NCM 101

HEALTH
ASSESSMENT
Laboratory Class
Romina O. Berganio, RN, MAN
Professor/Clinical Coordinator
BASIC APPROACHES TO NURSING
SKILLS PERFORMANCE
Elements of Performing Basic
Nursing Skills
• Underpinning Knowledge - the fundamental
principles, methodologies and skills the nurse needs
to know to perform the task in an informed and
effective manner.
• Appropriate Technique – a particular method of
doing an activity that involves practical skills.
• Speed - how fast a particular procedure is performed
• Dexterity - skill or adroitness in using the hands or
body in performing a task
 The Fundamental Principles of
Ethics
Ethics - a branch of philosophy dealing with standards of
conduct and moral judgment.
Morals - standards of right and wrong
• Ethics provide basis for making a logical & consistent
decisions in the practice of our profession.
• Study of ethics make you more rational, responsible &
effective.
• Unlike other empirical sciences like mathematics, there
are no absolute rules governing ethics
 Basic Principles of Ethics
• Nonmaleficence - obligation of a physician not to harm the patient.
This simply stated principle supports several moral rules – do not
kill, do not cause pain or suffering, do not incapacitate, do not
cause offense, and do not deprive others of the goods of life.
• Beneficence - calls for not just avoiding harm, but also to benefit
patients and to promote their welfare
• Autonomy - all persons have intrinsic and unconditional worth, and
therefore, should have the power to make rational decisions and
moral choices, and each should be allowed to exercise his or her
capacity for self-determination
• Justice - is generally interpreted as fair, equitable, and appropriate
treatment of persons. Distributive justice refers to the fair,
equitable, and appropriate distribution of health-care resources
determined by justified norms
 Patient’s Bill of Rights
• The patient has the right to considerate and respectful care
irrespective of socio-economic status.
• The patient has the right to obtain from his physician complete
current information concerning his diagnosis, treatment and
prognosis in terms the patient can reasonably be expected to
understand.
• The patient has the right to receive from his physician
information necessary to give informed consent prior to the
start of any procedure and/or treatment.
• The patient has the right to refuse treatment/life – giving
measures, to the extent permitted by law, and to be informed
of the medical consequences of his action.
 Patient’s Bill of Rights….
• The patient has the right to every consideration of his privacy
concerning his own medical care program.
• The patient has the right to expect that all communications and
records pertaining to his care should be treated as confidential.
• The patient has the right that within its capacity, a hospital must
make reasonable response to the request of patient for
services.
• The patient has the right to be advised if the hospital proposes
to engage in or perform human experimentation affecting his
care or treatment. The patient has the right to refuse or
participate in such research project.
Patient’s Bill of Rights….
• The patient has the right to expect reasonable
continuity of care; he has the right to know in advance
what appointment times the physicians are available
and where.
• The patient has the right to examine and receive an
explanation of his bill regardless of source of payment.
• The patient has the right to know what hospital rules
and regulation apply to his conduct as a patient.
• “Nursing is an art; and if it is to be made an art, it
requires as exclusive a devotion, as hard a
preparation, as any painters or sculptors work; for
what is the having to do with dead canvas or cold
marble, compared with having to do with the living
body - the temple of Gods spirit? It is one of the
Fine Arts; I had almost said the finest of the Fine
Arts.” - Florence Nightingale