Facilitate “the body's reparative processes” by manipulating client's environment; Believed that the role of a nurse was to place the client “in the best condition for nature to act upon him”

(who)

Develop interaction between nurse and client; to decrease anxiety by converting it into constructive actions; therapeutic milieu (environment - quiet, soothing colors, etc)

(who)

Work independently with other health care workers, assisting client in gaining independence as quickly as possible; nurses care for patients until they can care for themselves; Henderson's 14 basic needs

(who)

Provide service to individuals, families, and society; to be kind and caring but also intelligent, competent, and technically well prepared to provide this service; Abdellah's 21 nursing problems

(who)

Maintain and promote health, prevent illness, and care for and rehabilitate ill and disabled client through “humanistic science of nursing”; “Unitary man” evolves along life process. Client continuously changes and coexists with the environment.

(who)

Care for and help client attain total self-care

(who)

Use communication to help client reestablish positive adaptation to environment; Nursing is a dynamic interpersonal process between nurse, client, and health care system

(who)

Assist individuals, families, and groups in attaining and maintaining maximal level of total wellness by purposeful interventions; about client responses, environmental factors and nursing actions  is a foundation for nursing practice, education and research

(who)

Provide care consistent with nursing's emerging science and knowledge with caring as central focus; with this transcultural care theory, caring is the central and unifying domain for nursing knowledge and practice; intergrating patient’s cultural norms into care of the patient.

(who)

Identify types of demands placed on client, assess adaptation to demands, and help client adapt

(who)

Promote health, restore client to health, and prevent illness; caring is an interpersonal process comprising interventions to meet human needs; health is associated with the degree of congruence between the self as perceived and self as experienced

(who)

five stages of skill acquisition: novice, advanced beginner,  competent, proficient, expert

(who)

theories about uncertainty in illness, may help nurse to assist patients in coping with cancer.

(who)

hierarchy of needs

(who)

Blind Obedience, following orders

(development)

Learning through listening, borrowing theories

(development)

New sense of self; defining nursing and developing theories

(development)

Separate and connected knowledge, difficulty attaching theory to practice

(development)

Integration of knowledge, shifting from grand to middle and practice

(development)

• Nightingale

§  Established first organized training program for nurses

§  Lady with the Lamp

§  Notes on nursing: What it is and what it is not.

(who)

§  School teacher who volunteered as a nurse during the American Civil War

§  Delivered supplies to injured soldiers on battlefield & rode in ambulances to provide comfort

§  Along with other nurses, founded the American Red cross.

(who)

§  America’s first trained nurse

§  Introduced doctor’s - & nurse’s notes

§  Initiated the practice of nurses wearing uniforms

(who)

§  1^st African American professional nurse

§  Worked towards acceptance of African Americans in nursing

(who)

§  Opened nursing school at John Hopkins 5 years after graduating from nursing school

§  Authored textbook that became a standard for nursing schools at the time = Nursing: It’s Principles and Practice for Hospital and Private Use (1894)

(who)

§  Established by Lillian Wald & Mary Brewster in 1893 (first called Nurses’ Settlement)

§  Improved public health standards - provided primary care clinics.

§  Provided health/wellness education

§  Provided nursing care as well as organized boys’ and girls’ clubs, courses in arts and crafts, English & vocational training.

(place)

First Nurse Practitioner

(who)

First nurse to be elected to US House of Representatives

(who)

§  President of ANA

§  Member of President Clinton’s Health Care Reform Task Force

(who)

Health Belief Model

o   Focuses on relationships between beliefs and behaviors

o   Helpful in predicting client behavior in relation to their health and how they will comply to therapy

o   3 components:

§  perception of susceptibility

§  perception of seriousness of illness

§  likelihood that preventative action will be taken

(model)

o   Designed to be complimentary counterpart to models of health protection

o   Defines health as positive, dynamic state.

o   Health promotion is directed at clients level of well being.

o   Focuses on 3 areas

§  individual characteristics and experiences

§  behavior specific knowledge and affect

behavioral outcomes

(model)

•          Considers emotional and spiritual well being as important aspects of physical wellness.

•          Clients are involved in their healing process and assume responsibility

•          Clients are the ultimate experts

•          Uses interventions such as therapeutic touch, music therapy, massage, biofeedback, guided imagery

(model)

v  This is Maslow’s Hierarchy of needs. Remember that some human needs are more basic than others. The beauty of this model is it can provide a basis for nursing clients of all ages in all settings.

(model)

Introductory Phase

Working Phase

Summary/Closing/Termination Phase

Inspection

Percussion

Palpation

Auscultation

Normal Ranges:

Temperature

Pulse

Resp

Blood Pressure

Temp: 96.8-100.4 F

Pulse: 60-100

Resp: 12-20

BP: 90-120/60-80

Temporal

Carotid

Apical

Brachial

Radial

Ulnar

Femoral

Popliteal

Posterior Tibial

Dorsalis Pedis

Rate

Rhythm

Strength

Equality

Assessment

Diagnosis & Planning

Implementation

Evaluation

Character

Onset

Location

Duration

Severity

Pattern

Associated Factors