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FONDATION OF NURSING
EXAM 2chapter 27
| Term | Definition | |||
|---|---|---|---|---|
| Safety | The nurse s responsoble for promoting safety and prevent injury. | |||
| Developmental considerations: | Healthcare needs and safety change from infancy to older adlt stage. Consumption of certain substances can affect normal growth development, | ensure safe environment, safe sleeping. reduce high-risk behavior. designing age-appropriate playground equipment, and creating an environment that is well-designed and maintained | Education to promote awareness of potentially dangerous situations | |
| Lifestyle: | occupations and recreational activities place ppl in more hazardous situations i.e sleep deprivation of nurses due to long hours leasd to errors | certain drugs pose health problems to women, to workers . | Nurses at serious risk for musculoskeletal injuries, needlestick and sharp injuries, exposure to hazardous chemicals, radiation exposure, exposure to infectious diseases, and workplace violence | Social behavior: risk takers, not using appropriate equipment stress=drug abuse due to meeting standard vulnerable patients |
| Environment: | exposure to unhealthy substance pose threat 2 physical security and emotional well-being | i.e high-crime neighborhood are more hazardous | Workplace Prevention Program information and training is provided to appropriate employees, and policies and procedures address program evaluation. | i.e high-risk situations and behaviors include patient history of violent behavior, mental illness, or substance abuse; violence, substance abuse, guns, pets, or illegal activity in the household; and criminal activity in the neighborhood |
| Mobility | any limitation to mobility is unsafe. i.e an unsatble patient with gait or unfamiliar w/ is prone to falling | PT W/ paralysis or a spinal cord injury may require supportive devices such as : canes, walkers, crutches nd wheelchairs | nurses must asssess PT risk of injury-maintain independence-fostering self-esteem-provide a safe and predictable environment | |
| Sensory reception | change in sensory perception can affect safety such in sight, hearing, smell, taste, or touch can reduce a person’s sensitivity to the environment. | SMELL- rduced ability to distinguish odor= leaking gas and smoke TASTE LOST= unsafe eating habita-eat tainted food | VISUAL can make PT lose balance, stumble,PREVELANCE fall >65 w/ severe vision imprmt =30.8-59.1% WITHOUT IMPRMT 20.4 -32.4% | Earing deficit affect ability to her safety alarms, atomobile horns, or sirens or nurse care instruction TACTILE may not extreme temp. that arent safe for body |
| Knowledge | be aware of safety and security precautions to promote and maintain wellness thru the lifespan | i.e getting instruction to adherg to medical regimen/ follow safety | ||
| ability to communicate | assess any factor that influences the patient’s ability to receive and send messages. Fatigue, stress, medication, aphasia, and language barriers | examples of factors that can affect personal communication and prevent the patient from accurately perceiving event | ||
| physical and psychological Health '' maximize the patient’s potential by considering safety factors in all phases of the illness and recovery experience.''' | Stressful situations tend to narrow a person’s attention span and make the person more prone to accidents | chronically ill or in a weakened state, the focus of health care includes preventing accidents as well as promoting wellness and restoring the person to a healthy state. | Depression may result in confusion and disorientation, accompanied by reduced awareness or concern about environmental hazards. | Social isolation or lack of social contact may lead to a reduced level of concentration, errors in judgment, and a diminished awareness of external stimuli. |
| Determine risk with 2 compnent | nursing history and physical assessment | |||
| focus on: | environment, individual | |||
| Specific risk factor | Falls-fires- do not smok arounf fire extinghuisher poisoning- keep med away from children suffocation and shocking-put child on the back | Prevent fall, if happens, restore health | ||
| factors contributing to fall | lower weakness-poor vision-gait/balance issue-problem w/ feet / shoes | psychoactive medications-postural dizziness (position change hypotension and antihypertensives) hazard in home | ||
| developmental stages consideration: | Fetus: nt exposed to anything harmuf-normal growth occurs w/o teratrogenic effects | Neonate-maintain nutrition, open airways-prevent fall Infants-burn, suffocation toddler-supervise environment | pre-schooler-play, safe environment school-age child-safety equipment-increase risk of injury Adolescent-hard to listen-teach them-peers are greater influence eucate them on risky behavior(sexual-recreational) | Adults-preventative health practices- teach about stress management and being healthy Older-teach safety due to sensory perception decreasing |
| fall prevention-set alarm medication errors 5rights safe event report=protect next PT from falling | ||||
| Hospital consideration | physical device to restrain PT movement i.ewrist, ankle tie it to someting UNMOVABLE so that PT doesnt fall | AVOID RISK OF INJURY-PUT PT IN ANATOMICAL POSITION-HOW WILL THEY MOVE THEIR BODY DONT TIE IT TO TIGHT | ||
| EMERGENCY MANAGEMENT | EMERGENCY-DISASTER-TABLE 27.3 | RESCUE-ALARM-CALL 911-EXTINGUISH | Biologic concern | |
| SAFETY ASSESSMENT ARE: | NURSING HISTORY: HX OF FALLING-NOTE ANY ASSSTING DEVICES I.E CANE HX OF ALCOHOL ABUSE WILL LIKELY HAVE ANOTHER ONE | PHYS. ASSESSMENT: ASSESS PT MOTILITY STATUS, COMMUNICATION, LEVEL OF AWARENESS OR ORIENTATION, SENSORY PERCEPTION IN THE PE *ANY POTENTIAL SAFETY HAZARD, SIGNS OF VIOLENCE/NEGLECT | ENVIRONMENT:DENTIFY RISK AND UNSAFE SITUATION AT HOME AND A HEALTH CARE FACILITY, FOCUSING ON HEALTH STATUS AND DEVELOPEMENTAL LEVEL. | |
| RISK FALL ASSESMENT: 65> MODIFIABLE= POOR VISION, PRO/ W/ FEET OR SHOES ADV. AGE, FEAR OF FALLING EXTRINSIC[ENV. BASED] LACK OF STAIR HANDRAILS, SLIPPERY SURFACE. | COMMON CAUSE OF TRAUMATIC BRAIN INJURY/HIP FRACTURE ASSES RISK JUSING NRUSING HX +PE ACCIDENTAL:SPILL CAUSE PT 2 TRIP ANTICIPATED PHYSIOLOGIC=DIRECT CONSEQX OF GAIT IMBALANCE, MED, DEMENTIA | SUFFOCATION AND CHOKING LACK OF AIR IN LUNGS 85> 8X MORE TO DIE OF THIS THAN ADULTS 65-84 DROWNING FIREARMS IN CHILDREN LAY INFANTS ON BACK TO SLEEP | FIRES=ARISE WHILE COOKING AT HOME GET HIGH-QUALITY SMOKE ALARM, TESTED REGULARLY ESCAPE ROUTES 80% FIRE DEATH CCURS AT HOME | POISONING 84% UNINTENTIONAL, 10 SUICIDE, 6 UNDETERMINED POISON 1.8 HIGHER IN MEN THAN WOMEN EXTREMES IN AGE ARE APT TO POISONING CONTROL CENTER |
| FETUS-MOTHER NEEDS TO ABSTAIN FROM TERATROGENS (ABNOR GROWTH , DEVELPMT NEONATE-28DAYS OF LIFE INFECTN, FALLS ASSD =WAHS HAND, SUPERVISION AT ALL TIME | INFANTS-FALLS, TOY INJURIES,BURNS =APPROPRIATE PLAYG EQUIPMENTS-CHILDPROOF ENTIRE HOUSE TODDLER , CUT FROM SHARP OBJECT=POISON CONTROL CENT, APPROPRIATE CAR SEAT | PRESCHOOLER(LIKE THE OTHERS) INHALE, INGEST GUNS AND WEAPONS=TEACH FIRE SAFETY-SAFE PLAYING AREAS SCHOOL-AGED=BROKEN BONES, CONCUSSION, SUBSATNACES ABUSE=REINFORCE SAFETY-CONTINUE IMMUNIZATIONS | ADOLESCENT-MOTOR VEHICLE ACCIDENT-=ENROL TEEN IN SAFETY CLASS-REPORT ANY ABUSE-TEACH ABT STI, SEXUALITY-LISTEN AND TALK TO THEM ADULTS,(STRESS, DOMESTIC VIOLENCE, MOTOR, INDUSTRIAL ACCIDENTS, DRUGS AND ALCOHOL ABUSE)LESS STRESS TECHNIQUE, AVOID ILLEGALS | OLDER ADULTS(FALL, MOTOR VEHICLE ACCIDENTS, ELDER ABUSE, SENSORIMOTOR CHANGE, FIRES)=IDENTIDY HAZARDS, MODIFY ENVR.REGURLAR VISION AND HEARING TEST, DOCUMENT ABUSE, NEGLECT |
| CHILDREN ARE PRONE TO;PHYSICAL, EMOTIONAL, SEXUAL AND NEGLECT ABUSE | RESTRAINTS: PYSICAL=WRIST, ANKLE WAIST CHEMICALS:DRUGS RAILS SIDE ARENT RESTRAINT DEVICES | EMERGENCY MANAGEMENT: NURSES RESPONSIBLE FOR TRIAGES, CARE, COUNSELING RESOURCES =CDC, FEMA, JOINT COMMISION,AMERICARED CROSS, NDMS | EVALUATION, PROMOTE ENVIRONMENT SAFETY, PREVENT INJURY, AND EMERGENCY READINESS |
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Seka_nurse
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