Fundamentals of Nursing
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1. 5 vital signs respirations, pulse rate, blood pressure, temperature, and pain
2. Nursing is rec- -well defined body specific and unique knowledge
ognized as pro- -strong service orientation
fession based on -recognized authority by a professional group (ANA)
what criteria -code of ethics
-professional organization that sets standards
-ongoing research
-autonomy and self-regulation
3. Florence Nightin- defined nursing as both an art and science, differentiated nursing from medicine,
gale created freestanding nursing education, published books; founder of modern
nursing
4. Clara Barton established red cross; volunteered to care for wounds and feed union soldiers
during civil war; served as supervisor of nurses for the army of James
5. goals of nursing -improve care in clinical setting
research -study ppl and nurse process: education, policy development, ethics, nursing
history
-develop greater autonomy and strength as a profession
-provide evidence-based nursing practice
6. evidence-based a problem-solving approach to making clinical decisions, using the best evidence
practice (EBP) available; blends both science and art of nursing so best outcomes are achieved;
may consist of specific nursing interventions or use guidelines established for the
care of patients
7. steps in imple- Step 1: ask a question about a clinical area of interest or an intervention
menting EBP Step 2: collect the most relevant and best evidence
Step 3: Critically appraise the evidence
Step 4: integrate the evidence w/ clinical expertise, patient preferences, and
, Fundamentals of Nursing,
Fundamentals of Nursing
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values in making a decision to change
Step 5: evaluate the practice decision or change
8. human dimen- physical, intellectual, environmental, spiritual, sociocultural, and emotional
sions that com-
pose the whole
person:
9. acute illness rapid onset of symptoms and lasts only a short time; examples: cold, diarrhea,
pneumonia, appendicitis
10. chronic illness slow onset, characteristics: permanent change, caused by change in anatomy,
requires special patient education, long period of care or support; examples:
heart disease, diabetes, lung diseases, and arthritis
11. stages-of-illness Stage 1: experiencing symptoms
behaviors Stage 2: assuming the sick role
Stage 3: assuming a dependent role
Stage 4: achieving recovery and rehabilitation
12. primary health directed towards PROMOTING health and PREVENTING the development of dis-
promotion ease processes or injury; example: immunization clinic, family planning services,
accident prevention education
13. secondary health focus on SCREENING for early detection of disease with prompt diagnosis and
promotion treatment of any found; example: assessing children for normal growth and
development and encourage regular medical, dental and vision exams
14. tertiary health after an illness is diagnosed and treated;
promotion example: teaching a patient with diabetes how to recognize and prevent compli-
cations, refer woman to support group after removal of breast due to cancer
15. maslow hierar-
chy of needs