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Group 1 Mariel Lontoc Josephine Macaraig Jignasa Pancholy Slide 2 Recognize the patient or designee as the source of control and full partner in providing and coordinated care based on respect for patients preferences, values and needs. (QSEN). Slide 3 Information and skills acquired through experience or education The theoretical and practical understanding of a subject. Slide 4 Definition Creative thinking vs reflective thinking Application in professional Nursing practice. Slide 5 Gather all pertinent information Collaborate with the team Use critical thinking and problem solving skills Consider patients values, beliefs and goals when appropriate. Slide 6 AssessmentDiagnosis Implement PLAN Evaluate Slide 7 4 Central Concepts: 1. Human beings 2. Environment 3. Health 4. Nursing Slide 8 Continuity of Care Assuring coordination Integration Communication Slide 9 Ms. N 70 y.o. female c/o left labial pain, hematuria x3d Hx: DM, HTN, CKD, CAD, PVD, DN Arrived from Philippines. 97 Separated from husband 6 children $300 income SSI Guest friends house Slide 10 Temp 98.2 BP 155/42 HR 55 RR 22 No mention of pain A & Ox3 Ambulatory Slide 11 Day 1 HD, treated for UTI Day 3 Gyn Consult noted fluctuance on labial lesion 4x3cm Transferred to ACE unit Slide 12 Assess patient cognition- MINI COG Monitor ADL, baseline function Ambulation Communal dining Activities IPOC rounds Slide 13 HD 3x week While waiting for a HD slot-pt transferred to a regular floor Two weeks-developed progressive difficulty ambulating Gait unsteady, assist with ADLs D/C to SNF Slide 14 Law and Ethics Ethical standard: Consider the patients wishes and goals Care for the whole patient Legal standard: What would a reasonably prudent nurse in like or similar circumstances do? Slide 15 Respecting, Recognizing and Understanding patients cultural and social values along with ethical responsibilities in patients outcome. Slide 16 Culture Transcultural nursing Multicultural nursing Slide 17 Examination of personal Values, Beliefs, Biases, and prejudices. Cultural Awareness Specific Communication Strategies Interaction with Different Cultures Mistake Identification and Acknowledgement Remediation for Cultural Mistakes Slide 18 Culturally Congruent Care Multi Cultural Professionalism must occur. Understanding physical appearance variations Understanding variation in philosophy Slide 19 Ms. N was one of the victim of Hospital Associated Disability Ms. N was an immigrant from Philippines and her primary language was Tagalog Ms. N came for pain on her libia Ms. N was placed in long term care Slide 20 Preventing Hospital Acquired Disability Team collaboration Continuity of care Client Advocate and Attitude Slide 21 Knowledge AttitudeSkills Slide 22 Betancourt, J. R. (2004, September 2). Cultural Competence Marginal or Mainstream Movement? The New England Journal of Medicine, 351 (2004), 953-955. Covinsky, K. E., Pierluissi, E., & Johnston, B. C. (2011, October 26). Hospitalization-Associated Disability. JAMA, 306 (16), 1782-1793. Retrieved from jama.ama-assn.org QSEN - Quality & Safety Education for Nurses. (n.d.). Retrieved February 19, 2012, from http://www.qsen.org/ Jama.ama-assn.org@ucsf.edu http://www.youtube.com/watch?v=SSauhroFTpk Assessment tools (see forms) Hood 7 th edition 2009 Slide 23 www. QSEN.ORG Jama.ama-assn.org@ucsf.edu Jama.ama-assn.org@ucsf.edu http://www.youtube.com/watch?v=SSauhroF Tpk http://www.youtube.com/watch?v=SSauhroF Tpk Assessment tools (see forms) Hood 7 th edition 2009 Slide 24