Ethical Principles
"To do no harm."
It is first and foremost in health care.
What is
Nonmaleficence
A targeted evaluation of a specific health problem or concern.
Does not address areas not related to the problem.
What is
Focused or problem-oriented assessment
The social and economic opportunities that affect health.
These factors play a significant role in the risk of illness as well as their prevention and treatment.
What is Social Determinants of Health
An advanced skill that is not typically used by entry-level nurses.
It is a tapping of the client’s skin with a short, quick motion to determine vibrations and sounds depending on the underlying structure or organ
What is Percussion?
Tell me about the pain that you are feeling.
What is an open-ended question?
To treat everyone regardless of their ability to pay for treatment, their social status, gender identity, or cultural or religious background.
The nurse should be fair and impartial when providing care.
What is
Justice
An in-depth assessment of a person's overall well-being.
What is Comprehensive Assessment?
•Self-concept
•Stress
•Activity and exercise
•Sleep
•Activities of daily living
•Spirituality
•Substance abuse
What is Internal Factors?
The most common assessment technique that is used in health care but can also be the most difficult to master. "Listening to internal body sounds"
What is Auscultation?
Do you drink milk?
What is a closed ended question?
The act to promote the good of the client.
A return to health and homeostasis is the ultimate goal for the client, and a plan for the nurse to implement.
What is
Beneficence
Initial appraisal of client's overall presentation and behaviors
What is General Survey
•Occupational health
•Living environment
•Relationships
•Maltreatment
What is External Factors?
Looking carefully and thoroughly at a client. Observe for symmetry between the right and left side of the body.
What is Inspection?
I am sorry to hear that. It must be hard.
What is empathy?
The client can refuse treatment if they so desire.
It is also important to note that the client needs to have the mental capacity to act and decide on their own behalf.
What is
Autonomy
Very rapid assessment in life-threatening situations
Goal—provide prompt treatment
•Only concern is preventing death
What is
Emergency assessment
•Opening
•Information
•Closing
What is Stages/Three-Stage Interview
The act of using the dorsal surface (or back) of the hands and fingertips to feel.
What is Palpation?
Nodding and smiling while your client is speaking.
What is Non-Verbal?
Respecting the rights of the client to maintain privacy.
This is a legal and ethical responsibility of everyone caring for the client.
What is:
Confidentiality
HIPPA!
Tool and a legal document that communicates laboratory and radiologic findings along with assessments and notes from every member of the health care team regarding the client's health and plan of care, and interactions with the client.
What is Documentation?
Remember the key elements of the health interview by using the acronym:
What is
P - Past medical history to include previous illnesses, and state of health
L - Last oral intake of liquids and food
E - Events leading to illness or injury
A - Allergies and type of reactions
S - Symptoms or chief complaint
E - Each prescribed medication, OTC medications, and herbal supplements
?
What is the correct order of assessment?
What is:
Inspection
Auscultation
Palpitation
Percussion
I hear you saying that you have pain in your hip that radiates down your leg.
What is clarification?