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Age 40-65
Erikson: Generativity vs Stagnation
Major tasks: achieving life goals, guiding next generation, accepting and adjusting to middle age changes, preventative health practices, plans for retirement, back to society vs not caring about others |
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Common health problems: middle age |
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cardiovascular disease, pulmonary disease, cancer, substance abuse, diabetes mellitus, depression, arthritis |
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usually reversible, short duration, symptoms severe |
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lasts longer than 6 months, irreversible, affects functional ability in multiple systems |
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oxygenation, nutrition, elimination, mobility, physical safety, rest comfort sleep, reproduction, sexuality, psychological security |
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spirituality, culture, psychosocial, sociological |
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dynamic state that reflects functioning of interrelated body systems and human dimensions of the individual that are necessary to meet basic needs for sustaining life |
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emphasis on health promotion: activities to enhance a persons present level of health and wellness
ex: exercise routine, good nutritional diet |
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levels of preventative care |
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Primary prevention
secondary prevention
tertiary prevention |
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doctors, screening, immunizations |
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requires health care organizations to assess patients denomination, beliefs, and spiritual practices |
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American Nurses Association |
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requires nurses to respect an individuals values, customs, and spiritual beliefs |
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Purpose of case management |
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decrease fragmentation of care, enhance patients quality of life, contain cost of services, assist patient to improve functioning to highest possible level |
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plan of care abbreviated, used by entire team, nurse is case manager, outcome based guidelines for goal achievement with designated length of stay |
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National Patient Safety Goals: ISBARR |
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model provided to meet patient safety goals |
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Term
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Definition
Introduce yourself
Situation- specify patient name, current condition
Background- State the admission date of the patient, his or her diagnosis, and pertinent medical history; Give a brief synopsis of what’s been done so far (e.g., lab test)
Assessment: Give a summary of the patient’s condition or situation; Explain what you think the problem is or say, “I’m not sure what the problem is, but the patient is deteriorating”; Expand upon your statement with specific signs and symptoms Recommendation- what would you like to see done: Read back |
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Quality and Safety Education for Nurses: responsible for review/ revise nursing curriculum; 6 compentencies |
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don't work outside of scope of practice, only use learned skills |
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protects public health; defines scope of practice; different from state to state |
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