Week 1 Notes

Week 1 Notes - "A man goes to knowledge as he goes...

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Unformatted text preview: "A man goes to knowledge as he goes to war: wideawake, with fear, with respect, and with absolute assurance. Going to knowledge or going to war in any other manner is a mistake, and whoever makes it might never live to regret it." ~ Carlos Castaneda 20th century mystic and Toltec warrior Physical Intellectual Spiritual Social Emotional Physical Intellectual Spiritual Social Emotional Physical Intellectual Spiritual Social Emotional Physical Intellectual Spiritual Social Emotional Physical Intellectual Spiritual Social Emotional "...Fear is the mindkiller. Fear is the littledeath that brings total obliteration. I will face my fear. I will permit it pass over me and through me. And when it has gone past, I will turn the inner eye to see its path. Where the fear has gone there will be nothing. Only I will remain." Frank Herbert Science Fiction Author of "Dune The Promotion of Health and Wellness We are only on the threshold of nursing. In the future, which I shall not see, for I am old, may a better way be opened! May the methods by which every infant, every human being, will have the best chance of healththe methods by which every sick person will have the best chance of recovery, be learned and practiced! Florence Nightingale, 1893 The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The nurse's primary commitment is to the patient, whether an individual, family, group, or community. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. American Nurses Association, Code of Ethics for Nurses with Interpretive Statements, Silver Spring, MD: American Nurses Publishing, 2001 Health and Wellness Health: soundness of body and mind; a state of vigor and vitality that permits one to function effectively physically, psychologically, and socially. characterized by active efforts to maximize one's physical health and wellbeing Wellness: A state of optimum health, Self Awareness Know yourself! Values that contribute to health Interpersonal communication Cultural diversity Health Assessment Data collection Critical evaluation of the data collected Identify areas of strength Identify areas of weakness Health Assessment Knowledge is the key to health promotion and risk reduction Evidence based evaluation Text Lecture notes Journal articles Enhancing Your Health Assess Evaluate Identify a need Measurable goal Ways to meet your goal Evaluating goal achievement Health Promotion & Risk Reduction A critical thinking process Nursing Process Systematic, rational method of planning and providing individualized nursing care to patients Provides a framework for problemsolving defines the nurses' role method of communication Nursing Process: Characteristics Systematic and dynamic Clientcentered, interpersonal, outcome oriented Universally applicable to any client, setting or illness Parallel but separate from medical model focus on client's response Nursing Process: Steps ANA Standards of Care Assess Diagnose Outcome Identification and Plan Implement Evaluate Critical Thinking Systematic Paraphased Contextual Uses 4 blended skills: cognitive technical interpersonal ethical/logical Critical Thinking and Nurses: To Think or Not to Think? Synthesizing knowledge Rapidly changes/stressful environment Significant consequences to actions Method for problem solving rational reflective autonomous nonbiased Assessment Characteristics of Data Subjective vs Objective Complete Factual, accurate and relevant Validate discrepant data Baseline for comparison Significant findings Nursing Diagnosis Actual or potential health problem Can be prevented of resolved by independent nursing intervention Reflects client (or family) response to health Basis for Individualized client care Nursing Diagnosis cont. Four types of diagnosis: actual possible high risk wellness Outcome Identification and Planning Prioritize Urgency Client priorities Medical Treatment Resources Outcome Identification and Planning cont. Establish individualized and measurable goals subject verb conditions for action criterion Appropriate Goal Statements Client will ambulate 50 feet with assistance of one person by noon today Client will demonstrate injection of insulin using correct technique by 6/5 Inappropriate Goal Statements Client will eat well today Client will learn about his diet Nurse will teach client about diabetes Planning Nursing Interventions Consistent with standards of care and current evidence Realistic Compatible with other interventions NIC: Standard language RN or MD initiated, collaborative Nursing Care Plan Nursing Dx Expected outcomes/Goals Interventions Evaluations Nursing Care Plan Guides efforts of the nursing team Individualized entirely Standardized (ie: clinical pathways, algorithms) with individualization as needed handwritten, typed or computerized Implementation: Nursing Interventions Based on scientific rationale Client Safety Client participation and self care Help meet identified goals Independent, dependent, collaborative Evaluation Reassessment Resolved or further action Data is used to revise plan Nonadherence Nurse's role performance Ongoing Evaluation Documentation goal met goal partially met goal not met evidence for decision Evaluation Specific to client expected goals Nursing standards ANA JCAHO ...
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