Module 1 - Welcome Flashcards

1
Q

What is Person - Centredness?

A

An approach to practice established through the formation and fostering of healthful relationships between all care providers, service users and others significant to them in their lives. Underpinned by values of respect for persons (personhood), self determination, mutual respect and understanding.

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2
Q

What are the concepts of a ‘person’?

A
  • Values I consider important
  • Expression of beliefs
  • How I engage emotionally in relationships
  • Dreams, hopes and desire for my life
  • The kind of life I want to live
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3
Q

List 4 challenges that a nurse might face when providing person-centred care.

A
  1. Treating people as individuals
  2. Respecting a person’s rights
  3. Building mutual trust and understanding
  4. Developing therapeutic relationships.
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4
Q

Patient centred care recognises that patients are…..

A

…people first and should not be defined by their disease.

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5
Q

What are the benefits of person-centred health system?

A
  1. Helps people make informed decisions about managing their own health and care.
  2. A person’s experience also takes into account their family members, care givers and providers.
  3. Acknowledges that a person lives with their disease 24/7 and not just the time that they are seeing the health care team.
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6
Q

What are the 3 desires outcomes of a truly person centred health system?

A
  1. Better overall experience with the health care system.
  2. Greater satisfaction with quality of care.
  3. Greater likelihood of better health outcomes.
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7
Q

Patient experience can be classified into 6 domains.

Name these domains.

A

1. Respect for patient’s preferences

2. Co-ordination and continuality of care. Did patient know the next step in care and who to ask if they had questions?

3. Emotional Support Did the patient receive info on relationship changes?

4. Physical comfort (Medication andSide effects).

5. Access to care Wait time for treatment

6. Information, Communication and Education Tests explained, etc.

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8
Q

TRUE or FALSE

Patient experience is defined as the sum of all interactions?

A

TRUE.

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9
Q

What are the 5 points of the Person Centred care Guideline?

These should be applied for every single patient.

A
  1. Knowing the patient as individual
  2. Understanding the essential care requirements.
  3. Tailoring healthcare to services to the individual
  4. Continuity of care
  5. Enabling patients to actively participate.
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10
Q

According to the ABS in a family, at least one person has to be over ___ years or age.

A

15

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11
Q

What is the role of the family unit?

A
  • Affection,
  • Security,
  • Acceptance,
  • Identity,
  • sense of worth ,
  • affiliation,
  • companionship,
  • socialisation.
  • Rules and boundaries.
  • A gatekeeper to wider society and culture.
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12
Q

What is upstreaming in terms of healthcare?

A

Making smarter decisions and investigating the cause of a problem rather than just treating the effects.

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13
Q

What is family-centred nursing?

A
  • Places the individual and the family unit at the centre of the care planning.
  • Process of consideration, promotion and maintenance of physical, mental, spiritual and social health for the family and each individual family member.
  • Aims to empower and develop self-care abilities of the family.
  • It recognises and prioritises personal preference of the individual or primary carer.
  • Largely an ‘upstream approach’ of health promotion and care.
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14
Q

FAMILY-CENTRED NURSING ASSESSMENT

What area/questions do we ask in terms of family when conducting nursing assessments?

A
  • Structure - Genogram
  • Characteristics
  • Dynamics - Relationships.
  • Socioeconomic status
  • Culture
  • Current Supports / Support Networks
  • Physical health
  • Preferences / Attitudes
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15
Q

Why do we perform assessments round the patient and their family?

A

1. Gain insight into the family’s world (Holistic view)

2. To aid in identifying an area of need or concern.

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16
Q

COMMUNICATION

What do you need to consider when performing your nursing assessments?

A
  1. Open body language
  2. Eye contact (if culturally appropriate)
  3. Non judgemental tone
  4. Open ended questions
  5. Consider environment (reduce excess noise)
  6. Conduct assessment in the persons own home if possible
  7. Time allocation
  8. Pateint privacy
17
Q

What is the Calgary Family Assessment Tool?

A

A comprehensive assessment tool that establishes a therapeutic conversation, listen to families and understand their needs.

Offers a frame work to help organise large amounts of data about a family. It looks at hree basic areas:

  • The structure of the family, including members of the immediate family, their gender, extended family relationships and outside factors
  • A developmental assessment that includes looking at what stage the family is at, such as childbearing years or retirement years, along with tasks associated with it
  • A functional assessment that examines the family’s ability to perform essential functions
18
Q

How does the Australia Bureau of Statistics define a family?

A

A group of two or more people that are related by blood, marriage (registered or de facto), adoption, step or fostering, and who usually live together in the same household. Including: newlyweds without children, heterosexual and homosexual partners, couples with dependants, single mums or dads with children, siblings living together, and many other variations.

19
Q

What is a asylum seeker?

A

An asylum seeker is an individual who is seeking international protection and their claim has not been evaluated.

20
Q

What is a refugee?

A

A refugee is a person who has fled their country of origin and is unable or unwilling to return because of a well-founded fear of being persecuted because of their race, religion, nationality, membership of a particular social group or political opinion.

21
Q

What is a migrant?

A

A migrant is someone who leaves his or her country of origin for financial, economic reasons or to re-unite with family.

22
Q

What is an ecomap?

A

The ecomap provides a picture of the family in their environment. It arranges information about significant aspects of the household members; social environment like their relationships, interests, and activities.

23
Q

What are the benefits of completing a ecomap?

A
  • The ecomap highlights resources to be activated and conflicts to be mediated. Therefore, the ecomap is a valuable tool for assessment and creating both a plan of action and the intervention process. 
  • The process of creating the ecomap can also provide insight into the family’s power structure, communication style, and roles. 
  • Used retrospectively, the ecomap can provide a visual representation of the changes the family has made
24
Q

What are some communication tips when working with culturally and linguistically diverse communities ?

A
  • Speak slowly and clearly
  • Use short and simple sentences
  • Maintain normal volume
  • Use different words to express the same idea
  • Prioritise and sequence your instructions
  • Avoid jargon
  • Respond to expressed emotions
25
Q

Name 4 routes of medical administration.

A
  • Oral (Covered in labs)
  • Sublingual
  • Buccal
  • Rectal (Covered in labs)
  • Vaginal (Covered in labs)
  • Topical (covered in labs)
  • Intravenous
  • Inhalation
  • Transdermal
26
Q

What are four types of medication orders?

A
  1. Stat Order - medication given immediately and only once.
  2. Standing Order - may or may not have a termination date (muti- vitamins)
  3. PRN order (covered in lab) - when the nurse or patient requires.
  4. Single Order - medication given once at a specific time (ie before surgery).
27
Q

What terms can pain be described in?

A
  • Location
  • Duration
  • Intensity
  • Aetilogy
28
Q

What does PQRST stand for?

A

P - Provoking factors

Q - Quality

R - Radiation/ Region

S - Severity

T - Time

29
Q

What are the five rights of medication administration?

A
  1. The right patient
  2. The right drug
  3. The right dose
  4. The right route
  5. The right time
30
Q

What are the essential requirements for a medication order?

A
  • Full name of the patient
  • Date and time the order was written
  • Name of the drug to be administered
  • Dosage of the drug
  • Frequency of administration
  • Route of administration
  • Name and signature of the person writing the order.