HOHOHOHO merry xmass

CPR

1. Determine unresponsiveness

a. shake and shout "are you okay?"

b. call for help

2. Position the client, if no evidence of trauma (if trauma, see section III of this lesson)

3. Open the airway

a. head-tilt, chin lift

b. jaw thrust (if spinal injury suspected)

4. Assess for breathing: look, listen and feel

5. Give rescue breaths

a. assess if breaths go into lungs by chest movement

b. if air does not go in, reposition airway (see #3 above)

c. if air still does not go in, check for foreign body

i. abdominal thrust (Heimlich manueuver) (illustration 1
illustration 2
)

ii. do not proceed until airway and rescue breathing established

a. when airway is clear, check for abscence of pulse

b. begin chest compressions

i. be sure client is on a firm surface

ii. hand position is critical

· two finger-widths above xiphoid

· lower one-half of sternum

i. for adult, 1.5 to 2 inch compression depth

ii. two rescuers, 80 to 100 compressions per minute

iii. one rescuer, 80 compressions per minute

a. alternate compressions and breaths

i. one and two rescuers, 15 compressions to two breaths

b. reassess cardiopulmonary status after one minute and every few minutes thereafter

Courage To Move On!!

They had been together for a month,
Now all she can feel is fear.
She gave all that she could give,
It just wasn't the way he wanted to live.

He left without a backward glance,
Not even giving their love a chance.
She often wonders what she could have done,
To keep him from going on the run.

Now she is living all alone,
With nothing she can call her own.
She can barely make herself eat,
Wondering if her life will again be complete.

This woman is now moving along,
Building her courage, and becoming strong.
Time will heal her broken pride,
Toward the sunrise her heart will glide.

Fundamentals Of Nursing

Concept Of Nursing

Nightingale- Act of utilizing patient's environment

Roger- Humanistic science dedicated to compassionate concern

Roy- Theoretical system of knowledge

Orem- Helping or assisting service

Association of Nurses (ANA)- Diagnostic and treatment of human response

Role of Professional Nurses:

Caregiver
Teacher
Client Advocate- represents patient to perform services
Manager
Communicator
Counselor
Change Agent
Leader
Researcher

Nursing Theories/Conceptual Framework

Florence Nightinglae (1800)

Changing and manipulating the environment
The body could repair itself...nurses need not know all about disease

Faye Abdellah (1960)

Identified 21 nursing problems
Nursing moulds the competencies of a nurse into desire and ability to health...

Dorothy Johnson (1960)

Behavioral system model
A person is a behavioral system who strives into achiev internal and external stability...through learned patterns of response.

Imogene King (1971)

Goal attainment theory
Transactions occur during perceiving, setting, acting and achieving nursing goals

Dorothea Orem (1972)

Self-care and self deficit theory
Self care as practice of activities to maintain health...

Hildegard Peplau (1952)

Interpersonal modal
4 pahses of nurse patient relationship (NPR): Orientation, Idnetification, Exploitation and Resolution.

Martha Rogers (1970)

Science of unitary human beings
Unitary man is an energy field in constant interaction with environment

Sister Callista Roy (1976)

Adaptation Model
Person is adaptive system with interdependent parts

Joyce Travelbee (1971)

Interpersonal process is a human to human relationship formed during illness

Lydia Hall

3 components of nursing care: Care, Core (patinent itself) and Cure


Man and His Basic Needs

Nursing Concept of Man

Roy- Biophysical and spiritual is...inconstant contact with environment

Rogers- Composed of parts which are greatly different from the sum of all his part

Health And Illness

Who (1947)- Complete physical, mental and social well being, not merely an absence of disease or infirmity.

C. Bernard- Ability to maintain an internal milieu

W. Cannon- Ability to maintain homeostasis... regulated by negative feedback mechanism

nightingale- Being well, using one's power to the fullest extent...

Stages of illness- Denial, Acceptance, Recovery/Rehabilitation

Vital Signs 2008 by BREWED

Nursing Process

Sx's Mneumonics

~Sx's Mneumonics

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