1.0 LAP: MIXTURE
Terms
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- 3 of Oreum's self care concepts
- Self Care, self care deficit, and self care nursing systems
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Self Care
theory -
based 4 concepts
Self care
Self care agencies
self care requisites
theraputic self care demand - Self care
- continuing personal development, and well being
- Self care agency
- Individual ability to perform self care activities
- Self Care requisites
- Self car needs, when and indi cannot meet his/her self care demands. There are 3 types of self care requisites common to all indi, universal (overall health), developmental (maturation, ex. pregnancy,grief, adjsuting to a chang and body image) and deviation (results from illness, injury or disease or actions of treatments)
- Theraputic self - care demands
- refers to all self care actions needed to meet the self care requisites
- Oreums Self Care Theory
- An interpretation for Laboure College Nursing Students
- Self Care Agent
- The nurse is the agent whose actions are the production of nursing care
- Person/ Client
- Patient
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8 Universal self care requi.
1. air
2. water
3. food
4.elimination process
5.activity and rest
6.solitude and social interaction
7.prevention of hazards
8.promotion of human functioning - 8 universal
- Developmental self care requisites
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1. stages of life and process of birth
2.neonatal stage *** - Disease
- an alteration in body function resulting in a reduction of capacities or shortening of the normal life span
- Illness
- Personal state diminished
- managed care
- goals for cost effective quality care
- Medicaid
- for the poor, state and gov funded,disabled,childrena nd non insured
- Medicare
- for elderly and kidney disease of any age
- 3 types of health care services
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1. health care promotion
2. diagnosis and treatment
3. rehabilitation and health restoration -
Florence Nightingale
1820-1910 -
1st nurse to exert political pressureon gov.
"Notes on Nursing"what it is and what it is not
-1st training school - Lillian Wald
- founder of public health nursing
- Virginia Henderson
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defines nursing
client to client environment - Definitions of Nursing
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the act of utilizing the environment of the patient to assist him in his recovery
(Florence Nightgale)
nursing is caring, an art, science, client centered, holistic, adaptive, and concerned with health promotion, health maintance, and health restoration
Nursing is a help profession - Recent definition of nursing by ANA 1995
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attention to the full range of human experiences and responses to health and illness without restriction to a problem-focused orientation
-integration of data and knowledge gained from an understandingof the clients or group's subjectives experiences
-application of scientific knowledge to the progress of diagnosis and treatment
-provision of a caring relationship that facilitates health and healing - Recipients of nursing
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-patient
-clint ( person who engages the advice or services of another who is qualified to provide these services - Scope of Nursing
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to provide care for individuals, families, and communities in the following areas:
-promoting health and awareness
-peventing illness
-restoring health
-care of dying - Asepsis
- freedom from infection or infectious material
- Bactericidal
- bacteria - killing action
- Bacteriocins
- substances produced by some normal flora (e.g., enterobacteria), that can be lethal to related strains of bacteria
- Bacteriostatic
- kdsfh
- Carrier
- a person or animal that harbors a specific infectious agent and serves as a potential source of infection, yet does not manifest any clinical signs of disease
- Contamination
- to expose...
- Culture
- laboratory cultivations of microorganisms in a special growth medium
- Disinfect
- agents that destroy pathogens other than spores
- Etiology
- the causual relationship between a problen and its related risk factors
- Flora
- microorganisms
- Medical asepsis
- all practices intended to confine a specific microorganism to a specific area, limiting the number, growth, and spread of microorganisms
- Nosocomial
- infections associated with the delivery of health care services in a health care facility
- Osha
- licencing?
- Pahogenicity
- the ability to produce disease; a pathogen is a microorganism that causes disease
- Parasite
- microorganisms that live in or on another from which it obtains nourishment
- Reservoir
- a source of microorganisms
- Srerilize
- a process that destroys all microorganisms, including spores and viruses
- Surgical asepsis
- see Sterile technique
- Vector
- a vector is an animal or flying or crawling insect that serves as an intermediate means of transporting the infectious agent
- Vehicle
- a vehicle is any substance that serves as an intermediate means to transport and introduce an infectious agent into a susceptible host through a suitable portal of entry
- Virulence
- ability to produce disease
- 4 major categories of microorganisms that cause infection in humans
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1.Bacteria
2.Fungi
3. Virus
4.Parasites - Identify different types of infections
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Local Infection
systemic infection
acute infection- appears suddenly/shortime
chronic infection- occurs slowly/may last months or a long time
Nosocomisl infection- can develop during a clients stay ofr after d/c
Iatrogenic infections- durect contact of therapeutic procedure - 6 Components of the chain of infection
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1.Etiologic agent(microorganism
2.Reservoir (source)
3.Portal of exit from reservoir
5.Portal entry to the susceptible host
6. Susceptible host
4.method of transmission - 6 portal exits from a reservoir
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1. Respiratory tract
2.Gastrointestinal tract
3.Urinary tract
4.reproductive tract
5. blood
6.Tissue - Methods by which a microorganism is transmitted
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Direct transmission (one person to another)
Indirect tranasmission - (vehicle borne or vector borne)
Vehicle ex. toys,utensils...
vector- is an animal or insect transmission - List factors that increase one's susecptibility to infection
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Age
Advancing age
Hereditary Influence
the nature, number,and duration of physical and emotional stressors
resistance to infection
medical therapies (chemo)
certain medication any disease that lessens the immune system - Nonspecific defenses of the body against infection
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anatomic barriers
physiologic barriers
inflammatory response - 5 signs of inflammation
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1.pain
2. swelling
3. redness
4. heat
5.impaired function of the part - Factors of Specific defenses
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antibode y-mediated (humoral, circulating) immunity
Active Immunity
Cell mediated defenses (cellualr immunity) occur through the T-cell system - Stages of an infectious process
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stage 1 -vascular and cellular responses
stage 2 - exudate
Stage 2 Reparative - 2 elements you would look for in the hisotry of a client you are assesssing for presence of an infection
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reviews the clients chart
see assessment interview - Identify common signs and symptoms of infection you would look for in a head to toe assessment
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temperature
skin irritations - List laboratory data you would collect in the assessment of a client in whom infection was suspected
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Elevated leukocytes
Increases in specific types of leukocytes
Eleveated erythocytes sedimintation rate (ESR)
Urine, blood,sputum or other drainage cultures - Risk of Infection
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- Impaires social isolation
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- Risk for situational
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- major goals for a client who susecptible to infection
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- Strategies the nurse may use to prevent infection
- hand washing
- CDC regulations for routine client care
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- describe proper hand washing technique
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- Measures that can be taken to reduce a clients susceptability to infection
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2 types of precautions presented by the Hospital Infection Control Advisor
(HICPAC)of the CDC - -
- identify those who are severly compromised and the current CDC guidelines pertaining to them
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- Basic priciples of surgical asepsis and practices that relate to each principle
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- 3 major modes of transmission of infectious material in the clinical setting
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- 3 nursing sctivities used in evaluating outcome criteria for the nursing diagnosis- Risk of Infection
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