Assessing & Care Planning
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- Created by: tieganstanford97
- Created on: 17-06-24 12:06
Give an example of Non-verbal Communication
Body language, facial expressions, appearance, use of hands and head movements. Gives clues to out thinking, feelings and behaviours.
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What is a therapeutic relationship?
The intent of promoting the growth, development, maturity, improved functioning and improved coping with the life of the other.
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What are the three core elements to the therapeutic relationship?
Congruence, empathy, unconditional positive regard
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What does handwashing prevent?
Healthcare associated infections, reduces mortality and morbidity. Hands carry microorganisms that can cause infection. Healthcare staff have the greatest chance of transferring these between patients.
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What are the five moments of hand hygiene?
1) before touching a patient, 2) before clean/aseptic procedure, 3) after body fluid exposure, 4) after touching with patient, 5) after touching patient surroundings.
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Reasons for administering an injection?
Drug absorption, alternative to oral route, patient intolerance, nausea and vomiting.
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Intramuscular injections
Administered into the muscle, via the skin and subcutaneous tissue at a 90 degree angle. Z track method is also used.
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What is the five steps of the nursing process?
Nursing assessment, nursing diagnosis, care planning, interventions and evaluation
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What are the advantages of care planning?
Promote patient holistic care, family and person centred, provide evidence based care, professional integrity. Describes and defines the care they have been delivered.
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What are they key principles of person-centred care?
Enabling and empowering patients to make decisions for themselves. Involves clinical team having a shared set of values to be effective. Individualised and person specific.
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What are the sources of data collected during a nursing assessment?
Non-verbal observations (sight, sound, touch, smell, body language), verbal communication (can the patient verbalise, family/friends, nursing staff, MDT) and written records (GP letters, care plan, LD passport, transfer letters).
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Holistic assessment
Spiritual, social, physical, psychological
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What are the functions of the skin?
Protection, excretion, sensory perception, thermoregulation, synthesis of vitamin D
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What are the factors affecting wound healing?
Ageing, smoking, medication, stress, poor nutrition, lack of sleep, diabetes, inappropriate wound care.
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What is the A-E approach?
Airway, breathing, circulation, disability, exposure
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What is the appropriate capillary refill time for adults and children?
adults - apply pressure to the finger tips for 5 seconds, CRT should be 2seconds. Children - apply pressure to the sternum for 5 seconds, CRT should be 2seconds.
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what are the signs of post-natal depression?
Low mood, anxiety, poor concentration, loss of appetite, poor attachment with child, suicidal ideation, disturbed sleep.
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What are the bodies natural barriers?
Earwax, the skin, enzymes in tears, saliva, mucous membranes, cough reflex stomach acid.
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What are the key aspects for a safe sleeping environments?
Monitoring room temperature with a thermometer should be between 16-20 degrees. Child to be placed in cot on supine (back). No suffocation hazards in cot. No smoking, drugs or alcohol exposure, co-sleeping is not advised.
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What is the reluctance to breast feeding?
Feeding in public, lack of privacy at home, sexualisation of breasts, lack of milk supply, expectation to breastfeed, returning back to work.
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What is DAME?
drugs and alcohol, age related problems, medical illness, environmental factors.
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What are the considered risk factors for falls?
Cognitive impairment, medication, incontinence, environmental hazards, alcohol/drugs, muscle weakness, personal factors, previous falls
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What are the key aspects of public health approach?
Health prevention, health promotion, health protection, health care services.
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What are the united nation sustainable goals?
No poverty, zero hunger, clean water and sanitation, gender equality, economic growth, good health and wellbeing
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What are the features of down syndrome?
Flat faced, growth failure, big toes widely spread, palm crease, slanted eyes, abnormal pelvis. enlarged colon, abnormal ears.
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What are the uses of genetic information?
To refine diagnosis's and understand diseases. To individualise clinical care. Predict drug effects and develop new therapies.
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What are the known mental health conditions that are genetic?
ADHD. autisms, bipolar and schizophrenia, clinical depression
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What are the clinical holding considerations?
Introduction and approach including consent. Assessment of clinical situation. Assessment of patients mental capacity, behaviour and age. Duty of care. Anatomy and physiology. Movement of the body. The environment. Most suitable clinical holding technique
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Other cards in this set
Card 2
Front
What is a therapeutic relationship?
Back
The intent of promoting the growth, development, maturity, improved functioning and improved coping with the life of the other.
Card 3
Front
What are the three core elements to the therapeutic relationship?
Back
Card 4
Front
What does handwashing prevent?
Back
Card 5
Front
What are the five moments of hand hygiene?
Back
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