Nursing 250
Illness
The response of a person to a disease
World War II
20th century; needed to start getting educated; more drastic changes for education
Who was the first trained nurse in the US and established the practice of record keeping?
Linda Richards
Delegation
only to RN ; delegation to UAP; Nurses have to assess; teaching, evaluations; can delegate: standard unchanging tasks, weighing patients, vital signs
Communication Blocks
prevent communication with your patient
Promote health
reach maximum potential of living and functioning
Preventing illness
screenings, breast exams, immunizations
Associate/BS
2 Years Associates/ 4 years BS
LPN < Diploma < RN
...
3 Learning domains
1. Cognitive 2. Psychomotor 3. Effective
Competencies to provide care (4)
1. Inter personal 2. Technical 3.Cognitive 4. Legal
3 Phases of relationship
1. Orientation 2. Working - longest 3. Termination
TEACH initials
1. Tune into patient 2.Edit patient information 3.Acting on an opportunity to teach 4.Clarify 5.Honor the patient
COPE Model initials
1.Creativity 2. Optimism 3. Planning 4. Expert Information
Gordon's Functional Health Patterns
1.Health perception/management 2. Elimination 3. Cognitive/perceptual 4.Sleep/rest
Watson's four main concepts
1.Human being 2.Health 3.Society 4.Nursing
Industrial Revolution
18th century before Crimean War and WWII
Crimean War
19th century; Florence provided care for soldiers
Small group communication
2 or more people
What is different about counseling?
Act in a caring manner to help them COPE
The rapid onset of symptoms that last a relatively short time indicates what health problem?
Acute illness
Graduate Degrees
Advanced practiced, Masters
Tertiary
After disease is detected; Trying to decrease the amount of disability; EXAMPLE: Rehab after stroke , Some damage but want to get better, Diabetics issues with feet, Medications; diagnosed and cannot completely cure
Elimination
Bowel Movements
Health Promotion Model
How people interact with the environment; Individual characteristics and knowledge to motivate health promoting behavior; Based on their habits
The primary consideration in increasing the effectiveness of teaching a client how to care for a colostomy is to ...
Assess the client's readiness to learn.
Nursing Process
Assessment, Diagnosis, Planning, Implement, Evaluate
Effective
Attitude and beliefs
A nurse manager makes all the decisions for staff activities. What type of leadership is demonstrated by this action?
Autocratic
Health Belief Model
How they perceive they are health wise; Rosenstock;
Nurses primary role in promoting health
Being a role model for health promotion
Attributes of a leader
Charismatic, dynamic, self confident
CE
Continuing Education; required; every state has to have this to be able to renew license
Health Illness continuum
Continuously changing; One end good, one end bad
LPN
License Practice Nurse; usally the shortest education; also known as License Vocational Nurse LVN
Refreezing
Like the changes you saw and want to keep it
What type of leader shares decisions and activities with group participants?
Democratic
A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn?
Demonstration
Psychomotor
Demonstration
Moving
Doing something different, making changes
In-Service
Done in the hospital/ facility to keep you updated on everything going on (policies, procedures) specific for your location
Agent Host Environment
Examine cause of disease; Exams and causes of disease; risk factors
Nursing activities on a secondary level include teaching a patient with diabetes how to recognize and prevent potential complication. TRUE or FALSE?
FALSE
The Health Promotion Model views health as a constantly changing state, with high level wellness and death being on opposite ends of the continuum. T/F
FALSE
Who believed there was a difference between nursing and medicine?
Florence Nightingale
Older adults
Go slower with them, they get easily distracted
SBAR
Hand off communication (another nurse, another shift, another hospital)
Explicit leader
Have the label, implied
Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health
Health Promotion Model
Sleep/Rest
Hours of sleep
UAP can....
Implement
What strategy might a nurse use to increase compliance with teaching?
Include the patient and family as partners
Risk factors for illness
Increase your risk for illness or disease; Examples: Age, smoking, environment, body type, social class
What phrase best describes the term HEALTH
Individually defined by each person
A specific nursing unit practices functional nursing. What was the basis for this concept
Industrial assembly line
IOM
Institute of Medicine; puts the projects out there
Appropriate to delegate to a UAP
Intake and outtake
Implied leader
Just take over
KSA
Knowledge, Skills, Attitude; the project
Who published 4 volumes called the "History of Nursing"?
Mary Adelaide Nutting
Who established one of the first midwifery schools in the US?
Mary Breckenridge
Who was America's first African American nurse, graduating from the New England Hospital?
Mary Elizabeth Mahoney
High Level Wellness Model
Maximum potential
Health Perception/ Management
Med compliance, exercise, diet
Cognitive/Perceptual
Memory
Doctors
More task oriented; nurses are more full picture
Men in Nursing
Need more men as nurses to be mentors, need to represent our diversity
Who established the first 3 year nursing program in North America?
Nora Gertrude Livingston
What manifestation is the most significant symptom indicating an illness?
Pain
Second degree programs
People who come out of college with a different degree; go back to school; completely changing your profession
Dorthea Dix
Pioneer for the reform of the treatment of the mentally ill.
Primary
Prevent DEVELOPMENT of illness or disease; Health risk assessments; Examples: Immunizations, Poison control, Seat belts, Helmets, Diet and exercise; Before illness, accident or disease
As nurses we can volunteer to participate in influenza injection clinics locally and on campus. What level of health promotion and preventive care is this an example of ...
Primary
QSEN
Quality Education Safety for nurses
Unfreezing
Realizing something is wrong
Perception is the key focus of the health model developed by
Rosenstock 1974
Secondary
SCREENING for early detection; Goals: Identify illness; reduce; reverse any potential problems; Get back to maximum health
SBAR initals
Situation Background Assessments Recommendations
Based on Dunn's high level wellness model, the nurse plans care to achieve what patient goal?
Striving to reach maximum potential in all dimensions.
Nursing Assessments
Subjective and Objective
Interpersonal
Talk between 2 people
Intrapersonal
Talking to yourself
When comparing team nursing with functional nursing, what characteristic is found?
Team Nursing focuses on individual patient care
In Lewin's classic theory of change, what happens during unfreezing?
The need for change is recognized
SOLER Model
Therapeutic communication technique
A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching?
To help the patient develop self care abilities
A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing?
Transformational
Healthy People 2020
Tried 2010; new goal is 2020; make people healthier in America
Patient education
Try to promote health, prevent illness; reason why; teaching them things they need to know to take care of themselves
Lewin 3 parts
Unfreezing, moving, refreezing
COPE Model
Used for family members when teaching how to take care of a sick family member
Cognitive
What they remember
Complexity compression
When things change in the facility, you need to quickly change too
Qualities of a leader
charismatic, enthusiastic, dynamic
Communication Blocks
don't use why, don't use opinions, don't use cliches, don't change the subject
Restore health
getting rid of road blocks
Organizational communication
large group of people
Prevent illness
lessening the bad things stopping them from being max potential
Patterned Assessment
lifestyle, behavioral patterns
Facilitate Coping
weren't able to prevent disease and now they have to cope