A
1st level of hierarchy of needs-basic needs, you will die without! Food, h2o, rest, shelter, o2, elimination
Physiological Needs
nonverbal behaviors conducive to establishing good relationships
Eye gaze
affirmative head nodding
smiling!
forward leaning
touch
Center of person’s sense of connection to something/someone bigger than self
Spirituality
Documents that specify the personal wishes of the client regarding future healthcare
Advance directives
Advance directive that provides legal permission for a physician to withhold treatment
DNR order
EXPLAIN:
beneficence
justice
fidelity
autonomy
nonmaleficence
B-do good
J-fair to all
F-be true
A-free to choose
N-do no harm
nurse’s signature on informed consent form means these 3 criteria were met
1. Consent given voluntarily
2. Signature is authentic
3. Client competent
Culture is influenced by?
-technology
-language
-desire for beauty
-institutions (family, religious, political)
3rd level of hierarchy of needs-need for affection, to be loved by others, to be liked as a person, desire for friendship
Love and Belonging
Name and describe the two types of consent
1. General/implied-obtained on admission, voluntarily sought
2. Informed-obtained for invasive procedures *NURSES DO NOT OBTAIN THIS, PHYSICIAN ONLY!
Encouraging clients to share personal stories
Narrative interaction
2nd level of maslow’s model-freedom from harm, psychological security, free of crime
Safety & belonging
belief that each person is unique and valued regardless of differences
Individual Worth
types of cultural groups
Familial
racial
social
national
economic
religious
Indicates knowledge of cultural diversity;develops over time
Cultural competence
Anticipation of continued good, improvement or lessening of something unpleasant
Hope
Ethics of Nursing aka BJ FAN 🙃
Nonmaleficence
Beneficence
Autonomy
Fidelity
Justice
Sense of harmony with self, others, nature, higher power
Spiritual well-being
Legal document that details types of treatments desired at end of life aka CPR, ventilation, IV therapy
Physician Oriders for Scope of Treatment (POST)
4th level lof needs-self-confidence, well thought of by others, self-trust, how one regards self
Self-Esteem
The nondisclosure of information about clients
Confidentiality
Relationship with a higher power that involves belief and action
Faith
5th level of needs-acceptance of self, need to learn and experience one’s fullest potential
Self-Actualization
7 PHYSICIAN requirements for informed consent aka DEAN PAW
1. Diagnosis
2. Expected outcome-risks/benefits
3. Alternative treatment options
4. Name, date
5. Prognosis
6. Answer any questions
7. Who is performing the procedure
List and describe two types of advance directives
1. Living will-legal document stating person’s wishes in event of end of life care AND can no longer make a competent decision
2.durable medical power of attorney-legal document that names a healthcare proxy if patient can no longer speak for themselves