Disparities
Person's with low socioeconomic status are at higher risk for this
What are health disparities?
What is the first order of prioritization?
What are the ABCs/ Safety/survival
This can NOT be delegated
"the ability to optimize self-care capabilities of individuals and families and the capacity of systems and communities to coordinate and provide services"
What is case management?
Older adults, low SES, minorities, ESL
Who is at risk for poor health literacy?
Outcomes of poverty (5)
What are
After dealing with threats to safety/survival, things the patient is asking for, and current things the patient doesn't recognize, what is the final prioritization?
Things in the future
The Practice of Nursing means those functions, including basic health care, which help people cope with difficulties in daily living which are associated with their actual or potential health or illness problems, or the treatment thereof, which requires a substantial amount of scientific knowledge or technical skill.
What is scope of practice
SNF & LTC placement, DME, 02, HH, facilitate referrals
Assess the client- find out benefits covered by client insurance plan, arrange for needed resources
What is discharge planning?
Give 2 examples of something you might see/hear in a patient with poor health literacy
struggling with forms, "forgot" glasses, procrastinating, poor compliance, etc
All services are free to everyone 9am-5pm
What is health equality
After dealing with immediate threats to safety and survival, what do you prioritize next?
Things the patient/family are asking for help with
The RN may perform a medical function beyond the usual scope of RN practice in accord with a written SP developed by nursing, medicine and administration in an organized health care system after the RN has been evaluated and approved as having met the education and experience req
What is a standardized procedure
Mutual sharing and working together to achieve common goals in such a way that all persons or groups are recognized and growth is enhanced.
What is collaboration?
Asking a patient to repeat back what you just taught them
What is the teachback method?
Examples of social determinants of health (6)
What are factors such as economic status, education, environmental factors, nutrition, stress, and prejudice that lead to resource constraints, poor health, and health risk?
includes time savers, tips from other nurses i.e.: gather materials for all patients before entrance to room, linen, equipment, dressing supplies, deliver each as you go, include assessment of patient and EVERYTHING in the room.
What is streamlining?
What is the difference between a dependant and independent function?
What is something an RN can do on their own vs. something they need to work with a physician on
Actions undertaken on behalf of another person while supporting other person's right of self-determination
What is advocacy?
What are strategies a nurse can use to enhance patient understanding of information?
Clear wording, large font, pictures, short sentences, limit to key points, repeat information, etc
An example of what nurses can do at each level of prevention to impact health disparities
Varies...
Primary: Prevention (healthy eating)
Secondary: Screening (TB, BP)
Tertiary: Return to highest quality (rehab)
What does STEEEP stand for?
Safe
Timely
Efficient
Equitable
Effective
Patient Centered
The 5 rights of delegation
Right... task, person, circumstance, communication, and feedback
Give an example of something a case manager can do at each level of prevention
Answers will vary-
Primary: Prevention- health education/ linking to resources
Secondary: Screening- encourage getting blood work
Tertiary: Return to baseline- DC planning to rehab
The steps in developing a health education plan
1. Identify the learning need
2. Select one or more learning theories
3. Consider educational principles
4. Examine educational issues
5.Design and implement the educational program
6.Evaluate the effects of the educational program.