NUR 2349 PN1 EXAM 2
Rights of the terminally ill client - - Do not give patient or family false hope
- Keep patient involved in care plan decisions
- always respect the client
- Support the patients decisions
- Respect all legal aspects
Rights of the terminally ill client - legal - Advanced directive types - 1) living will 2)
Durable power of Attorney 3) Mental health Directive
- Documents specifying the type a treatments an individual wants if they become unable
to express their wishes.
HIPAA - - Health Information portability and accountability act
- Regulates the sharing of medical information
-
Informed consent - - Permission given after procedure and consequences have been
explained.
- Dr/Physician/Surgeon must explain to patient.
- Nurse is a witness - explains medical terminology in lay terms
- Pg 1534 - . The principle of autonomy under- lies informed consent. You honor
autonomy when you respect the patient's or surrogate decision maker's right to decide,
even when you believe those choices are not in the patient's best interest. You can
support autonomy by informing patients about advan
Beneficence (Definition) - "do good" ; Duty to promote the patients welfare. (PG 1534)
Nonmaleficence (definition) - "do no harm" and Prevent harm (Pg 1534)
veracity - truthfulness, honesty
- . Key Point: Always consider the context. Pg 1535
fidelity - faithfulness; loyalty
- The duty to keep a promise is the same regardless of its level of importance. ( Key
point pg 1535)
Paternalism - Treating one as a child
- Can be confused with beneficence as in "I am trying to help you and I know what is
best for your"
Justice - treating people fairly and equally
Autonomy - Ones right to make their own decisions
Autonomy refers to a person's right to choose and ability to act on that choice.
Autonomy ties in with respect for human dignity. You demonstrate respect for autonomy
when you treat patients with consideration, believe their stories about the course and
symptoms of their illnesses, and protect those who are unable to decide for themselves.
(Pg1534)
Accountable - Ethical knowledge is necessary for professional competence. Being a
professional includes being accountable to others in the profession for the ethical
conduct of your work.
trustworthy - able to be relied on as honest or truthful.
Compliant - the act of adhering to legal rules and regulations as well as high ethical
standards through practices and procedures within the medical practice, in all aspects
of medical care
, Mandatory Reporting Laws - report communicable diseases. You also have a duty to
report physical, sexual, or emotional abuse or neglect of children, older adults, or the
mentally ill, whether you suspect it or have actual evidence of it. (Pg 1550)
Nurse Practice Act - Nurse Practice Acts are statutory laws passed by each state's
legislative body that define the practice of nursing. Nurse Practice Acts are designed to
do the following: ■ Protect patients or society. ■ Define the scope of nursing practice. ■
Identify the minimum level of nursing care that must be provided to clients
Good Samaritan Law - designed to protect from liability those who provide emergency
care to someone who has been injured. - Cannot take pay!!
Key Point: Nurses working in healthcare environments may not be protected by Good
Samaritan laws if they already have a responsibility to provide care to those in need (Pg
1550)
Erikson's age development -
glomerulonephritis -
Prevention - - Primary: prevent/promotion
- Secondary: screen-early detection
- Tertiary: treat- to prevent further deterioration, rehab
Types of incontinence
"OUTS" - - lack of voluntary control over urination. UI affects about two-thirds of older
adults, to at least some degree.
- Overflow incontinence - loss when specific volume reached
- Urge incontinence - loss from contraction that follows strong, sudden need)
- Total incontinence - complete loss of urinary control, as from a nonfunctioning urethral
sphincter muscle
- Stress incontinence loss of small amounts of urine when abdominal pressure
increases through cough, sneeze, laugh)
- Functional UI - is the untimely loss of urine when no urinary or neurological cause is
involved. This type of incontinence occurs because of physical disability, immobility,
pain, external obstacles, or problems in thinking or communicating that prevent a
person from reaching a toilet.
Indwelling Catheter Care - 1. Position resident. Female, dorsal recumbent (on back)
with head slighly elevated and knees bent. Male, supine or Fowler's position.
2. Place waterproof pad under buttocks.
3. Cover resident so only perineal is exposed.
4. Female, use non-doiminant hand to gently pull open labia to fully expose urethral
meatus and catheter insertion site; keep hand in position throughout. Male, use non-
dominant hand to retract foreskin; hold penis firmly at shaft below glans (end of penis);
keep position throughout.
5. Observe urethral meatus and tissue for color, swelling, and consistency of discharge.
6. Cleanse perineal tissue. Female, use clean, soapy cloth and cleanse around urethral
meatus and catheter from top towards anus. Male, while spreading urethral meatus,
cleanse around catheter and wipe in circular motion around meatus and glans to base
of penis. Dry.
7. While holding the catheter withh non-dominant hand, cleanse length of catheter from
meatus to connective tubing in circular motion.
8. If uncircumcised male, replace foreskin over glans.
Rights of the terminally ill client - - Do not give patient or family false hope
- Keep patient involved in care plan decisions
- always respect the client
- Support the patients decisions
- Respect all legal aspects
Rights of the terminally ill client - legal - Advanced directive types - 1) living will 2)
Durable power of Attorney 3) Mental health Directive
- Documents specifying the type a treatments an individual wants if they become unable
to express their wishes.
HIPAA - - Health Information portability and accountability act
- Regulates the sharing of medical information
-
Informed consent - - Permission given after procedure and consequences have been
explained.
- Dr/Physician/Surgeon must explain to patient.
- Nurse is a witness - explains medical terminology in lay terms
- Pg 1534 - . The principle of autonomy under- lies informed consent. You honor
autonomy when you respect the patient's or surrogate decision maker's right to decide,
even when you believe those choices are not in the patient's best interest. You can
support autonomy by informing patients about advan
Beneficence (Definition) - "do good" ; Duty to promote the patients welfare. (PG 1534)
Nonmaleficence (definition) - "do no harm" and Prevent harm (Pg 1534)
veracity - truthfulness, honesty
- . Key Point: Always consider the context. Pg 1535
fidelity - faithfulness; loyalty
- The duty to keep a promise is the same regardless of its level of importance. ( Key
point pg 1535)
Paternalism - Treating one as a child
- Can be confused with beneficence as in "I am trying to help you and I know what is
best for your"
Justice - treating people fairly and equally
Autonomy - Ones right to make their own decisions
Autonomy refers to a person's right to choose and ability to act on that choice.
Autonomy ties in with respect for human dignity. You demonstrate respect for autonomy
when you treat patients with consideration, believe their stories about the course and
symptoms of their illnesses, and protect those who are unable to decide for themselves.
(Pg1534)
Accountable - Ethical knowledge is necessary for professional competence. Being a
professional includes being accountable to others in the profession for the ethical
conduct of your work.
trustworthy - able to be relied on as honest or truthful.
Compliant - the act of adhering to legal rules and regulations as well as high ethical
standards through practices and procedures within the medical practice, in all aspects
of medical care
, Mandatory Reporting Laws - report communicable diseases. You also have a duty to
report physical, sexual, or emotional abuse or neglect of children, older adults, or the
mentally ill, whether you suspect it or have actual evidence of it. (Pg 1550)
Nurse Practice Act - Nurse Practice Acts are statutory laws passed by each state's
legislative body that define the practice of nursing. Nurse Practice Acts are designed to
do the following: ■ Protect patients or society. ■ Define the scope of nursing practice. ■
Identify the minimum level of nursing care that must be provided to clients
Good Samaritan Law - designed to protect from liability those who provide emergency
care to someone who has been injured. - Cannot take pay!!
Key Point: Nurses working in healthcare environments may not be protected by Good
Samaritan laws if they already have a responsibility to provide care to those in need (Pg
1550)
Erikson's age development -
glomerulonephritis -
Prevention - - Primary: prevent/promotion
- Secondary: screen-early detection
- Tertiary: treat- to prevent further deterioration, rehab
Types of incontinence
"OUTS" - - lack of voluntary control over urination. UI affects about two-thirds of older
adults, to at least some degree.
- Overflow incontinence - loss when specific volume reached
- Urge incontinence - loss from contraction that follows strong, sudden need)
- Total incontinence - complete loss of urinary control, as from a nonfunctioning urethral
sphincter muscle
- Stress incontinence loss of small amounts of urine when abdominal pressure
increases through cough, sneeze, laugh)
- Functional UI - is the untimely loss of urine when no urinary or neurological cause is
involved. This type of incontinence occurs because of physical disability, immobility,
pain, external obstacles, or problems in thinking or communicating that prevent a
person from reaching a toilet.
Indwelling Catheter Care - 1. Position resident. Female, dorsal recumbent (on back)
with head slighly elevated and knees bent. Male, supine or Fowler's position.
2. Place waterproof pad under buttocks.
3. Cover resident so only perineal is exposed.
4. Female, use non-doiminant hand to gently pull open labia to fully expose urethral
meatus and catheter insertion site; keep hand in position throughout. Male, use non-
dominant hand to retract foreskin; hold penis firmly at shaft below glans (end of penis);
keep position throughout.
5. Observe urethral meatus and tissue for color, swelling, and consistency of discharge.
6. Cleanse perineal tissue. Female, use clean, soapy cloth and cleanse around urethral
meatus and catheter from top towards anus. Male, while spreading urethral meatus,
cleanse around catheter and wipe in circular motion around meatus and glans to base
of penis. Dry.
7. While holding the catheter withh non-dominant hand, cleanse length of catheter from
meatus to connective tubing in circular motion.
8. If uncircumcised male, replace foreskin over glans.
