Nursing interventions for clients in restraints:
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, -Explain the need for restraints, emphasizing that the restraints keep the
client safe and are temporary
-Ask client or guardian to sign consent form
-Assess skin integrity and provide skin care (usually every 2 hours)
-Offer food and fluid
-Provide a means for hygiene and elimination
-Monitor vital signs
-Offer ROM for extremities
-Pad bony prominences to prevent skin breakdown
-Do not secure/tie restraints to the side rails of the bed
- Secure tie/restraints to a part of the bed frame that can raise and lower
the bed when bed controls are used
-Make sure restraints are loose enough for ROM and there is enough room
to fit two fingers between the restraints and the client
-Regularly determine the need to continue using the restraints
-Check facility policy regarding types of restraints
PPE
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-Masks
-Gloves
-Gowns
-Protective eyewear
Helps control the contact and spread of micro-organisms to staff and
clients
clarity and brevity
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, clarity: saying precisely what is meant
brevity: using the fewest words necessary
example: When the nurse tells the client, "I am interested in hearing what
you have to say," the nonverbal behavior would include the nurse facing
the client, making eye contact, and leaning forward.
Andragogy
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the art and science of teaching adults
what are affective teaching starategies
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-one-on-one discussion
-group discussions
-role playing
-modeling
presenting reality
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Helping the client to differentiate the real from the unreal
, Assertive communication
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Promotes client safety by minimizing miscommunication w/ colleagues.
Characteristics:
-honest
-direct
-appropriate
(open to ideas and respecting the rights of others)
-Includes the use of "I" statements versus "you" statements.
The "you" statement places blame and puts the listener in a defensive
position, whereas the "I" statement encourages discussion
Nonasserrtive communication
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Two types of interpersonal behaviors are considered non assertive: passive
and aggressive
stages of infection:
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, -Explain the need for restraints, emphasizing that the restraints keep the
client safe and are temporary
-Ask client or guardian to sign consent form
-Assess skin integrity and provide skin care (usually every 2 hours)
-Offer food and fluid
-Provide a means for hygiene and elimination
-Monitor vital signs
-Offer ROM for extremities
-Pad bony prominences to prevent skin breakdown
-Do not secure/tie restraints to the side rails of the bed
- Secure tie/restraints to a part of the bed frame that can raise and lower
the bed when bed controls are used
-Make sure restraints are loose enough for ROM and there is enough room
to fit two fingers between the restraints and the client
-Regularly determine the need to continue using the restraints
-Check facility policy regarding types of restraints
PPE
Give this one a try later!
-Masks
-Gloves
-Gowns
-Protective eyewear
Helps control the contact and spread of micro-organisms to staff and
clients
clarity and brevity
Give this one a try later!
, clarity: saying precisely what is meant
brevity: using the fewest words necessary
example: When the nurse tells the client, "I am interested in hearing what
you have to say," the nonverbal behavior would include the nurse facing
the client, making eye contact, and leaning forward.
Andragogy
Give this one a try later!
the art and science of teaching adults
what are affective teaching starategies
Give this one a try later!
-one-on-one discussion
-group discussions
-role playing
-modeling
presenting reality
Give this one a try later!
Helping the client to differentiate the real from the unreal
, Assertive communication
Give this one a try later!
Promotes client safety by minimizing miscommunication w/ colleagues.
Characteristics:
-honest
-direct
-appropriate
(open to ideas and respecting the rights of others)
-Includes the use of "I" statements versus "you" statements.
The "you" statement places blame and puts the listener in a defensive
position, whereas the "I" statement encourages discussion
Nonasserrtive communication
Give this one a try later!
Two types of interpersonal behaviors are considered non assertive: passive
and aggressive
stages of infection:
Give this one a try later!
