Integrated Learning Exam 1

Old focus of HealthCare

“fixing” the already sick or injured.

New focus of Healthcare

Health Promotion; preventing illness and injury and recurrence.

Managed Care

Decrease Cost, Manage Utilization, Improve and Assure Quality of Care

Case Management

Continuity of care through thorough assessing, planning, evaluating and collaborating (post-hospital)

Levels of Prevention

Primary, Secondary, Tertiary

Primary Prevention

disease and injury prevention (education)

Secondary Prevention

detection and early treatment/screening

Tertiary Prevention

restoration and symptom management

HIPPA

limits access and protects client privacy

Protected Health Information (PHI)

Name, DOB, Social Security Number, Diagonis

Social Media and Workplace

maintain boundaries, consider potential for HIPPA violations, separate your personal social media from workplace social media.

Primary Healthcare Setting

Well visits, prenatal visits, scheduled school screenings

Secondary Healthcare Setting

Urgent care centers, emergency rooms

Tertiary Healthcare Settings

Burn centers

Medicare

65 years or older, young people permanent disabilities, End stage renal disease

Medicaid

federally and state funded for any client with low income who meets state established eligibility (Finacial Aid)

ANA Code of Ethics

Autonomy, Fidelity, Justice, Beneficence, Non-maleficence, Veracity

QSEN (stands for)

quality, safety, education for nurses

QSEN (means)

patient physical and emotional needs

Justice

Fairness

Integrity

honesty

Accountability

show up

Autonomy

ptatients make your own choices

Fidelity

no broken promise

Veracity

Tell the truth

Non-Maleficence

do no harm

Beneficence

to do good

Safety

minimization of risk factors that could cause harm or injury to client or provide

Patient Centered Care

Compassionate care that includes the client and addresses the client’s spiritual, cultural, social, psychosocial, and physiological needs.

Evidence-Based Practice

current knowledge from research and other credible sources used as a basis for critical judgment and client care

Informatics

use of information technology to support decision making and practice

Quality Improvement

processes that develop and implements plans to increase positive outcomes and meet client needs

Teamwork and Collaboration

client care delivered in partnership with interprofessional team members to maintain continuity of care and increase positive outcomes.

Providers

RNs, Doctors, LVNs, Dentists, PTs, OTs, RTs, STs, APNs

Settings

hospitals, home, skilled nursing, assisted living, adult day cares, schools, hospice, provider’s offices

Regulatory Agencies

US Department of Health, FDA, Joint Commission, state and public health agencies

Medicare Part A

65+ auto-enrolled (hospital stay)

Medicare Part B

Outpatient Services (monthly Premium)

Medicare Part C

Covers Medicare Part A & B (monthly premiums)

Medicare Part D

Medication Coverage (monthly Premium)

Types of Medicaid

PPO and HMO

Preferred Provider Organization (PPO)

3rd party contract (call the po-po_

Health Maintenance Organization (HMO)

Pre-Paid Group (call the hoe)

Affordable Care Act

Health Care for all

Nursing Delegation (5 rights)

Tasks, Circumstance, Person, Training, Direction/ Communcation

Nursing Process Steps

Assessment, Diagnosis, Planning, Implementation, Evaluation (ADPIE)

Nursing Process means

Always comes back to assessment, Each step feeds into the next step

Assessment

Must be done before planning/implementation

Subjective

What the patient/family tells you

Objective

Data obtained through observation and examination

Diagnosis

Nursing diagnosis =problem statement (interchangeable terms)

NANDA

North American Nursing Diagnosis Association

PES

Problem; Etiology; Signs and Symptoms

“SMART” goals

Specific, Measurable, Attainable, Relevant, Time

Goals need to be

patient-centered

Implementation

For every goal, nursing interventions need to be implemented (assess & reassess)

Evaluation

Patient Outcomes and Plane of Care

Types of reasoning

Deductive and Inductive reasoning

Deductive Reasoning

Moves from general to specific (“top-down”) =Start with a conclusion analyze it for valid significant cues

Inductive Reasoning

Moves from specific to general (“bottom-up”) = Reach Conclusions

maslow's hierarchy of needs

5th- Physiological (air/water), 4th-Safety (employment), 3rd Belonging (love), 2nd Self-Esteem (achievement) 1st Self-Actualization

Local Pain

one spot

Systemic Pain

more than one spot

Unprofessional Behavior

lateral violebce, sexual harassment, improper use of authrority, intimidation

Lateral violence

directed towards peers, verbally or physically attacking direct co workers, creates division among care team

ANA (American Nurses Association)

Developed Code of ethics for nursing profession

An actual problem is more important than

potential issues or risk factors

acute problems/ conditions are priority over

chronic conditions

_______ restrictive or invasive measures are always preferred to __________ invasive or restrictive measures

least, most