1 Management of Care Advance Directives living will health care proxy Durable Power of Attorney for Health Care

are (DPAHC) Advocacy Case Management

client diagnosis self-care ability

prescribed treatments

Client Rights Collaboration with Interdisciplinary Team Concepts of Management Confidentiality/Information Security Health Insurance Portability and Accountability Act (HIPAA) Consultation Continuity of Care

medical record

referral/transfer form

Delegation

five rights of delegation (right task, right circumstances, right person, right direction or communication, right supervision or feedback)

Establishing Priorities

pathophysiology

Ethical Practice Informed Consent

purpose of procedure Information Technology Legal Rights and Responsibilities

risks of procedure

refusing treatment Performance Improvement

quality improvement Referrals Resource Management Staff Education

in-service Supervision

staff orientation scope of practice

job description

Safety & Infection Control Accident Prevention Disaster Planning Emergency Response Plan

internal/external disaster fire Ergonomic Principles

emergency plan

assistive devices proper lifting frequent changing of position routine stretching of the shoulders neck, arms, hands, fingers Handling Hazardous and Infectious Materials Home Safety

Error Prevention food allergies latex allergies environmental allergies

lighting handrails Injury Prevention Medical and Surgical Asepsis Reporting of Incident/Event/Irregular

kitchen safety home disposal of syringes

medication error Occurrence/Variance Safe Use of Equipment Security Plan

client fall

newborn nursery security Standard/Transmission-Based/Other Precautions

hospital bomb threats communicable diseases and the modes of organism transmission airborne transmission droplet transmission contact transmission

hand hygiene room assignment isolation aseptic/sterile technique universal/standard precautions Use of Restraints/Safety Devices Health Promotion & Maintenance Aging Process Ante/Intra/Postpartum and Newborn Care

support systems perception of pregnancy coping mechanisms desire for female caregiver Developmental Stages and Transitions

toilet training methods peri-natal education performing/learning newborn care providing post-partum care providing newborn care puberty retirement limiting risk taking behaviors

attachment to newborn parenting Disease Prevention

screening exams immunizations Expected Body Image Changes Family Planning

contraceptive methods Family Systems Growth and Development Health and Wellness

smoking cessation stress management Health Promotion Programs

health fairs school health education Health Screening High-Risk Behaviors

drug education STDs

excessive sun exposure lack of regular exercise fatigue calcium deficiency Human Sexuality

needle sharing smoking cessation safe sexual practices

sexual orientation family planning safe sexual practices Immunizations Lifestyle Choices

menopause erectile dysfunction impotence

homeopathic health care practices massage therapy Principles of Teaching/Learning Self-Care Techniques of Physical Assessment

acupuncture herbal medicine and minerals

age of client

measurement of vital signs

Psychosocial Integrity Abuse/Neglect Behavioral Interventions

contract behavior modification support groups Chemical and Other Dependencies

positive reinforcement setting limits

dependencies withdrawal Coping Mechanisms

toxicities support groups hopefulness anger

accept dependency upon others rationalization Crisis Intervention

social supports Cultural Diversity End-of-Life Care

financial concerns fear Family Dynamics

loss of control role changes boundaries coping mechanisms

structure bonding communication Grief and Loss Mental Health Concepts

nonadherence depression Psychopathology

defense mechanisms symptoms of relapse signs & sx of impaired cognition acute & chronic mental illness

schizophrenia depression bipolar disorder Religious and Spiritual Influences on Health

spiritual distress conflict between recommended treatment and beliefs Sensory/Perceptual Alterations

hallucinations delirium

promote adaptation

5 Situational Role Changes

spouse with chronic illness death of parent loss Stress Management

new diagnosis role change stress exercise meditation

stressors relaxation techniques Support Systems Therapeutic Communications Therapeutic Environment

therapeutic milieu

family dynamics

Unexpected Body Image Changes

loss of vision paralysis colostomy

amputation alopecia

Basic Care & Comfort Assistive Devices

prosthetic limbs hearing aid compensatory techniques Complementary and Alternative Therapies

eating utensils telecommunication devices dentures

music therapy Elimination

relaxation therapy

irrigations nasogastric urethral catheter tubes Mobility/Immobility

wash frequently barrier creams/ointments

skin breakdown contractures external fixation device halo traction anti-embolic stockings sequential Non-Pharmacological Comfort Interventions

compression devices skin care turn client alternating pressure mattress skeletal traction impaired skin integrity pain rating scale verbal reports

heat and cold treatments elevate limb

6 Nutrition and Oral Hydration

body mass index (BMI) intake and output edema signs & sx of dehydration Palliative/Comfort Care

adjust diet change delivery to include method, time, food preferences

end-of-life physical sx management Personal Hygiene

nonverbal signs of pain/discomfort

post-mortem care Rest and Sleep Pharmacological & Parenteral Therapies Adverse Effects/Contraindications and Side

adverse effects of medications and parenteral therapy allergic reactions to medications Blood and Blood Products

prescription for administration correct type correct client cross matching complete

correct gauge needle integrity of access site consent obtained

Central Venous Access Devices

PICC implanted venous access devices

central venous access device

Expected Effects/Outcomes

review formulary consult pharmacist; oral intradermal, subcutaneous IM

topical outcomes prescription over-the-counter home remedies

Medication Administration

six rights (right drug, right dose, right client, right time, right route, right documentation) vital signs lab results allergies

IV IM Sub-q potential interactions assessment of physiologic parameters

Parenteral/Intravenous Therapies

peripheral intravenous line IV

PCA device intermittent parenteral fluid therapy

Pharmacological Agents/Actions

pathophysiology

Pharmacological Interactions

oral IV

subcutaneous IM

topical prescriptions

Pharmacological Pain Management

PRN pain medication Total Parenteral Nutrition Reduction of Risk Potential Diagnostic Tests

oxygen saturation glucose monitoring testing for occult blood gastric pH urine specific gravity electrocardiogram test Laboratory Values for

fetal heart monitoring nonstress test amniocentesis ultrasound MRI

ABGs BUN cholesterol (total) glucose Hct Monitoring Conscious Sedation

Hgb HBA1C platelets potassium RBC

sodium urine specific gravity WBC

client physiologic response Potential for Alterations in Body Systems

feeding tube immobilized limb sedation post surgery, diabetes swallowing difficulties nasogastric (NG) tube immobility emesis nutritional status contractures incontinence foot care for client w/ diabetes mellitus Potential for Complications of Diagnostic Tests/Treatments/Procedures

psychomotor skills fluid restriction dysrhythmia following cardiac cath sodium restriction oral/NG tube raise side rails decompression suicide precautions chest tubes monitor airway hemorrhage foot drop embolus numbness shock tingling Potential for Complications from Surgical Procedures and Health Alterations

signs of thrombocytopenia bleeding gums bruising System Specific Assessment

preventing aspiration promoting venous return promoting mobility sensory impairment potential for falls level of mobility skin integrity

level of consciousness muscle strength mobility peripheral edema hypoglycemia or hyperglycemia Therapeutic Procedures

log-rolling abduction pillow chest tube drainage tubes wound drainage devices Vital Signs

continuous bladder irrigation preoperative care intraoperative care,positioning maintain sterile field operative assessment

hypertension bradycardia

tachypnea fever

pulm artery pressure intracranial pressure

Physiological Adaptations Alterations in Body Systems

phototherapy central line dressing client wound healing surgical wound drains chest tube suction central line placement biopsy, debridement peritoneal dialysis Fluid and Electrolyte Imbalances

chest physiotherapy spirometry nasopharyngeal suctioning endotracheal tracheostomy tube complications of pregnancy/labor eclampsia, precipitous labor increased icp client electrolyte imbalance

client fluid imbalance Hemodynamics

decreased cardiac output diminished peripheral pulses hypotension,cardiac rhythm strip abnormalities sinus bradycardia PVCs V. tach fibrillation pacemaker Illness Management

biventricular pacemaker implantable cardioverter defibrillator arterial lines telemetry monitoring cardiac arrhythmias hemodialysis (AV) shunt fistula graft cast placement tuberculosis treatment evisceration dehiscence restoration of breathing restoration of pulse

gastric lavage Infectious Disease

AIDS treatment Medical Emergencies

cardiopulmonary resuscitation Heimlich maneuver respiratory support automated external defibrillator wound disruption Pathophysiology Radiation Therapy

effects of radiation therapy

response to radiation therapy

Unexpected Response to Therapies

increased intracranial pressure hemorrhage

unexpected hematopoietic changes urinary tract infection