Random
Obtains the informed consent?
Provider
Discharge planning begins
At time of admission
Can witness an advanced directive
Anyone not in direct care of the client
Tool is used for transfers and discharge and change of shift
SBAR
If the client has more questions or doesn't understand any of the information
Notify the provider
Aims to prevent disease or injury before it ever occurs i.e. education and risk reduction
Primary prevention
Inflammation of the oral mucosa
45-60 degrees, useful during ng tube insertion and suctioning
Fowlers
To give informed consent, the client must:
Give voluntarily, be competent, and of legal age or emancipated minor
Ethical principle, respecting the rights of others to make own decisions, such as the right to refuse medications
Autonomy
Intentional and wrongful physical contact with a patient that involves an injury or offensive contact
Battery
60-90 degrees, used for eating and patients who have aspiration issues
High-fowlers
Threat or attempt to injure
Assault
Ethical principle, act or omission of an act that breaches the duty of due care and results in injury
Deviates from the standard
Negligence
Used for regurgitation of enteral feedings, prevents aspiration with clients who have difficulty swallowing (dysphagia)
Semi-fowlers (usually 30 degrees)
Conformity to facts; accuracy
Veracity
Difficulty swallowing
dysphagia
Fire safety and oxygen therapy material
No wool or synthetic material, ONLY cotton
The entire bed is tilted with the head lower, used for postural drainage and venous return
Trendelenburg
Type of precaution for varicella
Airborne
Nourishment provided via IV therapy
Parenteral nutrition
Stomach lying with pillows on one side, one leg is up, promotes oral drainage
Sims
Ethical principle, duty to DISTRIBUTE resources and care equally, spending time with each patient equally
Justice
A complication of enteral feedings evidenced by a BUN of 25 mg/dL (Range 10-20 mg/dL)
Dehydration
Nutritional formula feedings infused through a tube directly into the gastrointestinal tract
Enteral nutrition
Potential indicator of thrombophlebitis
What the client describes or reports
Subjective data
Aims to reduce the impact of a disease or injury that ALREADY occurred.
Secondary prevention
Used for COPD patients, client sits on the bed with pillow on overbed table, client rests arms on overbed table or knees, allows for chest expansion
Tripod or orthopneic position
Type of healing where a surgeon leaves the wound open
Secondary intention
Position used for gastric emptying and prevents esophageal reflux
Reverse Trendelenburg
Loss of ability to understand or express speech caused by brain damage
Aphasia (can be expressive, receptive or both)
Priority assessment to monitor for adverse effects of IV fluid administration
Lung auscultation
First line of defense against bacteria
Skin
Aims to soften the impact of on ongoing/current illness or injury that has lasting effects.
Tertiary prevention