right timing
Right recording
What should be included in patient drug education?
Name, dose and action of drug
Time of administration
Storage and prep instructions
OTC to avoid
Special comfort measures
Safety measures
Toxicity
Warnings about discontinuing use to early
