Final study Guide Flashcards
Difference between rehab, acute care, health restoration, palliative care, extended care facility?
REHABILITATIVE CARE: Emphasizes the importance of assisting clients to function adequately in the physical, mental, social, economic and vocational areas of their lives.
PALLATIVE CARE: When a person can not be returned to health provides comfort and treatment symptoms.
ACUTE: Care provides assistance to clients whose illness and need for hospitalization are relatively short term.
EXTENED CARE FACILITY: Formerly nursing homes provide care for older adult clients the facicites are intended for people who require not only personal services (bathing, hygiene, eating) but also some regular nursing care. People often reffered to as residents some provide care for incapacitated clients.
REHABILITATION CENTERS: Play important role in assisting clients to restore their health and recuperate. Assist the to reenter the community. Nurses coordinate client activities and ensure that clients are complying with their treatments
Differentiate between human dignity, altruism, social justice and integrity?
ALTRUISMis a concern for the welfare and well-being of others. In professional practice, altruism is reflected by the nurse’s concern for the welfare of patients, other nurses, and other health care providers.
HUAMN DIGNITY is respect for the inherent worth and uniqueness of individuals and populations, In professional practice, human dignity is reflected when the nurse values and respects all patients and colleagues.
INTEGRITY is acting in accordance with an appropriate code if ethics and accepted within the profession.
SOCIAL JUSTICE is acting in accordance with fair treatment regardless of economic status, race ethnicity, age, citizenship, disability, or sexual orientation.
Know statutory law, administrative law, common law and public law.
STATUTORY LAWS : Laws enacted by any legislative body.
AdMINISTRATIVE LAWS: Wen state legislative asses a statute an administrative agency is given authority to create rules and regulations to enforce the statutory laws.
COMMON LAW; laws evolving from court decisions.
PUBLIC LAW: Body of law that deals with relationships between individuals and the government and governmental agencies.
Know preoperative phase, intra phase,post phase and perioperative phase.
PREOPERATIVE PHASE: Begins when decision to have surgery is made ends when client is transferred to operating table. Provide preoperative teaching nursing activities assesing the client identifying potential or actual health problems and planning.
INTRAOPERATIVE PHASE: Begins when they hit the operating table ends when they are transferred to the post anthesia care unit. Responsible for ensuring client is stable and surgeon has all necessarry tools, antiseptic environment properly working equipment.
POSTOPERATIVE PHASE: Begins with admission to the post anesthesia area and ends when healing is complete. Nursing activities include assesing client, clint teaching, performing interventions to facilitate healing.
PEIOPERATIVE: Delivering nursing care through the frame-work of the nursing process collaborating with members of the health care team delegating, supervising.
Know nurses responsibility and priorities post operatively.
The nurse conducts an initial assessment upon return assessments my be made more frequently until patient is stable check for lung sounds may have circulatory problems, postoperative hypotension, hemorrhage or shock assess for LEVEL OF CONCIOUSNESS, (pain) COMFORT, SKIN COLOR, TEMP, FLUID BALANCE, dressing bed clothes, drains tubes, PAIN MANAGEMENT, APPROPRIATE POSITIONING, DEEP-BREATHING,leg exercises,early ambulation adequate hydration, promoting urinary & gi function, diet, suction maintenance, wound care
Foods that have potassium, what patients should eat who are low in potassium (biggest problem peeing and urinary elimination).
VEGETABLES: avocado, raw carrots, baked potato, raw tomato, spinach
FRUITS: dried fruits, bananas, apricot, cantaloupe, orange
MEATS & FISH: beef, cod, pork, veal
BEVERAGES: apricot nectar, orange juice, milk
Why old people get up 5 times a night to go pee.
Because with age the bladder muscles weaken as does the ureathral sphincter in women men have an enlarged prostate. The capacity of the bladder and it’s ability to completely empty diminish with age. Leading to nocturnal frequency.
How to prevent UTI.
Drink 8 , 8 ounce glasses of H2O. Practice frequent voiding ( 2-4 hours ) avoid harsh soaps (these substances can irritate) avoid tight fitting clothes, pants. Wear cotton rather than nylon underclothes. Always wipe front to back (girls, women) if recurrent UTI take shower not baths.
Know what we teach patients about urinary divergence.
Limit fluids 2 to 3 hours before bedtime. Help client select appropriate garments for incontinence. Instruct client to drink a minimum of 1500ml H2O. Monitor viking for color volume, odor. Limit ingestion of bladder irritants coffee, tea, chocolate
Know interventions for COPD’ers
Interventions of COOPD:
- Monitor the client’s respiratory rate and pattern, level of consciousness and SaO2
- Provide oxygen therapy as the lowest liter flow that corrects hypoxemia ( low )2 in blood)
- Use Venturi Mask to deliver precise )2 levels of tolerated
- Notify provider of impending respiratory, depression, low respiratory rate, low level of consciousness.
Difference between deviances and evisceration.
DEHISCENCE is the partial or total rupturing of a sutured wound. Dehiscence usually involves an abdominal wound in which the layers below the skin also separate.
EVISCERATION is the protrusion of the internal viscera through an incision. A number of factors, including obesity, poor nutrition, multiple trauma,failure of suturing, excessive coughing, vomiting and dehydration.
Know what a community nurse is.
Nursing care directed toward a specific population or group directed within the community.
Know what a home health nurse is.
Nursing services and products provided to clients in their homes that are needed to maintain, restore, or promote their physical, psychosocial and social well being. Individual and their family.
Know the different nursing diagnoses are risk, syndrome, wellness, actual diagnoses.
RISK NURSING DIAGNOSIS: Clinical judgment that a problem dose not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurse intervenes.
SYNDROME DIAGNOSIS: Associated with cluster of other diagnosis. ( Risk for disuse syndrome: Long term bed ridden).
WELLNESS DIAGNOSIS: Describes human response to levels of wellness in an individual, family or community that have a readiness for enchantment. These diagnosis phrase “Readiness for enhanced”. ( Readiness for enhance Spiritual well being.
ACTUAL DIAGNOSIS: Client problem that is present at the time of the nursing assessment. Based on the presence of associated signs and symptoms. (Ineffective Breathing pattern and anxiety)
Different types of families extended, nuclear, traditional and intergenerational.
EXTENDED FAMILY: family that includes the relatives of the nuclear family ( grandparents, aunts, uncles).
NUCLEAR FAMILY: Parents and their offspring.
TRADITIONAL FAMILY: Viewed as independent unit in which both parents reside in the home with their children. The mother+ nurturing role, Father+ economic resources.
INTRAGENERATIONAL FAMILY: More than 2 generations may live together. Children live with parents after having their own kids.
