Group 1
Mariel Lontoc
Josephine Macaraig
Jignasa Pancholy
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Recognize the patient or designee as the source
of control and full partner in providing and
coordinated care based on respect for patient’s
preference’s, values and needs. (QSEN).
Information and skills acquired through
experience or education
 The theoretical and practical understanding
of a subject.
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Definition
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Creative thinking vs reflective thinking
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Application in professional Nursing practice.
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Gather all pertinent information
Collaborate with the team
Use critical thinking and problem solving skills
Consider patients values, beliefs and goals
when appropriate.
Assessment
Diagnosis
PLAN
Evaluate
Implement
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1.
2.
3.
4.
4 Central Concepts:
Human beings
Environment
Health
Nursing
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Continuity of Care
Assuring coordination
Integration
Communication
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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
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Temp 98.2
BP 155/42
HR 55
RR 22
No mention of pain
A & Ox3
Ambulatory
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Day 1 HD, treated for UTI
Day 3 Gyn Consult noted fluctuance on labial
lesion 4x3cm
Transferred to ACE unit
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Assess patient cognition- MINI COG
Monitor ADL, baseline function
Ambulation
Communal dining
Activities
IPOC rounds
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 ADL’s
D/C to SNF
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Law and Ethics
Ethical standard: Consider the patient’s wishes
and goals
Care for the whole patient
Legal standard: What would a reasonably
prudent nurse in like or similar circumstances
do?
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Respecting, Recognizing and Understanding
patients cultural and social values along with
ethical responsibilities in patients outcome.
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Culture
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Transcultural nursing
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Multicultural nursing
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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
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Culturally Congruent Care
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Multi Cultural Professionalism must occur.
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Understanding physical appearance variations
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Understanding variation in philosophy
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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
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Preventing Hospital Acquired Disability
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Team collaboration
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Continuity of care
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Client Advocate and Attitude
Knowledge
Skills
Attitude
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 7th edition 2009
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www. QSEN.ORG
Jama.ama-assn.org@ucsf.edu
http://www.youtube.com/watch?v=SSauhroF
Tpk
Assessment tools (see forms)
Hood 7th edition 2009