Module 1 to 9 Flashcards
Swansons theroy of care (5 parts)
being with, knowing, maintaining belief, doing for, enabling
Swanson theory - knowing
trying to understand an event w/o making assumptions
Swansons theory- being with
being present emotionally, sharing feelings and displaying ability
Swanson- enabling
Giving the patient the information and support to preserve their dignity and independence
Swanson - doing for
doing for others. displayed in actions
swanson-maintaining belief
maintain hope, holding person in esteem and validating them. providing feedback
Roaches 5 C’s of caring
compassion, comittment, conscience, competence, confidence
Nursing practice that convey caring
be present, touch, active litsening. knowing the patient,spritual care. family care
Preinteraction
review files. having conversation with staff, anticpate health concerns/issues, ensure time is set and envrionment is comfortable and private
Phases of helping relationships
preinteraction, orientation, working, termination
orientation
assess health status, gather data, clarify goals and priortize problems, let patient know time of termination
working phase
help the patient explore feelings, provide info, encourage patient to be expressive. take actions to meet goals. use therapeutic communication, and apprpopriate self-disclosure.
termination
let patient know realtionship is terminating, evalate goals and achievments. reminsce about realtion
how do nurses communicate professional helping relationships?
use of name, trustworthiness, responsiblity, assertiveness, courtesy
What is SOLER
Sit- facing patient O- open posture L- lean towards patient E- establish and maintain eye contact R-relax
Theraputic communication approaches
Focusing, SOLER, sharing observations, share empathy, self-disclosure, share hope, share feelings, ask relevant questions, use touch, silence,
Non-therapeutic communication
approval/disapproval, sympathy, false reassurance, giving personal opinions, changing subject, defensive
WHO definition of health promotion
process of enabling people to increase their control over and improve their own health
Primary prevention
prevent or reduce risk of disease from occuring
Tertiary prevention
focus on reducing loss of function and minimze diability
secondary prevention
early detection of disease
list essential ingredients of collaborative partnerships
share power, nonjudgementa and accepting, open and respectful, living with ambiguity, being selfaware and reflect
list each phase of spiralling model of collaborative partbership
expoloring, zeroing in, working out, reviewing
list critical thinking skills
interpretation, analysis, inference, explanation, self-regulation
Critical thinking competencies
scientific method, problem solving, decision making, diagnostic reasoning , clincical decision making
5 steps of scientific method
- identify problem 2. collect data 3. form a research question/hypothesis 4. test the question/hypothesis 5. evaluation of results
Subjective Data Collection
what patient tells you
Objective data
observation/measurement of client health status
Intellectual standards
guideline for rational thoughts, precision, accuracy, and consistancey
professional standards
ethical criteria for nursing judgments. evidence-informed criteria for evaluation and criteria for professional responsibility
what sources does the nurse use in collecting assessment data
client, family/SO, health care team, medical records, literature, nurse experience
List basic techniques of physical assessment
inspection (least invasive) ausculation, percussion, palpation
Describe working phase data collection
gather info about patients health status, stay focused, orderly and don’t rush.
Describe orienation phase of data collection
introduce yourself, describe position, explain purpose of collecting data. assure confidentiality
Describe interview phase data collection
introduce yourself. establish theraputic caring realtion. obrain insight on concerns, determine client goals and expectations. obtain cues about parts of data collection
Chain of infection
infection agent, reservior, port of exit, mode of transmission, portal of entry, susceptible host
components of a general survey
phyisical apperance, behaviour, mobility, mental status
vital signs
temp, pulse, BP, o2 saturation, resp rate, and pain
normal body temp for adult
36-38
what factors affect body temp
age, hormonal levls, stress, exercies, ciradian rhythm, and environment
list 6 sites that can be used for measuring body temp
temporal, tympanic, oral, rectal, axilla, skin
list 10 pulse sites and the 2 most common
temporal, carotid, brachial, apical, radila, femoral, popliteal, posterior tibial, dorsali pedis, facial,
2 most common- radial and brachial
resp rate adult
12-20 BMP
what is normal arterial oxygen saturation range?
95-100%
normal adult BP and nomral upper
120/80
139/89
normal pulse for adults
60-100
systolic BP
upper # peak pressure within arteries when the ventricles contract
Diastolic BP
lower # pressure when arteries relax
pulse pressure
30-50
reducing heat loss with convection
moving air (fan)
reducing heat loss with radiation
lay in fetal position, increase temp, cover w/ dark closely woven clothes
reducing heat loss with conduction
several layers of clothing. applying materials warmer than skin temp
heat loss increased through conduction
cold cloth to skin
heat loss increase through evaporation
increased sweating
health loss increase through radiation
remove clothes/blankets
