Week 1 Flashcards
What is Med Surg Nursing?
Complex care, comorbidities, challenging, dynamic and diverse.
caring for adults expiriencing complex varitations of health
What is the nursing process?
It is a formalized way to apply evidenced informed care. An assertive problem solving approach.
What are the phases of the nursing process?
1) Assessment 2) Diagnosis 3) Outcome 4) Planning 5) Implementation 6) Evaluation
ADOPIE: to remember. hint
What is the assessment phase of nursing process?
data collection. what types of data? Subjective and objective data. what are the sources of the data? primary and secondary sources. Also includes data interpretation and distinguishing relevent v.s. irrelevent data.
what is subjective data?
data from pt’s point of view. feelings and concerns. Collected by interview
what is objective data?
observable and measureable. obtained through physical exams, lab tests and diagnostic tests.
what is primary source of data collection?
patient and major care provider.
what is secondary source of data?
includes pt’s family, other health care providers and medical records.
What occurs in the DIagnosis phase of the nursing process?
Data analysis and problem identification. Nursing doagnosis. Diagnostic (IPES) statements
What is a nursing diagnosis?
process of identifying actual and potential healing issues. health states that nures leagally diagnose and treat
What are diagnostic (IPES) statement?
Identifying the Problem, Etiology, Signs and symptoms.
What is included in a 3 part nursing diagnosis?
1) diagnosis label - related to….
2) Etiology - evidanced by…..
Defining characteristics, signs & symptoms, subjective and objective clinical manifestations
Types of diagnoses: actual, at risk, wellness
What occurs in the planning phase of the nursing process?
Priority setting, identifying outcomes, determining interventions, developing pt’s plan of care and SMART goals
What occurs during the implementation phase?
carrying out the individualized plan, nurse may designate activities to supervise qualified others and be involed in carrying out the plan or both
What occurs during the evalution phase?
was this successful and did it meet the pt’s needs/ determine if the plan shpuld be maintained, revised or discontinued.
What is a nursing care plan?
contain specific directions for carrying out planned interventions including how, when, how long, how often, where, by whom, with what resources
What does critical thinking actually mean?
communication, problem solving, evaluation, analysis, synthesis, reflection
What are the 12 determinants of health?
1) education
2) income & social status
3) employment
4) childhood expiriences
5)connnection to the land, water and enviroment
6) social supports and connections
7) Culture
8) Housing
9) Food security
10) assessibility
11) transportation
12) education
What is culture?
Includes characteristics and behaviours, economic condition, social conditions, political conditions, type and availability of health care
What is health equity
create equal oppertunities for good health care for everyone, remove unfiar systems and policies that cause health inequalities improve services to enhance access to and reduce exclusion
Health inquality
compromises differences in the health status of individuals and groups as a result of the DOHs
Health Inequity
Refers to health unequalities that are a result of factors that are generally considered to be unjust/unfair/modifiable
Culturally Safe Healthcare
people feel respected and safe from discrimination when accessing health services
Cultural Humility
A lifeling journey of self eval reflection and learning to deepen out understanding of how our life expiriances influence how we understand and interact with others. Include skills of self reflection and assessment
Cultural Competency
Developing practical skills to interact in respectful ways with people who are different from us. we dont’t need to be experts in cultures different from out own but be open to learn
Cultural Competency
grows when we start to see the influences of our own culture and acknowledge that we have biases. It takes courage and humility to recognize these and to walk this path. it is not about treating everyone the same, but to act respectfully