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Ignatavicius: Medical-Surgical Nursing, 9th Edition Key PointsChapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 2022/2023 Complete Solution

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Ignatavicius: Medical-Surgical Nursing, 9th Edition Key PointsChapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 2022/2023 Complete Solution The scope of medical-surgical nursing, sometimes called adult health nursing, is to : - Answer- promote health and prevent illness or injury in patients from 18 years of age to older than 100 years of age. Medical-surgical nursing requires special knowledge and clinical skills to meet the needs of: - Answer- adult patients in a variety of settings across the continuum. Patients are recipients of care in: - Answer- mutually trusting relationships with nurses and other members of the health care team. Medical-surgical nurses focus on meeting the basic needs (concepts) of adult patient in the areas of: - Answer- 1. fluid and electrolyte balance 2. protection 3. oxygenation and tissue perfusion 4. mobility 5. sensation 6. cognition 7. nutrition 8. metabolism and bowel elimination 9. sexuality—to provide a holistic approach to patient care. The nurse can function in various roles as a: - Answer- care coordinator, transition manager, caregiver, patient educator, leader, and patient and family advocate. To function in these roles, nurses need to have: - Answer- the knowledge, skills, and attitudes /KSA's, to keep patients and their families safe. Nurses play a major role in coordinating care with: - Answer- the interprofessional team to promote safe, quality care. The Joint Commission /TJC requires that healthcare organizations create a culture of: - Answer- SAFETY and encourage patients and families to become safety partners in protecting patients from harm. National Patient Safety Goals /NPSGs address: - Answer- high-risk issues such as drug administration, fall reduction, pressure ulcer prevention, infection prevention, and communication among health care team members. Sentinel events are a - Answer- severe variation in the standard of care caused by human or system error and results in an avoidable patient death or major harm and are always reported. The six core competencies for health care professionals based on research by the Institute of Medicine and Quality and Safety Education for Nurses are: - AnswerPATIENT-CENTERED CARE, TEAMWORK AND COLLABORATION, EVIDENCEBASED PRACTICE, QUALITY IMPROVEMENT, INFORMATICS AND TECHNOLOGY, and SAFETY. Nurses, as advocates for: - Answer- the patient and family, teach them how to be empowered and have more control over their care. Characteristics of patient-centered care include: - Answer- respect values, preferences, and needs, coordination of care, information, communication, and education, comfort, emotional support, involvement of family and friends, transition and continuity, and access to care. Nurses function as coordinators of care by: - Answer- communicating and collaborating with members of the health care team. Consideration of the special health care needs of the: - Answer- LGBTQ population has been added to the Healthy People 2020 initiative because of health disparities and previous discrimination. Include questions about gender identity and sexual activity as part of the health history. As part of the QSEN KSAs /knowledge, skills, and attitude, the competencies of: - Answer- TEAMWORK AND COLLABORATION are key components to achieving quality patient care. Interdisciplinary communication is essential when planning, implementing, and evaluating patient care. Such communication may be provided partly via e-mail: - Answer- but is better accomplished through face-to-face and phone communications. A lack of communication has been shown to cause many: - Answer- medical errors and patient SAFETY risks. An NPSG was established to communicate ongoing patient care needs: - Answersuch as pain management and respiratory support, to post-discharge caregivers. The SBAR procedure or a similar established protocol is used for: - Answersuccessful communication among caregivers and among health care agencies. SBAR is a : - Answer- formal method of communication between two or more members of the health care team that includes these four steps.......

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