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Advanced EVPC Yr2 > Nursing Process + Models > Flashcards

Nursing Process + Models Flashcards

1
Q

Identify the 5 stages of the Nursing Process

A
  1. Assess
  2. Nursing diagnosis
  3. Plan
  4. Implement
  5. Evaluate
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2
Q

What occurs in the Assessment stage of the Nursing Process?

A
  1. Ask Owner questions
  2. Gather subjective + objective data
  3. Ascertain normal habits + routine
  4. Interpret information gathered
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3
Q

What occurs in the Nursing diagnosis stage of the Nursing Process?

A

“Is a clincial judgement a nurse makes to identify client problems + their causes”

  • Determination made about the patient’s illnesss + therefore subsequent needs or problem that affects them
  • Created by clinical decision making based on the analysis of data
  • Includes possible causes of or factors related to identified need
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4
Q

What occurs in the Plan stage of the Nursing Process?

A
  • Plan nursing interventions
  • Set nursing goals + desired outcomes
  • Smart goals:
  • S - specific
  • M - measurable
  • A - achievable
  • R - reaslistic
  • T - time-bound
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5
Q

What occurs in the Implement stage of the Nursing Process?

A
  • Act on nursing interventions!
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6
Q

What occurs in the Evaluate stage of the Nursing Process?

A
  • How to measure the effectiveness of the nursing interventions used
  • Evaluate patient’s current status + condition
  • Reflect + assess on previous nursing interventions
  • Tailor nursing interventions further
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7
Q

List these in correct order.

  1. Intervention/Implementation
  2. Planning
  3. Assessment
  4. Evaluation
  5. Nursing diagnosis
A
  1. Assessment
  2. Nursing diagnosis
  3. Planning
  4. Intervention/Implementation
  5. Evaluation
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8
Q

What stage provides a holistic view of the physical, emotional, social + environmental factors?

A

The Nursing diagnosis

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9
Q

List the 3 types of nursing models

A
  1. Orpet + Jeffery Ability Model (2007)
  2. Roper, Logan + Tierany Model
  3. Orem’s Self-Care Theory
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10
Q

What nursing model assess the 10 abilities of the patient?

A

Orpet + Jeffery Ability Model 2007

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11
Q

List the 10 abilities

A

Ability to…
1. Eat adequate amounts
2. Drink adequate amounts
3. Urinate normally
4. Defecate normally
5. Breathe normally
6. Maintain body temperature
7. Groom self
8. Mobilise adequately
9. Sleep/rest
10. Express normal behaviour

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12
Q

What are the 4 advantages of Care bundles?

A
  1. Standardisation between patients
  2. Evidence of improved patient outcomes when bundles are used
  3. Promote efficient use of resources by utilising proven and effective interventions
  4. Can potentially limit fringe practices which may be unproven or dangerous (+ frequently expensive)
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13
Q

What are the 7 disadvantages of Care bundles?

A
  1. May not take into account individual patient
  2. May limit individual clinician’s autonomy + independence
  3. An unintended side effect of standardisation may be that it discourages excellent or exceptional clinical practice
  4. May be unduly influenced by external forces such as government or industry
  5. Some individual bundle elements may have limited evidence; and evidence may change with time
  6. Result in additional administrative burdern of staff
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14
Q

What are Care bundles?

A

A group of 3-5 evidence based interventions for a particularr situation/condition

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15
Q

What is the aim of a Care bundle?

A

To improve consistency + efficacy of care

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16
Q

What are Care bundles designed to provide?

A

Better patient outcomes, used together rather than interventions used individually

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17
Q

Explain the difference between the ‘Medical model’ + ‘Nursing model’

A
  • The medical model =

Is a diagnosis of a condition from clinical signs + tests, with treatment prescribed to rectify complaints

  • The nursing model =

Is the identification of patient need’s to assist in carrying out it’s normal daily activities

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18
Q

Describe 4 sources of information required to effectively asses a patient

A
  1. Owner providing information on normal activiites
  2. Nurse observations + Clinical examination
  3. Vet’s diagnosis + treatment plan
  4. Patient history + records
19
Q

What is the nursing diagnosis?

A

A nurse identifying the patient’s actual + potential needs

20
Q

What is a nursing model?

A

A system that can be used to provide a structure for assessing the patient + standardising the nursing care planned

21
Q

How does effective goal setting assist in devising a care plan?

A
  • Assists in identifying nursing priorities + long-term aims
  • Provides structure for evaluation
  • Aids in identifying most appropriate nursing intervention for a particular problem
22
Q

What 4 factors influence the timescale for evaluation of each nursing intervention?

A
  1. Severity of patient’s condition
  2. Age of patient
  3. Normal frequency of the acitivity
  4. Timescale of each goal/aim
23
Q

What 3 pieces of information may be required in order to effectively evaluate the efficacy of the nursing intervention?

A
  1. Goals set in the planning stage to identify if they are met
  2. Nursing observations + clincial examination
  3. Vet information
24
Q

How is the information from the evaluation used?

A
  • It identifies which nursing interventions have been successful + by how much
  • This is then used to decide whether to:
    1. Change the intervention
    1. Alter the frequency
    1. Adapt it
    1. Stop it completely
  • Therefore revising the care plan
25
Q

Again, what is the nursing diagnosis?

A

Identifying the actual + potential problems of the patient’s needs!

26
Q

What are these 2 examples of?
* ‘Imbalanced nutrition: less than body requirements’
* ‘Risk of deficient fluid volume’

A

Nursing diagnoses

27
Q

List 4 active failures of causes of error, when providing care to patients, by nurses in the VP

A
  1. Cognitive limitations - i.e; mistakes, lapses, slips, distractions, stress + bias
  2. Individual factors
  3. Lack of tehcnical ability
  4. Inadequate care
28
Q

List 6 system failures of causes of error, when providing care to patients, by nurses in the VP

A
  1. Communication
  2. Leadership
  3. Design of product or equipment
  4. Productivity
  5. Organizational failure - i.e; management, workflow, staffing
  6. Clients
29
Q

List 6 benefits of utilising patient Checklists

A
  1. Creates memory recall i.e; users are less likely to overlook simple steps
  2. Creates a culture of accountability
  3. Standardises care
  4. Reduces patient harm
  5. Improve consistency of care
  6. Helps avoid mdical errors
30
Q

List 6 benefits of utilising patient Care Bundles

A
  1. Maintains consistency in patient care
  2. Sets patient care standards
  3. Improves overall quality of the nursing care provided
  4. Establishes best clinical practices
  5. Improves clinical effectiveness
  6. Reduces morbidity + mortality by promoting all-inclusive approach to patient care
31
Q

What is this an example of?

A

A surgical saftey checklist

32
Q

What is this?

A

Kirby’s Rule of 20!

A checklist created that lists the patient’s 20 parameters that should be evaluated daily, in critically ill patients, to ensure gold standard care

33
Q

What is Kirby’s Rule of 20?

A

A checklist created that lists the patient’s 20 parameters that should be evaluated daily, in critically ill patients, to ensure gold standard care

34
Q

What is this?

A

The 5 key elements of the Suriving Sepsis Campaign, used in human + veterinary patients

35
Q

What is this?

A

A RCVS Peripheral venous catheter care bundle checklist

36
Q

What is this?

A

A Naso-oesophageal tube placement checklist

37
Q

Who first introduced the Nursing Process + when?

A

Yura + Walsh in 1967

38
Q

Who is NANDA?
+
What was their aim?

A
  1. North American Nurse Diagnosis Association
  2. To standardize nurse terminology
39
Q

What 4 aspects does NANDA catagorise the nursing diagnoses into?

A
  1. Problem-focused nursing diagnosis
  2. Risk
  3. Health promotion
  4. Syndrome
40
Q

List 5 examples of a Nursing diagnosis

A
  1. Acute pain
  2. Impaired gas exchange (i.e; Respiratory issues)
  3. Activity intolerance (i.e; Mobility issues)
  4. Impaired skin integrity (i.e.; Pressure sores)
  5. Anxiety/fear
41
Q

What type of ink should you use when writing care plans?

A

Permanent black ink

42
Q

What is meant by SMART goals?

A

Goals are;

  • S pecific (Be objective, outcome should be related to a number, %, fraction or frequency)
  • M easurable (Can a judgement be made using a numerical element?)
  • A chievable (Any contraindications?)
  • R ealistic (patient-specific, taken into account)
  • T ime-focused (include date + time to complete)
43
Q

What is an Integrated Care Pathway (ICP) ?

A

A document that stays with the patient throughout their care, as opposed to a care bundle, which is implemented for a specific care need

Advanced EVPC Yr2 (28 decks)

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