Professional Documents
Culture Documents
I. INTUITIVE PERIOD
SHAMAN
TREPHNNG
RISE IN CIVILIZATION
a. BABYLONIANS
CODE OF HAMMURAB
b. EGYPTIANS
ART OF EMBALMNG
c. HEBREW
Teachings of MOSES
MOSAC LAW
d. CHINA
"MATERA MEDCA
FACTORS THAT HAMPERED THE ADVANCEMENT OF
MEDCNE:
Baby boys given girl's name
Prohibits dissecting of human body thus thwarting scientific study
e. INDIA
SUSHURUTO
f. GREECE
g. ROMANS
FABOLA
1
st
hospital in the Christian world
II. APPRENTICE PERIOD
There was a struggle for religious, political, and economic power
Crusades
MILITARY RELIGIOUS ORDERS AND THEIR WORKS
KNGHTS OF ST. JOHN OF JERUSALEM (TALAN)
TEUTONC KNGHTS (GERMAN)
KNGHTS OF ST.LAZARUS
ALEXAN BROTHERS
ST. VNCENT DE PAUL.
LOUSE de GRAS
NURSING SAINTS
ST. CLARE OF ASSS
ST. ELZABETH OF HUNGARY
St. CATHERNE OF SENA
III. DARK PERIOD OF NURSING
Period of Reformation
THEODORE FLEDNER
FLORENCE NGHTNGALE
IV. EDUCATIVE PERIOD
Florence Nightingale era
OTHER SCHOOLS OF NURSNG
Bellevue Training School for Nurses New York City
Alexian Brothers Hospital School of Nursing in US exclusively for
men. t opened in 1348 and it closed down in 1969.
V. CONTEMPORARY PERIOD
World War present
DEVELOPMENT AND TRENDS:
NURSING LEADERS
FLORENCE NGHTNGALE
CLARA BARTON
LLAN WALD
LAVNA L. DOCK
MARGARET HGGNS SANGER
HISTORY OF NURSING
(PHILIPPINE SETTING)
EARLY BELEFS AND PRACTCES
EARLY CARE OF THE SCK
EARLY HOSPTALS:
O Hospital Real de Manila 1577
O San Lazaro Hospital 1578
O Hospital de ndios 1586
O Hospital de Aguas Santas 1590
O San Juan de Dios Hospital 1596
PERSONAGES:
O Dona Hilaria de Aguinaldo
O Dona Maria Agoncillo de Aguinaldo
O Josephine Bracken
O Melchora Aquino
O Anastacia Giron Tupaz
O Cesaria Tan
O Socorro Sirilan
O Rosa Militar
O Socorro Diaz
O Conchita Ruiz
EARLY NURSNG SCHOOLS
O loilo Mission Hospital and School of Nursing
O PGH School of Nursing 1907
O St. Paul School of Nursing 1907
O St. Luke's School of Nursing 1907
O UST 1946
O MCU 1947
O Fatima 1947
NURSE: DEFINITION
PATIENT: DEFINITION
NURSING PROGRAMS
Licensed Vocational Nursing Program / Licensed Practical Nursing
Program (LVN,LPN)
REGSTERED NURSNG PROGRAMS:
Community College / Associate Degree
Diploma Program
Baccalaureate Degree Program
GRADUATE NURSNG EDUCATON:
Master's Degree
Doctoral Degree
External Degree
ROLES OF A NURSE
Caregiver
Communicator
Teacher
Client Advocate
Counselor
Change Agent
Leader
Manager
Case Manager
Research Consumer
Role Model
Administrator
Expanded Career Roles
SCOPE OF NURSING PRACTICE
FOUR AREAS:
O Promoting Health and Wellness
O Preventing llness
O Restoring Health
O Care of the Dying
CONSENT
KNDS OF CONSENT:
nformed Consent
mplied Consent
CONSENT
NURSE'S RESPONSBLTY
PEOPLE WHO ARE NOT ALLOWED TO PROVDE CONSENT:
PROFESSIONAL STANDARDS IN NURSING PRACTICE
ProfessionaI Standards in Nursing Practice
ETHCS and VALUES
Ethics : Basic Terms
O Autonomy
O Beneficience
O Nonmalificence
O Justice
O Fidelity
O Veracity
Code of Ethics for Nurses
O Board Resolution # 202
4 Registered Nurses and People
4 Registered Nurses and Practice
4 Registered Nurses and C-Workers
4 Registered Nurses, Society and
Environment
4 Registered Nurses and the Profession
Patient's BiII of Rights
O Considerate and respectful care
O Obtain from his doctor complete current information
O Receive from his doctor information necessary to give
informed consent
O Refuse treatment to the extent permitted by law and
be informed of the medical consequences of his
action
O Every consideration regarding his privacy concerning
his own medical care program
O Expect that all communications and records
pertaining his care should be treated as confidential
O Expect that within its capacity, a hospital must make
reasonable response to the request of a patient for
service
O Obtain information as to any relationships of his
hospital to other health care and educational
institutions in so far as his care is concerned
O Be advised if the hospital proposes to engage in or
perform human experimentation affecting his care or
treatment
O Examine and receive explanation of his bill,
regardless of the source of payment
O Know what hospital rules and regulations apply to his
conduct as a patient
NURSE THEORISTS
FIorence NightingaIe
O Lady with the Lamp
O Environmental Model- putting the patient in the best
condition for nature to act upon him
Virginia Henderson
O Definition and Components of Nursing
O Principles and Practice of Nursing
O Basic Principles of Nursing
O Nature of Nursing
Dorothy Johnson
O Behavioral Systems Model
O Each individual has patterned, purposeful, repetitive ways
of acting
O Actions/ behaviors form an organized and integrated
functional unit
Jean Watson
O Transpersonal Caring Theory
Betty Neuman
O The Neuman Systems Model
Dorothea Orem
Self-Care Deficit Nursing Theory
O The Theory of Self-Care
O The Theory of Self-Care Deficit
O The Theory of Nursing Systems
Imogene King
O Systems Framework
O The Theory of Goal Attainment
Ida Jean OrIando
O Nursing Process Discipline
MadeIeine Leininger
Theory of Culture Care Diversity and Universality
O Transcultural Nursing Theory
O Ethnonursing
O Crosscultural Nursing
HiIdegard PepIau
O nterpersonal Relations in Nursing
Myra Estrin Levine
O The Conservation Principles: A Model for Health
Sister CaIIista Roy
O The Adaptation Model
Lydia HaII
O Care, Core, Cure
Josephine Paterson & Loretta Zderad
O Humanistic Nursing
Martha Rogers
O Science of Unitary Human Beings
HEALTH AND ILLNESS
I. Concepts
O Disease
O Etiology
O Risk Factors of a disease:
O Wellness
. HEALTH AND LLNESS MODELS
1. Health Belief Models
a. Locus of Control Model
b. Rosenstock and Becker's Health Belief Model
2. Agent Host-Environment Model
3. Smith's Models of Health:
O Clinical Model
O Role Performance Model
O Adaptive model
O Eudaemonistic model
4. Health Promotion
O Any activity undertaken for the purpose of achieving a
higher level of health & well being
5. Empowerment Model
6. Health- llness Continua
a. Travis' llness-Wellness Continuum
b. Dunn's High Level Wellness Grid
Stages of llness:
1. Symptom Experience
2. Assumption of Sick Role
3. Medical Care Contact
4. Dependent Patient Role
5. Recovery/rehabilitation
Levels of Prevention:
1.Primary Prevention
2. Secondary Prevention
3. Tertiary Prevention
Anxiety
O Mild anxiety
O Moderate anxiety
O Severe anxiety
O Panic
NURSING PROCESS
1. ASSESSMENT
Types of Assessment
O nitial
O Problem-focused
O Emergency
O Time-lapsed
$teps in the Assessment Process
O Data Collection
O Data Organization
O Data Validation
O Documentation
1. DATA COLLECTION
%508 of Data
O Subjective
O Objective
Sourc08 of Data
O Primary
O Secondary
M0thod8 of Data Coll0ction
O Observation
O nterview
O Physical Assessment
O Review of Records
. DATA ORGANIZATION
Gordon's 11 Functional Health Patterns
Review of Systems
3. DATA VALIDATION
4. DOCUMENTATION
. NURSING DIAGNOSIS
Types of Nursing Diagnosis
Actual
Risk Nursing Diagnosis
Welless Diagnosis
omponents of a NANDA Nursing Diagnosis
Problem (Diagnostic Label)
Definition
Etiology
Defining Characteristics
"ualifiers
Deficient
mpaired
Decreased
neffective
Compromised
Acute
Chronic
3. PLANNING
Activities:
Setting Priorities
Establishing client goals/ desired outcomes
Selecting Nursing nterventions
Writing Nursing Orders
Setting priorities
4. IMPLEMENTATION
5. EVALUATION
INFECTION CONTROL AND MEDICAL ASEPSIS
nfection
Disease
Trauma
Etiology
The Infection Chain
AGENT
RESERVOR
PORTAL OF EXT
MODES OF TRANSMSSON
PORTAL OF ENTRY
SUSCEPTBLE HOST
Non-Specific Defenses
Anatomic and PhysioIogic Barriers
Intact skin and mucous membranes
2 Oral cavity
3 Gastrointestinal Tract
4 Vagina
5 Urinary meatus
6 Inflammation
Dolor
Rubor
Calor
Tumor
Functio laesa
Specific Defenses
Immunity
1. Active mmunity
Natural
Artificial- antigens/ vaccines
a. nactivated
b. Attenuated
c. Toxoids
d. Subunits
2. Passive
Natural
Artificial
Stages of Infection
ncubation Period
Prodromal Stage
Full Stage of llness
Convalescence
Breaking the Chain of Infection
Cleaning
Use of Antiseptics
Povidone odine
Chlorhexidine Gluconate
Hydrogen Peroxide
Disinfecting
sopropyl alcohol
Chlorine
Sterilizing
Moist heat (steam)
Steam under pressure
Free steam
Gas
Boiling
Radiation
ASEPSIS
Types:
. Medical Asepsis
Tier 1: Standard Precautions
Tier 2: Transmission-Based Precautions
1. Airborne Precautions
2. Droplet Precautions
3. Contact Precautions
. Surgical Asepsis
VITAL SIGNS
1. BODY TEMPERATURE
Types of Body Temperature
Core Temperature
Surface Temperature
Factors Affecting The Body's Heat Production
Processes Involved in Heat Loss
Factors Affecting Temperature
Alterations in Body Temperature
Types of Fever
ntermittent Fever
Remittent Fever
Relapsing Fever
Constant Fever
CLNCAL SGNS OF FEVER
1. Onset/ Cold/ Chill Stage of Fever
2. Course of Fever
3. Defervescence (Fever Abatement)
Methods of Temperature Taking
1. Oral
2. Rectal
3. Axillary
4. Tympanic
. PULSE
Factors Affecting Pulse Rate
Pulse sites
Assessment of the Pulse
O Rate.
O Rhythm
O Volume ( Amplitude).
O Arterial wall elasticity.
O Bilateral equality
3. RESPIRATION
O Ventilation
4 nhalation
4 Exhalation
O Diffusion
O Perfusion
Two types of breathing
Costal/ Thoracic
Diaphragmatic/ Abdominal
Respiratory centers:
O Medulla oblongata
O Pons
O Pneumotaxic center
O Apneustic center
O Carotid and aortic bodies
O Muscles and joints
Assessing Respiration
O Rate
O Depth
O Rhythm
O Quality or Character
Major Factors Affecting RR
4. BLOOD PRESSURE
Determinants of Blood Pressure
Factors Affecting Blood Pressure
PHYSICAL ASSESSMENT
Types of PhysicaI Assessment
1. Complete Physical Assessment
2. Focused Physical Assessment
Preparation for the Examination
Techniques of PhysicaI Assessment
1. Inspection
O Direct
O ndirect
. PaIpation
O Light Palpation
O Deep Palpation
3. Percussion
Plexor and pleximeter
O Direct Percussion
O ndirect Percussion
4. AuscuItation
Direct/ indirect
COMPREHENSIVE PHYSICAL ASSESSMENT
O General Survey, Mental Status Exam, and Vital Signs
O Skin, Hair and Nail Assessment
O Head and Neck Assessment
O EYE ASSESSMENT
O EAR ASSESSMENT
O Mouth, Throat, Nose, and Sinus Assessment
O Thoracic and Lung Assessment
O BREAST AND LYMPHATC ASSESSMENT
O HEART AND NECK VESSEL ASSESSMENT
O PERPHERAL VASCULAR ASSESSMENT
O ABDOMNAL ASSESSMENT
O FEMALE GENTALA ASSESSMENT
O MALE GENTALA ASSESSMENT
O ANUS, RECTUM AND PROSTATE ASSESSMENT
O MUSCULOSKELETAL ASSESSMENT
O NEUROLOGC ASSESSMENT
ACTIVITY AND EXERCISE
O Mobility
O Body Alignment
omponents of Good Posture
O Line of gravity
O Center of gravity
O Base of support
Body Mechanics
EXERCSE
Aerobic
Strengthening
sometric
sotonic
sokinetic
Range-of-Motion
Factors Affecting Mobility
HYGIENE
Factors Influencing Individual Hygiene Preferences
Definitions and Descriptors for Functional Levels
0: ompletely Independent
+1: requires use of equipment/ device
+2: $emidependent
+3: Moderately dependent
+4: Totally dependent
Bathing
1. Cleansing bath
Complete bed bath
Self-help bath
Partial bath
Towel bath
Tub bath
Shower
2. Therapeutic bath
Foot Hygiene
Mouth
Hair
Eye
Ears
SAFETY AND SECURITY
Factors Affecting $afety
Promoting $afety
R08traint8
Classification
Physical
Chemical
Kinds of Physical Restraints
4 Jacket restraints
4 Belt restraints
4 Mitt/ Hand Restraints
4 Limb Restraints
4 Mummy restraints
HEALTHY LIFESTYLE
NUTRITIONAL PRACTICES
PHYSICAL ACTIVITY
STRESS MANAGEMENT
GAS:
1. Alarm reaction
2. Resistance
3. Exhaustion
LAS:
Coping
Anxiety
O Mild anxiety
O Moderate anxiety
O Severe anxiety
O Panic
Types of Stress:
Distress
Eustress
Other Types:
Work Stress
Family stress
Chronic stress
Acute stress
Daily hassles
Trauma
Acute stress disorder
Posttraumatic stress stress
Flashbacks
Crisis
Aspects of the stressor that would influence the stress response:
Characteristics of the individual that would influence the stress
response:
REST AND SLEEP
Sleep
Physiology
Circadian Rhythm
Sleep regulation
RAS Reticular Activating System
BSR Bulbar Synchronizing Region
Phases of Normal Sleep
NREM
4 $tage
4 $tage 2
4 $tage 3
4 Stage 4
REM Sleep
Sleep disorders
a. dyssomnias
a.1. intrinsic sleep disorders
a.2. extrinsic sleep disorder
a.3. circadian rhythm sleep disorders
b. parasomnias
Bruxism
Enuresis
Night terrors
Factors Affecting sleep
SMOKING
ALCOHOL CONSUMPTION
PLANNING
IMPLEMENTATION: EXERCISE
PhysicaI Exercise
a.1. Promote Aerobic and Anaerobic exercise
a.1.1. Aerobic
a.1.2. Anaerobic
a.2. Exercise Principles
IMPLEMENTATION: DIET
Strategies
IMPLEMENTATION: SMOKING CESSATION
RA 9211 Tobacco regulation act of 2003
Phases of the Long Term Treatment
Pre-contemplation
Contemplation
Preparation
Action
IMPLEMENTATION: SLEEP AND REST
OXYGENATION
FACTORS AFFECTNG THE RATE OF OXYGEN TRANSPORT
Alterations in Respiratory Function
Abnormal Chest Movements
SECRETONS AND COUGHNG
DAGNOSTC STUDES
ulture and sensitivity
Cytology
Acid-fastbacillus (AFB)
THROAT CULTURE
BLOOD SPECMENS
PULMONARY FUNCTON TESTS
X-RAY EXAMNATON
LUNG SCAN
LARYNGOSCOPY AND BRONCHOSCOPY
THORACOCENTESS (Thoracentesis)
PIanning
ImpIementation
Prevention
Vaccine
Environmental modifications: Clean Air Act
Health promotion
DBE and Coughing exercises
Hydration
Medications
Lung inflation devices-S
Percussion, Vibration and Postural Drainage
Oropharyngeaal and Nasopharyngeal
Suctioning
Oxygen Therapy
OXYGEN DELVERY Systems
CANNULA
FACE MASK
Simple Face Mask
Partial Rebreather Mask
Nonrebreather Mask
VENTUR MASK
FACE TENT
TRANSTRACHEAL OXYGEN DELVERY
Artificial Airways
Oropharyngeal ntubation
Nasopharyngeal ntubation
Endotracheal Tubes
Tracheostomy Tubes
Chest Tubes and Drainage System
WATER SEALED DRANAGE SYSTEMS
ELIMINATION
NORMAL CHARACTERSTCS OF URNE
olor:
Odor:
Transparency:
pH:
$pecific gravity:
Factors affecting Urinary Elimination/Micturition/Voiding
COMMON URNARY ELMNATON PROBLEMS
ALTERED URNE PRODUCTON
4 POLYURA
4 OLGURA
4 ANURA
ALTERED URNARY FREQUENCY
4 FREQUENCY
4 NOCTURA
4 DYSURA
4 ENURESS
URNARY NCONTNENCE
Total ncontinence
Stress ncontinence
Urge incontinence
Functional incontinence
Reflex incontinence
URNARY RETENTON
BOWEL ELIMINATION
NORMAL CHARACTERSTCS OF STOOL
Wolor:
Wonsistency:
W$hape:
WAmount:
WOdor:
Wonstituents:
Factors affecting Bowel Elimination/Defecation
COMMON FECAL ELMNATON PROBLEMS
WCONSTPATON
WNCONTNENCE
WFECAL MPACTON
WFLATULENCE
FLUID AND ELECTROLYTES
Body water
Body fluid
Electrolytes
Movement of Fluids
WOSMOSS
WDFFUSON
WFLTRATON
WACTVE TRANSPORT
CLNCAL MEASUREMENTS
DALY WEGHTS
FLUD NTAKE AND OUTPUT
COMMON ELMNATON AND F & E PROBLEM
Diarrhea
Constipation
Nausea and vomiting
Flatulence
UT
PAIN
THEORES OF PAN:
4 PATTERN
4 SPECFCTY THEORY
4 GATE CONTROL
4 AFFECT THOERY
Factors nfluencing the Pain Experience
PAN THRESHOLD
PAN TOLERANCE
PAN PERCEPTON
HYPERALGESA
TYPES OF RESPONSES TO PAN
4 NVOLUNTARY RESPONSES physiologic
responses
4 VOLUNTARY RESPONSES
Behavioral responses
Emotional responses
CLASSFCATON OF PAN
WTypes of Pain
Cutaneous
Somatic
Visceral
Referred pain
ntractable pain
Phantom
Radiating
Psychogenic
intermittent
WLocation provides information on the organ affected
WDuration
Acute less than 6 months
Chronic more than 6 months
WCharacter client's description
Wntensity scale from 0 to 10
WFactors relieved
WEffects to/of ADL
Nursing Care
Techniques that stimulate the skin
Techniques that distract attention from pain
Techniques that promote relaxation
GRIEF, LOSS, DEATH AND DYING
Signs of mpending Clinical Death
ndicators of Death
Bodily Changes After Death
Rigor mortis
Algor mortis
Livor mortis
Skin indentation
WOUND
Wounds
Wound Repair
InfIammation
2 ProIiferation
3 RemodeIing
Factors that affect wound healing:
Factors that may interfere include:
Wound Management
1. Dressings
Purposes:
a. Gauze Dressings
b. Transparent Dressings
c. Hydrocolloid Dressings
Dressing Changes
Drains
O Open Drains
O Closed Drains
Sutures and Staples
Bandages and Binders
A bandage is a strip or roll of cloth wrapped around a
body part. One example is Crib bandage.
A binder is a type of bandage generally applied to a
particular body part such as the abdomen or breast.
Dbridement.
O Sharp Dbridement
O Enzymatic Dbridement
Wound rrigation
PRESSURE ULCERS
O Stages of Pressure Ulcers
Stage 1: epidermis; nonblanching erythema
Stage 2: epidermis/dermis; shallow opening;blisters
Stage 3: Subcutaneous tissue/fascia
Stage 4: fascia + bone, tendon, muscle, cartilage
Wound Dressings
1. Bandages
a. Types
O Conforming Bandages
O Elastic Bandages
O Retention Bandages
O Supportive / Fixation Bandages.
b. ndications and Contraindications
c. Method of use
2. Compressive
a. ndications and Contraindications
b. Application Method
3. Fixative Device
a. Examples
b. ndications and Contraindications
MEDICATION ADMINISTRATION
Types of Doctor's Order:
Standing Order
Single Order
Stat Order.
PRN Order
The "10 Rights of drug administration.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Routes of Drug Administration.