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nurs5082 devep mursing practice > Tut 1 communication W2 > Flashcards

Tut 1 communication W2 Flashcards

1
Q

what is the goal of communication

A
  • Exchange of health-related information
  • Promotion of a therapeutic relationship
  • Development of collaboration with other health professional
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2
Q

what is the process of communication

A
  • Non-verbal
  • Structured – eg health education
  • Unstructured – being present
  • Documentation
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3
Q

ISBAR method for written communication

A
  • Identification – who am I, which patient am I talking about
  • Situation – what is the key information
  • Background – what is the pertinent information relevant to this patient
  • Assessment – what are my findings from my assessment
  • Recommendation – what do I recommend should happen now
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4
Q

what is the purpose of documentation

A
  • To create a medical record (permanent, legal document)
  • Purpose of record
  • Communication
  • Record patient assessment and progress
  • Legal defence
  • Financial reimbursement
  • Education, Research, Audit
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5
Q

what do you need to document?

A

• Vital signs
• Any occurrences, particularly deterioration and
improvements
• When we call for the patient to be reviewed
• When a patient is transferred to the care of another health professional

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6
Q

how to document

A

• Continuation paper:
• Ongoing patient state, entries each shift. Start each entry
with heading: ‘Nursing’
• Write clearly in black or blue
• Always sign and date
• ‘If it is not documented then it was not done’
• Observation charts: vital signs, fluid balance, pre-op charts, pain charts, stool charts

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7
Q

Epi-

A

on; upon; over

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8
Q

Eso-

A

inward

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9
Q

Eu-

A

normal, good

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10
Q

Ex-

A

outside, outward

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11
Q

Exo-

A

outside;outward

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12
Q

Extra-

A

outside of; beyond

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13
Q

Hemi-

A

half

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14
Q

Hyper

A

above;excessive

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15
Q

hypo-

A

below;incomplete;deficient

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16
Q

-itis

A

inflammation of a specified organ

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17
Q

-ectomy

A

surgical removal of something specified

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18
Q

-otomy

A

to make an incision or cut into

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19
Q

-gram

A

record; x-ray film

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20
Q
  • graph
A

instrument used to record

21
Q

-graphy

A

process of recording; xray filming

22
Q

aden/o

A

gland

23
Q

amni/o

A

aminion (sac of fluid surrounding the embryo)

24
Q

angi/o

A

vessel

25
Q

arteri/o

A

artery

26
Q

arthr/o

A

joint

27
Q

ather/o

A

plaque (a yellow, fatty material)

28
Q

axill/o

A

armpit

29
Q

bronch/o

A

bronchial tube

30
Q

carcin/o

A

cancerous

31
Q

cardi/o

A

heart

32
Q

chem/o

A

drug or chemical

33
Q

cholecyst/o

A

gallbladder Colostomy

34
Q

chron/o

A

time

35
Q

col/o

A

colon (large intestine or bowel)

36
Q

crani/o

A

skull

37
Q

cry/o

A

cold

38
Q

cyst/o

A

urinary bladder, also a sac of fluid

39
Q

encephal/o

A

brain

40
Q

ophag/o

A

esophagus

41
Q

haem/o

A

blood

42
Q

haemat/o

A

blood

43
Q

hepat/o

A

liver

44
Q

hyster/o

A

uterus

45
Q

inguin/o

A

groin (area where the thigh meets the trunk)

46
Q

laryng/o

A

voice box

47
Q

leuk/o

A

white

48
Q

mamm/o

A

breast

nurs5082 devep mursing practice (8 decks)

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