700 Final Exam Flashcards
(221 cards)
Nightingales’ canons: Ventilation and warming
The nurse must be concerned first with keeping the air that patients breathe as pure as the external air, without chilling them.
Nightingales’ canons: Health of houses
Attention to pure air, pure water, efficient drainage, cleanliness, and light will secure the health of houses.
Nightingales’ canons: Petty management
All the results of good nursing may be negated by one defect: not knowing how to manage what you do when you are there and what shall be done when you are not there.
Nightingales’ canons: Noise
Unnecessary noise, or noise that creates an expectation in the mind, is that which hurts patients. Anything that wakes patients suddenly out of their sleep will invariably put them into a state of grater excitement and do them more serious and lasting mischief than any continuous noise, however loud.
Nightingales’ canons: Variety
The nerves of the sick suffer from seeing the same walls, the same ceiling, the same surroundings during a long confinement to one or two rooms. The majority of cheerful cases are to be found among those patients who are not confined to one room, whatever their suffering, and the majority of depressed cases will be seen among those subjected to a long monotony of objects about them.
Nightingales’ canons: Taking food
The nurse should be conscious of patients’ diets and remember how much food each patient has had and ought to have each day.
Nightingales’ canons: What food?
To watch for the opinions the patient’s stomach gives, rather than to read “analyses of foods,” is the business of all those who have to decide what the patient should eat.
Nightingales’ canons: Bed and bedding
The patient should have a clean bed every 12 hours. The bed should be narrow, so that the patient does not feel “out of humanity’s reach.” The bed should not be so high that the patient cannot easily get in and out of it. The bed should be in the lightest spot in the room, preferably near a window. Pillows should be used to support the back below the breathing apparatus, to allow shoulders room to fall back, and to support the head without throwing it forward.
Nightingales’ canons: Light
With the sick, second only to their need of fresh air is their need of light. Light, especially direct sunlight, has a purifying effect upon the air of a room
Nightingales’ canons: Cleanliness of rooms and walls
The greater part of nursing consists in preserving cleanliness. The inside air can be kept clean only by excessive care to rid rooms and their furnishings of the organic matter and dust with which they become saturated. Without cleanliness, you cannot have all the effects of ventilation; without ventilation, you can have no thorough cleanliness
Nightingales’ canons: Personal cleanliness
Nurses should always remember that if they allow patients to remain unwashed or to remain in clothing saturated with perspiration or other excretion, they are interfering injuriously with the natural processes of health just as much as if they were to give their patients a dose of slow poison.
Nightingales’ canons: Chattering hopes and advices
There is scarcely a greater worry which invalids have to endure than the incurable hopes of their friends. All friends, visitors, and attendants of the sick should avoid the practice of attempting to cheer the sick by making light of their danger and by exaggerating their probabilities of recovery.
Nightingales’ canons: Observation of the sick
The most important practical lesson nurses can learn is what to observe, how to observe, which symptoms indicate improvement, which indicate the reverse, which are important, which are not, and which are the evidence of neglect and what kind of neglect.
•Major Concepts which provided the foundation for nursing’s four metaparadigms:(PEHN)
–Person: The recipient of care
–Environment: Internal and external physical surroundings
–Health: Being well and using talents well
–Nursing: Managing the environment to put patients in the best possible situation for the natural laws of health to act upon them
•Five philosophical assumptions can be inferred from Nightingale’s work:
–Nursing is a calling
–Nursing is an art and a science
–Persons can control outcomes of their lives and, therefore, pursue perfect health
–Nursing requires a specific educational base
–Nursing is distinct and separate from medicine
•Propositions of the Environmental Model: Two primary relationships can be derived:
–The person is desirous of health, so the nurse, nature, and the person will cooperatein order forall reparative processes to occur.
–The nurse’s role is to prevent the reparative process from being interrupted and to provide conditions to optimize the reparative process.
•Analysis of the Environmental Model:–Provides a broad framework for
organizing observations about nursing phenomena
•Analysis of the Environmental Model:–Strives to provide guidelines for all nursing situations based on the
relationships ofenvironmentto patient, nurse to environment, and nurse to patient
•Analysis of the Environmental Model:–Basic principles of these relationships are still relevant to
modern nursing care.
Pender: emphasized the multidimensionality of persons interacting with their
environments as they pursue health
Pender: Model is considered a ____-range theory
middle
Pender: Model described three basic categories of health promotion:
–Individual characteristics and experiences
–Behavior-specific cognitions and affect
–Behavioral outcome
Pender: Pender’s work contributes the following to the four metaparadigms:
Person, environment, health, nursing
Pender: –Person:
The unique individual who is the focus of the model