Fundamentals of Nursing

• NUTRIX


  A Latin word which means to nourish
• Nursing


  • An art and a science
  • Is CARING
  • Committed to promoting individual, family, community, and national health goals
  • Committed to personalized services for all persons without regards to color, creed, or social or economic status
• Haram


  Not allowed/ forbidden
• Haram foods


  • Pork
  • From animals on land except for cows and chickens
  • If not slaughtered properly
• Halal


  Allowed (May seal or halal seal sa snacks)
• Jehovah's Witnesses and Christian Science do not allow Blood transfusion (If artificial pwede sa J.W. pero pag galing sa tao No)
• Synthetic erythropoietin is allowed for Jehovah's Witnesses
• COMPASSION


  The essence of nursing
• Nursing as an art


  • The therapeutic use of self
  • Nurse-patient relationship
  • When you communicate
  • When you trigger catharsis
  • A profession requires dexterity and skills
• Nursing as a science


  It has a specific / specialized body of knowledge (Pathophysiology)
• Dona Hilaria de Aguinaldo founded the Filipino Red Cross, now known as Philippine Red Cross
• Trinidad Tecson is the mother of Filipino Red Cross
• Hospitals and Schools of Nursing in the Philippines


  • Iloilo Mission Hospital School of nursing (Iloilo City, 1906) - Central Philippine University (American School)
  • Philippine General Hospital School of Nursing (Manila, 1907)
  • St. Paul's School of Nursing (Manila, 1907)
• University of Santo Tomas College of Nursing was the First College of Nursing in the Philippines
• Manila Central University College of Nursing was established in 1947
• Suicide usually happens 4AM early in the morning - quiet environment peak of depression
• Suicide often occurs during endorsement because no one is looking after the patient
• Suicide risk is highest after taking an antidepressant
• Cues of Suicide


  • Actual or imagined loss
  • Giving away of possessions
  • Tying of loose ends (nakikipagbati sa mga kaaway)
• Anastacia Giron Tupas founded the only professional organization in the Philippines (Philippine Nurses Association)
• Cesaria Tan was the first to receive a master's degree abroad
• Rosa Militar was the pioneer of school health nursing education
• Loreto Tupaz is considered as the Florence Nightingale of the Philippines
• Loreto Tupaz requested the first NLE outside Manila, which was held in Iloilo
• Act 2808 was the First True Nursing Law that created the Board of Nursing (BON) in 1919
• The first NLE was held in Manila in June 1920
• The First Philippine Nursing Law was R.A 877 in 1953, created in the legislative branch by the people
• Periods of Nursing


  • Intuitive Nursing (Prehistoric times among primitive tribes)
  • Apprentice Nursing (Most care delivered by members of religious orders)
  • Dark Period of Nursing (17th to 19th century, nurses were women of less desirable members of society)
  • Period of Educate Nursing (Florence Nightingale School of Nursing opened at St. Thomas Hospital in London)
  • Period of Contemporary Nursing (WWII to the present)
• Florence Nightingale is known as the "Mother of Modern Nursing"
• The World Health Organization (WHO) was established in April 7, 1948
• The use of atomic energy for medical diagnosis and treatment, including nuclear medicine, is part of the Period of Contemporary Nursing
• Health is perceived as a fundamental Human Right in the Period of Contemporary Nursing
• The expanded role of the nurse developed in the Period of Contemporary Nursing
• The salary of a single nurse is 76k, while the salary of a married nurse is 81k
• ECMO (Extracorporeal Membrane Oxygenation) requires hourly monitoring of clotting factors and the involvement of a Vascular Surgeon and ICU
• Roles of a Professional Nurse


  • Caregiver
  • Teacher
  • Counselor
  • Change agent
  • Client advocate
  • Manager
  • Researcher
• The purpose of nursing research in the Philippines is to improve the quality of bedside / nursing care
• Expanded roles of a Professional Nurse


  • Clinical Specialist
  • Nurse Practitioner
  • Nurse-Midwife
  • Nurse anesthetist
  • Nurse Educator
  • Nurse Entrepreneur
  • Nurse Administrator
• Patricia Benner's Ladder of Clinical Proficiency


  • Novice (new, rule-governed behavior, strict)
  • Advance Beginner (with experience of 1 to 2 years, decision making is based on theory)
  • Competent (2 to 3 years experience, decision making is based on client needs)
  • Proficient (with experience of 3 to 5 years, decision making based on priorities)
  • Expert (experience more than 5 years, instinctive / intuitive behavior)
• Nurse Practitioner


  • Either as certificate program or a master's degree, certified by the appropriate specialty organization
  • Skilled at making nursing assessments, performing P.E., counseling, teaching and treating minor and self-limiting illness