Test 1 section 1 Flashcards
nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. it included the promotion of health, the prevention of illness and the care of ill, disable, and dying people
the WHO and ICN definition of nursing
the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals, families, communities, and populations
ANA definition of nursing
a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity
definition of health WHO
is a state in which a persons physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired
illness
focuses on reducing and controlling risk factors for disease through activities such as occupational health programs
primary care
focuses on diagnosis and treatment of illnesses and are traditionally the most common service
secondary and tertiary
also called acute care
Settings of primary care
home
work
community settings
setting of secondary or tertiary care
hospitals
rural hospitals
intensive care units
psychiatric care
Serves patients recovering from an acute or chronic illness/disability
Helps individuals regain maximal function and enhance quality of life
restorative care
setting for restorative care
home care
rehabilitation
extended care
to restore patients to their fullest physical, mental, social, vocational, and economic potential
restorative care: rehabilitation
provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities
extended care facility
provides care for patients until they can return to their community or residential care location in
skilled nursing facility
offers a long-term care setting with a home environment and greater resident autonomy
assisted living
includes breathing, food, water, sex, sleep, homeostasis, excretion
physiological
security of: body, employment, resources, morality, the family, health, property
safety
includes friendship, family, sexual intimacy
love/belonging
self-esteem, confidence, achievement, respect of others, respect by others
esteem
morality, creativity, spontaneity, problem solving, lack of prejudice, acceptance of facts
self-actualization
the degree to which health services for individuals and populations increase the likelihood of desire health outcomes and are consistent with current professional knowledge
quality care
is the foundation of clinical decision making and included a lll significant actions taken by nurses in providing care to patients
nursing process
is the philosophical ideals of right and wrong that define the principles you will use to provide care to your patients
code of ethics
involves the initiation of independent nursing interventions without medical orders
autonomy
means that you are responsible, professionally and legally for the type and quality of nursing care provided
accountability
you help patients maintain and regain halt, manage disease and symptoms, and attain a maximal level function and independence through the healing process
caregiver
you protect the patients human and legal rights and provide assistance in asserting these rights if the need arise
advocate
you explain concepts and facts about health,describe the reason for routine care activities, demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and evaluate the patients progress in learning
educator
need to establish an environment for collaborativepatient-centered care to provide safe, quality care with positive patient outcomes
manager
is the most independently functioning nurse
advanced practice registered nurse
collaborative model promotes shared…
participation
responsibility
accountability
what are the five levels of care for which health care providers offer services
Disease prevention Health promotion Primary Secondary Tertiary Health care
requires collaboration amount health professional, health care leaders, and community members
primary health care
Fastest growing age group uninsured
between ages 19 and 34
more services are available on nursing units, thus minimizing the need to transfer and transport patents across multiple diagnostic and treatment areas
work redesign
revisions of medically related professional and paraprofessional services and equipment to patients and families in their homes for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliation, and rehabilitation
Home care
the service provides short-term relief or “time off” for persons providing home care to an ill, disabled, or frail older adult
respite care
factors effecting health care delivery
population demographics
Advances in technology, genetics
Economic changes
5 IOM core competencies
Provide patent-centered care Work in inter professional teams Employ evidence based practice Apply quality improvement Utilize informatics
a giving or exchanging information, signals, or messages in any way, as by talking, gestures, writing, etc
Communication
is a powerful form of communication that occurs within an individual
intrapersonal communication
is one-on-one interaction between a nurse and another person that often occurs face to face
interpersonal communication
is interaction that occurs within a persons spiritual domain
transpersonal communication
is interaction that occurs when a small number of persons meet
small-group communication
is interaction with an audience
public communication
motivates one person to communicate with another
referent
is the person who encodes and delivers the message
sender
is the person who receives and decodes the message
receiver
is the content of the communication
message
are means of conveying and receiving messages through visual, auditory, and tactile senses
channels
is the message the recover returns
feedback
are factors within both the sender and receiver that influence communication
interpersonal variables
is the setting for sender-reciever interaction
environment
uses spoken or written words
verbal communication
tone of voice dramatically affects meaning of a message
intonation
includes the five senses and everything that does not involve the spoken or written word
nonverbal communication
when words and actions do not match the inner experience of self and or are inappropriate to the context
incongruent responses
arises when ideas or beliefs are opposed
conflict
ill-defined tasks or duties
unclear expectations
therapeutic communication techniques
SOLER
Therapeutic communication technique S
sit facing patient
Therapeutic communication technique O
observe an open posture
Therapeutic communication technique L
lean toward patient
Therapeutic communication technique E
Establish and maintain intermittent eye contact
Therapeutic communication technique R
relax
SBAR
Situation
Background
Assessment
Recommendation
