Focused Learning Tool
Concepts: Fluid and Electrolytes, Elimination, Inflammation
Note: Test may include, but is not limited to the information below:
Apply the PLOs to care of patients with Bowel & urinary elimination.
PLO 1 best practices in the care of patients with UC, Crohn’s, IBS.IBD (constipation &
diarrhea; including infectious diarrhea, HD/PD)
Best Practices in Patient Care
Ulcerative Colitis (UC)
Crohn’s Disease
Inflammatory Bowel Syndrome (IBS)
Inflammatory Bowel Disease (IBD)
Constipation- Hard, dry stool that is difficult to pass through the rectum
Diarrhea- watery stool without form (at least 3 or more times/day)
-Contagious until determined (wash hands, sanitize toilet seat, and equipment)
PLO 2 communication
Communication
PLO 3 Application of the nursing process in the care of patients with UC, Crohn’s,
IBS.IBD (constipation & diarrhea; including infectious diarrhea, HD/PD)
Application of Nursing Process
Ulcerative Colitis (UC)
Crohn’s Disease
Inflammatory Bowel Syndrome (IBS)
Inflammatory Bowel Disease (IBD)
Constipation
Diarrhea
Assessment:
Inspect, Auscultate, Palpate the Abdomen
S/S: cold and clammy/moist, vascular is compensating, tenting,
dehydration, cardiac dysrhythmias, LOC (confusion), Increased
RR (Kussmaul), Metabolic Acidosis
Orders might include: IV Fluids, Electrolyte panel (look at
trend), obtain a daily weight
PLO 4 cultural legal ethical
Cultural
Legal
Ethical
Ethics- a theoretical and reflective domain of human knowledge that
addresses issues and questions about morality in human choices, actions,
character, and ends.
Considering what is right and wrong when using clinical
judgement to make clinical decisions.
Attributes of Ethics
Autonomy
Beneficence
, Nonmaleficence
Fidelity
Veracity
Justice
PLO 5 collaboration with all members of the health care team i.e., roles of each member
& what can be delegated to a UAP VS LPN
Collaboration
Roles
Delegation
PLO 6 Application of critical thinking & clinical decision making.
Application
Critical Thinking
Clinical Decision Making
Clinical Judgement- iterative process that uses nursing knowledge to
observe and access presenting situations, identify a prioritized client
concern, and generate the best possible evidence-based solutions in order
to deliver safe client care. (use nursing knowledge to observe, access,
prioritize, and generate EBP solutions to deliver great patient care)
Use the Nursing Process to determine problem and plan of action
for the patient
ADPIE
Assessment
Diagnose
Planning
Implementation
Evaluation
Systems thinking- the ability to recognize, understand, and synthesize the
interactions and interdependencies in a set of components designed for a
specific purpose.
Functions on a continuum from individuals to larger environmental
components, such as teams, units, and organizations.
PLO 7 advocacy-includes reporting abnormal data, questioning orders, & empowering
the patient & family to manage conditions.
Advocacy
Reporting Abnormal Data
Questioning Orders
Empowering Patient
Family and Managing Conditions
Any past learning applies to the current course.
Things to memorize:
Electrolyte levels and labs that relate
Electrolytes
Sodium (Na)
Potassium (K)