Chapter 4 Flashcards
Nursing Knowledge
the organization of discipline-specific concepts, theories, and ideas
Nursing Theory
Data that defines and describes past nursing phenomena and concepts; can predict future nursing trends
Phenomena
Term, description, or label given to describe an idea, responses to an event or situation
Concept
Idea or general impression, basic ingredients of theory
Nursing Metaparadigms
Person, environment, nursing, health
First Nursing Theorist
Florence Nightengale
Florence Nightingale Nursing Theory
Environmental Adaptation Theory
Environmental Adaptation Theory Concepts
Ventilation, Noise, Variety, Diet, Light, False Hope, Cleanliness
Dorthea Orem Theory
Self-Care Deficit Model
Self-Care Deficit Model
Restore the patients’ ability to care for self
Help client to cope with unmet care needs by regaining function or maximizing available function
Restores a sense of well-being
Sister Callista Roy Theory
Adaptation Model
Adaptation Model
The nurse is the change agent for helping the patient adapt to new circumstances
Restores well-being, life worth, self-respect, dignity
Madeline Leininger Theory
Theory of Cultural Care Diversity and Universality
Theory of Cultural Care Diversity and Universality
Betterment of all people from all cultures
Cultural competency
People are culturally different – how do those differences change their needs?
Individualized patient care
How can nurses care for those who are different from them?
Differences between the patient and nurse can lead to ineffective interventions, misunderstandings, and the patient feeling unheard or uncared for.
Patricia Benner’s Theory
Novice to Expert Theory
Novice to Expert Theory
Benner’s Model for Skill Acquisition for nurse clinicians, faculty guide students through the learning process starting at the novice level and supporting their personal growth. Similarly, faculty progress from the novice faculty role to the expert faculty role
Novice
Need constant guidance
Advanced Beginner
Making connections, applying skills, seek affirmation after practicing skills, and recognizes meaningful, recurrent concepts
Competent Practitioner
Aware of long-term goals
Feels more confident
More efficient and organized
Proficient Practitioner
Sees the big picture
More holistic
Understands the long-term goals
Able to adapt/modify plans
Expert Practitioner
No longer relies on guidelines to determine actions
Wealth of experience
Intuitive grasp of clinical situations
Flexible and fluid
Highly capable
The Agape Nursing Model
Kingdom Nurse
Hands and feet of Jesus
Selfless, compassionate, charitable, genuine
Nursing is a calling/ministry
Aligns nursing practice with characteristics of Christ
Hematology
Blood
Immunology
Lymph
Blood
Provides energy
Carries signals
Removes waste
Lymphatic System
Repairs injuries
Fights infections
Three types of cells found in the blood
Erythrocytes
Leukocytes
Thrombocytes
Proteins dissolved in the blood
Immunoglobins
Coagul/o
(The combining form)- Anticoagulant-blood thinner
Coagulopathy- Clotting disease
Thromb/o
(Clot)- Thrombocyte
Thrombosis
Thrombophlebitis
Hem/o, hemat/o
Blood, ex. Hem/o, hemat/o
Cyt/o
Cell, ex. Erythrocyte
Thrombocytosis- increased number of platelets
Leuk/o
White
emia
(blood condition)
Anemia- decrease in blood cell
Polycythemia- excess of RBC
Myelitis
Inflammation of the spinal cord
Myelocentesis
Bone and bone marrow inflammation
Myelodysplasia
deformation of the spinal cord
Thrombocytosis
Increase in number of platelets
Myocardial Infarct
Clot lodges in heart
DVT
Clot lodges in leg
Thrombocytopenia
Low platelet number leads to bruising and bleeding
Purpura
Purple red/yellow discoloration
Hemophilia
Blood does not clot
Thrombus
Blood clot and stationary
Embolus
If blood clot breaks free and travels
Thromboembolism
Blockage of a vessel (embolism) caused by a clot that has broken off from where it formed
Splenalgia
Splenodynia
Pain in the spleen
Lymphadenopathy
Disease of the lymph gland
Lymphedema
Swelling caused by abnormal accumulation of lymph
Myelodysplasia
Disease by poor production of RBC from bone marrow
Myeloma
Cancerous tumor of bone marrow
Osteomyelitis
Inflammation of bone/bone marrow
Myelopoiesis
Formation of bonemarrow
CBC
Complete Blood Count
Conditions can be determined by the number of cells in the
volume of blood
Leukopenia
Leukocyte deficiency
Thrombocytopenia
platelet deficiency