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Unit 1 Introduction to Pharmacology The Nursing Process and Patient-Centered Care

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1. Nursing Process: Systematic way of gathering and using information to plan and provide individualized care. it describe who, what, when, where, why, how of the nursing practice, including drug administration. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation. 2. Concept: CONCEPT: centers its focus for nursing care around the reason care is being provided to the pt. it is more holistic view of the pt. rather that the disease model. the 'concept includes' health, illness and health promotion of the pt. by focusing to the concept the nurse will provide patient education, restorative, health needs, medication administration, and possibly emergency conclude it simply organizing the pt. health problem and taking necessary action. 3. explain the steps of nursing process and how each steps relate to safe drug administration: Assessment, patient problem, planning, implementation, evaluation. 4. Assessment: the systematic collection, organization, validation, and documen- tation of patient data, (medication assessment) focus on whether the patient is experiencing the expected therapeutic benefits from the medications, dosage review, serum levels obtained, also identify any adverse effects,baseline data compared with current assessment to determine what changes have occured, assess the ability of the patient to assume responsibility for self-administration of medications-next diagnosis phase 5. Patient probelem: the pt. problem is made based on the analysis of the assess- ment data and it determines the type of care the pt. will receive. ex. abdominal pain, confusion, decreased adherence, need for health teaching, cognitive teaching, nonadherence. use of patient problem is beneficial to the pt because its focus is on the individual pt care as related to the actual problems derived from the pt.. illness and not the actual disease. 6. Planning: prioritizes diagnoses, formulated desired outcomes, and selects nursing interventions that can assist the patient to return to establish an optimum of wellness, short and long term goals are established, links the strategies, or interventions to the established goals and outcomes, involves drug administration and patient teaching.

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Introduction to Patient-Centered Nursing
Care

1. health: A state of complete physical, mental, and social well-being
2. Wellnesss: active state of being healthy
3. disease: pathologic change in the structure or function of the body or
mind
4. illness: person's response to a disease
5. primary health promotion: promoting health and preventing the
development of disease processes or injury
ex: weight loss, diet, exercise, smoking prevention, seat belts,
avoidance of illicit drugs, safer sex practice, immunization
6. second health promotion: screening for early detection of disease with
prompt diagnosis and treatment
Screenings (BP, skin, cholesterol, glaucoma, pap smear, mammogram,
testicular examinations)
7. tertiary health promotion: An illness is diagnosed, goal is to reduce
disability and rehabilitate
Medication treatment, physical therapy for stroke patien
8. Masclow's Hierarchy of Needs: -self actualization
-self esteem
-love and belonging
-safety and security
-physiologic
9. According to Maslow: Their lack of fulfillment results in
illness. Their fulfillment helps prevent illness or signals
health.
Meeting basic needs restores health.
Fulfillment of basic needs takes priority over other satisfactions
when unmet. A person feels something is missing when a need is
unmet.
A person feels satisfaction when a need is met.
10.physiologic needs: Oxygen: most
essential Water
Food
Elimination
Temperature
Sexuality
1

, Introduction to Patient-Centered Nursing
Care
Physical
activity Rest
11.safety and security needs: -Second in
priority Have both physical and emotional
components




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