Chronic Illness Flashcards
how many nurses according to the ANA in 2022
over 4 million
guideline for how a nurse is expecting to perform roles
code of ethics
legally binging roles you are allowed to perform
scope of practice
where do you find the scope of practice
State Board of Nursing
NP, CRNA, CNM - educated practicing nurse under state board of nursing
advanced practitioner
DNP - uses research to implement and execute new EBP
nursing leader
finding and reading information for EBP
nurse researcher
physiological needs
food, shelter, water, ABCs
safety needs
fall risk, environmental, bed positioning, isolation, med rights, allergies
social needs
home life, therapeutic relationships
Maslow’s hierarchy of needs - bottom to top
physiological
safety
social
self-esteem
slef-actualization
define health
state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity
define wellness
various aspects of life that lead to health: emotional, environmental, financial, intellectual, occupational, physical, social, and spiritual
examples of health promotion
screening
genetic testing
lifetime health monitoring
environmental and mental health programs
nutrition and health education
regulatory bodies
Occupational Health and Safety Administration (OSHA) – keeping ourselves and pts safe – protocols
The Joint Commission – facilities and equipment checklists
Patient Protection and Affordable Care Act 2010 – insurance - affordable, quality care
Centers for Medicare and Medicaid Services – guaranteed money to hospitals
Department of Public Health – covid, RSV, etc – assesses the community and reports to hospitals
Occupational Health and Safety Administration (OSHA)
– keeping ourselves and pts safe – protocols
The Joint Commission
facilities and equipment checklists
Patient Protection and Affordable Care Act 2010
– insurance - affordable, quality care
Centers for Medicare and Medicaid Services
guaranteed money to hospitals - insurance
Department of Public Health
covid, RSV, etc – assesses the community and reports to hospitals
HEALING acronym - therapeutic regimen
-Health summary
-Expert
-active support
-look for a second opinion
-involve yourself
-no – speak up if something does not seem right
-give thanks to outstanding medical providers
steps of the nursing process
Assessment
Diagnosis
Planning and Outcomes
Implementation
Evaluation
trying to get out ahead of certain situations and diseases – ex: immunizations
healthy people 2030
relative definition of chronic illness
persistent and recurring health problems, and a duration measured in months and years, not days and weeks
reasons for increase in prevalence of chronic illnesses
obesity starting in adolescence
social determinents
demographics
access
palliative care vs hospice care
P: goals of the pt - alleviate symptoms - can transition to hospice
H: “die with dignity” - 6 months or less to live
Genetic factors or lifestyle behaviors that place a person or community at risk for a chronic condition
Pre-trajectory
Appearance or onset of noticeable symptoms associated with a chronic disorder; includes period of diagnostic workup and announcement of diagnosis; may be accompanied by uncertainty as patient awaits a diagnosis and begins to discover and cope with implications of diagnosis
trajectory onset
Illness course and symptoms are under control as symptoms, resulting disability and everyday life activities are being managed within limitations of illness; illness management centered in the home
stable
Characterized by an exacerbation of illness symptoms, development of complications, or reactivation of an illness in remission
Period of inability to keep symptoms under control or reactivation of illness; difficulty in carrying out everyday life activities
May require more diagnostic testing and trial of new treatment regimens or adjustment of current regimen, with care usually taking place at home
unstable
Severe and unrelieved symptoms or the development of illness complications necessitating hospitalization, bed rest, or interruption of the person’s usual activities to bring illness course under control
acute
Critical or life-threatening situation requiring emergency treatment or care and suspension of everyday life activities until the crisis has passed
crisis
Gradual recovery after an acute period and learning to live with or to overcome disabilities and return to an acceptable way of life within the limitations imposed by the chronic condition or disability; involves physical healing, limitations stretching through rehabilitative procedures, psychosocial coming-to-terms, and biographical reengagement with adjustments in everyday life activities
comeback
Illness course characterized by rapid or gradual worsening of a condition; physical decline accompanied by increasing disability or difficulty in controlling symptoms; requires biographical adjustment and alterations in everyday life activities with each major downward step
downward
Final days or weeks before death; characterized by gradual or rapid shutting down of body processes, biographical disengagement and closure, and relinquishment of everyday life interests and activities
dying
what is the focus of nursing care for a patient in pre-trajectory phase
-refer for genetic testing
-provide prevention education for modifiable risk factors
what is the focus of nursing care for a patient in trajectory onset
-provide clear expectations of diagnostics
-reinforce info about given by provider
-emotional support
what is the focus of nursing care for a patient in stable condition
-reinforce positive behaviors
-ongoing monitoring
-provide education about health promotion
-encourage participation in health screening
what is the focus of nursing care for a patient in unstable condition
-provide guidance and support
-reinforce teaching
what is the focus of nursing care for a patient in acute condition
-provide direct care
-emotional support
what is the focus of nursing care for a patient in crisis condition
-direct care
-collaboration to stabilize pt
what is the focus of nursing care for a patient in comeback condition
-assist in coordination of care
-rehabilitative focus
-positive reinforcement
what is the focus of nursing care for a patient in downward condition
-provide home care
-help pt and family come to terms with change
-assist pt to integrate new treatment and management
-encourage ID of end-of-life preferences and planning
what is the focus of nursing care for a patient when dying
-provide direct and supportive care for hospice programs
