Medical Surgical Nursing Flashcards
1
Q
What is medical surgical nursing?
A
- provides nursing care in variety of inpatient and outpatient settings
- scope and standards of medical surgical nursing practice
2
Q
The nurse as coordinator of care transitions
A
- nurse navigator
- case manager
- certified nurse generalist or clinical nurse leader
- critical care nursing
-rehabilition nursing
3
Q
Rehabilitation goals in adults
A
- identify, reach, and maintain optimal physical, sensory, intellectual, psychological, and/or social functional levels
- focus on existing abilites to facilitate independence, self-determination, and social integration
- goal of rehabilitation nursing is to assist the patient to attain and maintain optimum health as defines by the patient
- maximize independence and prevent secondary disability as well as to promote a quality of life acceptable to the patient
4
Q
What are ADLs?
A
- bathing
-dressing
-transferring
-continent/ incontient care - meal prep/feeding
5
Q
Functional Capacity Assessment in adult patients
A
- ADL: self care activities that the patient must accomplish each day to meet personal needs including bathing, grooming, dressing, feeding, and toileting
- IADL: complex skills needed fo rindependent living, including meal prepartion, grocery shopping, household management, finances, and transportation
6
Q
Assessment of Functional Ability in adult patients
A
- functional independence measure (FIM)
-Alpha FIM
-Katz Index of Independence in acitivities of daily living
-barthel lndex
7
Q
Nursing Diagnosis
A
- imapried mobility
-activity intolerance - impaired wheelchair mobility
-self care deficit
-grief
8
Q
Goals in adult patients
A
- indivudalize goals to patient
- performing the following activities independently or with assistance
1. bathing/hygiene, dressing/grooming, feeding, and toileting - appropriate use of adaptive devices
- patient satisfaction with level of independence
9
Q
Interventions in adult patients
A
- fostering self care abilities
- recommending assitive, adaptive devices
-helping patients accept limitations
10
Q
Outcomes in adult patients
A
- demonstrates independent self care in bathing/hygiene or with assistance using adaptive devices as appropraite
-demonstrates indepenent self care in dressing/grooming or with assitance using adaptive devices as appropriate - demonstrates independent self care in feeding or with assitance using adaptive devices as appropriate
- demonstrates independent self care in toileting or with assitance using adapative and assitive devices as appropriate
11
Q
What are nursing strategies for teaching ADLs?
A
- demonstrate use of adaptive equipment for activities of daily living
- identify community resources for peer and family support
- demonstrate how to access transporation
