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lady of the lamp, higher-upper class, not wanting kids, denied marriage, checked on soliders at night with a lamp 1860 1st school of nursing, london |
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speciality groups were made, operating rooms, midwifery, ED, critical care |
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above the age of 30, no chronic diseases, good health, experience, good conduct, order, neatness |
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renewed in 2001, better facilitate, changes in curriculum ----Disaster management, terrorism, nursing in multiple care settings |
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cultural, spiritual, language, lacking medical knowledge, urban/metropolitan care |
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bills for dying, pregnant women |
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advocates for uninsured, under paid |
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health care costs increased |
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researched practice, proving what your doing is helpful, decreasing infection rates |
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professional registered nurse education: LPNs, ADNs Graduate: Masters Doctoral: Doctorate Continuing education: inservices |
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Scope and Standard of Practice |
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standard of practice, professional appearance, code of ethics |
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nurse practice act licensure and certification-NCLEX science and art of nursing practice, critical thinking |
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Caregiver, educator, manager, advocate, communicator |
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Nationally, ANA, International Council of Nursing, National SNA |
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Organisms results in disease |
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process from person to person |
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when microorganisms invade self without host |
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Infectious agent- reservior- pathogens can survive (dark moist places) portal of exit- coughing, sneezing, shaking hands, urine, STDs, Mode of Transmission- prevent; handwashing Portal of Entry- incision, break of skin, foreign; IV, NG, OG tube Host- immunocompromised; chemo pt |
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Infection Process Incubation |
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time period from the entrance of pathogen and appearance of 1st symptom |
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onset of non specific symptoms, nausea, fatigue, to more specific |
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directly affected to the disease...ex- increased WBCs |
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Mask, gloves, gown, eyewear |
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increased WBCs, coughing, sneezing, fever |
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Inflammation Excudate- drainage |
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keeps in one area, immune system brings it together to heal pus- infection |
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vascular and cellular responses |
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Clean, but not sterile, absense of disease producing organism |
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treat bodily fluid as if they have some sort of infection..PPEs |
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22% of regular hand washing..#1 prevention of spreading the disease before and after pt care...15 seconds |
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Empty containers at water level dont hold close to uniform dipose medical wastes in properly biohazard bags cough etiquette keep systems intact- IVs, catheters |
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avoid direct "contact", private room, gown gloves, mask |
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disease transmitted by large particles, great than 5mcg, 3-6ft transmitted ex. flu, scarlet fever, specific pneumonias mask, PPE |
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small particles, less than 5mcg, in air for long periods of time, HEPPA air filtered rooms, Negative Pressure Room ex. TB, chicken pox |
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limited client population, reverse isolation, protecting pt from nurse, immunocompromised pt. no flowers, potted plants, no pepper |
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What does Isolation do to your pt |
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consoling bc pt has to wear PPE Education Diversion activities psychological state |
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sterile can touch sterile -if you cant see it or it goes below waists..not sterile |
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health care delivery system |
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history of healthcare costs |
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professional standards review organization, review of |
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quality, quantity, cost of care, medicare/medicaid |
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review of admissions, diagnostic testing, treatments |
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fixed amount providers receive per pt |
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Prospective Payment system |
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1983 eliminate cost reimbursement plans overall cost instead of specific item |
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Diagnosis related to groups |
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specific $$ amount for what diagnosis their considered to be in |
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federally funded greater than 65 y/o parts A- basic protectiom..medical, surgical, psych. B- voluntary medical insurance covers physician and some out pt services C- 3 different types of insurance plans D- prescription drug improvement |
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provides health insurance to low income families health assistance to low income people with long term care disabilities supplemental coverage for long term assistance to older adults..ie- nursing homes |
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Preventative/Primary Care |
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healthy and out of hospital clean living environment, rest, excerise health attitudes, promotion |
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diagnosis and treatment- disease management most common settings- hospitals acute and chronically ill- 20% 80%- costs 19-29 years old- usually not covered |
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Rehabilitation, ongoing care in home or rehab centers, nutrition, IV fluids, clients, families, healthcare, workers |
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provide health and social services to clients who live at home associated with hospitals continuous healthcare mentally disabled, elderly |
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similar to adult day care short-term care watches loved ones, while family runs errands not neccessarily everyday |
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elderly, chronic care pt home or residental care laundry, cooking, cleaning |
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long term care 24 hours older adults, disorders, or brain damage temporary or permanent |
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Home, retirement center, nursing home ADLs, meals on wheels not a lot of family continuing needs includes every age |
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between hospital stay and going home RUSK, SNIFF post surgery or procedure |
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incurable diseases family centered care at home ensures death with dignity comfort |
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restorative, physical or mental hospital or clinical setting speech, drug/alcohol all ages |
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Medical Terminology Descriptive |
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shape, color, size, function |
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Medical Terminology Eponym |
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someone discovered something and name it after themselves |
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prefix, word root and sufix |
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stylistics, in-text citations, references typed, doubled spaced 1in margins 12 pt times roman font no words like- I, we, us, you references- alphbetical order common knowledge- not quoted |
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designed to explain a phenomenon -concepts, definitions, assumptions ideas, environmental factors |
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Nursing Health- tons of definitons Person- recipient of nursing care Environment/Situation- conditons that affect the pt |
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presentation of major parts of nursing and how they relate to each other |
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to human responses to actual or potential problems |
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provides for the theoretical and practical aspects of the discipline - subject, general concept - nursing, includes history, education, practice |
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Maslow Law - food, water, warmth, rest |
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Belonging and Caring needs |
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Goal of the theory to the recipient |
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a set of parts connected to function as a whole for some purpose |
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All conditions surrounding and affecting the development and behavior of persons and groups with particular consideration of mutuality of person and earths resources |
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provokes a response, point of interaction for the human system and the environment..acts on the person as a whole |
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most immediate....ex. what did they fall on, or trip on |
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all other stimulus present in the situation |
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environment factors that are unclear, he hasn't acknowledged it ....but once he does acknowledge it, it becomes CONTEXTUAL |
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changing your behavior to better the situation |
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survival, growth, reproduction, mastery, person and environment transformation...is what you receive |
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doesnt contribute to the integrity of the person ex.beigning to bc of a bad grade |
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acquired ways of interacting with the changing environment |
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developed through learning, deliberate and conscious |
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mixing it together, structures and functions of a life process as a whole to meet human needs |
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test, challenge, study...coping mechanisms activated by a challenge to the person |
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ex. death in the family, compromised adaptation |
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behavior pertaining to the physical aspect of the human system... ---oxygenation, nutrition, elimination, activity and rest ex. senses- blind fluid- dehydrated |
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to know who you are, underlying need, physical need..body sensation, image ex. Anorexia |
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expectations of the person occupying the position --underlying need.. roles such as mother, father, daughter, etc. |
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relationship that exsists for a reason --ex. giving chocolate cake bc of doing good on a test --interacts with love, respect, and value |
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maintain homeostasis...AUTOMATICALLY...increase of decrease in heart rate, blood pressure... ex. mom in labor, drive up mtns, emergency response |
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learned automatic response, cognitive and emotional mechanisms ex. driving a car, answering a phone |
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Psychic & spiritual Integrity |
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