med surge chapter 1 index cards

8/13/2019 Med Surge Chapter 1 Index Cards

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PRIMARY FOCUS OF MED SURGENURSING CARE IS


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MEET THE

1)

BILOGIC2) PSYCHOSOCIAL3) CULTURAL4) SPIRITUAL

NEEDS OF THE ADULT PT IN A MUTUALLY1) TRUSTING2) RESPECTFUL3) CARING

RELATIONSHIP (THESE BASIC NEEDS ARE REFERRED TO ASCONCEPTS )


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MED SURGE NURSES MUST USE


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1) EXPERT CLINICAL JUDGEMENT

TO INSURE1) PT. SAFETY AS THE PRIORITY IN PRATICE


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NIGHTINGALE 1946


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Putting the patient in thebest condition for nature

to act


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Assisting the client in theperformance of activitiescontributing to wellness or

recovery with the optimal goalbeing independence


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Medical Dictionary, 2010


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The provision, at various levels ofpreparation, of services essential to orhelpful in the promotion, maintenance,and restoration of health and well-being or in prevention of illness


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ANA, 2003


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Diagnosis and treatmentof human responses to

actual and potential healthproblems


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NURSING FOCUS


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Self-care

Physiologic processes Comfort Emotional

Understanding of health & illness Decision making Perceptual orientation Transitions across the lifespan Relationships


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Delivery of Nursing Care


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Team Nursing

Groups LTC (Long term care)

Primary Nursing Acute Care Settings

Managed Care Community Settings


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Meeting Client Needs


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Maslows Hierarchy

Self-actualization Esteem & self-respect Belongingness & affection

Safety & security Physiologic needs


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Health


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State of completephysical, mental, andsocial well-being

not merely theabsence of diseaseand infirmity (WHO,

2006).


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Wellness


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Capacity to perform Ability to adjust Perception of well-

being Harmonious feeling(Hood & Leddy,2007)


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Influences on NursingPractice


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Population : Aging population & increase in

chronic conditions.

Culture : More diverse; includes ethnicity &economic shifts.

Disease : Increase in communicable diseasesuch as TB, AIDS, STDs (Smelter et al.,2010).


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Influences on NursingPractice


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Technology: Advances in IS, diagnostics, &

genetics.

Payor Sources: Managed Care (HMO, PPO),Medicare, Medicaid.

Best Practices: CMS & JCAHO influencetreatment and reimbursement.


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Nurse Practitioner Leadership Research Education Care Delivery


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Critical Thinking


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Thinking Like a Nurse: Abstract Concept Metacognition Outcome-oriented Developed over time


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Benner s Theory:Novice to Expert (Benner, 1984):


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Novice Advanced beginner Competent Proficient Expert


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Noticing Interpreting Responding

Reflecting


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Ethics in Nursing


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Ethical Issues


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Confidentiality Restraints Trust Refusal of care End-of-life Advance directives


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Nursing Process


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Assessment

Diagnosis

PlanningImplementation

Evaluation


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The Plan of Care


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Nursing Diagnosis NANDA PES format Goal Statement Clients perspective SMART criteria NOC (www.nursing.uiowa.edu/noc)

Interventions EPB NIC (www.nursing.uiowa.edu/cnc) Collaborative


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SMART Criteria:


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Specific

Measurable Attainable

Relevant

Time Specific


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Health Education &Promotion


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The public has a right to know about important health

information Nurses have a duty to educate and collaborate with

others to encourage optimal compliance with healthregime

Outcomes rely heavily on the clients readiness to learnand apply knowledge


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Patient TeachingTechniques


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One-on-One Group Learning Style Teaching Aids

Barriers Reinforcement (Smeltzer et al,2010)


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Learning Styles


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Visual-Aural-

Read/write-

Kinesthetic-


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Health Promotion

Components


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Self-responsibility Nutritional Awareness

Stress Management Physical Fitness


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Precontemplative Contemplative Decision making

Action Maintenance Termination


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History

Physical Head -to -toe Systems

Nutritional

Inspect Palpate Percuss Auscultate


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med surge chapter 1 index cards

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