Infection: S/S -fever
-increase pulse
Malaise and loss of energy
-loss of appetite and in some situation N/V
-enlargement or tenderness of lymph nodes that drain area of infection
Infection: Nursing Cares -Isolation precautions
-Hyperthermia interventions: eliminate underlying cause, fever management
-Health teaching, antibiotic therapy, psychosocial support, health care resources
Infection: prevention -Early recognition of signs of infection
-rapid and accurate ID of organism
-Medical asepsis
-Standard precautions
-Environmental sanitation
-Employee health
-Disinfection/sterilization
-PPE
-Handwashing
-Control of excretions and secretions
-Trash and waste disposal
-Food handling
-Airflow control
-Catheter care
-Wound care
-Treating underlying diseases recognize high risk patients
-immunization
Isolation precautions: Contact precautions -Gloves, gowns, pts in private room to prevent
cross-contamination
Ex: VRE, MRSA, C. Diff, wound infections, herpes simplex
Isolation precautions: Droplet precautions -Surgical mask when within 3 feet from pt.,
dedicated equipment goggles
-Ex: influenza, mycoplasma pneumonia
Isolation precautions: Airborne precautions -N95 Respirator
-Ex: pulmonary TB
Healthcare associated infections (HAIs) infection that occur while client is being treated for
another condition
Healthcare associated infections (HAIs): Most common -Catheter: related bloodstream
infection
-Healthcare: associated pneumonia
, -surgical site infections
-Central line: associated bloodstream infection
-C.diff-associated infection
Healthcare associated infections (HAIs): Prevention -Effective handwashing
-Invasive equipment, procedures minimally
-Meticulous medical, surgical asepsis
-Critical thinking, agency policy
-Hand hygiene for client and nurse
Growth & Development theories -Freud's Psychoanalytic Theory
-Erikson's theory of Psychosocial Development
-Paiget's Theory of Cognitive Development
-Kohlberg's theory of moral development
Freud's Psychoanalytic Theory -Instinctive drives that have primarily sexual nature form
within the person and conflict that develop between these instincts.
-Id= individual instincts; ego= reality; superego= society
Freud's Psychoanalytic Theory: 5 stages Infant: "oral phase"
Toddler: "anal phase"
Preschooler: "phallic phase"
School age child: "latent phase"
Adolescent: "genital phase"
Erikson's theory of Psychosocial Development -Stresses the importance of culture and
society in the development of the personality
-Persons social view of self is more important than instinctual drives
Erikson's theory of Psychosocial Development: 8 stages Infant: "trust vs mistrust"
Toddler: "autonomy vs shame"
Preschooler: "initiative vs guilt"
School-age: "industry vs inferiority"
Adolescent: "identity vs role confusion"
Young adult: "intimacy vs isolation"
Middle-age: "generativity vs stagnation"
Older adult: "integrity vs despair"
Paiget's Theory of Cognitive Development Concepts of the way children learn and think
Paiget's Theory of Cognitive Development: 5 stages Infant: sensorimotor stage
Toddler- preoperational thought
Preschooler- continuing with preoperational thought
School age- concrete operational thought
Adolescent: formal operational thought
Kohlberg's theory of moral development Moral stages
Closely approximate cognitive stages: child bust be able to think abstractly before being able to
understand how rules apply
Kohlberg's theory of moral development: 5 stages Infant: "prereligious stage"
Toddlers: begin to formulate sense of "right and wrong"
Preschoolers: tend to be good out of self-interest
School-age: "conventional development," being "nice" or "fair"
Adolescents: "postconventional development," capable of abstract thought
Professional nursing standards Quality of practice