Importance of documentation of assessments & interventions
- Accurate documentation of the patient’s assessment is important to provide a baseline for
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comparisons as the patient’s condition changes
Types of nonverbal behavior which could promote improved communication
- Body language
- Gestures, movements, touch, appearance, adornments
- Personal appearance
- May express culture, religion, group associations, self-concept
- Posture and gait
- Erect vs. slouched posture
- Facial expression) the most expressive part of the body)
The importance of QSEN competencies in nursing education
- To prepare nurses who combine the highest level of scientific knowledge and technologic skill with
responsible, caring practice.
- To challenge students to identify and master the cognitive and technical skills as well as the
interpersonal and ethic/legal skills they will need to effectively nurse the patients in their care.
- Patient-centered care
- Teamwork and collaboration
- Quality improvement
- Safety
- Evidence-based practice
- Informatics
What is a sentinel event?
- An unexpected occurrence involving death or serious physical or psychological injury, or the risk
thereof.
- Serious injury specifically includes loss of limb or function.
- An error that causes serious harm to a client and singles out the need for investigation.
What is the main purpose for incident reporting?
- This helps document what happened to help the healthcare facility learn a way to prevent the
incident from happening again.
Examples of health promotion activities for primary, secondary and tertiary
- Primary: Directed toward promoting health and preventing the development of disease processes or
injury.
- EX: Immunizations clinics, family planning services, providing poison control information, accident
prevention education, teaching about a healthy diet, health-risk assessments.
- Secondary: Focus on screening for early detection of disease with prompt diagnosis and treatment it
identifies an illness, reverse or reduce its severity or provide a cure, and thereby return the person to
maximum health as quickly as possible
- EX: Assessing children for normal growth and development and encouraging regular medical, dental
and vision examinations; screening for BP, cholesterol and skin cancer, routine GYN exams and
mammograms, teaching testicular self-exams to men, administering medications, caring for wounds.
- Tertiary: Begins after and illness is diagnosed and treated, with the goal of reducing disability and
helping rehabilitate patients to a maximum level of functioning. Maintaining and preventing
progression of severe diseases =, dying with dignity, assisting to cope with impending death.
- EX: Teaching a diabetic patient how to recognize and prevent complications; using PT to prevent
contractures in a patient who has had a stroke or spinal cord injury; referring a woman to a support
group after removal of a breast because of cancer [Show Less]