Solution
Olivia answered on
Mar 19 2021
Topic : Fundamentals of Nursing.
Topic : Fundamentals of Nursing.
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Table of Contents.
Fundamentals of Nursing.
Nursing Process
Basic Nursing Care
Laboratory Basic Interpretation
Vitals Signs Interpretation
Tracheostomy’s Care.
Colostomy /Ostomy Care.
Foley Catheter care.
Reposition or Change of Position
Measure of Urinary Drainages.
Partial Bed Bath.
Management of Basic Interventions
Objectives
To learn about the fundamentals of learning and the associated theories
Fundamentals of Nursing: Developing Communication Skills
Provide privacy when speaking with the patient—for example, by closing the door or shutting the curtain.
Introducing yourself is the next step.
Make patients feel more comfortable
Listen carefully, and strive to make a comfortable environment for the patient.
Use open-ended questions.
Get as much information as possible, including anything about their past medical history.
Be compassionate.
Emotional support is often needed.
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THE NURSING PROCESS (NURSING CARE PLANS)
The nursing process is a five-step systematic approach to problem solving.
It allows the nurse to obtain both subjective and objective information to determine the health care problem.
The five steps are (a) assessment, (b) diagnosis, (c) planning, (d) implementation, and (e) evaluation, which can be remembered using the mnemonic “ADPIE (A Delicious PIE).”
Based on these steps a care plan is conducted for each patient.
Fundamentals of Nursing: Assessment
Asking the patient about the problem, signs, and symptoms that he or she has been experiencing
During an assessment, two types of data are obtained: subjective and objective.
Subjective data are symptoms that the patient describes to you
Objective data are findings that are observed, assessed, and documented by the nurse. Objective data are any signs that can be observed, and vital signs are a type of objective data.
The first step is to assess the areas that can help you formulate a diagnosis. A patient can have numerous problems that can result in more than one diagnosis.
Information can be obtained from the patient, medical records, family members, and physical examination.
Fundamentals of Nursing: Diagnosis
A diagnosis is obtained on the basis of the patient’s assessment findings.
A nursing diagnosis is the statement of a problem based on the actual signs and symptoms the patient is experiencing.
The nursing diagnosis is the statement of the patient’s problems and the causes.
Diagnosing the patient will help with planning care for this particular patient and will help you focus on the problems at hand.
Fundamentals of Nursing: Planning
Once the nursing diagnoses are obtained, it is time to start planning patient care and interventions.
Based on the diagnoses, the next step is to formulate goals and outcomes for the patient.
The nursing interventions are what you as a nurse can do to help the patient.
Fundamentals of Nursing: Implementation
Once the patient is assessed, the diagnoses are made, and the planning is in place, you are ready to implement the steps of the nursing care plan.
It is important to establish a realistic time frame for the patient to meet the identified goals and interventions.
In this section of the care plan, you should provide scientific rationales to explain your diagnoses in further detail.
You should have a rationale for each intervention giving support to the diagnosis based on facts and research.
Fundamentals of Nursing: Evaluation
This is the completion of the nursing care plan.
The patient has been assessed and diagnosed, planning is in place, implementation is complete, and evaluation of the patient’s response to these actions is underway.
It is during this step that the patient goals are met or close to being met as a result of nursing interventions.
The nursing process is important in patient care.
It is a system to help nurses identify patient problems and, along with doctors, develop a plan to help the patient.
It is an essential part of patient care and recovery.
Nursing process: a-d-p-i-e
Basic Nursing Care
Prevention of Infection
Preventing general infections
Handling body fluids and preventing HIV infection
Basic Personal Hygiene
Bathing and hair washing
Mouth, nail, and toilet care
Preventing Pressure Sores
Physical Therapy for the Client
Care in the Final Stages of Life
Care of the body after death
Nursing Skills Practice
Basic Nursing Care
Model healthy lifestyle behaviors and attitudes.
Facilitate client involvement in the assessment, implementation and evaluation of health goals.
Teach clients self-care strategies to enhance fitness, improve nutrition, manage stress and enhance relationships.
Assist individuals, families and communities to increase their level of health.
Educate clients to be effective health care consumers.
Basic Nursing Care
Laboratory basic interpretation: Complete Blood Count
Red Blood Cell (RBC)
Normal range:
Male: 4.5–5.5 x 1012/L
Female: 4.0–5.0 x 1012/L
Children: 3.8–6.0 x 1012/L
Newborn: 4.1–6.1 x 1012/L
Hemoglobin (Hgb)
Normal range:
Male: 13.5—16.5 g/dL
Female: 12.0—15.0 g/dL
Pregnant: 10—15 g/dL
Hematocrit
Male: 41% – 50%
Female: 36% – 44%
Children: ...