Week 1 Flashcards
What is a health assessment?
Collection of subjective and objective data, and using the collected data to develop a database of the client’s health status.
Includes past and present health concerns, and coping mechanisms
What does health assessment encompass?
1) Health history
2) physical examination
3) documentation and analysis of data collected
Sources of health inequality in Indigenous peoples
1) Assimilation attempts and residential schools. Intergenerational trauma and mistrust in the mainstream medical system
2) geography and living on reserves - limitations in transportation and access to health care services
3) failure of western medicine to incorporate spiritual aspects of health when working with Indigenous clients
How do stereotypes and assumptions affect the care we give?
Stereotypes and assumptions are unprofessional and can lead to racialization and discrimination. Both of which decreases trust in the patient, and negatively impacts evaluation and treatment
Discrimination
Treating a group differently, often unfairly, due to differences in race, ethnicity, and culture
Racialization
construction of racial categories as “other” and “different”
What is relational practice
process of continually reflecting/examining how you view your clients and how you respond to your client on the basis of your assumptions, your cultural and social orientation, and your past experiences.
Involves:
1) Taking a “patient-centered approach”
2) Trying to understand the client and what is important to them
3) Coming up with a treatment plan WITH them, NOT FOR them
What is the nursing process and what are the phases?
The nursing process is a tool used by nurses to problem solve in a systematic way. It also enables nurses to provide individualized care. 5 phases: 1) Assessment 2) Nursing diagnosis 3) Planning 4) Implementation 5) Evaluation
What is the purpose of an assessment?
Assessment is about gathering info and establishing a database.
1) establish baseline info on client
2) determine the clients normal function
3) determine client’s risk for a diagnosis
4) determine the presence or absence of diagnosis function
5) determine the client’s strength
6) to provide data for the diagnostic phase
What is subjective data? Give an example.
self-reported, qualitative data
What is objective data? Give example.
Quantitative data, measurable. Can be directly or indirectly observed.
What is a nursing diagnosis?
A diagnosis is an identified problem. Note: nurses do NOT make medical diagnoses!
ID health problem risks and strengths
Formulate a diagnostic statement. Ex. Poor nutritional intake due to nausea and vomiting related to chemotherapy.
What does planning encompass?
1) collaboration with the pt
2) identifying nursing interventions
3) prioritize problems and diagnoses
What does implementation encompass?
1) re-assessing the pt
2) implement strategies/interventions
3) supervise the pt, monitor condition
4) document the interventions used and the condition of the pt
What does evaluation encompass?
1) collection of data related to the outcome
2) relating nursing interventions to the outcome
3) draw conclusions –> did the intervention work?
4) continue, adjust, or cease the intervention
