Good and accurate knowledge about body systems that play a part in chronic disease of patients
Incorporate AP, Micro, sciences into the way we understand and treat our patients disorders
communication skills - how we communicate with our patients (and their families), direct line of care. Talking clearly with instructors, communicating with primary nurse, LNA's, UAP's, NP's, DR's and other providers and specialities involved in patients care. (i.e. discharge plans)
Clinical reasoning skills
Awareness of patients situation - what is the patients current situation and anticipating what is to come next and preparing for that next scenario
Ability to prioritize - who do you see first? who is your priority? critical things to highlight and the problem that sticks out is what should be getting your attention
Incorporate AP, Micro, sciences into the way we understand and treat our patients disorders
communication skills - how we communicate with our patients (and their families), direct line of care. Talking clearly with instructors, communicating with primary nurse, LNA's, UAP's, NP's, DR's and other providers and specialities involved in patients care. (i.e. discharge plans)
Clinical reasoning skills
Awareness of patients situation - what is the patients current situation and anticipating what is to come next and preparing for that next scenario
Ability to prioritize - who do you see first? who is your priority? critical things to highlight and the problem that sticks out is what should be getting your attention
Aging Population - Betters meds, Better TX's and procedures to keep people alive longer.
Making sure we know how to care for them and knowledge about the aging process (i.e. can they function and live independently or not)
Chronic Illnesses - insurance coverage and what people/how people are able to seek healthcare due to the disease they have.
Changing customer desires/expectations- people know what they want and the kind of care they are expecting to get. What is expected for the patient to be taught and what is happening with them.
Rapidly expanding technology - how medical tech field is expanding and improving the healthcare of people and reducing healthcare costs.
Triple Aim - Reducing the cost of healthcare and being cognizant of the items/procedures provided to patients (Improve patient care experience, improve health of populations and reduce per capita costs of healthcare)
QSEN - Quality and Safety Education for Nurses
Making sure we know how to care for them and knowledge about the aging process (i.e. can they function and live independently or not)
Chronic Illnesses - insurance coverage and what people/how people are able to seek healthcare due to the disease they have.
Changing customer desires/expectations- people know what they want and the kind of care they are expecting to get. What is expected for the patient to be taught and what is happening with them.
Rapidly expanding technology - how medical tech field is expanding and improving the healthcare of people and reducing healthcare costs.
Triple Aim - Reducing the cost of healthcare and being cognizant of the items/procedures provided to patients (Improve patient care experience, improve health of populations and reduce per capita costs of healthcare)
QSEN - Quality and Safety Education for Nurses
Patient-Centered Care - RN recognizes the patient is the source of control in the nurse-patient relationship and provides compassionate and coordinated care based on respect for the patients preferences, values, culture and needs.
Teamwork and Collaboration - RN functions within nursing teams and inter-professional teams with open communication and mutual respect in sharing decision making to achieve quality patient care.
Evidence-Based Practice - (EBP) - RN integrates current best evidence with clinical expertise to deliver optimal healthcare that is based on patient and family preferences.
Quality Improvement - RN uses data to monitor the outcomes of care and continuously designs and tests new changes to improve quality and safety of healthcare system effectiveness.
Safety - RN minimizes risk of harm to patients, providers, and inter-professional team through individual performance and by optimizing system effectiveness.
Informatics - RN uses information and technology to improve communication, manage knowledge, mitigate errors, and support decision making to achieve quality patient care.
Teamwork and Collaboration - RN functions within nursing teams and inter-professional teams with open communication and mutual respect in sharing decision making to achieve quality patient care.
Evidence-Based Practice - (EBP) - RN integrates current best evidence with clinical expertise to deliver optimal healthcare that is based on patient and family preferences.
Quality Improvement - RN uses data to monitor the outcomes of care and continuously designs and tests new changes to improve quality and safety of healthcare system effectiveness.
Safety - RN minimizes risk of harm to patients, providers, and inter-professional team through individual performance and by optimizing system effectiveness.
Informatics - RN uses information and technology to improve communication, manage knowledge, mitigate errors, and support decision making to achieve quality patient care.
What is going on with my patient?
Formulating thoughts about their care.
How do you gather information? How do you research information? Where are you finding the pertinent information?
Critical thinking, deductive reasoning, inductive reasoning, dialectic reasoning, reflective thinking, systematic thinking, creative thinking.
Formulating thoughts about their care.
How do you gather information? How do you research information? Where are you finding the pertinent information?
Critical thinking, deductive reasoning, inductive reasoning, dialectic reasoning, reflective thinking, systematic thinking, creative thinking.
The purpose of the diagnosing step is:
Identify how an individual, group, or community responds to actual or potential health and life processes.
Identify factors that contribute to, or cause, health problems (etiologies).
Identify resources or strengths on which the individual, group, or community can draw to prevent or resolve problems.
Potential or Risk Diagnosis (Potential for... Risk for ... )
Patients actual diagnosis (not medical terms)
Identify how an individual, group, or community responds to actual or potential health and life processes.
Identify factors that contribute to, or cause, health problems (etiologies).
Identify resources or strengths on which the individual, group, or community can draw to prevent or resolve problems.
Potential or Risk Diagnosis (Potential for... Risk for ... )
Patients actual diagnosis (not medical terms)
Making a plan for your patient and making interventions using EBP guidelines
Establish priorities based on meeting identified patient care goals
Develop outcomes and set time frames for meeting proposed outcomes
Identify relevant interventions and utilize
interdisciplinary health care team members in the care planning process for the patient
Establish priorities based on meeting identified patient care goals
Develop outcomes and set time frames for meeting proposed outcomes
Identify relevant interventions and utilize
interdisciplinary health care team members in the care planning process for the patient
ICN - International Council of Nurses Specific to accountability for the nurse in terms of other people
ANA - American Nurses Association - sets the expectation for the behavior of nurses, ethical dilemmas, guidelines for helping find solutions for these issues.
Thinking about moral and ethical behaviors as a nurse.
What is right and what is wrong.
ANA - American Nurses Association - sets the expectation for the behavior of nurses, ethical dilemmas, guidelines for helping find solutions for these issues.
Thinking about moral and ethical behaviors as a nurse.
What is right and what is wrong.
entitlement to determine for herself/himself the extent of care and treatment -
Nurses responsibility to make sure the patient is making a decision based on patient education and NOT making the decision for them. The patient and their family ultimately make the decision based on the information you give them.
Nurses responsibility to make sure the patient is making a decision based on patient education and NOT making the decision for them. The patient and their family ultimately make the decision based on the information you give them.
Genetic Inheritance - temperament, personality, body structure, intellect
Cognitive Abilities and Educational Level -
CA - older population, developmental delays, childhood trauma, stroke) - Mentally can function in society without much trouble but may have issues with cognitive functions such as seeing.
ED- determines how and when they are able to seek healthcare and how they can manage their health.
Race, Ethnicity, Culture - which diseases are most prominent in certain races and ethnicities, culture aspects that may interfere with healthcare decisions or lifestyle choices,
Age, Gender, Developmental -
Lifestyle and Environment - adult hood to old age, pattern in lifestyle changes, eating habits, drug and alcohol abuse, sleep patterns.
Socioeconomic Status - higher risk due to lack of medical care in their community of job benefits, lower level of ed and do not have access to full time positions that provide adequate healthcare vs someone with means to good healthcare coverage.
Geographic area - seek and access healthcare (urban vs rural), homelessness? city? accessibility to healthcare facility or services.
Family - anyone who the patient says is their family. Could be souse, friend, close fiends, parents, etc.
Cognitive Abilities and Educational Level -
CA - older population, developmental delays, childhood trauma, stroke) - Mentally can function in society without much trouble but may have issues with cognitive functions such as seeing.
ED- determines how and when they are able to seek healthcare and how they can manage their health.
Race, Ethnicity, Culture - which diseases are most prominent in certain races and ethnicities, culture aspects that may interfere with healthcare decisions or lifestyle choices,
Age, Gender, Developmental -
Lifestyle and Environment - adult hood to old age, pattern in lifestyle changes, eating habits, drug and alcohol abuse, sleep patterns.
Socioeconomic Status - higher risk due to lack of medical care in their community of job benefits, lower level of ed and do not have access to full time positions that provide adequate healthcare vs someone with means to good healthcare coverage.
Geographic area - seek and access healthcare (urban vs rural), homelessness? city? accessibility to healthcare facility or services.
Family - anyone who the patient says is their family. Could be souse, friend, close fiends, parents, etc.
18-40 (18-25 is prime time) - living with minimal conditions or ailments, problems are injury related (acute and heals rapidly),
Preventative Care - looking towards the future in taking care of themselves in terms of overall health, sexual practices (sex ed, condoms, sex partners, BC, STDs), substance abuse (drug experimentation, addiction),
Physical and psycho-social stressors - marriage, staring a family, vaccinations (boosters, flu shot, gardisil shot, to help maintain overall health).
Preventative Care - looking towards the future in taking care of themselves in terms of overall health, sexual practices (sex ed, condoms, sex partners, BC, STDs), substance abuse (drug experimentation, addiction),
Physical and psycho-social stressors - marriage, staring a family, vaccinations (boosters, flu shot, gardisil shot, to help maintain overall health).
Middle adult (40-65) - starts with physical ailments (aches, pains, weight loss troubles, financial stressors, obesity starts (same food intake, less exercise), risk factors start to surface (history of smoking/drinking/drug abuse are starting to manifest), cancer, substance use (heaviest users in this group due to stress related activities (glass of wine etc), psycho-social stressors - family, job, changes occur during this time frame.
most frequent conditions include:
Arthritis
Heart Disease
Cancer
Diabetes
Hypertension
Injury prone due to risk for falls (breaks can be cause of life or death)
Pharmacologic effects - affects how body organs (liver/kidneys) process the drugs the patient is taking. Side effects must be looked at closely due to possible interactions with other medications.
Arthritis
Heart Disease
Cancer
Diabetes
Hypertension
Injury prone due to risk for falls (breaks can be cause of life or death)
Pharmacologic effects - affects how body organs (liver/kidneys) process the drugs the patient is taking. Side effects must be looked at closely due to possible interactions with other medications.
Services that assist patients to remain healthy, prevent disease and injuries, detect diseases early, and promote healthier lifestyles
Healthy People 2020 - Goals every 10 years, are we meeting those goals? Health indicators
Increasing well being and health promotion for adults and maximizing their potential.
Healthy People 2020 - Goals every 10 years, are we meeting those goals? Health indicators
Increasing well being and health promotion for adults and maximizing their potential.
congenital and acquired.
Congenital - born with or present at birth such as babies with RSV have a higher likely hood to have respiratory issues in the future, leukemia - have high risk for cancer
Acquired - not born with, something you can catch like MRSA, TB or any other type of disease and then have the ability to spread it.
Congenital - born with or present at birth such as babies with RSV have a higher likely hood to have respiratory issues in the future, leukemia - have high risk for cancer
Acquired - not born with, something you can catch like MRSA, TB or any other type of disease and then have the ability to spread it.
acute - short term
chronic - long term
communicable - spreadable disease
congenital - present at birth
degenerative - disease that deteriorates body structures such as tissues
functional - A functional disorder is a medical condition that impairs normal functioning of bodily processes that remains largely undetected under examination, dissection or even under a microscope. At the exterior, there is no appearance of abnormality.
malignant - life threatening disease
idiopathic - disease of an unknown cause
chronic - long term
communicable - spreadable disease
congenital - present at birth
degenerative - disease that deteriorates body structures such as tissues
functional - A functional disorder is a medical condition that impairs normal functioning of bodily processes that remains largely undetected under examination, dissection or even under a microscope. At the exterior, there is no appearance of abnormality.
malignant - life threatening disease
idiopathic - disease of an unknown cause
either the reduction or disappearance of the signs and symptoms of a disease. The term may also be used to refer to the period during which this diminution occurs.
used to describe cancers, colitis, crohn's, arthritis.
What are your patients triggers and what can they do to prevent flareups (exacerbation's?)
Assess problems
Provide patient education and instruction on their disease
Manage RN and Dr case load
Medication follow up
1 on 1 nursing
Organize and Navigate patients in what they need in the healthcare systems (referrals, etc)
Orders to allow the patient to get PT, OT, ST, special needs of an individual
Set up nursing home care for them because we know they need assistance.
Primary and Secondary Prevention
Emphasize screening for disease
(Inter-professional team includes RN, primary care provider, care/case managers/coordinators, social workers, rehab therapists)
Provide patient education and instruction on their disease
Manage RN and Dr case load
Medication follow up
1 on 1 nursing
Organize and Navigate patients in what they need in the healthcare systems (referrals, etc)
Orders to allow the patient to get PT, OT, ST, special needs of an individual
Set up nursing home care for them because we know they need assistance.
Primary and Secondary Prevention
Emphasize screening for disease
(Inter-professional team includes RN, primary care provider, care/case managers/coordinators, social workers, rehab therapists)
Leading support groups in hospitals
Managing freestanding clinic to provide care in the patient's home.
School Nurses - help identify problems within a certain population (elementary, secondary, college), looking at behavioral patterns of students and identifying areas of need, how is nutrition affecting students, identifying students in poverty and how nutrition, exercise and behavior is affecting them.
Working in churches/parishes
Working with the homeless population and identifying areas of need such as infections, skin issues, aid in a minimal perspective to get the individuals the care that they need.
Working in alcohol or drug rehabs or people who need assistance in general.
Managing freestanding clinic to provide care in the patient's home.
School Nurses - help identify problems within a certain population (elementary, secondary, college), looking at behavioral patterns of students and identifying areas of need, how is nutrition affecting students, identifying students in poverty and how nutrition, exercise and behavior is affecting them.
Working in churches/parishes
Working with the homeless population and identifying areas of need such as infections, skin issues, aid in a minimal perspective to get the individuals the care that they need.
Working in alcohol or drug rehabs or people who need assistance in general.
Primary care prevention in the home setting.
Different types of care and services provided is dependent on the patients condition.
Family and patient must be on the same page when transitioning to the home.
Medicare reimbursement criteria.
Promoting safety in home care and patient benefit from receiving care in their home.
Different types of care and services provided is dependent on the patients condition.
Family and patient must be on the same page when transitioning to the home.
Medicare reimbursement criteria.
Promoting safety in home care and patient benefit from receiving care in their home.
Provides similar services as Hospice to patients with likely incurable chronic conditions but who have more than 6 months to live and who are still receiving curative treatments.
Comfort Care
The objective is to improve the quality of life and to give them to tools they need to stay home as long as possible.
Comfort Care
The objective is to improve the quality of life and to give them to tools they need to stay home as long as possible.
temporary institutional care of a dependent elderly, ill, or handicapped person, providing relief for their usual caregivers.
For example, a wife who is taking care of her ill husband. Respite care will come in and temporarily provide care while the wife can attend an event such as a family wedding etc.
For example, a wife who is taking care of her ill husband. Respite care will come in and temporarily provide care while the wife can attend an event such as a family wedding etc.
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