Med-Surg txt bk
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| Collaborative practice model | involves nurses, physicians, and ancillary health personnel functioning within a decentralized organizational structure and collaboratively making clinical decisions
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| community-oriented nursing practice | nursing intervention that promotes wellness, reduces the spread of illness, and improves the health status of groups of citizens or the community at large, with emphasis on primary, secondary, and tertiary interventions.
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| Continuous quality improvement | the ongoing examination of processes used to provide care, with the aim of improving quality by assessing and improving those processes that might improve pt care outcomesand pt satisfaction.
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| health-illness continuum | description of persons health status as a range with anchors that include poor health of imminent death on one end of the continuum to high level wellness on the other end.
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| maslow's hierarchy | physiological needs, safety and security, belongingness and affection, esteem and self respect, self actualization
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| health | a state of complete physical, mental, and social wellbeing and not merely the abcense of dz or infirmity.
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| health-illness continuum | a persons state of health is ever changing and has the potential to range from high level wellness to extremely poor health and imminent death
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| wellness | equivelant to health, the capacity to performto the best of ones ability, the ability to adjust and adapt to varying situations, the reported feeling of wellbeing, a feeling that everything is together and harmonious.
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| Influences on health care delivery | population demographics, aging population, cultural diversity
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| Clinical pathways | tools for tracking a pts progress towards achieving positive outcomes within specified time frames.
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| Care mapping | tools used to move pts towards predetermined outcome markers.
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| Managed care | include prenegotiated payment rates, mandatory precertification, utilization review, limited choice of providers, and fixed price reimbursement.
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| Case management | a system of coordinating health care services to ensure cost effectiveness, accountability, and quality care.
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| Roles of the nurse | the practitioner role, leadership role, and research role.
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| Community based nursing | a philosophy of care in which the care is provided as pts and their families move amoung various service providers outside of the hosp. focuses on promoting and maintaining health, preventing or minimizes the progression of dz, improving quality of life
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| primary prevention | focuses on health promotion and prevention of illness or dz. ex: teaching about healthy lifestyle
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| secondary prevention | centers on health maintenance and aimed at early detection and prompt intervention to prevent or minimize loss of function or independence. Ex: health screening
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| tertiary prevention | focuses on minimizing deterioration and improving quality of life. ex:rehab,
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| osha | enacted to ensure safe and healthy work conditions
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| deontologic or formalist theory | maintains that ethical standard or principles exist independently of the ends or consequences
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| ethics | the formal systemic study of moral beliefs
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