PVR FINAL
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- NURSING PROCESS
- A SYSTEMATIC, ORGANIZED METHOD OF PRACTICING NURSING
- MAJOR PURPOSE OF NURSING PROCESS
- TO COORDINATE CLIENT CARE
- FIVE STEP PROCESS
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1. ASSESSMENT
2. DIAGNOSIS
3. PLANNING
4. IMPLIMENTATION
5. EVALUATION - ASSESSMENT
- "DETECTIVE WORK" COLLECT AS MUCH DATA AS POSSIBLE USING SUBJECTIVE AND OBJECTIVE DATA
- DIAGNOSIS
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IDENTIFIES CLIENT PROBLEMS
TWO PART STATEMENT DESCRIBING EXISTING OR POTENTIAL HEALTH PROBLEMS
NURSING DIAGNOSIS NOT MEDICAL DIGNOSIS - PLANNING
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INSTRUCTIONS FOR ALL NURSES INVOLVED IN CARE OF PATIENT
PRIORITIZE CLIENT NEEDS
SET REALISTIC, MEASUREABLE, OBSERVABLE, TIMELY, CLIENT ORIENTED, SHORT AND LONG TERM GOALS - IMPLEMENTATION
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PUTTING PLAN INTO ACTION
ACTIONS MUST BE SCIENTIFICALLY ORIENTED
WITH SOUND RATIONALE AND CONSIDERATION FOR CLIENT PREFERENCES WHEN POSSIBLE
PHYSICIANS MEDICAL TREATMENT MUST BE INCLUDED - FIVE COMPONENTS OF IMPLEMENTATIONS
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1. PHYSICAL TASKS
2. OBSERVATIONS
3. MEDICATIONS
4. TESTS [DIAGNOSTICS]
5. TEACHING - EVALUATION
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EVALUATE AND ASSESS THE EFFECTIVENESS OF THE PLAN AND IMPLEMENTATIONS
DETERMINE WHETHER GOALS WERE MET
COMPARES RESPONSES WITH GOALS AND OUTCOMES - NANDA
- NORTH AMERICAN NURSING DIAGNOSIS ASSOCIATION
- NURSING THEORIES
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MASLO:BASIC HUMAN NEEDS IN A HIERACY
OREM: BASIC HUMAN NEEDS MET THROUGH SELF CARE ACTIVITIES
NEUMAN: SYSTEMS APPROACH TO MEETING HUMAN NEEDS
ROY: STRESS AND ADAPTATION
NIGHTINGALE: ENVIRONMENT AFFECTS HEALTH
HENDERSON: 14 COMPONENTS OF NURSING CARE
ABDELLAH: 21 NURSING PROBLEMS
WATSON: THEORY OF HUMAN CARING - MASLO'S THEORY OF HIERACHY
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1.PHYSIOLOGICAL: FOOD, CLOTHING, SHELTER,PHYSICAL HEALTH
2.SAFETY AND SECURITY: FREEDOM FROM FEAR, DANGER, AND DEPRIVATION
3.LOVE AND BELONGING: NEED FOR MEANINGFUL RELATIONSHIPS
4.SELF ESTEEM: NEED FOR SELF-RESPECT AND RESPECT FROM OTHERS
5.SELF-ACTUALIZATION: SENSE OF FULFILLMENT - CULTURE
- LEARNED BEHAVIOR DEFINED AS THE VALUES AND BELIEFS SHARED BY A GIVEN GROUP AT A GIVEN TIME
- RACE
- DETERMINED BY SKIN COLOR, FACIAL STRUCTURE,AND CERTAIN PHYSICAL CHARACTERISTICS. RACIAL DISTINCTIONS ARE GENETIC, NOT CULTURAL OR BEHAVIORAL
- CATHOLIC SACRAMENTS ENCOUTERED IN HEALTH CARE
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BAPTISM
RECONCILIATION [CONFESSION]
HOLY EUCHARIST [COMMUNION]
SACRAMENT OF THE SICK [LAST RITES] - MORMON BELIEFS
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NO CAFFEINE, STIMULANTS, NICOTINE, ALCOHOL
MAY WEAR TEMPLE CLOTHES UNDER STREET CLOTHES [CONSIDERED SACRED] - JEHOVA'S WITNESS
- NO BLOOD TRANSFUSIONS. NO ALCOHOL, STIMULANTS, OR CAFFEINE
- CHRISTIAN SCIENTIST
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NO CONVENTIONAL HEALTH CARE
RELIGIOUS HEALTH PRACTITIONERS - JUDAISM: RELIGIOUS RITUALS
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BRIS [CIRCUMCISION] 8 DAYS AFTER BIRTH,BOY RECEIVES NAME DURING THIS RITUAL. BAR MITZVAH MALE RELIGIOUS MATURATION[AGE13] BAT MITZVAH: FEMALE RELIGIOUS MATURATION{AGE12]NO AUTOPSIES BODIES NOT TO BE HANDLED BY NON JEWS
SABBATH IS SATURDAY [SUNSET FRI-SUNSET SAT] - JUDAISM; DIETARY PRACTICES
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KOSHER: CLEAN TO EAT
MILK AND MEAT NOT EATEN TOGETHER
RITUAL PRACTICES WITH UTENSILS AND DISHES
NO PORK OR SHELLFISH EATEN - PUBLIC HEALTH CARE AGENCIES
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SUPPORTED BY TAX DOLLARS
LOCAL, CITY, COUNTY HEALTH DEPT.: CARRY OUT LAWS RE COMMUNITY HEALTH
STATE HEALTH DEPT.: OVERSEES HEALTH PROGRAMS OF STATE
FEDERAL: U.S.DEPT. OF HEALTH AND HUMAN SERVICES
INTERNATIONAL: WORLD HEALTH ORGANIZATION [WHO] OF THE U.N. - PRIVATE HEALTH CARE AGENCIES
- PRIMARY CARE PHYSICIANS, FOR PROFIT HOSPITALS, LONG-TERM FACILITIES, PRIVATE PRACTICE NURSES, CLINICS, HOME HEALTH CARE AGENCIES
- HEALTH CARE PROVIDERS; GROUPS
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HEALTH MAINTENANCE ORGANIZATIONS
COMPETITIVE MEDICAL PLANS
PREFERRED PROVIDER ORGANIZATIONS
POINT OF SERVICE ORGANIZATIONS - HEALTH CARE PROVIDERS: INDIVIDUALS
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PHYSICIANS
NURSE PRACTITIONERS
DENTISTS
PODIATRISTS
OPTOMETRISTS - HEALTH CARE PROVIDERS: INSTITUTIONS
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HOSPITALS
LONG-TERM CARE FACILITIES
PSYCHIATRIC CENTERS
AMBULATORY CENTERS - HEALTH CARE SERVICE: PRIMARY
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CARE UPON ENTRY INTO HEALTH CARE SYSTEM
PHYSICIAN OR NURSE PRACTITIONER IN OFFICE OR AMBULATORY CENTER - HEALTH CARE SERVICE: SECONDARY
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ACUTE CARE IN HOSPITAL
DIAGNOSIS, TREATMENT,AND OTHER CARE AFTER CLIENT ENTERS SYSTEM
ADMISSION CONTROLLED BY PCP - HEALTH CARE SERVICE; TERTIARY
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RESTORATIVE
REHAB, RESTORING TO OPTIMUM FUNCTION AFTER ACUTE ILLNESS
REHAB FACILITIES, HOME HEALTH CARE, HOSPICE, LONG-TERM CARE FACILITIES - NURSING CARE DELIVERY
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CASE METHOD:ONE NURSE RESPONSIBLE FOR ENTIRE CARE OF ONE OR MORE CLIENTS
FUNCTIONAL METHOD:ALL NURSES PARTICIPATE IN CARE OF ALL CLIENTS
TEAM METHOD:TEAM LEADER COORDINATES CARE
PRIMARY METHOD:ONE NURSE RESPONSIBLE FOR TOTAL CARE OF A GROUP OF CLIENTS - DEATH AND DYING; FIVE STAGES OF GRIEVING PROCESS
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DENIAL
ANGER
BARGAINING
DEPRESSION
ACCEPTANCE - HEALTH CARE FINANCE
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MEDICARE: ADMINISTERED BY SOCIAL SECURITY ADMINISTRATION
PART A:HOSPITAL BENEFITS, CONVALESCENCE AND EXTENDED CARE FREE OF CHARGE
PART B:MAJOR MEDICAL, INPATIENT AND OUT PATIENT PHYS. CARE AND SERVICES FOR FEE
DIAGNOSIS RELATED GROUPS [DRG'S]: PROSPECTIVE PAYMENTS, RATES SET IN ADVANCE
MEDICAID: HEALTH CARE FOR LOW INCOME INDIVIDUALS FINANCED BY STATE AND FEDERAL GOVT. - HEALTH CARE FINANCE; PRIVATE
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INDEMNITY INSURANCE: BLUE CROSS AND BLUE SHIELD PAYS POLICY HOLDER OR CARE PROVIDER APPROVED AMT. CAN CHOOSE PROVIDER
PRE-PAID INSURANCE: HMO, PPO, NETWORK AND ALLIANCES. POLICY HOLDER PAYS FEE ON MONTHLY OR YEARLY BASIS. MUST USE PARTICIPATING PROVIDERS AND FACILITIES