day 1 Flashcards
what is Evidence based practice
Research-based interventions
Early practice based on traditions
use of the best valid and reliable data available
Consistent, positive outcomes
best practice
what is the nursing process
what are the phases
An assertive, problem-solving approach to the identification and treatment of patient problems
Phases of the nursing process
Assessment
Diagnosis
Planning
Implementation
Evaluation
Morals vs ethics
Ethics (Basis of action, What prevents harm)
Morals Right/Wrong (Moral distress, Moral courage)
6 Ethical principles of nursing
Autonomy - right to self-determine a course of action
Beneficence – promote well-being
Nonmaleficence – do no harm
Veracity – truth telling
Fidelity (confidentiality ) – promise-keeping to patients
Justice – equal rights/distribution of resources
Definition of ethics
“A formal process for making logical and consistent decisions based upon moral beliefs’
planning and implementation phase
Planning phase
Priority setting ABCs
Identifying outcomes/potential outcomes
Determining interventions
Implementation phase
Carrying out the specific, individualized collaborative care plan
evaluation phase
**Evaluation phase **
Determine whether sufficient assessment data have been obtained to make a nursing diagnosis
Determine if outcomes and interventions are realistic
Determine if outcomes have been met
Determine whether plan should be maintained,
modified, revised, or discontinued
What is med surg
Medical-surgical nursing is a challenging and dynamic type of nursing that involves caring for adults experiencing complex variations in health
how to have a good EBP outcome
Ask clinical questions by using the PICOT format:
Collect the most relevant and best evidence.
Critically appraise and synthesize the evidence.
Integrate all evidence with your clinical expertise and the patient’s preferences
Evaluate the practice decision or change.
Share the outcomes of the decision or change.
Nursing History: Subjective Data
Biographical data
Reason for seeking care
Current health status or current illness
Past health history
Family health history
Review of systems
Functional assessment
objective data
body features
mental state
speech
body movements
obvious physical signs,
nutritional status,
behaviour.
Vital signs
height,
weight // body mass index
Physical exam
Inspection
Palpation
Percussion (not rlly done)
Auscultation
Surgery → Performed for
Diagnosis of a tumour
Cure or repair
Palliation
Prevention (Mastectomy, oostectomy)
Exploration
Cosmetic improvement
surgical settings
Emergency (Unexpected, urgent
, right away)
Elective
Planned
Inpatient (Same-day admission
)
ambulatory (same day)
Nursing Assessment of the Preoperative Patient
establish what ?
Their Overall goals
Establish baseline data
Review medications
Ensure preoperative lab and diagnostic tests are completed and documented
Support the patient and family
Determine informed decision to have surgery
Understand discharge plan
influencing factors for surgery
Age
Past experience
Current health
Socioeconomic status
Common fears
Malignant hyperthermia
Neurological dysregulation (hypothalamus)
Previous surgeries, medical conditions,
