NCM 101 Momy Sunday
Content
NCM 101 – Promotive /Preventive Nursing Care Mgt. 16 units (8 units lecture, 8 units RLE) Course Description:
!eean" ! co cour urse se is "es "esig ne" " to #r #rovi ovi"e "e !ealt! t!e t!e st stu" u"en ents ts an" t!e t!e conce#ts "eve "evelo lo#m #men tal t!eories conce#ts, to igne criticall$ anal$%e nee"s o&ental t!e in"ivi"ual, &amil$ an" communit$. Classroom an" RLE #rovi"e" t!e stu"ents 'it! 'i t! ac acti tivi viti ties es to "eve "evelo lo# # *, *, an" an" va valu lues es on !eal !ealt! t! #rom #romot otio ion n an an" " i"enti&ication an" management o& ris+ &actors. Terminal Competencies:
iven a !ealt!$ client/client at ris+s, t!e stu"ents 'ill -e a-le to a##l$ t!e nursing #rocess in meeting t!e #romotion an" #reventive !ealt! nee"s across t!e li&e s#an. Content . . .
0um umaan eeve vello#ment aaccross tt! !e llii&e ss# #an nte nterv rvent entio ions ns &&or or 0ea 0ealt lt! ! Pr Prom omot otiv ivee an" an" Pre Preven venti tion on o o&& ll llne ness ss
Textbook:
Matern Mate rnal al an" an" C!il C!il" " 0eal 0ealt! t! Nu Nurs rsin ing g Care Care o& t!e t!e C!il C!il""-ea eari ring ng 2 t! C!il"-earing 3amil$ Co#$rig!t 455 -$ *"ele Pilliterri 7 e"ition
Philosophy of Maternal and Child Health Nursin •
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Maternal an" c!il" !ealt! nursing is &amil$centere"9 assessment "ata must inclu"e a &amil$ an" in"ivi"ual assessment. Maternal an" c!il" !ealt! nursing is communit$centere"9 t!e !ealt! o& &amilies on t!e communities. Mate Ma tern rnal al"e#en"s an" an" c! c!il il" "an"!eal !ein&luences alt! t! nurs nursin ing g !ealt! is rese reo& sear arc! c!or orie ient nte", e", -eca -ecaus usee researc! is t!e means '!ere-$ critical +no'le"ge increases. :ot! nursing t!eor$ an" evi"ence-ase" #ractice #rovi"e a &oun"ation &or nursing care. * maternal an" c!il" !ealt! nurse serves as an a"vocate to #rotect t!e rig!ts o& all &amil$ mem-ers, inclu"ing t!e &etus. Matern Mat ernal al an" c!il" c!il" !ealt! !ealt! nurs nursing ing &uncti &unctions ons,, -ecaus -ecausee teac!i teac!ing ng an" counseling are so &re;uentl$ re;uire". Promoting !ealt! is an im#ortant nursing role, -ecause t!is #rotects t!e !ealt! o& t!e ne<t generation. Pregnanc$ or c!il"!oo" illness can -e stress&ul an" can alter &amil$ li&e in -ot! su-tle an" e<tensive 'a$s. Persona Per sonal, l, cul cultur tural, al, an" rel religi igious ous attitu attitu"es "es an" -el -elie& ie&ss in& in&lue luence nce t!e meaning o& illness an" its im#act on t!e &amil$. Circumstances suc! as illness o& a total li&e. Maternal an" c!il" !ealt! nursing is a c!allenging !ig!level 'ellness in &amilies.
Common Mea Common Measur sures es to !ns !nsure ure "am "amily# ily#Cen Center tered ed Mat Matern ernal al and Child Child Health Care Principle !e &amil$ is t!e -asic unit o& societ$. • • •
3amilies re#resent et!nic, an" cultural, an" "iversit$. C!il"ren gro' -ot!racial, in"ivi"uall$ as #art o&socioeconomic a &amil$.
Nursin $nter%entions Consi"er t!e &amil$ as a '!ole as 'ell as its in"ivi"ual mem-ers. Encourage &amilies to reac! out to t!eir communit$ so t!at &amil$ mem-ers are not isolate" &rom t!eir communit$ or &rom eac! ot!er. Encourage &amil$ -on"ing t!roug! roomingin in -ot! maternal an" c!il" !ealt! !os#ital settings. Partici#ate in earl$ !os#ital "isc!arge #rograms to reunite &amilies as soon as #ossi-le. Encourage &amil$ an" si-ling visits in t!e !os#ital to #romote &amil$ contacts. *ssess &amilies &or strengt!s as 'ell as s#eci&ic nee"s or c!allenges. Res#ect "iversit$ in &amilies as a uni;ue ;ualit$ o& t!at &amil$. Encourage &amilies to give care to a ne'-orn or ill c!il". nclu"e "evelo#ment stimulation in nursing care. !are or initiate in&ormation on !ealt! #lanning 'it! &amil$ mem-ers so t!at care is &amil$oriente". •
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&merican Nurses &ssociation'(ociety of Pediatric Nurses (tandards of Care and Professional Performance (tandards of Care Com#re!ensive #e"iatric nursing care &ocuses on !el#ing c!il"ren an" t!eir
&amilies an" communities ac!ieve t!eir o#timum !ealt! #otentials. !is is -est ac!ieve" 'it!in t!e &rame'or+ o& &amil$centere" care an" t!e nursing #rocess, inclu"ing #rimar$, secon"ar$, an" tertiar$ care coor"inate" across !ealt! care an" communit$ settings. (tandard $: &ssessment !e #e"iatric nurse collects #atient !ealt! "ata. (tandard $$: Dianosis !e #e"iatric nurse anal$%es t!e assessment "ata in "etermining "iagnosis. (tandard $$$: )utcome $dentification !e #e"iatric nurse i"enti&ies e<#ecte" outcomes in"ivi"uali%e" to t!e c!il" an" t!e &amil$. (tandard $*: Plannin !e #e"iatric nurse "evelo#s a #lan o& car t!at #rescri-es interventions to o-tain e<#ecte" outcomes. (tandard *: $mplementation !e #e"iatric nurse im#lements t!e interventions i"enti&ie" in t!e #lan o& care. (tandard *$: !%aluation !ee #e" ! #e"ia iatr tric ic nur nurse se ev eval aluat uates es t! t!ee c!il c!il"= "=ss an an" " &ami &amil$ l$=s =s #rogr #rogres esss to'a to'ar" r" attainment o& outcomes. (tandards of Professional Performance (tandard $: +uality of Care !e #e"iatric nurse s$stematic s$stematicall$ all$ evaluates t!e ;ualit$ ;ualit$ an" e&&ectiveness e&&ectiveness o&
#e"iatric nursing #ractice.
(tandard $$: Performance &ppraisal !e #e"iatric nurse evaluates !is or !er o'n nursing #ractice in relation to #ro&essional #ractice stan"ar"s an" relevant statutes an" regulations. (tandard $$$: !ducation
!e #e" #e"ia iatr tric ic #e"iatric nurs nursee ac;u ac ;uir ires es#ractice. an" an" main mainttains ains curr curren entt +no' +no'lle" e"ge ge an" an" com#etenc$ in nursing (tandard $*: Colleiality !ee #e ! #e"i "iat atri ricc nur nurse se in inte tera ract ctss 'i 'it! t! an" an" con contr trii-ut utes es to t!e t!e #ro& #ro&es essi siona onall "evelo#ment o& #eers, colleagues, an" ot!er !ealt! care #rovi"es. (tandard *: !thics !e #e"iatric nurse=s assessment, actions, an" recommen"ations on -e!al& o& c!il"ren an" t!eir &amilies are "etermine" in an et!ical manner. (tandard *$: Collaboration !e #e"iatric #e"iatric nurse colla colla-orate -oratess 'it! t!e c!il", &amil$, an" ot!er !ealt! care #rovi"es in #rovi"ing client care. (tandard *$$: ,esearch !e #e"iatric nurse contri-utes to nursing an" #e"iatric !ealt! care t!roug! t!e use o& researc! met!o"s an" &in"ings. (tandard *$$$: ,esource -tili.ation !e #e"iatric nurse consi"ers &actors relate" to sa&et$, e&&ectiveness, an" cost in #lanning an" "elivering #atient care.
&ssociation of /omens )bstetric and Neonatal Nurses (tandards and 2uidelines (tandards of Professional Performance
(tandard +uality of Care !e nurse $: s$stematicall$ evaluates t!e ;ualit$ an" e&&ectiveness o& nursing #ractice. (tandard $$: Performance &ppraisal !e nurse evaluates !is/!er o'n nursing #ractice in relation to #ro&essional #ractice stan"ar"s an" relevant statutes an" regulations. (tandard $$$: !ducation !e nurse ac;uires an" maintains current +no'le"ge in nursing #ractice. (tandard $*: Colleiality !e nurse contri-utes to t!e #ro&essional "evelo#ment o& #eers, colleagues, an" ot!ers. (tandard *: !thics !e nurse=s "ecision an" actions on -e!al& o& #atients are "etermine" in an et!ical manner. (tandard *$: Collaboration !e nurse colla-orates 'it! t!e #atient, signi&icant ot!ers, an" !ealt! care #rovi"es in #rovi"ing #atient care. (tandard *$$: ,esearch !e nurse uses researc! &in"ings in #ractice. (tandard *$$$: ,esource -tili.ation !ee nu ! nurs rsee co cons nsi" i"er erss &act &actor orss rela relate te" " to sa sa&e &et$, t$, e&&e e&&ecti ctive venes ness, s, an an" " cos costt in #lanning an" "elivering #atient care.
(tandard $3: Practice !n%ironment !e nurse contri-utes to t!e environment o& care "eliver$ 'it!in t!e #ractice settings. (tandard 3: &ccountability
!e nurse is #ro&essionall$ an" ma$ legall$"elegate accounta-le &or !is/!er #ractice. !e #ro&essional registere" nurse to an" su#ervise ;uali&ie" #ersonnel '!o #rovi"e #atient care.
Theorist
Ma4or
!mphasis of Care
Patricia :enne nerr
Nursing iiss a ca carring relations!i#. Nu Nurses *ssess err$ as a '!ole. *n gro' gro' &rom &rom novi novice ce to e< e<#e #ert rt as t! t!e$ e$ e<#ert nurse is a-le to "o t!is #ractice in clinical settings. in intu tuit itiv ivel el$ $ &r &rom om +n +no' o'le le"g "gee gaine" &rom #ractice.
orot!$ >o!nson
* #erson com#rises su-s$stems t!at must mu st re rema main in in -a -ala lanc ncee &or &or o# o#ti tima mall &unc &uncti tioni oning ng.. *n$ *n$ ac actu tual al or #oten #otenti tial al t!reat to t!is s$stem -alance is a nursing concern.
*ssess *sse ss t! t!ee e& e&&e &ect ct o& la lac+ c+ o& ar arm m &u &unc ncti tion on on e err rr$ $ as a '!ole9 mo"i&$ care to mai ain ntai ain n &unction to al alll s$stems, not ?ust musculos+eletal.
mogene ing
Nursing is a #rocess o& action, re reaction, interacti inte raction, on, an" transactio transaction9 n9 nee"s are i"en i"enti ti&i &ie" e" -a -ase se" " on cl clie ient nt=s =s soci social al s$stem, #erce#tions, an" !ealt!9 t!e role
i isc scus usss 'i 'it! t! e err rr$ $ t! t!ee 'a$ 'a$ s!e vie's !ersel& an" illness. !e vi vie' e'ss !e !ers rsel el&& as a 'ell 'ell c!il", active in irl couts an"
care to !el# o& t!eattainment. nurse is to !el# t!e client ac!ieve sc!ool9 !er meetstructure t!ese #erce#tions. goal Ma"e Ma "elleine eine Lein Leiniinger nger
!e es esssence ence o& nur nursing sing is care care.. o *s *sse sess ss e err rr$ $=s &a &ami mil$ l$ &o &orr #rovi"e transcultural care, t!e nurse -elie&s a-out !ealing. &ocu &ocuse sess on t!e t!e st stu" u"$ $ an an" " ana anal$ l$si siss o& ncor#orate t!ese into care. "i&&erent "i&& erent cultures cultures 'it! res#ect to caring -e!aving.
3l 3lor oren ence ce Nig! Nig!ttinga ingale le
!e role ole o& t!e t!e nur nurse is vi vie' e'e" e" as c!anging or structuring elements o& t!e envi enviro ronm nmen entt suc! uc! as vent ventiilat atiion, on, tem#erature, o"ors, noise, an" lig!t to
urn er urn err$ r$=s =s -e" -e" su sunl nlig ig!t !t99 #r #rov ovi" i"ee covers &or 'armt!9 com&or com &ortata-le le 'it! 'it!
int nto o t! t!ee a"e;u a"e;uat atee leave !er electr electroni onicc
#ut t!e client into t!e -est o##ortunit$ games to occu#$ !er time. &or recover$.
*ssess &or str *ssess stress essors ors suc! suc! as loss o& sel&esteem an" "erive 'a$ss to #reven 'a$ #reventt &urt!e &urt!err loss loss suc! as #raising !er &or com-ing !er o'n !air.
:ett$ Neuman
* #erson is an o#en s$stem t!at interacts 'it! t!e environment9 nursing is aime" at re"ucing stressors t!roug! #rimar$, secon"ar$, an" tertiar$ #revention.
orot!ea @rem
!e &ocus o& nursing is on t!e *r *rrrange ange over over-e -e" " taa-le le so in"ivi"ual9 clients are assesse" in terms err$ ca &ee" !ersel&9 urge !er o& a-ili a-ilit$ t$ to com#le com#lete te sel&c sel&care are.. Care Care to #artici#ate in care -$ "oing
give given n ma$ ma$ -e '!ol '!oll$ l$ co com# m#ens ensat ator$ or$ as muc! &or !ersel& as s!e can. (client !as no role)9 #artl$ com#ensator$ (client #artici#a #attes in care)9 or su##ortivee"ucational (client #er&orms o'n care). "a >ean @rlan"o
!e &ocus o& t!e nurse is interaction
*s+ *s + e err rr$ $ '!at '!at s! s!ee &e &eel elss is
'it! t!e client 'it! client99 e&&ect e&&ective ivenes nesss o& care care "e#en"s on t!e client=s -e!avior an" t!e nurse= nur se=ss reacti reaction on to t!at t!at -e!avio -e!avior. r. !e cl clie ient nt s! s!ou oul" l" "e&in "e&inee !is !is or !e !err o'n o'n nee"s.
!er main nee". err$ sa$s t!at returning to sc!ool is '!at s!e 'ants 'an ts most. most. tress tress activi activiti ties es t! t!at at al allo lo' ' !e !err to main mainta tain in contact cont act 'it! 'it! sc!ool sc!ool,, suc! suc! as "oing !ome'or+ or tele#!oning &rien"s.
Rose Ro sem mari arie Ri Ri%% %%o o
Nur Nursing sing is a !um !uman an sci cien ence ce.. 0ea 0eallt! is a *s+ *s+ e err rr$ $ '!at '!at -e -ein ing g si sic+ c+ live" e<#erience. Manliving!ealt! as a me mean anss to !e !er. r. *l *llo lo' ' !e !err to single unit gui"es #ractice. #artici#ate in care "ecisions -ase" on !er res#onse.
0il"e "eg gar" Pe Pe# #lau
!e #ro #romotion o& !ea !ealt! is vie vie'e" as t!e &or'ar" movement o& t!e #ersonalit$9 t!is is accom#lis!e" t!roug! t!r oug! an inter# inter#ers ersona onall #roces #rocesss t!at t!at incl inclu"e u"ess orie orient ntat atio ion, n, i"en i"enti ti&i &ica cati tion on,, e<#loitation, an" resolution.
Plan care toget!er 'it! err$. Enco En cour urag agee !e !err to s#ea s#ea+ + o& sc!ool sc! ool an" accom# accom#lis lis!me !ments nts in irl couts to retain sel& esteem.
Mart!a Rogers
!e #u #ur#ose o& o& nu nursing is is to to mo move t! t!e client to'ar" o#timal !ealt!9 t!e nurse s! s!oul oul" " vie' vie' t!e t!e cl clie ient nt as '!ol '!olee an an" " constantl$ c!anging an" !el# #eo#le to interact in t!e -est 'a$ #ossi-le 'it!
0el# err$ to ma+e use o& !er le&t si"e as muc! as #ossi-le so t!at s!e returns to sc!ool an an" " to !e !err #r #revi eviou ouss le level vel o& &unctioning as soon as
t!e environment.
#ossi-le.
!e !e ro role le o& o& t!e t!e nurs nursee is to to ai" ai" clie client ntss to a"a#t to t!e c!ange cuase" -$ illness9 levels o& a"a#tation c!ange cause" -$ illness9 levels o& a"a#tation "e#en" on t!e "egree o& environmental c!ange an" statee o& co#ing a-ilit$9 stat a-ilit$9 &ull a"a#tation a"a#tation inclu"es #!$siologic inter"e#en"ence.
*ssess err$ *ssess err$=s =s a-ili a-ilit$ t$ to use !e !err le le&t &t !a !a"n "n to re re#l #lac acee !e !err rig!t rig !t!an !an" " &uncti &unctions ons,, '!ic! '!ic! ar aree no no' ' lo lost st99 "i "ire rect ct nu nurs rsin ing g caree to'ar" car to'ar" re#lac re#lacing ing "e&ici "e&icitt 'it! ot ot! !er &actors, sel el&& co conce nce#t #t,, ro role le &u &unc ncti tion, on, an an" " s+ills.
i ist ster er Call Callis ista ta Ro$ Ro$
