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Nursing and Health
History and Practice
89
Health Care
Undergraduate 1
09/20/2007

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Term
ANA defined nursing in 1980 as "................"
Definition
"The diagnosis and treatment of human responses to actual potential health problems."
Term
CNA defined nursing in 1987 as "......................"
Definition
"a dynamic, caring, helping relationship in which the nurse assists the client to acheive and obtain optimal health."
Term
These two definitions include nursing in relationship to........
Definition
the client and the environment
Term
She recruited nurses for the Crimean War, set up sanitary practices regularly (hand washing and clothes washing), and reduced the mortality rate from 42% to 2%
Definition
Florence Nightingale
Term
W/ Lavinia Dock, founded the American Society of Superintendents of Training Schools for Nursesof the U.S and Canada (precursor for the National League of Nursing).....2 Women?
Definition
Isabel Hampton Robb and Mary Adelaide Nutting
Term
1st African American nurse in the U.S.
Definition
Mary MAhoney
Term
The founder of public health nursing
Definition
Lilian Wald
Term
Died in 1901 after volunteering in experiments for curing yellow fever
Definition
Clara Louise Maas
Term
In charge of army nursing, set up Army Nurse Corps (Est. in 1918)
Definition
Anita Newcomb McGee
Term
First head of Army Nursing Corps
Definition
Annie Goodrich
Term
Organization that had a program of medical education outside the U.S. Also grants were made by the organization in fields such as nursing.
Definition
The Rockefeller Foundation
Term
Schools founded by Lavainia Dock, Isabel Hampton Robb, and Mary Adelaide Nutting
Definition
Hospital training schools
Term
Nurse who was influential in the suffrage movement. Eventually helping to pass the 19th Amendment
Definition
Lavania Dock
Term
Time period where nurses moved from the hospital to the home (visiting nurses)
Definition
The Great Depression
Term
Time period where congress passed the Lanham Act to fund nursing education and there was a real shortage of nurses
Definition
World War 2
Term
Time period with Mash Units, a whole team approach that included nurses and physicians
Definition
The Korean War
Term
Woman who established an Associate program for nursing
Definition
Mildred Montag
Term
Time period where a bill was created to allow male nurses in the military
Definition
The Vietnam War
Term
A medicare payments system to hospitals and physicians that establishes fees according to diagnosis
Definition
Diagnostic related groups (DRG)
Term
A group health care agency that provides basic and supplemental health maintenance and treatment services to voluntary enrolles
Definition
Health maintenance groups (HMO)
Term
Maintain quality care at a low cost
Definition
Managed care
Term
These programs are generall 10 months to 1 year in length. The training is in basic nursing techniques. They practice under the supervision of an RN. but are not RN's themselves. The scope of practice and advancement is limited
Definition
Licensed Practical Nurse (LPN)
Term
Program begun by FLorence Nightingale. Most are hospital based, 2 to 3 years in length, and may be affiliated with colleges
Definition
Diploma
Term
2 year degree program offered in community colleges. The programs include basic science theory and clinical practice.
Definition
Associate Degree
Term
program began in 1919 at the U. of Minnesota. There programs are located in the university and require 4 years of study. They provide a greater scope of practice, more autonomy, responsiblity, and oppurtunity for career advancement.
Definition
Baccalaureate
Term
Degree programs located in the university and prepare nurses with specialized knowledge to assume advanc roles in practice, education, administration, and research
Definition
Masters Degree
Term
Degree programs offer specialized preparation in the university for teaching at the university level, administration at the level of vice-president and president, and for conducting nursing research
Definition
Doctoral degree
Term
Nurses provde care for 3 types of clients
Definition
individuals, families, and communities
Term
The practice of nursing focuses on 4 areas:
Definition
Promoting health and wellness, Prevention of illness, restoration of health, and consolation of the dying
Term
Nursing practice area
-for maintaing or enhancing health
and "quality of life" ,
-to change or motivate patients to act
- for both healthy and ill clients
- to maximize personal potential
- to enhance healthy life styles
-improving nutrition and
Definition
Promoting health and wellness
Term
Nursing practice area
-includes passive strategies (ie; fluoridation of drinking water, vitamin D in milk)
- includes active strategies (ie; weight reduction programs, immunization clinics)
-protects patients from potential threats to health
- motivat
Definition
Prevention of illness
Term
Nursing Practice Area
- direct care (meds and baths)
- diagnostic testing and assessments
(meansuing BP & examining feces)
- consultation (problems)
-teaching and learning (exercise)
-rehabilitation
Definition
Restoration of health
Term
Nursing practice area
-pain management
- apporpriate facility
-being present
Definition
Consolation of the dying
Term
level of preventative care where:
activities are directed at decreasing the probablilityof a specific illness or dysfunction (ie; prenatal education,nutrition classes, immunizations)
Definition
Primary prevention
Term
level of preventative care where:
activities are directed at decreasing the severity of complications or worsening conditions and enabling the client to return to normal health at the earliest point (ie. assessing the rish for complications)
Definition
Secondary prevention
Term
level of preventative care where:
there are activities that minimize the effects of disease or disability, prevent complications, and deterioration (ie. rehabilitation)
Definition
Tertiary prevention
Term
Scope of Nursing Practice
-C
-C
-P
-A
-T
-H
Definition
-Curative aspects
-Coordinating
-Protective aspects (protecting the patient)
-Advocating
-Treating
-Holistic aspects (look at as a whole)
Term
Five steps of the nursing process as defined by the ANA:
-C
-I
-P
-I
-E
Definition
1. Collecting data (assessment)
2. Interpreting data (diagnosis)
3. Planning
4. Implementing
5. Evaluating Interventions
Term
collects comprehensive data pertinent to the patients health or situation
Definition
Collecting data (assessment)
Term
analyzes the assessment data to determine the diagnosis or issues
Definition
Interpreting data (diagnosis)
Term
develops a plan that prescribes strategies and alternatives to attain expected outcomes
Definition
planning
Term
implements the identified plan
Definition
implementing
Term
evaluating interventions
Definition
revise the plan
Term
a role that has traditionally included those activities that assist the client both physically and psychologically
Definition
caregiver
Term
one who chooses what to do in a sp. situation or problem
Definition
decision maker
Term
acts to protect the client, represents the client's needs and wishes to other healthcare professionals (info to physician), exercise their rights and helps them speak up for theirselves
Definition
client advocate
Term
helping a client to recognizeand cope with stressful psychologic or social problems, to develop improved interpersonal relationships, and promote personal growth
Definition
comforter-counselor
Term
identify client problems and then communicate these verbally or in writing to other members of the health team. Must be able to communicate clearly and accurately in order for a client's health care needs to be met
Definition
communicator
Term
-helps clients learn about their health and the health care procedures they need to restore or maintain their health
-assesses the client's learning needs and readiness to learn , sets specific learning goals, in conjunction w/ the client, enacts teachin
Definition
teacher
Term
want patients to change behavior, change in a system (clinical care)
Definition
change agent
Term
influences others to work together to accomplish a specific goal
Definition
leader
Term
use to improve client care
Definition
research
Term
manages the nursing care of individuals, families, and communities
-delegates nursing activities to ancillary workers and other nurses, and supervises and evaluates their performance
Definition
manager
Term
usually has a baccalaureate degree and works at educational institutions or in hospital staff education
Definition
nurse educator
Term
has an advanced degree or specialty training in a specific area of preactice. The nurse provides client care, educates others, consults, and conducts research.
-hospital
Definition
Clinical Nurse Specialist
Term
has graduated from a nurse practitioner program in such areas as adult care, pediactric care, family care, school nursing, or gerontology
Definition
Nurse Practitioner
Term
has completed a midwifery program. The nurse gives prenatal and postnatal care and manages normal deliveries in association with a health care agency
-postpartum care
Definition
Nurse midwife
Term
has completed an accredited program in anesthesiology. The nurse performs pre-op visits, administers general anesthesics under the supervision of an anesthesiest and does post-op assessments
Definition
Nurse Anesthetist
Term
usually has a PHD. The nurse investigates problems to improve nursing care and to expand nursing knowledge. This can be done in teaching hospitals, academic institutions, and institutes of health
Definition
Nurse Researcher
Term
usually has a minimum of a baccalaureate degree and may have a masters or PHD degree. The nurse manages patient care and the delivery of nursing services. This is usually a management position and may be at the level of a nurse manager, or directer of nur
Definition
Nurse Administrator
Term
usually has an advanced degree and runs a health related business (ie. education, consulation, research)
Definition
Nurse Entrepreneur
Term
these are generall directed at diagnosis and treatement of acute or chronic illnesses
Definition
outpatient agencies
Term
provide health services for clients in the community or directly in the institution
(day care center, drug rehabilitation, assisted living centers, hospitals, schools)
Definition
community based agencies
Term
usually settings where patients are admitted for extended periods of time
Definition
institutional settings
Term
provide psychological support, pain control, comfort measures for clients who are terminally ill and support for their families. This may be offered in the hospital, hospice center, or the home with home care agencies. Some organizations offer respite car
Definition
Hospices
Term
these are generall directed at diagnosis and treatement of acute or chronic illnesses
Definition
outpatient agencies
Term
provide health services for clients in the community or directly in the institution
(day care center, drug rehabilitation, assisted living centers, hospitals, schools)
Definition
community based agencies
Term
are set up at federal, state, and local levels to deal with the health needs of a specific area maybe at a certain time
Definition
government agencies
Term
a health maintenance organization, a group health care agency that provides basic and supplemental health maintenance and treatment services to volunteer enrollees.
a fee is set regardless of the amount of services provided. Some are for profit and othe
Definition
HMO
Term
patients are more knowledgable and have access to that information, they ask more questions and want more information
Definition
consumer demands
Term
changing, families w/ 2 parents working, alot more single parent families
Definition
family structure
Term
changing, medical care costs have doubled since 1995, inflation and population growing, drug prices and uninsured people rising
Definition
economics
Term
makes things more complex
Definition
science and technology
Term
increasing, can and can't do, control nursing licensing, issues such as abortion
Definition
legislation
Term
the study of populations, more and more people (elderly) , language, homlessness
Definition
demographics
Term
Canadians believe free health care is a basic right
Definition
Nursing profession Human rights
Term
Women and thier influence in competing to be as equal with men in society
Definition
women's movement
Term
over 2 million nurses in the U.S.
Definition
political power
Term
Nursing theory is used to direct links between..... (3 components)
Definition
theory, education research, and practice
Term
Three levels of theories are.....
Definition
a philosophy of nursing, a conceptual framework, and a midlevel theory
Term
an early effort to define phenomena and serve as the basis for further theoretical development
Definition
a philosophy
Term
had a theory about what would help soldiers from dying
-looking at fresh air, pure water, efficient drainage, cleanliness, light (Vitamin D)
Definition
Florence Nightingale
Term
a group of related ideas, statments or concepts (ie. Freud's id, ego, and superego) (Orem,Rogers, Roy, and King developed conceptual frameworks)
Definition
conceptual framework
Term
persons are more than the sum of their parts
-energy field, connecting with a patient, can disconnect as well, constantly interacting with the environment
Definition
Rogers Science of Unitary Human Beings
Term
focuses on the exploration of one concept such as pain or hardiness
(Peplau,Leninger, Parse, and Neuman)
Definition
Midlevel theories
Term
-looked at stress and individual's reaction to stress, central core of energy sources
-client is an open system
-central core of energy
-line of resistance
-normal line of defense
-flexible line of defense
Definition
Neuman's Systems Model
Term
NLN establishes the criteria for accreditation of nursing schools ans conducts the accredition procedure, which is voluntary
Definition
Accreditation
Term
RN license for practice is granted when a student completes a prescribed course or study from an approved program (by the state board of nursing) and passes the NCLEXRN. NCLEX is administered by each states' board of nursing. It is given all over the US a
Definition
Licensure
Term
1) Organizations
1) NLN
2) ANA
3) CNA
4) NSNA
5) ICN
6) Sigma Theta Tau
Definition
1) National League of Nursing
2) American Nurses Association
3) Canadian Nurses Association
4) National Student Nurses Association
5) International Council of Nurses
6) international honor society
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