HE finals Flashcards
It refers to the ideals that guide one’s behaviour.
Ethico-moral and legal foundation of client education
Refers to the behavioural norms or standards accepted by the society to which a person belongs.
Ethico-moral and legal foundation of client education
refers to the principles of right and wrong action, as well as the goodness and badness of human character.
MORAL
It refers to the guiding principles of behavior
The nurses do not influence the patient’s choice.
ETHICS
refers to norms and standard of behavior.
ethical
refers to an internal value system ( the moral fabric of one’s being) and this value system, defined as morality, is expressed externally through ethical behavior.
MORAL
are laws that control behavior or conduct and are enforced through the fear of punishment or consequence, such as a fine, imprisonment, or both.
LEGAL RIGHTS/LEGAL
Systematic guides for developing ethical behavior. This represents an articulation of nine provisions for professional values and moral obligations with respect to nurse patient relationship
Ethical Codes
GIVE THE CODES OF ETHICS
- Service to others
- Integrity and Objectivity
- Professional Competence
- Solidarity and Teamwork
- Social and Civic Responsibility
- Global Competitiveness
- Equality of all professions
A statement of the rights to which patients are entitled as recipients of medical care were created and has been framed and posted in every health care facility
Patient’s Bill of Rights
derived from the Greek words auto (self) and nomos (law) and refers to the right to self-determination (Tong, 2007).
AUTONOMY
greek word “auto” means?
SELF
greek word “nomos” means?
LAW
was passed by Congress in 1991 (Ulrich, 1999), a clear example of the principle of autonomy enacted into law.
The Patient Self-Determination Act (PSDA)
This law requires that, every individual receiving health care must be informed in writing of the right under state law to make decisions about his or her health care.
The Patient Self-Determination Act (PSDA)
Is being completely truthful with patients; nurses must not withhold the whole truth from clients even when it may lead to patient distress
VERACITY
Vital aspects of patient education:
-COMPETENCE
-DISCLOSURE OF INFORMATION
-COMPREHENSION
-VOLUNTARINESS
Refers to personal information that is entrusted and protected as privileged information via a social contract, healthcare standard or code, or legal covenant.
CONFIDENTIALITY
Means “do no harm” and constitutes the ethical fabric of legal determinations encompassing negligence and/or malpractice.
NON-MALEFICENCE
defined as “conduct which falls below the standard established by law for the protection of others against unreasonable risk of harm”
NEGLIGENCE
defined as “doing good” for the benefit of others.
BENEFICENCE
speaks to the fairness and equal distribution of goods and services.
JUSTICE
essentially classified into two categories: direct costs and indirect costs
EXPENSES
expenses are essentially classified into two categories
direct costs and indirect costs
are tangible, predictable expenditures, a substantial portion of which include personnel salaries, employment benefits, and equipment.
DIRECT COSTS
direct cost may be ___ or ___?
fixed or variable
such as the salary of the nurse delivering a service or program, remain stable regardless of the volume (number of people) using that service or attending that program.
Fixed Costs
such as supplies, change with an increase or decrease in the volume of services or programs delivered.
Variable Costs
are those costs not directly related to the actual delivery of an educational program which includes rent, utilities, insurance and general expenses.
INDIRECT COSTS
When patient lengths of stay are shortened or fall within the allotted diagnostic-related group (DRG) time frames.
COST SAVINGS
Occurs when there is increased patient satisfaction with an institution as a result of the services it renders, including educational programs it provides such as childbirth classes, weight and stress reduction sessions, and cardiac fitness and rehabilitation programs.
COST BENEFIT
Results when either the patient or insurer pays a fee for educational services that are provided.
COST RECOVERY
an approach that enables clinicians to provide the highest quality of care in meeting the needs of their client or patients
EBP OR EVIDENCED BASED PRACTICE
a pioneer and considered as the father of EBP
Professor Archibald Cochrane
Florence Nightingale is a ___ for EBP in nursing.
trailblazer
process of making clinical decisions based upon evidence, combined with clinical experience and patients expectations.
EBP
aims of EBP
- to provide high quality nursing care
- to advance quality of care
- to increase patients’ satisfaction
- to focus on nursing practice away from habits and tradition to evidence & research
- it results in better pt outcomes
- contributes to science of nursing
- keeps practice current and relevant
- increases confidence in decision making
barries to EBP
- lack of value for research
- difficulty in bringing change
- lack of administrative support
- lack of knowledge
- lack of time
- nurses have not receive any formal instruction in research, lack skills to judge
steps in EBP
- assess
- ask
- acquire
- appraise
- apply
process of identifying a disease or condition
DIAGNOSIS
action or intervention that can potentially improve care or prevent diseases/conditions
THERAPY
referred to as harm/causation, cause of disease, condition or situation
ETIOLOGY
progression of treated disease
PROGNOSIS
PICO
- pt
- intervention
- comparison
- outcomes
act of practicing healthy habits on a daily basis to attain better physical, social and mental health outcomes
WELLNESS
Connecting with friends or loved ones is a great way to help improve your physical and mental health.
SOCIAL CONNECTEDNESS
Even 20 or 30 minutes of daily exercise can have a positive impact on your overall sense of well-being and help improve your mood.
EXERCISE
By adding wholesome ingredients to your plate, you’ll be taking steps towards becoming a healthier you.
NUTRITION
Consider your sleep hygiene.
SLEEP
practicing mindfulness is good for the body and mind, helps with focus and also changes the brain
MINDFULNESS
8 dimensions of well-being
- emotional
- physical
- financial
- environmental
- occupational
- intellectual
- social
- spiritual
encompasses the knowledge and skills to identify personal feelings and the ability to handle those emotions.
Emotional wellness
This dimension encompasses all areas of health that relate to physical aspects of the body including, nutrition, exercise, weight management, ergonomics, tobacco use, disease, disease prevention, and more.
Physical wellness
Encompasses all aspects of wellbeing pertaining to personal satisfaction in your job/career.
Occupational wellness
encompasses all aspects of wellbeing pertaining to social connections, relationships, and personal expression.
Social wellness
Encompasses all aspects of wellbeing pertaining to the search for purpose and meaning in life.
Spiritual Wellness
encompasses all aspects of wellbeing pertaining to brain health and growth via thought-provoking mental activities.
intellectual wellness
Encompasses all aspects of wellbeing pertaining to finances including knowledge and skills of financial planning and managing expenses
financial wellness
compensation for services provided by a third party, rather than the person receiving the services
Third party reimbursement
types of third party reimbursement
- PhilHealth
- Health Maintenance Organization (HMO)
- Health Insurance
- Financial assistance from private government organization (KaFuerte, DSWD, Ako Bicol)
a branch of engineering and computer science that involves the conception, design, manufacture and operation of robots
ROBOTICS
the simulation of human intelligence processes by machines, especially computer systems
AI/ARTIFICIAL INTELLIGENCE
Nurse’s Role as a Facilitator of Learning
- “content transmitter” to “process manager”
Qualities and Skills of a Facilitator:
- Communication - - Empathetic
- Conflict Management - - Self-awareness
- Sensitive - - - Questioning Skills
- Leadership - - Approachable
- Being able to negotiate - Guiding
Qualifications and Skills of Coordinator:
- Communication
- Interpersonal Skills
- Professionalism
- Knowledge and Expertise
A nurse provides ___ to patients in a variety of settings.
hands-on care
Role of an Advocate:
- Stands up for the pt
- Speaks up for the pt
- Helps ptdecide what course of treatment is best
- Ensure pt has the tools to make an informed decision
- Supports pt in their decision, giving them full or at least mutual responsibility in decision making if they capable of it
- Participates in the creation or revision of policy to enhance pt care.
When patients need medical care, they first go to ___
primary care doctors
focus on preventive healthcare like regular check-ups, disease screening tests, immunizations and health counseling.
Primary care doctors
Are licensed to practice medicine and are supervised by a doctor.
physician’s assistants
APN
Advanced Practice Nurses
Give patients medicines that are prescribed, or recommended, by a doctor.
pharmacist
Diagnose and treat problems with teeth and mouth, along with giving advice and administering care to help prevent future problems.
dentists
help providers diagnose and treat disease by analyzing body fluids and cells.
lab technician/laboratory technologist
help providers diagnose and treat disease by taking x-rays.
radiology technologist
radtechs are also called ___
radiographers
who work together in consultation with other healthcare professionals to provide nutritional care and education. they are skilled at assessing your nutritional requirements.
clinical nutrition services/ clinical dietitians
Assess, diagnose, and treat emotional health issues. They help people deal with illnesses, injuries, and personal crises in their lives.
psychologists
Help patients perform tasks needed for every-day living or working. They work with patients who have physical, mental or developmental disabilities.
occupational therapists
In a clinical or hospital setting help patients and families cope with emotional, physical and financial issues related to an illness.
social workers
Religion or spirituality can be important for people coping with illness.
spiritual leaders
Coordinate and facilitate patient care. They schedule appointments, answer phones, greet patients, keep medical records, handle medical billing, fill out insurance forms, arrange for laboratory or other diagnostic services, and handle financial records.
Administrative and clerical staff
may have administrative duties and work in reception areas or gift shops. have special training and may work closely patients under the supervision of a nurse or doctor.
volunteers
Is part of community health. It is more than the sum of personal health of individual. It is a unit of health care.
family health
is a course or programmed which is given to raising successful children, creating competent, confident parents, and building strong families and communities.
parenting education
health is thought to be a result of balance, while illness due to humoral pathology & stress is usually the result of some imbalance
concept of balance (timbang)
theories of illness
- mystical causes
- personalistic causes
- naturalistic causes
often attributed to experiences or behaviors such as ancestral retribution for unfinished tasks or obligations.
ex. bangungot
mystical causes
associated w/ social punishment or retribution from supernatural forces such as evil spirit, witch, or sorcerer.
ex. anting anting
personalistic causes
include host of factors ranging from natural forces to excessive stress, food and drug incompatibility, infection, or familial susceptibility
ex. thunder, lightning
naturalistic causes
consist of prevention and curing. it is a system oriented to moderation.
basic logic of health and illness
health promotion/treatment concepts
- flushing
- heating
- protection
body is thought to be a vessel or a container that collects and eliminates impurities through physiological processes such as sweating, vomiting, expelling gas or having appropriate volume of menstrual bleeding
flushing
adapts concept of balanced between “hot” and “cold” to prevent occurence of illness and disorders.
heating
safeguards the body’s boundaries from the outside influences such as supernatural & natural forces
protection
core value for every filipino community
interpersonal relationships