Nursing Tips: Principles

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever.

Post-vaccine Care for Children

Principles Pediatrics

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may be given, avoid aspirin.

Orthodox Jewish diet

Principles Fundamentals

Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!

Phases of a helping/therapeutic relationship: Orientation, Working, and Termination. During Orientation, parameters are established: Goal of relationship; Meeting location, frequency, and length; Confidentiality; Duration of relationship.

Phases of Helping Relationships

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Principles Psychiatric Mental Health

Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.

Closed-Ended Questions

Principles Fundamentals

Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.

Corrections to Documentation

Principles Fundamentals

If the nurse should make an error while documenting on a written error, cross out the error with one line and add initials, date, and time. Do not use correction tape/fluid.

Family Systems Theory

Pediatrics Principles

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

An Occupational Therapist (OT) is a key member of the interprofessional team. They help patients regain their ability to perform their ADLs (Activities of Daily Living). Examples of ADLs: brushing teeth, getting dressed, using the bathroom.

Ethics Committee

Principles Fundamentals

An ethics committee is an interdisciplinary team that may be used to provide guidance in the face of an ethical dilemma.

Epidemic

Principles Fundamentals

An epidemic describes an increase in the number of cases of a disease above what is normally expected in a population or area.

Educate patients that canes should be held on the strong side with the handle at the level of the wrist.

Canes: Patient Teaching

Principles Fundamentals

Educate patients that canes should be held on the strong side with the handle at the level of the wrist.

Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.

Authoritarian vs. Authoritative Parenting

Principles Pediatrics

Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.

Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.

Providing Educational Materials to Patients

Principles Fundamentals

Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.

The Scoop Method

Principles Fundamentals

Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.

Psychomotor Domain of Learning

Principles Fundamentals

A patient who is practicing how to administer their own insulin injections is functioning under the psychomotor domain of learning, as they are not just thinking, but performing an action.

Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.

Beneficence vs. Nonmaleficence

Principles Fundamentals

Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.

Nursing Interventions for the Restrained Patient

Principles Psychiatric Mental Health

The timing of nursing interventions for the restrained patient is crucial! 1) Assess the patient's status every 15 minutes. 2) Offer fluids, ROM exercises, and toileting every 2 hours. 3) Immediately remove restraints once the patient is no longer a danger to themselves or others.

Sublimation

Principles Psychiatric Mental Health

Sublimation is marked by an individual transforming unacceptable impulses into socially acceptable behaviors.

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

What is a Living Will?

Principles Fundamentals

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

Right to Refuse Medication

Principles Psychiatric Mental Health

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

Cultural Assessment

Principles Fundamentals

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Complicated Grief

Principles Psychiatric Mental Health

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

High-Fowler's Position

Principles Fundamentals

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

Bipolar Disorders: I and II

Principles Psychiatric Mental Health

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

Durable Power of Attorney (DPoA)

Principles Fundamentals

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

How to recognize behaviors that may indicate intention to commit suicide! These include giving away prized possessions, sudden improvement of mood or calmness, and making preparations.

Indications of Intent to Commit Suicide

Principles Psychiatric Mental Health

Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.

Immunizations in first 6 months

Immune Principles Pediatrics

IMMUNIZATIONS IN FIRST 6 MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV, Hib, IPV, PCV 6 months = "B. Dr. HIP" Hep B (6-12 months), DTAP, RV, Hib, IPV (3rd dose: 6-18 months), PCV