Fundumentals of Nursing

• Nursing


  An art and science
• Why nursing is an art


  • It uses therapeutic use of self
  • It requires dexterity and skills
• Silence


  Most therapeutic way
• Nursing skills


  • Communication
  • Manual/Hands on
  • Cognitive skills/decision making
• Nursing process for MI

  1. Call for help

  2. Note the time
• Nursing process for MVA

  1. Respiration

  2. Stabilization of the spine

  3. Circulation
• Wound management


  • Evisceration: cover with saline soaked sterile dressing
  • Dry: use for protection
  • Wet: remove dead skin and debris
  • Encourage revascularization in debridement
  • Burns: wet then cover dry gauze
• Colostomy


  Normal for the next 10 days that stoma is loose and bloody stool
• Salen sump tube


  • Decompression of the bowel (to let out gas)
  • To prevent abdominal distention
• Why nursing is a science

  • It is a profession that has a specific or specialized body of knowledge
• Caring in nursing


  • 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
• Essence of nursing


  Compassion is a genuine care over caring
• Who benefits when a nurse takes care of an individual

  • Individual
  • Family
  • Community
  • Nation
• DOH gives second generation divalent COVID-19 vaccine
• Haram (forbidden) foods


  • Pork
  • Crabs (mud crab)
• Halal (allowed) foods


  • Chicken
  • Beef
  • Blue/true crab
• Jehova's Witnesses do not accept human blood products or synthetic erythropoietin
• Dona Hilaria de Aguinaldo


  • Founder of the organization of Philippine Red Cross
  • NGO
• Trinidad Tecson

  • Mother of the Philippine Red Cross
• Top 3 nursing schools in the Philippines (TRIAD)

  • Iloilo Mission Hospital of Nursing
  • Philippine General Hospital School of Nursing
  • St. Paul's School of Nursing
• Iloilo Mission Hospital of Nursing was the first school of nursing, established in 1906
• Philippine General Hospital School of Nursing is always the first taker, with 100% passing rate since 1948
• University of Santo Tomas College was the first college of nursing, established in 1946
• In 2019, the focus of DOH was on mental health
• Cues of suicide


  • Actual/imagined loss
  • Giving away of possessions
  • Tying of loose ends
• Activities for depressed patients


  • Minute, structured, simple & easily accomplished activities (e.g. folding clothes, taking a bath)
  • Address hygiene & self-esteem
• Activities for manic patients


  • Gross manual activities (e.g. gardening, walking, punching bag)
  • Snacks: finger foods containing carbohydrates, proteins, fats (e.g. cheeseburgers, siopao)
• Nursing leaders in the Philippines

  • Anastasia Giron Tupas: founder of PNA
  • Cesaria Tan: first to receive master's degree abroad
  • Rosa Militar: pioneer of school health nursing education
  • Loreto Tupaz: Florence Nightingale of Iloilo
  • Julita Sotejo: Florence Nightingale of the Philippines
• MAN


  Humanities, teaches how to deal with people, to be a better person in the workplace, promotes the art of communication, role-shifting
• The first Philippine Nursing Law was RA 877, created in 1953
• Types of liability for nurses

  • Criminal
  • Civil
  • Administrative
• Nursing was traditionally seen as a function that belongs to women
• Methods to assess pain

  • Sternal rub
  • Nail bed pressure
  • Trapezius squeeze
  • Nipple
• Illness was once believed to be caused by evil spirits through magic or voodoo, treated by medicine men or "shamans"
• Traditional Filipino healing practices

  • Herban (albularyo)
  • Mabuting Hilot (good midwives)
• IgG


  Provides passive immunity to babies 0-6 months old, used for palliative management
• IgM


  First immunoglobulin produced by the fetus
• IgA


  Found in colostrum, breastmilk, tears, saliva - acts as a natural astringent and medication
• IgD


  Serum immunoglobulin, purpose unknown
• IgE


  Increases in asthma, allergic rhinitis, atopy