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
