CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
Professional Nursing Concept And Practic - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject Foundation of Nursing and topic is Professional Nursing Concept And Practice. This slide is presented by Mohammed Haroon Rashid Basic B.Sc Nusing 4th Year In Florence College of Nursing
Steps in nursing process, Specific to the nursing profession
A framework for critical thinking
It’s purpose is to:
“Diagnose and treat human responses to actual or potential health problems”
For those of you who want to get a head start on the chartsmart, these are the applicable slides. Also, Brenda has a sheet of "Descriptive Terms" that you will want for that project. She handed it out to a few people the other day who wanted to get a head start on the charting assignment.
nursing records and reports, definition, purposes, principles, values and uses, types, records in hospital, types of reports, how to write better report, nursing responsibilities
In Pharma and Biotech, Weightage of the Documentation is around 70 % because as per FDA "If you do not have Document, You dint have do it."
So Good Documentation Practice is of tremendous importance for the Industry to comply any regulation like FDA, GMP or ISO.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
2. THE NURSING PROCESS
Includes 5 steps:
1. Assessment
2. Diagnosis
3. Planning and outcome identification
4. Implementation
5. Evaluation
3. THE NURSING
PROCESS (continued)
A series of steps that lead to
accomplishing some goal or purpose.
A systematic method for providing
care to clients.
Provides individualized, holistic,
effective and efficient client care.
Clients of all ages and in any care
setting.
4. ASSESSMENT
The first step in the nursing process.
Includes systematic collection,
verification, organization,
interpretation, and documentation of
data.
5. THE PURPOSE
OF ASSESSMENT
To organize a database regarding a
client’s physical, psychosocial, and
emotional health.
To identify health-promoting
behaviors and actual and/or potential
health problems.
6. TYPES OF ASSESSMENT
Comprehensive–provides baseline
client data.
Focused–limited to a particular
need or health care concern.
Ongoing–includes systematic
monitoring of specific problems.
7. SOURCES OF DATA
Primary source–client or the major
provider of information about a client.
Secondary source–sources of data
other than client and include family
members, other health care providers,
and medical records.
8. TYPES OF DATA
Subjective data–data from client’s
point of view, and include perceptions,
feelings, and concerns. Collected by
interview.
Objective data–observable and
measurable, obtained through both
physical examination and the results
of lab and diagnostic testing.
9. VALIDATING THE DATA
Prevents misunderstandings,
omissions, and incorrect inferences
and conclusions.
10. ORGANIZING THE DATA
Data must be organized.
Data clustering is the process of
putting the data together in order
to identify areas of the client’s
problems and strengths.
11. INTERPRETING THE DATA
Organizing data in clusters helps to
recognize patterns of response or
behavior:
Distinguish between relevant, irrelevant.
Determine whether and where there are
gaps in the data.
Identify patterns of cause and effect.
12. DOCUMENTING THE DATA
The nurse must decide which data
should be immediately reported and
which data can just be recorded.
It is essential for accurate and
complete recording of assessment
data to communicate information to
other health care team members.
13. DIAGNOSIS
Second step in the nursing process.
Clinical judgment about individual,
family, or community response to
actual or potential health
problems/life processes.
Provides the basis for client care
through the remaining steps.
14. MEDICAL DIAGNOSIS
Clients have both nursing and medical
diagnoses.
A medical diagnosis is a clinical
judgment by the physician that
identifies or determines a specific
disease, condition, or pathological
state.
15. TWO-PART
NURSING DIAGNOSIS
Part one–problem statement or
diagnostic label describing the client’s
response to actual or risk health
problem or wellness condition.
Part two–etiology or the related
cause or contributor to the problem.
Linked by the term related to (r/t).
16. THREE-PART
NURSING DIAGNOSIS
Part one–diagnostic label.
Part two–etiology.
Part three–defining characteristics, or
signs and symptoms, subjective and
objective data, or clinical
manifestations.
Third part linked to the first two by
the term as evidenced by (AEB).
17. TYPES OF
NURSING DIAGNOSES
Actual nursing diagnosis–indicates
that problem exists.
Risk nursing diagnosis–indicates that
specific risk factors are present.
Wellness nursing diagnosis–client’s
statement of desire to attain a higher
level of wellness in some area of
function.
18. PLANNING AND
OUTCOME IDENTIFICATION
Third step of the nursing process.
Includes establishing guidelines for
the proposed course of nursing action
and developing the client’s plan of
care.
19. PLANNING PHASES
Initial planning–developing a
preliminary plan of care.
Ongoing planning–updating the
client’s plan of care.
Discharge planning–anticipating and
planning for the client’s needs after
discharge.
20. PLANNING INVOLVES …
Prioritizing the nursing diagnoses.
Identifying and writing client-centered
long- and short-term goals and
outcomes.
Identifying specific nursing
interventions.
Recording the entire nursing care plan
in the client’s record.
21. NURSING INTERVENTIONS
Actions performed by nurse to help
client achieve results specified by
goals and expected outcomes.
Refer directly to the related factors or
the risk factors in nursing diagnoses.
Are stated in specific terms.
May change.
22. CATEGORIES OF
NURSING INTERVENTIONS
Independent–initiated by the nurse
and
do not require an order.
Interdependent–implemented in a
collaborative manner by nurse in
conjunction with other health care
professionals.
Dependent–requires an order.
23. THE NURSING CARE PLAN
Written guide of strategies to be
implemented to help client achieve
optimal health.
Begins on the day of admission and
continues until discharge.
24. IMPLEMENTATION
Fourth step in the nursing process.
The performance of the nursing
interventions identified during the
planning phase.
25. ORDERS FOR INTERVENTIONS
Specific order–for individual client.
Standing order–standardized
intervention written, approved, and
signed by a physician, kept on file to
be used in predictable situations.
Protocol–series of standing orders or
procedures.
26. EVALUATION
Fifth step in the nursing process.
Determines whether client goals have
been met, partially met, or not met.
Ongoing evaluation is essential for the
nursing process to be implemented
appropriately.
27. THE NURSING PROCESS
AND CRITICAL THINKING
Critical thinkers ask questions,
identify assumptions, evaluate
evidence, examine alternatives, and
seek to understand various points of
view.
Critical thinking can be learned.
28. DOCUMENTATION
Any printed or written record of
activities.
Recording and reporting are the
major ways health care providers
communicate.
The client’s medical record is a legal
document of all activities regarding
client care.
29. PURPOSES OF DOCUMENTATION
Communication
Practice and legal standards
Reimbursement
Education
Research
Nursing audit
31. PRACTICE AND
LEGAL STANDARDS
The legal aspects of documentation
require:
Writing legible and neat
Spelling and grammar properly used
Authorized abbreviations used
Time-sequenced factual and
descriptive entries
32. PRACTICE
STANDARDS INCLUDE:
State Nursing Practice Acts
Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)
Confidentiality
Informed consent
Advance Directives
33. REIMBURSEMENT
The federal government requires
monitoring and evaluation of quality,
appropriateness of care provided.
Documentation of intensity of services
and severity of illness reviewed.
Failure to document can result in
reimbursement denied.
34. EDUCATION
Health care students use medical
record as tool to learn about disease
processes, nursing diagnoses,
complications and interventions.
Students can enhance critical-thinking
skills by examining the records and
following health care team’s plan of
care.
35. RESEARCH
The client’s medical record is used
by researchers to determine whether
a client meets the research criteria
for a study.
Documentation can also indicate a
need for research.
36. NURSING AUDIT
Method of evaluating the quality of
care
Includes:
Safety measures
Treatment interventions and responses
Expected outcomes
Client teaching
Discharge planning
Adequate staffing
37. PRINCIPLES OF EFFECTIVE
DOCUMENTATION
1. Document accurately, completely,
and objectively, including any errors.
2. Note date and time.
3. Use appropriate forms.
4. Identify the client.
5. Write in ink.
6. Use standard abbreviations.
38. PRINCIPLES OF EFFECTIVE
DOCUMENTATION (continued)
7. Spell correctly.
8. Write legibly.
9. Correct errors properly.
10.Write on every line.
11.Chart omissions.
12.Sign each entry.
39. SYSTEMS OF DOCUMENTATION
Narrative charting
Source-oriented
charting
Problem-oriented
charting
PIE charting
Focus charting
Charting by
exception
Computerized
documentation
Critical pathways
40. NARRATIVE CHARTING
Traditional method of nursing
documentation.
Chronologic account in paragraphs
describing client status, interventions
and treatments, and client’s response.
The most flexible system.
Usable in any clinical setting.
45. CHARTING BY EXCEPTION
Only significant findings (exceptions)
are documented in a narrative form.
Presumes that unless documented
otherwise, all standardized protocols
have been met and no further
documentation is needed.
46. COMPUTERIZED DOCUMENTATION
Reduces time taken, increases
accuracy.
Increases legibility.
Stores, retrieves information quickly.
Improves communication among
health care departments.
Confidentiality and costs can be
problems.
47. CRITICAL PATHWAY
Also known as Care Maps.
Comprehensive pre-printed standard
plan reflecting ideal course of
treatment for diagnosis or procedure,
especially with relatively predictable
outcomes.
Additional forms are needed to
complement the pathway.
48. NURSE’S PROGRESS NOTES
Document client’s condition,
problems, complaints, interventions,
and client’s response to
interventions.
Include MAR, vital signs records,
flow sheets, and intake and output
forms.
49. DISCHARGE SUMMARY
Client status on admission and
discharge
Brief summary of the client’s care
Intervention and education outcomes
Resolved and unresolved problems
Client instructions about medications,
diet, food-drug interactions, activity,
treatments, follow-up, and other
needs
51. INFORMATION
FOR SHIFT REPORT
Name, room and
bed, age, gender
Physician,
admission date,
and diagnosis
Diagnostic tests or
treatments
performed in past
24 hours (results if
ready)
General status, any
significant change
New or changed
physician’s orders
IV fluid amounts,
last PRN medication
Concerns about
client
52. TELEPHONE ORDERS
Date and time
Order as given by the physician
Signature beginning with t.o.
(telephone order)
Physician’s name
Nurse’s signature
Physician must countersign
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