CHN finals Flashcards
is a methodical approach to assessing a client’s health state, Identifying health concerns and problems, making plans to address them, starting the implementation phase, and ultimately the effectiveness of the plan in promoting wellness and solving difficulties.
The nursing process
The nursing process commonly consists of five (5) phases:
(1) community assessment,
(2) community diagnosis,
(3) planning,
(4) implementation, and
(5) evaluation.
When the community is the client, it is used to respond to and address the health needs of the community.
THE NURSING PROCESS
refers more general ideas of the population as a whole for the nursing services under consideration.
“community as a client
Working with communities has two (2) key goals:
(1) the health of any individuals, families, groups or communities who may be a part of the community is directly influenced by it
(2) providing the most crucial healthcare services at the community level.
Dimensions of the community as a client
(1) location,
(2) population
and (3) social system.
is defined as every physical community lives out its everyday activities in particular region.
Location
impact on a community’s health includes placement of health services, geographic features, plants and animals as well as the human made environment.
location
location variables include
(1) community boundaries,
(2) location of health services,
(3) geographic features,
(4) climate
and (5) flora and fauna
a social structure;
Social system
includes all the different individuals who reside within the community’s bounds, not just specialized aggregates.
Population
The study and inspection of data constitute analysis
(“Community Analysis”)
is required to discover patterns of health responses, trends in the use of healthcare and community health needs and strengths.
Analysis
defines that of the community’s health strengths, issues or health hazards.
Community nursing diagnosis
The foundation of community-based solution is a
community diagnosis
it is a rational decision-making process to create systematic, comprehensive plans of action to achieve particular goals and objectives based on community assessment and the nursing diagnosis formulated
Planning
whether done by a nurse or another professional, entails actually carrying out the activities outlined in the plan.
Implementation,
are therapeutic measures intended to improve and maintain the health of the community, prevent and address problems with the community’s health and support the community as it evolves with
time.
Community interventions
is a methodical, ongoing process of contrasting the community’s response with the result as specified by the care plan.
Evaluation
ultimately aims to ascertain whether and to what extent client’s needs were addressed by planned actions, and if not, why not.
evaluating interventions
philosophical ideals of right and wrong behaviour.
Ethics
Basically,
individual rights,
privacy and freedom of choice.
AUTONOMY
Agreement to respect another’s right to self-determine a course of action
AUTONOMY
Beneficence is the duty to do good (goodness, kindness, charity).
BENEFICENCE & NONMALEFICENCE
is the center piece of caring.
Nonmaleficence
compassion, taking positive action to help others, desire to do good; core principle of our patient advocacy.
Beneficence
avoidance of harm or hurt; core of medical and nursing ethics.
Nonmaleficence
extends to making sure you are doing no harm in the beneficent act of using technology to extend life or using experimental treatment that have not been well tested.
nonmaleficence
Keep privileged information private.
CONFIDENTIALITY
Some actions can be morally
justified even though consequences The Doctrine of Double Effect
may be a mixture of good and evil.
DOUBLE EFFECT
uty to be faithful to one’s
commitments; includes implicit and explicit promises.
FIDELITY
those promises that are implied, not verbally communicated. Explicit those that we verbally communicate.
Implicit
those that we verbally communicate.
Explicit
This principle refers to an equal and fair distribution of resources, based on analysis of benefits and burdens of decisions.
justice
implies that citizens have an equal right to goods distributed regardless of what they have contributed or who they are.
Justice
the principle that all persons are entitled to have their basic needs met regardless of economic status, class, gender, race, ethnicity, religion, citizenship, age, SOGI, disability or health.
social justice
resources should be given first to those who need it the most.
Distributive Justice
equal distribution to everyone regardless of need (Socialism)
Egalitarian Justice
