Management of Care and Nursing Process Flashcards

Vocabulary flashcards derived from lecture notes on care coordination, chain of command, delegation, prioritization, critical thinking, and the five-step nursing process.

Care Coordination

The deliberate organization of patient care activities between two or more participants, including the patient, involved in a patient's care to facilitate the appropriate delivery of health care services.

Chain of Command

The hierarchy within an organization showing a clear line of responsibility from the top position to the bottom, enforcing responsibility and accountability.

Authority

The power to command other individuals and direct their activities.

Responsibility

Being accountable for meeting personal or organizational objectives and performing required tasks.

Line of Authority

The power to direct the activities of subordinates within an organization.

Prioritization

Deciding which needs or problems require action and which ones can be delayed until a later time because they are not urgent.

Urgent Condition

A condition that is not life-threatening but requires care in a timely manner, typically within 24 hours.

Delegation

The transfer of responsibility for the performance of an activity while remaining accountable for outcomes.

Five Rights of Delegation

A framework for delegation that includes Right Task, Right Circumstance, Right Person, Right Direction, and Right Supervision.

Critical Thinking

The ability to think systematically and logically with openness to question and reflect on the reasoning process to determine what is essential in a situation.

Nursing Process

A sequence of five steps (Assessment, Diagnosis, Planning, Implementation, Evaluation) used as standard clinical practice to identify and manage patient health problems.

Objective Data

Observable and measurable facts or signs gathered during assessment, such as vital signs, physical assessment findings, and laboratory values.

Subjective Data

Information or symptoms that only the patient can feel and describe, such as pain, nausea, and numbness.

Nursing Diagnosis

A statement of a patient's health problem that can be prevented, reduced, resolved, or enhanced through independent nursing measures.

Actual Nursing Diagnosis

A nursing diagnosis category indicating a patient currently has an active health problem that must be addressed immediately.

Potential Nursing Diagnosis

A 'Risk for' nursing diagnosis category indicating a high chance of a patient developing a problem in the near future, requiring preventive measures.

SMART Goals

Guidelines for setting patient outcome criteria that are Specific, Measurable, Attainable/Realistic, and Timed.

Short-Term Goal

An expected patient outcome that can be met in a few days to a week.

Long-Term Goal

An expected patient outcome that takes weeks or months to accomplish.

Direct Care Interventions

Treatments and nursing actions performed through direct interactions with patients.

Indirect Care Interventions

Treatments and nursing actions performed away from a patient but on behalf of the patient or group of patients, such as documentation and interdisciplinary collaboration.

Evaluation

The final step of the nursing process where the nurse determines whether expected patient outcomes and goals have been achieved.

Concept Map

A diagram that graphically represents and links data about a patient's multiple diagnoses and nursing interventions in a logical way.