Healthy People 2020

compassion

(n.) sympathy for another's suffering; pity

formal operational

in Piaget's theory, the stage of cognitive development (normally beginning about age 12) during which people begin to think logically about abstract concepts

interviews assessments conversations

nurses must provide privacy for what

patient teaching

one of the most important nursing roles - use learning principles, individual outcome plans

participating

play exercise discussion demonstration learning with a 20-75% retention rate

erikson

psychosocial

Honest, knowledgeable, dependable and accepting of who they are

pt. need to know their nurse is what

affective psychomotor cognitive

what are learning domains

physiologic safety love/belonging esteem self actualization

what are maslow's hierarchy of needs

lecture return demonstration audiovisual recording poster

what are patient teaching methods

healthy people

Often called a "roadmap" for nationwide health promotion and disease prevention effort is about understanding where we are now, and taking informed action to get where we want to go over a ten year period

measurable objectives with patient in all domains

how do you develop overall outcomes for a patient

Willingness to be open and genuine and not be ide behind a professional façade or title

how is genuineness congruent

knowles

adult learning

sensorimotor

an infant progresses from reflexive instinctual action at birth to the beginning of symbolic through. the infant constructs an understanding of the world by coordinating sensory experiences with physical actions. Birth to 2 years.

receiving

audiovisual, reading, lecture learning with less than 20% retention rates

13

how many new topic areas in healthy people 2020

42

how many topic areas in healthy people 2020

put your feelings aside and respond in an objective stand point

how should you respond to a patient by reflecting on and normalizing patient feelings, response, and concerns

maslow

human needs

piaget

cognitive

determinants

describes how the conditions in which we live and work, such our physical and social environments and access to health services, as well as our individual behavior and biology, can have an enormous impact on our health

18 month - 3 year

erikson - autonomy vs. shame & doubt age

infant to 18 month

erikson - trust vs. mistrust age

Trust is Reliance on consistency, sameness, continuity of experience provided by familiar and predictable things and people

erikson believes trust is what

65+

erikson ego integrity vs. despair age

40-65 years

erikson generatively vs stagnation age

13-21 years

erikson identify vs. role confusion age

5-13 years

erikson industry vs. inferiority age

3-5 year

erikson initiative vs. guilt age

21-39 years

erikson intimacy vs. isolation age

bridge or improve

every encounter with a patient is an opportunity to do what with the nurse patient relationship

sympathy

feelings of pity and sorrow for someone else's misfortune

lasting impressions

first impressions do not need to be what

topic areas

healthy people 2020 are organized by what

maslow

hierarchy of personal needs need to take care of basic needs before teaching occurs

pt. must be willing and able to receive instruction

how do you assess if the patient is ready to learn

pretest/demonstration reviewed by nursing care team

how do you determine what client knows/can do

empathy

the ability to understand and share the feelings of another-- goes beyond sympathy

preperational

the child begins to represent the world with words and images. these words and images reflect increased symbolic thinking and go beyond the connection of sensory information and physical action. 2-7 years.

concrete operational

the child can now reason logically about concrete events and classify objects into different sets 7-11 years

communication

the cornerstone of the nurse patient relationship

trust

the foundation of the nurse patient relationship - do what you mean mean what you say

learning by doing

to do work with a coach immediate practicing has a greater than 75% retention rate

respect

unconditional positive regard - the ability to respect another persons beliefs despite your own personal feelings

altruism

unselfish regard for the welfare of others

vague teaching

vague goals are equal to what

altruism sympathy compassion

what 3 things are included in empathy

§ Suspicion of abuse of minors and elderly § Commission of a crime Threat or potential harm to self or others

what 3 types of information from patients must be shared

pain energy anxiety personal goals & motivation past experiences

what 5 things influence patients ability to learn

plan methods of teaching evaluate outcomes

what are 2 patient teaching guidelines

something the patient will do, say, exhibit and a timeframe

what are 3 measurable objectives for a patient

physical intellectual/cognitive emotional

what are 3 strengths needed to use instruction and assess patient ability to learn

health focused patient centered defines boundaries

what are 3 was therapeutic pt. relationships differ from a social relationship

respect genuineness empathy active listening trust confidentiality

what are 6 principles of nurse-patient relationships

adolescent health blood disorders & blood safety dementias, including alzheimer's early & middle childhood genomics global health healthcare associated infections health related quality of life LGBTQ health issues older adults preparedness sleep health social determinants of health

what are the 13 new topic areas in healthy people 2020

support the patient promote healing support & enhance functioning

what are the 3 purposes of a therapeutic relationship

physical environment health services social environment individual behavior biology & genetics

what are the 5 determinants of health in healthy people 202

attain a high quality longer lives free of preventable disease, disability, injury, and premature death achieve health equity, eliminate disparities, create social and physical environments that promote good health for all promote quality of life

what are the overarching goals for healthy people 2020

○ Nutrition and Weight Status ○ Occupational Safety and Health ○ Physical Activity ○ Vision ○ Adolescent Health, Early and Middle Childhood ○ Tobacco use ○ Cancer ○ Environmental health ○ Respiratory diseases ○ Breastfeeding

what are topic areas relevant to community based nursing

listen carefully treat patients respectfully be honest & consistent follow through on commitments have an accepting attitude

what are ways to facilitate trust in a patient

remember first understand apply analyze evaluate create

what is bloom's taxonomy of levels of cognitive thinking (6)

health equity because of health disparities of people of different race/ethnicity and socioeconomic classes

what is healthy people 2020 aimed at achieving

make the pt. feel comfortable and legitimize their feelings accept people without negatively judging their basic worth

what is the goal of respect in pt. relationship

arrange for pt. comfort, modest, and privacy at times

what is the most important way to earn respect from pt.

§ Encourage collaborations across communities and sector § Empower individuals toward making informed health decisions Measure the impact of prevention activities

what is the vision of healthy people

preventative agenda

what type of agenda is healthy people

measurable objectives

what type of objectives are made for healthy people

department of health & human services office of disease prevention and health promotion (ODPHP)

who manages healthy people

before teaching

you should assess client knowledge and/or skills when

any procedures, especially those that involve entering personal space, are invasive or are painful

you should prepare the pt. before doing what to earn respect

genuineness

○ Ability to be oneself within your professional role Confidence in yourself -- a lot has to do with preparation

cognitive client goal examples

○ Client will define hypoglycemia ○ Client will describe the steps to determining needed insulin dose Client will describe how measles is transmitted

psychomotor client goals examples

○ Client will demonstrate how to change a dressing ○ Client will assemble her insulin pump ○ Client will demonstrate all steps of filling an insulin syringe while maintaining sterility ○ Client will show how to self-catheterize in a public bathroom ○ Client will develop a way to keep track of needed oral medications

affective learning objectives examples

○ Client will discuss what others will think of his decision to refuse chemotherapy ○ Client will explain why he thinks surgery is worth the risk ○ Client will describe what is most important to improve his health ○ Client will listen to his adult children's opinion ○ Client will express a willingness to get better

cognitive learning objectives

○ Defines new terms ○ Lists steps of a procedure ○ Recall facts about the topic

affective learning

○ Emotional responses - whole lotta feels § Values § Motivation for change § Attitudes towards disease/condition § Stereotypes § Feelings ○ Recognizes emotional influence ○ Motivations to change ○ Explain position Prioritize actions

affective client goals

○ Examines multiple viewpoints ○ Questions/explains own position/opinion § Asking patient how they feel about condition, procedure, surgery, etc. ○ Considers/develops priorities ○ Willing to listen/participate ○ Willing to change behavior

cognitive learning

○ Knowledge transmission § Synthesis § Recollection □ Giving back knowledge to the person giving it to ® Knowledge transfer § Comprehension § Evaluation § Analysis ○ Traditional view of learning § Levels of knowledge: □ Facts > understanding > analysis

confidentiality

○ Moral AND legal obligation NOT to share patient information

psychomotor learning

○ Physical skill § Technique ○ Goal: § Demonstrate back ○ Physical + Understanding § Relationship between cognitive and motor activity = psychomotor learning

psychomotor learning objective

○ Repeat a task in a return demonstration ○ Put together a device ○ Show mastery ○ Adapt a procedure to a new situation ○ Create a new way to complete a procedure