module 2 Flashcards
what are some safety tips for the home care nurse
- ensure the agency has an itinerary of your route and stops
- be organized
- have a full tank of gas and GPS
- call ahead to ensure the fam is aware you are on your way, provide and ETA
- be streetwise
- be aware of what to expect in the home
- if at any point you feel uncomfy, you can terminate the visit
how to prevent falls in the home
Make an appointment with your healthcare provider to review medications, previous falls, and health conditions. Keep moving, wear sensible shoes, remove home hazards like clutter, rugs, cords. Light up the rooms, use assistive devices
apply ADPIE to families
A: collect detailed health info about fams from observations, interactions, and inferences
D: analyze assessment data to identify patterns of behavior, constraint to health, potential risk, actual risk, and unhealthy routines within and outside fam relationship and their interactions
P: identify outcomes in collaboration with fam
I: work with fam to fulfill intervention and strategies in plan of care and education
E: with the fam systemically and continuously review the process and outcomes to plan for future steps to promote and maintain the health of the fam with internal and external services
what activities fall under the assessment
collect detailed health information about families from observations, interactions, and inferences
family shared values
- fams may have shared cultural values and communities in which they live may also have influence on them
- family values include beliefs, religious influences, social pressure, and the larger society
- often times fam values become so rooted they are hard to change
family roles
- roles can differ
- consider caregiver role strain
family distributions
who is head of household? is there one?
what are the principles of effective client communication?
- take advantage of educational technology
- determine the patient’s learning style
- stimulate the patient’s interest
- consider the patient’s limitations and strengths
- include family members in health care management
define the stages of change
pre-contemplation: no intention of changing behavior
contemplation: aware problem exists but with no commitment to action
preparation: intent on taking action to address the problem
action: active modification of behavior
maintenance: sustained change, new behavior replaces old
relapse: fall back to old patterns of behavior
upward spiral: learn from each relapse
hospice
end of life care
quality of life over cure
begins after treatment of disease has stopped and its clear they arent gonna make it
palliative care
for terminally ill as well as patients with chronic medical conditions to promote quality of life and relieve suffering
can begin at diagnosis at the same time as treatment
primary prevention
implemented before there is evidence of a disease or injury
reduce or eliminate causative risk factors
ex. encourage exercise and healthy eating to prevent individuals from becoming overweight
secondary prevention
implemented after a disease has begun, but before it is symptomatic
early identification, screening, and treatment
ex. check BMI at every well-check to identify individuals who are overweight or obese
tertiary prevention
implemented after a disease or injury is established
stop bad things from getting worse
