In what manner should we communicate with families?
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, i. needs are as variable as family situations, use non-judgmental assessment
to become aware of patient's and family's personal feelings and values
about the situation - keep in mind that the family can consist of different
persons and different feelings
ii. coordinate the communication process between patient, family and
healthcare team to ease anxiety and ensure the most peaceful death
possible
DNR
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A medical order that prohibits the use of cardiopulmonary resuscitation and
emergency cardiac care to reverse signs of clinical death. The DNR order
may or may not be specified in a patients advance directives.
BPS (Behavioral Pain Scale)
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What types of stressors do patients identify from their critical care experience?
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, Difficulty communicating, pain, thirst, difficulty swallowing, anxiety, lack of
control, depression, fear, lack of family and friends, physical restraint,
feelings of dread, inability to get comfortable, difficulty sleeping,
loneliness, and thoughts of death and dying
Explain the Synergy Model and how it is used in practice?
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Patient needs (medically, emotionally, culturally, etc.) drive the nurse
competencies required for patient care - when competencies stem from
patient needs, and the characteristics of the nurse and patient match,
synergy occurs and enables optimal outcomes
- Many organizations use this model as a basis for developing frameworks
for nursing practice, this is also used to implement appropriate staffing by
ensuring the best nurse is matched with the patient that matches that
nurse's competencies
Living Will
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A witnessed written document or oral statement voluntarily executed by a
person that expresses the person's instructions concerning life-prolonging
procedures.
Palliative vs. Hospice Care
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, a. Palliative care is the provision of care interventions that are designed to
relive symptoms of illness or injury that negatively affect the quality of life
of the patient or family. This is in supplement to care and can be used
during any point of illness, not just at end of life.
b. Hospice care is generally reserved for those with a prognosis of less
than 6 months to live and usually in place of aggressive life-sustaining or
restorative care
What is the Values of AACN?
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Accountability, advocacy, integrity, collaboration, leadership, stewardship,
lifelong learning, quality, innovation, and commitment
What are some barriers to effective handoff communication?
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1. Physical setting- background noise, lack of privacy, interruptions
- ex. giving report in a noisy/busy hallway causing the recipient of the
handoff to miss important information due to noise
2. Social setting- organizational hierarchy and status issues
- ex. a nurse needing to communicate a critical value to a MD but they
aren't answering the page or a new nurse feeling anxious to call the MD
promptly
3. Language- differences between people of varying racial or ethnic
backgrounds or geographical areas
- ex. different languages between healthcare providers or even patient-to-
healthcare provider
Give this one a try later!
, i. needs are as variable as family situations, use non-judgmental assessment
to become aware of patient's and family's personal feelings and values
about the situation - keep in mind that the family can consist of different
persons and different feelings
ii. coordinate the communication process between patient, family and
healthcare team to ease anxiety and ensure the most peaceful death
possible
DNR
Give this one a try later!
A medical order that prohibits the use of cardiopulmonary resuscitation and
emergency cardiac care to reverse signs of clinical death. The DNR order
may or may not be specified in a patients advance directives.
BPS (Behavioral Pain Scale)
Give this one a try later!
What types of stressors do patients identify from their critical care experience?
Give this one a try later!
, Difficulty communicating, pain, thirst, difficulty swallowing, anxiety, lack of
control, depression, fear, lack of family and friends, physical restraint,
feelings of dread, inability to get comfortable, difficulty sleeping,
loneliness, and thoughts of death and dying
Explain the Synergy Model and how it is used in practice?
Give this one a try later!
Patient needs (medically, emotionally, culturally, etc.) drive the nurse
competencies required for patient care - when competencies stem from
patient needs, and the characteristics of the nurse and patient match,
synergy occurs and enables optimal outcomes
- Many organizations use this model as a basis for developing frameworks
for nursing practice, this is also used to implement appropriate staffing by
ensuring the best nurse is matched with the patient that matches that
nurse's competencies
Living Will
Give this one a try later!
A witnessed written document or oral statement voluntarily executed by a
person that expresses the person's instructions concerning life-prolonging
procedures.
Palliative vs. Hospice Care
Give this one a try later!
, a. Palliative care is the provision of care interventions that are designed to
relive symptoms of illness or injury that negatively affect the quality of life
of the patient or family. This is in supplement to care and can be used
during any point of illness, not just at end of life.
b. Hospice care is generally reserved for those with a prognosis of less
than 6 months to live and usually in place of aggressive life-sustaining or
restorative care
What is the Values of AACN?
Give this one a try later!
Accountability, advocacy, integrity, collaboration, leadership, stewardship,
lifelong learning, quality, innovation, and commitment
What are some barriers to effective handoff communication?
Give this one a try later!
1. Physical setting- background noise, lack of privacy, interruptions
- ex. giving report in a noisy/busy hallway causing the recipient of the
handoff to miss important information due to noise
2. Social setting- organizational hierarchy and status issues
- ex. a nurse needing to communicate a critical value to a MD but they
aren't answering the page or a new nurse feeling anxious to call the MD
promptly
3. Language- differences between people of varying racial or ethnic
backgrounds or geographical areas
- ex. different languages between healthcare providers or even patient-to-
healthcare provider
