Section 1 -- Nursing Shit Flashcards
Nursing foot care is an important component of?
Total nursing care
*Nursing foot care is an important component of total nursing care, which includes???
Health promotion and prevention, client teaching, promoting safety and comfort.
To promote optimal health, the nurse will?
Apply the principles of the nursing process when assessing, planning, implementing and evaluating the client’s foot health care needs
The nurse collaborates with the client to? (2)
Develop a plan of care
Encourage the client to assume responsibility for his/her own health
Nursing foot care includes?
Routine management of the nails and skin to prevent foot problem
Assessment of gait and footwear
Treatment of foot and leg pathology in accordance with the directions of the physician, podiatrist or nurse practitioner
Spot lower extremity pathology
Nursing foot care does not include?
The use of bindings, strappings, or use of scalpel/credo-plane. Foot care is a non-invasive procedure.
Roles and Responsibilities of foot care nurse
– Know
• Normal A and P of the foot
• Normal/abnormal findings of skin, nail, foot structure
• Own scope of practice/when to refer (EARLY)
• Who to refer to (roles of other healthcare practitioners)
• What legislation/policies are relevent to the practice setting
– Client care
• Hygienic Tx of potential/actual problems
• Educate with info. specific to individual and general do/do not’s of foot care
• Demonstrate staying current/competent with CE
• Demonstrate application of EB practices
• Advocate when problems arise (infx, ulcer, DM, edema, PVD, shitty shoes)
• Respect rights/concerns
Professional regulatory bodies establish nursing standards of practice. The purpose of standards is to:
Assist the profession to evaluate the quality of practice in any practice setting
Provide a basis whereby the quality of health services and nursing foot care provided is measured and evaluated
Establish a minimum acceptable level of performance
Assist the employer and the public to understand the basic expectations of foot care nurses
What is a standard?
The desired and achievable minimum level of performance to which actual practice is compared.
Standards identify?
The quality of practice required
Where are standards applicable?
Any practice setting
Who do standards apply to?
both the novice and experienced nurse
1.4. Outline the nursing foot care standards in professional practise
According to CLPNM’s Certified Foot Care Nurses Interest Group Standards of Practice (2007), the foot care nurse must uphold six standards as follows:
Standard I - Knowledge
Bases foot care practice on knowledge acquired from nursing science and best practice.
Standard II - Application of Knowledge, Skills and Judgment
Assesses the clients’ actual or potential strengths and limitations and plans interventions and evaluates outcomes.
Standard III - Professional Service in the Public Interest
Provides nursing foot care service and collaborates with others in providing foot health care, while respecting individual beliefs.
Standard IV - Ethical Practice
Understands, promotes and adheres to the ethical standards of the nursing profession.
Standard V – Self-Regulation
Maintains current knowledge related to nursing foot care.
Standard VI – Continuing Competence
Assumes responsibility for attaining and maintaining competence relevant to own nursing foot care practice.
1.3. Model the professional, legal and ethical responsibilities relater to foot care nursing
Professional
> Canadian Registered Psychiatric Nurses of Manitoba
> Infection Control Guidelines from Health Canada (hand washing and foot care guidelines)
> Diabetes Canada Clinical Practice Guidelines
> Manitoba Association of Foot Care Nurses
Legal
> Government of MB, including Personal Health Information Act
> The Workplace and Hazardous Material Information System (WHMIS)
Nursing foot care is based on the following general principles, where the nurse providing foot care:
Refers to the appropriate professional when a condition presents that is beyond his/her scope of practice
Is accountable for his/her own actions
Practices within the policies and procedures of the employing agency
Practices within the Standards of Practice established by his/her regulatory body
Promotes self-care, wellness and prevention of illness to the client
Performs basic foot care on clean dry feet because:
o it is easier to identify viable and non-viable tissue
o it is easier to reduce corns and calluses and
o it is easier to remove debris that has collected under the nails
Holds an active registration with his/her regulatory body
Ensures the safety of the client and of him/herself during all procedures
Works directly with the client as one component of total nursing care
1.5. Analyze evidence-based nursing practise in foot care
– Evidence based practice (EBP) refers to? (3)
The combination of
clinical knowledge,
current, relevant and accurate research findings
as well as client participation in the decision-making process about the client’s plan of care.
1.5. Analyze evidence-based nursing practise in foot care
– Evidence based practice (EBP) supports?
- Critical thinking leading to
- Accurate decision making based on facts, not opinions/past experiences
- Answering questions with research-supported answers
1.5. Analyze evidence-based nursing practise in foot care
– Evidence based practice (EBP) involves?
- Constructing a relevant question
- a thorough literature search to find current evidence related to the question
- a critical assessment of the evidence for its validity
- applying the findings to nursing foot care practice
- evaluating the outcomes
How often is basic foot care is recommended?
What must be assessed?
Q.6-8.Weeks
The need for more frequent foot care for the diabetic or high-risk client
Health professional =
Foot Care Nurse (RN, RPN, LPN)
Area of expertise?
Nail care, callus/corn reduction, wound care, client education, coordination of client care, footwear assessment.
Health professional =
Family physician
Area of expertise?
Diagnose, treats common pathologies, refers client to a foot care nurse and/or other health care team members.
Health professional =
Podiatrist/chiropodist
Area of expertise?
Uses medical, physical or surgical methods to prevent, diagnose and treat ailments, diseases, deformities and injuries of the foot.
Does not include treatment of systemic disease, except for the local manifestations in the foot.
Health professional =
Pedorthist
Area of expertise?
Designs, manufactures, modifies and fits shoes and related foot appliances as prescribed for the amelioration of painful or disabling conditions of the foot and leg.
Health professional =
Orthopedic Surgeon
Area of expertise?
Performs surgery to correct structural problems.
Health professional =
Orthotist
Area of expertise?
Designs, fabricates and fits orthoses (braces, splints) intended to prevent or correct deformities, protect a painful part of the body, improve the function of a weakened extremity, including custom foot orthotics.
Health professional =
Vascular Surgeon
Area of expertise?
Performs diagnostic tests and treats impaired circulation (arterial or venous).
Health professional =
Infectious Disease Specialist
Area of expertise?
Diagnose and treat complex, high-risk ulcers and infections.
Health professional =
Dermatologist
Area of expertise?
Diagnose and treat skin pathology and the related systemic diseases.
Health professional =
Kinesthiologist/Physiotherapist
Area of expertise?
Gait analysis
Gait analysis
Kinesthiologist/Physiotherapist
Diagnose and treat skin pathology and the related systemic diseases.
Dermatologist
Diagnose and treat complex, high-risk ulcers and infections.
Infectious Disease Specialist
Performs diagnostic tests and treats impaired circulation (arterial or venous).
Vascular surgeon
Designs, fabricates and fits orthoses (braces, splints) intended to prevent or correct deformities, protect a painful part of the body, improve the function of a weakened extremity, including custom foot orthotics.
Orthotist
Performs surgery to correct structural problems.
Orthopedic surgeon
Designs, manufactures, modifies and fits shoes and related foot appliances as prescribed for the amelioration of painful or disabling conditions of the foot and leg.
Pedorthist
Uses medical, physical or surgical methods to prevent, diagnose and treat ailments, diseases, deformities and injuries of the foot.
Does not include treatment of systemic disease, except for the local manifestations in the foot.
Podiatrist/chiropodist
Diagnose, treats common pathologies, refers client to a foot care nurse and/or other health care team members.
Family physician
Nail care, callus/corn reduction, wound care, client education, coordination of client care, footwear assessment.
Foot care nurse (RPN, RN, LPN)
1.7. Examine occupational health and safety concerns in foot care
Nurses practicing foot care encounter occupational hazards. Being aware of these factors allows the practitioner to?
take the necessary precautions to minimize the health risks
Nurses practicing foot care encounter occupational hazards. Being aware of these factors allows the practitioner to take the necessary precautions to minimize the health risks including:
inhaling nail dust
eyes
musculoskeletal injuries
personal safety
Nursing foot care includes? (mnemonic)
RATS
Roles and Responsibilities of foot care nurse
mnemonic
Knnoww
Cheddar
Professional regulatory bodies establish nursing standards of practice. The purpose of standards is to:
(mnemonic)
A PEA
1.4. Outline the nursing foot care standards in professional practise
According to CLPNM’s Certified Foot Care Nurses Interest Group Standards of Practice (2007), the foot care nurse must uphold six standards as follows:
(mnemonic)
KAPES CC
Nursing foot care is based on the following general principles, where the nurse providing foot care:
(mnemonic)
RIPPP PHEW
