Nursing process Concepts and Terminology - PowerPoint Presentation

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Nursing process Concepts and Terminology

Objectives At the end of this lecture the students will be able to:

Define common medical terms used in nursing care plan.

Identify the medical terminology in medical record reports.

Relate common medical terms common in disease states

Correctly pronounce medical terms.

Health care workers use medical terminology and concepts in their work every day. It is the professional language that helps them communicate effectively and quickly. Students should be familiar with all medical and nursing terminology before starting clinical training and practice

Introduction

Nursing process The nursing process is a deliberate, problem-solving approach to meeting the health care and nursing needs of patients. It involves assessment, nursing diagnosis, planning, implementation, and evaluation, with subsequent modifications used as feedback mechanisms that promote the resolution of the nursing diagnoses

Nursing process

Nursing care plan is a written or computerized guide that organizes information about the client's care.

It helps you approach care from the nursing process perspective.

Student care plan: is a standard care plan that include a column for rational.

Concepts and terminology Medical diagnoses: refer to disease processes—specific

pathophysiologic

responses that are fairly uniform from one client to another.

Nursing diagnoses:

refers to the human response, a client's physical,

sociocultural

,

psychologic,and

spiritual responses to an illness or a health problem.

Medical VS nursing diagnosis (exercise) Seventy-year-old Ahmed and 20-year-old Ali both have rheumatoid arthritis. Their disease processes are much the same. X-ray studies show that in both clients, the extent of inflammation and the number of joints involved are similar, and both clients experience almost constant pain. Moreover, Ahmed is not tolerating any activity and complaining from weakness.

Concepts and terminology Objective information: is the data that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled.

Subjective information

: is the data that are apparent only to the person affected; can be described or verified only by that person.

Concepts and terminology Anorexia: loss of appetite.

Constipation

: passage of small, dry, hard stool or passage of no stool for an abnormally long time.

Dysphagia

: the difficulty or inability to swallow.

Concepts and terminology Diarrhea: is the defecation of liquid feces and increased frequency of defecation.

Stoma

(

Ostomy

): is an artificial opening in the abdominal wall; it may be permanent or temporary.

Apnea

: absence of breathing.

Dyspnea

: difficult or labored breathing.

Concepts and terminology Nocturia: awakening at night to urinate

Dysuria

: painful or difficult voiding (urination).

Anuria

: is the failure of the kidneys to produce urine, resulting in a total lack of urination or output of less than 50

mL

in 24 hours.

Concepts and terminology Hematuria: is the presence of red blood cells in the urine.

Urinary retention: is

the accumulation of urine in the bladder and inability of the bladder to empty itself.

Incontinence

: the involuntary excretion of bowel bladder contents.

Concepts and terminology Urgency: the feeling that one must urinate.

Pruritus

: (also known as Itch) is a sensation that causes the desire or reflex to scratch.

Edema

: is the presence of excess interstitial fluid in the body.

Oliguria is urine output < 500 mL in 24 h in an adult or < 0.5 mL/kg/h in an adult or child.

Polyuria is urine output of > 3 L/day

Concepts and terminology Dizziness is a broad term that can mean different things to different people, the most common meaning includes vertigo and Lightheadedness.

Vertigo

: is when a person feels as if they or the objects around them are moving when they are not.

Lightheadedness

: Also called near syncope, lightheadedness is the feeling that you are about to faint.

Concepts and terminologyBlind : The state of blindness, being unable to see.

Deaf

: is a partial or total inability to hear.

Tinnitus:

 is the hearing of sound when no external sound is present. While often described as a ringing, it may also sound like a clicking.

Concepts and terminology Range of motion (ROM) :the degree of movement possible for each joint.

Activity intolerance: is

the type and amount of exercise or daily activities an individual is not able to perform.

Fatigue

: is a subjective feeling of tiredness which is distinct from weakness, and has a gradual onset. 

Concepts and terminology Cognitive domain: the "thinking" domain, includes six intellectual abilities and thinking processes beginning with knowing, comprehending, and applying to analysis, synthesis, and evaluation.

Allergy

: an immunologic reaction to a drug or substance.

Symptoms

:

its the information

parent only to the person affected that can be described or verified only by that person

Concepts and terminology Signs :information (data) that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled

Deficient Knowledge

: Absence or deficiency of cognitive information related to specific topic, these information are needed for health restoration, preservation, or health promotion.

Concepts and terminology Grief : It is the emotional suffering one feels when something or someone the individual loves is taken away.

Stress

: an event or set of circumstances causing a disrupted response ; the disruption caused by a noxious stimulus or stressor.

Coping mechanism

: an innate or acquired way of responding to a changing environment or specific problem or situation.

References Berman, A., & Kozier

, B. (2008). 

Kozier

&

Erb's

fundamentals of nursing: concepts, process, and practice

. Upper Saddle River, NJ: Pearson Prentice Hall.

Smeltzer

, S. C. (2010). 

Brunner &

suddarth's

textbook of medical-surgical nursing,

passcode

: prep u smarter than the ..

 Place of publication not identified:

Wolters

Kluwer

Health.