Escolar Documentos
Profissional Documentos
Cultura Documentos
MEET THE 1) BILOGIC 2) PSYCHOSOCIAL 3) CULTURAL 4) SPIRITUAL NEEDS OF THE ADULT PT IN A MUTUALLY 1) TRUSTING 2) RESPECTFUL 3) CARING RELATIONSHIP (THESE BASIC NEEDS ARE REFERRED TO AS CONCEPTS)
NIGHTINGALE 1946
Henderson, 1966
Assisting the client in the performance of activities contributing to wellness or recovery with the optimal goal being independence
The provision, at various levels of preparation, of services essential to or helpful in the promotion, maintenance, and restoration of health and wellbeing or in prevention of illness
ANA, 2003
Diagnosis and treatment of human responses to actual and potential health problems
NURSING FOCUS
Self-care Physiologic processes Comfort Emotional Understanding of health & illness Decision making Perceptual orientation Transitions across the lifespan Relationships
Team Nursing Groups LTC (Long term care) Primary Nursing Acute Care Settings Managed Care Community Settings
Maslows Hierarchy
Self-actualization Esteem & self-respect Belongingness & affection Safety & security Physiologic needs
Health
State of complete physical, mental, and social well-being not merely the absence of disease and infirmity (WHO, 2006).
Wellness
Population : Aging population & increase in chronic conditions. Culture: More diverse; includes ethnicity & economic shifts. Disease: Increase in communicable disease such as TB, AIDS, STDs (Smelter et al., 2010).
Technology: Advances in IS, diagnostics, & genetics. Payor Sources: Managed Care (HMO, PPO), Medicare, Medicaid. Best Practices: CMS & JCAHO influence treatment and reimbursement.
Nursing Roles
Critical Thinking
Thinking Like a Nurse: Abstract Concept Metacognition Outcome-oriented Developed over time
Ethics in Nursing
Ethical Issues
Nursing Process
Assessment
Evaluation
Diagnosis
Implementation
Planning
Nursing Diagnosis NANDA PES format Goal Statement Clients perspective SMART criteria NOC (www.nursing.uiowa.edu/noc) Interventions EPB NIC (www.nursing.uiowa.edu/cnc) Collaborative
SMART Criteria:
The public has a right to know about important health information Nurses have a duty to educate and collaborate with others to encourage optimal compliance with health regime Outcomes rely heavily on the clients readiness to learn and apply knowledge
One-on-One Group Learning Style Teaching Aids Barriers Reinforcement (Smeltzer et al, 2010)
Learning Styles
VisualAuralRead/writeKinesthetic-
Health Promotion
Transtheoretical Model of Change
Assessment
Inspect
Palpate
Percuss
Auscultate
Nutritional