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Foundations of Nursing
Chapters 6-10
48
Nursing
Graduate
06/02/2013

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Term
belief about the worth of something, about what matters, that acts as a standard to guide one's behavior.
Definition
value
Term
organization of values in which each is ranked along a continuum of importance, often leading to a personal code of conduct.
Definition
value system
Term
process by which people come to understand their own values and value system.
Definition
values clarification
Term
a set of principles that reflect the primary goals, values, and obligations of the profession
Definition
code of ethics
Term
systematic inquiry into principles of right and wrong conduct, of virtue and vice, and of good and evil as they relate to conduct and human flourishing
Definition
ethics
Term
refers to personal or communal standards of right and wrong.
Definition
morals
Term
encompassing a number of fields and disciplines grouped broadly under the rubric "the life sciences"
Definition
bioethics
Term
branch of bioethics literally concerned with ethical problems "at the bedside," that is, ethical concerns that arise within the context of caring for actual patients, wherever they are found
Definition
clinical ethics
Term
a subset of bioethics, formal study of ethical issues that arise in the practice of nursing and of the analysis used by nurses to make ethical judgments.
Definition
nursing ethics
Term
The rightness or wrongness of an action depends on the consequences of the action
Definition
utilitarian (action-guiding theory)
Term
An action is right or wrong independent of its consequences
Definition
deontologic (action-guideing theory)
Term
combines elements of both utilitarian and deontologic theories and offers specific action guides for practice
Definition
principle-based approach
Term
four principles of bioethics
Definition
autonomy, nonmaleficence, beneficence, and justice
Term
arises when attempted adherence to basic ethical principles results in two conflicting courses of action
Definition
ethical dilemmas
Term
directs attention to the specific situations of individual pratients viewed within the context of their life narrative
Definition
care-based approach
Term
particular type of ethical approach popular among nurses and aims to critique existing patterns of oppression and domination in society, especially as these affect women and the poor
Definition
feminist ethics
Term
natural ability to behave in an ethical way and to do the ethical right thing because it is the right thing to do and must be cultivated in the same way nurses cultivate the ability to do the scientifically right thing in response to a physiologic alteration
Definition
ethical agency
Term
occurs when the nurse knows the right thing to do but either personal or institutional factors make it difficult to follow  the correct course of action
Definition
ethcial distress
Term
acting for patients without their consent to secure goods or prevent harm
Definition
paternalism
Term
protection and support of another's rights
Definition
advocacy
Term
systems that are a way of providing care that is designed to control the cost while still maintaining the equality of that care
Definition
managed care
Term
a method used to coordinate a patient's healthcare to achieve patient wellness and optimum function through advocacy
Definition
case management
Term
essential healthcare based on practical, scientifically sound, and socially acceptable methods and technology, made universally accessible to individuals and families in the community through their full participation and at a cost the community can afford
Definition
primary healthcare
Term
a person who enters a hospital and stays overnight for an indeterminate time (ranging from days to months)
Definition
impatient
Term
those not hospitalized overnight but who require diagnosis or treatment
Definition
outpatients
Term
agencies that deliver medical care on an outpatient basis... may be located in hospitals, may be a free-standing service provided by a group of healthcare providers who work together, or may be manged by an APRN
Definition
ambulatory care
Term
provides medical and nonmedical care for people with chronic illnesses or disabilities
Definition
long-term care
Term
type of care provided for caregivers of homebound ill, disabled, or elderly patients
Definition
respite care
Term
a program of palliative and support care services providing physical, psychological, social, and spiritual care for dying persons their families, and other loved ones
Definition
hospice
Term
an area of care that has evolved out of the hospice experience, but also exists outside of hospice programs
Definition
palliative care
Term
established in 1965 under title 18 for the elderly, and people pay both a deductible cost and monthly premium for full insurance coverage for this healthcare program
Definition
medicare
Term
established in 1965 under title 19 and is a federally funded public assistance program for people of any age who have low incomes
Definition
medicaid
Term
Medicare converted to this in 1983, a prospective payment plan based on patient classification categories in an effort to control rising healthcare costs
Definition
diagnosis-related groups (DRGs)
Term
someone who uses a commodity or service
Definition
consumer
Term
proess by which healthcare providers give appropriate, uninterrupet care and faciliate the patient's transition between different settings and levels of care
Definition
continuity of care
Term
goals to assure that health information is protected while allowing the flow of health information needed to provide and promote high-quality healthcare and to protect the public's health and well being
Definition
HIPAA privacy rule
Term
heathcare provided to people who live within a defined geographic area
Definition
community-based care
Term
a computerized or paper medical record containing information such as medical orders, assessments and care; nursing documention of plan of care, assessments and interventions; and diagnostic/surgery results
Definition
patient's chart
Term
a system used to provide patient information in a brief format
Definition
Kardex card
Term
planning for cintinuity of care and more commonly referred to in hospitl-based setting
Definition
discharge planning
Term
services provided for people with an acute illness, long-term health condition, permanent disability, or terminal illness who are in need of treatment or support to function effectively in the home environment
Definition
home healthcare
Term
person who recommends home care services and supplies the home healthcare agency with details about the patient's needs
Definition
referral source
Term
pays for home healthcare services
Definition
reimbursement source
Term
comprehensive and coordinated care for patients with limited life expectancy, provided both at home and in institutional settings
Definition
hospice
Term
continuation of care for the family (time of mourning experienced after a loss)
Definition
bereavement care
Term
related area of care that has evolved out of the hospice experience but is used earlier in the disease process
Definition
palliative care
Term
protection and support of another's rights
Definition
advocacy
Term
a requirement of documentation in home healthcare that represents core items of a comprehensive assessment for adult nonmaternity hme care patients and forms the basis for measuring patient outcomes for the purpose of improving the quality of care that is provided
Definition
outcome and assessment information set (OASIS)
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