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NSG 318 Topic 1 Notes study guide for exam blueprint cheat sheet

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NSG 318 Topic 1 Notes study guide for exam blueprint cheat sheet

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NSG 318 Topic 1 Notes study guide for exam blueprint cheat
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Advanced Pharmacology (Grand Canyon University)




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NSG 318 TOPIC 1 NOTES

UNIT 1 – introduction to Pharmacology


Chapter 1: The Nursing Process and Patient-Centered
Care
 Nursing process used by nurses for appropriate delivery of patient care and drug
administration
 Describes the who, what, where, when, why and how of nursing practice
 Supports prioritizing safe nursing care and medication administration
 40% of nurse’s time is spent administering medication

The Nursing Process
 Six-step decision-making approach that includes
1. Concept
2. Assessment
3. Patient Problem (replaces diagnosis)
4. Planning
5. Implementation (nursing intervention)
6. Evaluation
 Purpose is to identify a patient’s problem and provide care
 Continuous and moves back and forth between the various steps

Nursing Process: Patient-Centered Collaborative Care
 Concept
o Centers its focus for nursing care around the reason the care is being provided to
the patient
o Holistic view of the patient rather than the disease model
o Includes health, illness, and health promotion of the patient
o Involves preventative, primary, acute and chronic health care for the ill patient
o Nurse provides patient education, restorative health needs, medication
administration, and possibly emergency care
 Concept: Clinical Decision Making
o Understanding and organizing a patient’s health problems and taking necessary
action by using the nursing process to achieve successful outcomes
 Assessment
o During this phase, nurse gathers information from the patient about the
patient’s health and lifestyle
o Includes both subjective and objective data
o Nurse should perform a complete systemic assessment of the patient’s body
systems




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o Nurse asks the patient questions about their illness, including the drug regimen
o Nurse can also obtain information from family members, health professionals,
and the medical record
o This phase is paramount because the nurse will use the information gathered to
form the basis of the patient’s plan of care
 Subjective Data
o Includes information provided verbally by the patient, family members, friends,
or other sources
o Patient must verbalize subjective data, which are imperceptible by the nurse’s
senses
o Based on what patients or family members communicate to the nurse
o Nurse may ask open-ended questions, allowing the patient to answer directly,
such as “Please tell me about your current medications”
o Nurse may help the patient explain or describe subjective data but must never
speak for the patient
o Comprises what the patient personally has to say about his or her medications,
health problems, and lifestyle
o Examples of information that the nurse can use:
 Inquire about patient’s current health history, including family history
 Question whether or not the patient has problems swallowing
(dysphagia)
 Have the patient verbalize signs and symptoms of his or her illness
 Discuss the patient’s current health concerns:
 Knowledge of medications and side effects
 Over-the-counter (OTC) remedies, nutritional supplements, herbal
remedies, and contraceptives
 Knowledge of side effects to report to the physician
 Attitude and beliefs about taking medications
 Allergies
 Financial barriers
 Use of tobacco, alcohol, and caffeine
 Cultural dietary barriers
 The patient’s home safety needs
 Caregiver needs and support system
o Enhancing patient’s adherence to their drug therapy regimen is an essential
component of health teaching
o Patient’s attitude and values about taking medication is an important
consideration when determining readiness to learn
o Attitude and values should be considered when planning interventions to
support the patient’s decision to adopt healthy behaviors related to their
medications
o Patient’s social support system should be emphasized




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