Kategorier: Alle - symptoms - empathy - interventions - awareness

af tiffani cloes-fiveash 1 år siden

122

Nursing Practice

The text discusses various aspects of the therapeutic relationship and its impact on health care. It emphasizes the importance of understanding the multifaceted nature of health and illness, including biological, psychological, and socio-contextual factors.

Nursing Practice

is apart of

also involves

begins by

spports

included in

impacts

is a part of

also is

determines

precedes

results in

connects

detected by

can be

can effect

diversity influences and determinants

is considered

Supplement, confirm, or refute data obtained in the history

aids in

in relation to

can determine

resuslts in

in connection to

related to

subsequently

is also

are

shows the

produces

articulates

inspected by

is part of

incorporates

comes from

is

should have

ensure

prevails

displays

determined by

includes

involves

consists of

structured by

can lead to

has

uses a

requires

allows for

must have

maintain

Generates

is

Creates

Involves

Relies on

Represents

accounts for

leads to

generates

implemented by

shaped by

measured by

completed by

encompasses

procedes to tske

builds from

invloves

covers

contains

evaluated by

explains

entails

resulting in

details of

emcompasses

refutes

by

used by a

Includes

includes

inlcludes

Produces

Health Assessment

components

Objective

Urine output

sediment

colour

bloody urine

quantity

O2 saturation

respiratory rates

temperature

blood pressure

Vital Signs

Subjective
experience
Pain levels

physical assessment

changing health status, management
Activities of daily living

dressing

toileting

bathing

Vital signs
Range of motion
Gather baseline data
General Survey

Measurements

Waist to hip ratio

Arm span

BMI

height

weight

Behaviour

personal hygiene

dress

speech

mood

facial expression

Mobility

range of motion

gait

walking

Body structure

symmetry

stature

Physical appearance

facial expressions

skin colour

sexual development

Level of conscieness

age

Confirm and identify nursing diagnoses

Symtoms

not observable to others

perceived or experienced by the patient

sensation or emotion

How it feels

signs

Obseved by others

What you see

Therapeutic Relationship

influences on health care and health care policy

Changes in the health care system such as accessibility, resources, etc
How the health care professional functions
The client’s expectations of the health care system
Awareness of boundaries & limits of professional role
Reflection

recognize boundary violations

keeping secrets with clients

spending extra time with clients

having special clients

client’s best interest

health/illness

Knowledge of best practices
Standard interventions and issues of rehabilitation
symptoms
biological, psychological and/or socio-contextual

the person

Knowledge of person
Self Awareness
Subjective thoughts, feelings, actions
Empathy
Validate that his/her understanding of the client’s experience
attend to the subjective experience
Self knowledge
development

to act purposefully

recognize own experience is shaped by several factors

beliefs

accomplishments

Early childhood experience

education

gender

socio economic conditions

Health

Culture

Nationality

Race

is the

Nursing Practice

Professionalism

ethics
dilemma

conflict

values

should and should not do

professional approach
honest relationships
open relationships
respectful relationships

Techniques

Olfaction
odours

feces

body odour

urine

Alcohol

Percussion
techniques

direct

indirect

sound

percussion notes

density

size

location

fingertips to produce a vibration

Ausculations
sounds

duration

quality

loudness

frequency

stethoscope

normal sounds vs abnormal

concentration and practice

Palpation
ends with deep palpation
light palpation
distinguish texture, temperature, and movement
tenderness, distension, masses

Tender areas are palpated last

uses hands

should be warm

fingernails should be short

Inspection
surfaces can be viewed

compare to opposite side

Recognizes normal and abnormal
Vision, hearing, smell
Observation

Documentation

accountability & responsibility
for self & others
Evaluation
influences
evaluates patient response
Implementation
actions taken relevant to problem
Planning
plan of care
Assessment
objective and subjective data
patient history
current

cheif complaint

day of addmission

past

prior hospitalizations

injuries

surgeries

allergies

communication of clinical information