hypoxia low oxygen
dyspnea difficulty breathing
full consciousness awake and alert
lethargic sleeps frequently but awakens easily
obtunded extreme drowsiness, requires vigorous stimulation to waken
, minimal movement, responds inappropriately. is awake briefly with vigorous
stupor
stimulation or painful stimuli
does not respond to verbal and tactile stimuli. may respond appropriately to painful
comatose
stimuli
- pad side rails
- oral wall suction
Seizure precautions - oxygen available
- bed lowest position
- describing level on consciousness
- adaptation to the environment
- minimization of psychoactive medications
fall risk - attention to postural hypotension
- management of foot problems and footwear
- exercises that emphasize balance, strength, and gait training
- meaning of the illness to the patient, expectations the patient has regarding
treatment and care, and the patient's perception of the process
- patient history includes many questions that link to a patient's cultural perspectives
conducting a cultural assessment
and preference
- nurse should observe the patient's behavior, clothing, and presence of articles as
cues for additional or clarifying questions
HIPAA Health Insurance Portability and Accountability Act
law protecting the right to privacy for clients. it regulates how a clients personal
what is HIPAA
health information
1. only share client info with other team members directly involved with care
2. never discuss client info in the hallway, elevator, public area, or outside the
hospital
3. do not access charts or information that is not needed directly for work
key factors to HIPAA 4. computer charting: no password sharing, always log off
5. no taking info home
6. information releases: yes clients have a right to receive a copy of their health
records. no sharing information with a family or friend without client's permission
7. report any breach of confidentiality violations
a nurse has shared his computer username the nurses can be prosecuted
and password with a student nurse...
possible consequences?
husband is requesting lab results for his "let me check if you have permission?"
wife, how should you respond?
19 year old female asks for a prescription "the clients parents may not view the medical record but may learn about it from
for oral contraception, she is under her their insurance billing receipts
parents insurance but does not want her
parents to know, according to HIPAA,
which of the following should the provider
tell the patient?
autonomy the clients right to make their own healthcare decisions (ex. right to refuse)
Metaethics the study of the meaning and logical structure of moral beliefs
to protect the clients rights, health, and safety
advocacy
(ex. reporting critical changes in the clients condition)