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(DPAHC) Advocacy Case Management
client diagnosis self-care ability
Client Rights Collaboration with Interdisciplinary Team Concepts of Management Confidentiality/Information Security Health Insurance Portability and Accountability Act (HIPAA) Consultation Continuity of Care
five “rights” of delegation (right task, right circumstances, right person, right direction or communication, right supervision or feedback)
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
hands. arms. 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 .2 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.
3 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 .
4 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. oral intradermal. 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. right dose. right route. right documentation) vital signs lab results allergies IV IM Sub-q potential interactions assessment of physiologic parameters . right client. right time. subcutaneous IM topical outcomes prescription over-the-counter home remedies Medication Administration six “rights” – (right drug. time.
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 .7 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.
8 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. precipitous labor increased icp client electrolyte imbalance client fluid imbalance Hemodynamics . debridement peritoneal dialysis Fluid and Electrolyte Imbalances chest physiotherapy spirometry nasopharyngeal suctioning endotracheal tracheostomy tube complications of pregnancy/labor eclampsia.
cardiac rhythm strip abnormalities sinus bradycardia PVCs V.9 decreased cardiac output diminished peripheral pulses hypotension. 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 .
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