LV.4 PRELIM COMPRE 2ND SEM

• OBSERVABLE E XPERIENCES > P HENOMENON

  • PHYSICAL SIGNS > PED >PAIN > CRYING, GRIMACE
• V ISUAL > INTER RELATIONSHIP BETWEEN DIFFERENT NURSING C ONCEPTS

  C ONCEPTUAL F RAMEWORK
• BASIC / F UNDAMENTAL GENERALIZATION AS TRUE > BASIS

  P RINCIPLE
• N URSING T HEORY


  >DESCRIBES OR EXPLAINS NURSING & SUPPORT NURSING P RACTICE

  >SHAPE & DIRECT NURSING E DUCATION (CURRICULUM & TEACHING APPROACHES)

  > AIM: M OLD FUTURE NURSE TO BE THEORY DRIVEN
• NURSING THEORY EFFECTIVE > L OGICAL
• SCIENTIFIC KNOWLEDGE BASE ACROSS M ULTIPLE D ISCIPLINE

  INT ERDISCIPLINARY THEORIES
• NATURE OF HEALTH

  D YNAMIC AND CONTINOUSLY C HANGING
• W ATSON : H UMAN C ARING

  C OMPASSION AND INTER PERSONAL CONNECTION
• P ENDER : HEALTH P ROMOTION M ODEL

  INFLUENCE OF I NDIVIDUAL PERCEPTION AND B ELIEF ON HEALTH B EHAVIOUR

  > WANT TO GIVE UP SMOKING BUT NEEDS ASSISTANCE IN B EHAVIOURAL CHANGE
• H ENDERSON : NURSIN DEFINITION

  MEET B ASIC NEEDS TO ACHIEVE I NDEPENDENCE IN SELF - CARE
• TRANSPERSONAL > W ATSON
• K ING : G OAL ATTAINMENT
• R OY : MODEL OF A DAPTATION
• P EPLAU : INT ERPERSONAL RELATION

  NURSE - PATIENT RELATIONSHIP
• K UAN > R ETIREMENT AS DESIRABLE AND SATISFYING LIFE CHANGE IN REMAINING YEARS

  PALLIATIVE
• H ALL > EX TERNAL REGULATORY FORCE PRESERVING SUB SYSTEMS
• O RLANDO : D ELIBERATIVE NURSING PROCESS > ADAPTABILITY

  DOES NOT ALIGN > R IGID CARE PLAN, WITHOUT CONSIDERATION FOR POTENTIAL CHALLENGES
• NURSING DIAGNOSIS ?


  UPON REVIEWING ASSESSMENT DATA, NURSE IDENTIFIES RISK FOR IMPAIRED SKIN INTEGRITY

  C LUSTER / GROUP DATA
• PRIMARY ABSORPTION OF WATER FROM UNDIGESTED FOOD

  LARGE INTERSTINE (COLON)
• OUTERMOST SMOOTH MUSCLE LAYER STOMACH

  L ONGITUDINAL (PARALLEL)
• ASSIMILATION OF NUTRIENTS INTO BLOODSTREAM

  A BSORPTION ( THROUGH WALLS OF SMALL INTESTINE)
• ANTENATAL > ABN INWARD CURVATURE > STOMACH OUT

  L ORDOSIS
• NOT A MUSCLE OF MASTICATION

  Z YGOMATICUS M AJOR (FACIAL EXPRESSION)
• DIASTOLIC

  R ELAXATION ( OF A RTERY PRESSURE WHILE BLOOD F ILLING IN CONTRACTION)
• SKELETAL MUSCLE FROM LARGEST TO SMALL

  F ASCICLE, FIBER, MYO FIBRIL, THI CK & THI N FILAMENTS
• RESP. DISTRESS> BRONCHIOLE ENDS FOR GAS EXCHNAGE

  A LVEOLI
• DHN > DE CREASED URINE OUTPUT > HORMONE > REGULATE WATER BALANCE AND URINE CONCENTRATION IN KIDNEYS

  A LDOSTERONE
• S ENSORY (TASTE ON ANTERIOR 2/3 OF TONGUE) & M OTOR (EXPRESSION)

  CN 7 F ACIAL
• REGULATE BLOOD GLUCOSE BY INSULIN AND GLUCAGON

  PANCREAS
• HPN > ACE INHIBITOR

  VASO DILATION > LOWER BP
• CONTRALATERAL CONTROL (NERVE FIBERS CROSS)

  B RAIN S TEM ( MEDULLA OBLONGATA)
• LOCATION OF SPINAL CANAL

  D ORSAL WITHIN VERTEBRAL COLUMN
• ABDOMINAL EXAM

  I A PP
• BIOGRAPHIC INFO IN MEDICAL HX

  A DVANCE CARE D IRECTIVES
• PERCUSS LUNGS > NORMAL

  R ESONANCE ( LOW PITCHED)

  ?

  T YMPANY (INTESTINE

  HYPER RESONANCE (EMPHYSEMA

  D ULLNESS (LIVER/ SOLID ORGN
• PNEUMONIA > ALERT

  BUCCAL C YANOSIS & CAPILLARY REFILL GREATER THAN 3 SEC
• PAIN PERCEIVED AT ANOTHER SITE

  R EFERRED
• WEAR GLOVES ( BLOOD & BODY FLUI EXPOSURE

  M OUTH

  R ECTAL

  G ENITAL
• BOWEL SOUNDS > 5 MIN
• 3 DAY HX OF NAUSEA & VOMITING C DRY MUCOSA AND DEEP F ISSURES ON TONGUE

  > DHN