Nursing 465 - Concepts in Nursing Practice Med Surg. Complete Study Guide.

Concepts in Nursing Practice Med Surg Nursing Defined • Florence Nightingale (1858): The goal of nursing is “to put patient in best condition for nature to act upon him.” • American Nurses Association Social Policy statement (2010): Nursing is “the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” Healthy People 2020 • Goals that, if reached, could have major impacts on improving the nation’s health • Reduce or eliminate illness, disability, and premature death among individuals and communities • To put people in the best health possible. Maximize health. Health • The World Health Organization (WHO) defines health in the preamble to its constitution: “state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity” (2006) • Health-illness continuum: ever-changing, best viewed as continuum • People with chronic illness or disability may attain a high level of wellness. • WHO also looks at preserving the social well-being. • Stroke- acute condition Wellness • Wellness: has been defined as equivalent to health • Hood and Leddy (2010): wellness has four components: • Capacity to perform to best of ability • Ability to adjust, adapt to varying situations • Reported feeling of well-being • Feeling that “everything is together,” harmonious Nursing in Transition • Nursing quality indicators - things nurses can affect- Falls, pain mgmt, pressure ulcers Health Promotion • Increased emphasis on: • Health • Health promotion • Wellness • Self-care • Preventatives & EDUCATION is a big part of health promotion. • DEMONSTRATION & VERBALIZATION SHOWS THAT THE PATIENT UNDERSTANDS A Need for Change • IOM (2000) To Err is Human: Alarming breakdown in quality control in the American health care system • 100,000 Americans die annually from preventable errors • Never Events?