Chapter 2 Flashcards
(80 cards)
1800’s Public Perception of a nurse
Charles Dickens’ fictional Sairy Gamp – drunken, uncaring
nurse profiting on sick and dying
1800’s reality of a nurse
Florence Nightingale- Sacrifice and Service
Late 1800’s to Early 1900’ Perception
War heroes
-Harriet Tubman (railroad)
-Sojourner Truth (cleanliness)
-Susie King Taylor (war nurse)
-Walt Whitman (injured brother)
-Clara Barton (civil war nurse)
-Louisa May Alcott (weak and ill, wrote about nursing)
1900’s perception of a nurse
- Nurse Ratched (mean, militant)
- Margaret Hoolihan (television)
1900’s reality of a nurse
-Edith Cavell (founded Belgium nursing school)
-Clara Maass (gave life to research at 25 of yellow fever)
-First NP Program
-Assisted in developing critical care
units
Internal Influencers
Things or people from within
the profession of nursing that
influence perception of
External Influencers
Things or people from outside
the profession of nursing that
influence perception of
nursing
Breach of professional boundaries and violation of patient privacy results in
Loss of job
Expulsion from school
Revocation of license
Social media can be good because
Able to change public
perception of what we
do and why we do it
Helps to show us as
professionals
Health Records
-Can be paper or electronic
-Contain important information about the
patient
Previous illnesses and treatments
Continuing medical problems
History of family illnesses
Current medications
SOAP
Subjective, Objective, Assessment, Plan
Subjective
-The problem in the patient’s own words
-Duration
-Quality
-What makes it worse (exacerbate) or what
makes it better (relieve)
Objective
-Labs
-Test results
-Assessment findings
Assessment
-What the provider sees, finds when examining
the patient
-Can include a diagnosis, identification of the
problem, or a list of possible diagnoses
(differential diagnosis)
Plan
-Course of action
-Treatment options, i.e. medications or a
procedure
General Subjective Terms
Acute v. Chronic
Abrupt
Febrile v. Afebrile
Malaise
Progressive v. exacerbation
Symptom
Lethargic
Genetic or hereditary
Objective
Observable,
measurable data
obtained through
observation,
physical
examination, and
laboratory or
diagnostic testing.
ex. -Data collected from
the HCP
-Includes information
from tests
-Can be seen, heard, or
felt
General
Objective
Terms
Things that are seen (alert, oriented)
Things that are heard (auscultation, percussion)
Things that are felt (palpation)
Descriptions of
observations (marked, unremarkable)
Assessment
Combine subjective and objective data to determine diagnosis.
Morbidity- death rate/suffering
Occult- hidden
Lesion- abnormal skin condition
Plan
Provider recommendations for course of
action
-Medications
-Surgery
-Further Test
Palliative- relieving symptoms not dealing with the cause
Discharge- to send home
Observation- observe
Prophylaxis- treatment to prevent symptoms
Supine
Laying on back
Prone
Laying on stomach
Unilateral
One side
Bilateral
Two Sides
