PRELIM: LAST Flashcards
PURPOSES OF USING NURSING PROCESS
Continuity of care
* Prevention of duplication
* Individualized care
* Standards of care
* Increased client participation
* Collaboration of care
CRITERIA OF SELECTING THE APPROPRIATE
METHOD OF NURSING CARE DELIVERY SYSTEM
- The skills and expertise of the staff
- The availability of registered professional nurses.
- The economic resources of the organization
- The acuity of the patient
- The complexity of the task to be completed.
PATIENT CLASSIFICATION SYSTEM CATEGORY
Category 1: Minimal Care/Self-Care
* Category 2: Moderate Care/Intermediate Care
* Category 3: Maximum/Total/Complete
* Category 4: Intensive/Critical/Highly Specialized
Patient are capable of carrying out all activities of daily
o CONVALESCING
o REQUIRES DIAGNOSTIC STUDIES
o LESS FREQUENT OBSERVATION AND DAILY
o CARE FOR MINOR CONDITION
o AWAITING ELECTIVE SURGERY
CATEGORY 1: MINIMAL CARE/SELF-CARE
Given to patient who are moderately ill
* Require nursing supervision or some assistance,
ambulating and caring for their own hygiene
CATEGORY 2: MODERATE CARE/INTERMEDIATE
CARE
Patient need close attention throughout shift
* MONITORING; BEDRIDDEN
* Patient requires nursing to initiate, supervise, and
perform MOST of their activities or who require
* FREQUENT and COMPLEX medication and treatment
CATEGORY 3: MAXIMUM/TOTAL/COMPLETE
ACUTELY ILL patients who have high level of NURSE
DEPENDENCY, including those requiring INTENSIVE
nursing care and are in CONSTANT DANGER OF DEATH
CATEGORY 4: INTENSIVE/CRITICAL/HIGHLY
SPECIALIZED
TOTAL PATIENT CARE
* ONE-to-ONE
* OLDEST METHOD
* CONSTANT CARE for a SPECIFIED PERIOD OF TIME
* MANY nurses & FEW patients
* Common to private duty nurses, ICU, educational purposes
CASE METHOD
TASK ORIENTED METHOD
* Based on DIVISION OF LABOR
* PARTICULAR NURSING FUNCTION
* MANY patient. FEW nurse
* NO NURSE is responsible for total care of any patient
* EFFICIENCY: accomplishment of most work in the shortest
amount of time
* Disadvantage: FRAGMENTED NURSING CARE
FUNCTIONAL NURSING
Goal achievement through GROUP ACTION
* DECENTRALIZATION
* PATIENT CENTERED CARE
* Feature: NURSING CARE CONFERENCE
TEAM NURSING
PRIMARY NURSING
RELATIONSHIP-BASED NURSING
* ASSURES COMPREHENSIVE & CONTINUITY OF
* DIRECT CARE
GEOGRAPHIC ASSIGNMENT OF PATIENT
* Modification of TEAM and PRIMARY NURSING
* Module: 5 - 6 rooms (10 - 20 patients ) side by side along a
hall: group of cubicles / room around the nurses station
DISTRICT NURSING OR MODULAR METHOD
this is central to
maintaining and improving quality of care.
Innovative/Contemporary Method
an integration of research evidence,
clinical expertise and a patient’s preferences
S EVIDENCE-BASED PRACTICE
11 CORE COMPETENCY AREAS FOR NURSING
PRACTICE ( KEY AREA RESPONSIBILITY)
Safe and Quality Nursing Care
2. Management of Resources and Environment
3. Health Education
4. Ethico-Moral Responsibility
5. Legal Responsibility
