concepts 3: safety, education

#1 communication=

documentation

pt environment includes

physical and psychosocial factors that influence life and survival of pt

physical hazards

threaten a persons safety and often results in physical/psychological injury or death

poison hazards often in _____

children

fire hazards especially in ___

OR

financial abuse common in ______

elderly

safety: individual risk factors

lifestyle
impaired mobility
sensory/communication impairment
lack of safety awareness (lack of edu)

"get up and go test" time longer than _____ indicated impaired mobility

19 sec

restraints

physical devices used to limit persons movement

restraint examples

4 side rails
geriatric chairs with trays
wrist, ankle, waist restraints
chem restraint-drugs

common chem restraint-drug

Haldol

types of restraints

wrist
belt
papoose
mittens
vest

restraints require

order from physician
type of restrain, justification, criterial for removal

mittens are

not restrain
don't need providers order

risk of restraints

entanglement, pressure ulcers, constipation, pneumonia, incontinence, urinary retention, contractures, nerve damage, circulatory impairment, psychological factors, atelectasis

physicians order renewed every _____

24 h

remove restraint every ____

2h

when you remove restraint, assess for

skin breakdown
ROM
cap refill
pulse
circulation
color

restraints have to be __ _______ loose

2 finger

alternative to restraints

sitter
freq rounding
diversionary activities
room near nurses station
de-escalation
therapeutic touch
re-orientation
sensor mattress

pt education objectives

shorter hospital stay
evidence of health promotion
cost containment
inc in chronic illness

who sets standards for pt and fam education

joint commission

purpose of education

achieve optimal levels of health
help ot develop self care abilities
max quality of life/achieve health goals
maintain, promote, and restore health
cope with impaired functioning

domains of learning: cognitive

understanding and gaining info

domains of learning: psychomotor

manual/physical activity
(ex- have pt admin insulin)

domains of learning: affective learning

attitudes

learning principles: motivation to learn

need to know something

learning principles: ability to learn

physical and cognitive abilities (able to do skills themselves)

learning principles: learning environment

physical environment

two-way feedback

pt repeat what nurse is saying/doing

SPEAK UP

speak up (questions)
pay attention (to care you get)
educate yourself (ab illness)
ask fam/friend for avocation
know which meds you take and why
use a health care organization
participate in all decisions ab treatment

education: cultural factors: ACCESS

assessment
communication
culture
establishment
sensitivity
safety

teaching

conscious and deliberate set of actions

learning

conscious/unconscious permanent change in behavior

instructional methods

group instruction
1 on 1
prep instruction
demonstration
analogy
role playing
stimulation

ask me 3

what is my main problem?
what do i need to do?
why is it important for me to do this?