Section 1 -- Nursing Shit Flashcards
Nursing foot care is an important component of?
Total nursing care
*Nursing foot care is an important component of total nursing care, which includes???
Health promotion and prevention, client teaching, promoting safety and comfort.
To promote optimal health, the nurse will?
Apply the principles of the nursing process when assessing, planning, implementing and evaluating the client’s foot health care needs
The nurse collaborates with the client to? (2)
Develop a plan of care
Encourage the client to assume responsibility for his/her own health
Nursing foot care includes?
Routine management of the nails and skin to prevent foot problem
Assessment of gait and footwear
Treatment of foot and leg pathology in accordance with the directions of the physician, podiatrist or nurse practitioner
Spot lower extremity pathology
Nursing foot care does not include?
The use of bindings, strappings, or use of scalpel/credo-plane. Foot care is a non-invasive procedure.
Roles and Responsibilities of foot care nurse
– Know
• Normal A and P of the foot
• Normal/abnormal findings of skin, nail, foot structure
• Own scope of practice/when to refer (EARLY)
• Who to refer to (roles of other healthcare practitioners)
• What legislation/policies are relevent to the practice setting
– Client care
• Hygienic Tx of potential/actual problems
• Educate with info. specific to individual and general do/do not’s of foot care
• Demonstrate staying current/competent with CE
• Demonstrate application of EB practices
• Advocate when problems arise (infx, ulcer, DM, edema, PVD, shitty shoes)
• Respect rights/concerns
Professional regulatory bodies establish nursing standards of practice. The purpose of standards is to:
Assist the profession to evaluate the quality of practice in any practice setting
Provide a basis whereby the quality of health services and nursing foot care provided is measured and evaluated
Establish a minimum acceptable level of performance
Assist the employer and the public to understand the basic expectations of foot care nurses
What is a standard?
The desired and achievable minimum level of performance to which actual practice is compared.
Standards identify?
The quality of practice required
Where are standards applicable?
Any practice setting
Who do standards apply to?
both the novice and experienced nurse
1.4. Outline the nursing foot care standards in professional practise
According to CLPNM’s Certified Foot Care Nurses Interest Group Standards of Practice (2007), the foot care nurse must uphold six standards as follows:
Standard I - Knowledge
Bases foot care practice on knowledge acquired from nursing science and best practice.
Standard II - Application of Knowledge, Skills and Judgment
Assesses the clients’ actual or potential strengths and limitations and plans interventions and evaluates outcomes.
Standard III - Professional Service in the Public Interest
Provides nursing foot care service and collaborates with others in providing foot health care, while respecting individual beliefs.
Standard IV - Ethical Practice
Understands, promotes and adheres to the ethical standards of the nursing profession.
Standard V – Self-Regulation
Maintains current knowledge related to nursing foot care.
Standard VI – Continuing Competence
Assumes responsibility for attaining and maintaining competence relevant to own nursing foot care practice.
1.3. Model the professional, legal and ethical responsibilities relater to foot care nursing
Professional
> Canadian Registered Psychiatric Nurses of Manitoba
> Infection Control Guidelines from Health Canada (hand washing and foot care guidelines)
> Diabetes Canada Clinical Practice Guidelines
> Manitoba Association of Foot Care Nurses
Legal
> Government of MB, including Personal Health Information Act
> The Workplace and Hazardous Material Information System (WHMIS)
Nursing foot care is based on the following general principles, where the nurse providing foot care:
Refers to the appropriate professional when a condition presents that is beyond his/her scope of practice
Is accountable for his/her own actions
Practices within the policies and procedures of the employing agency
Practices within the Standards of Practice established by his/her regulatory body
Promotes self-care, wellness and prevention of illness to the client
Performs basic foot care on clean dry feet because:
o it is easier to identify viable and non-viable tissue
o it is easier to reduce corns and calluses and
o it is easier to remove debris that has collected under the nails
Holds an active registration with his/her regulatory body
Ensures the safety of the client and of him/herself during all procedures
Works directly with the client as one component of total nursing care
1.5. Analyze evidence-based nursing practise in foot care
– Evidence based practice (EBP) refers to? (3)
The combination of
clinical knowledge,
current, relevant and accurate research findings
as well as client participation in the decision-making process about the client’s plan of care.
1.5. Analyze evidence-based nursing practise in foot care
– Evidence based practice (EBP) supports?
- Critical thinking leading to
- Accurate decision making based on facts, not opinions/past experiences
- Answering questions with research-supported answers
1.5. Analyze evidence-based nursing practise in foot care
– Evidence based practice (EBP) involves?
- Constructing a relevant question
- a thorough literature search to find current evidence related to the question
- a critical assessment of the evidence for its validity
- applying the findings to nursing foot care practice
- evaluating the outcomes
