General principles of care

This chapter considers the general principles of care for the orthopaedic and trauma patient. It provides the practitioner with all those aspects of care which need to be considered for the patient in general, relating to fundamental aspects of nursing care with a focus on orthopaedic and/or trauma surgery, recovery and rehabilitation from surgery or injury, and discharge and health promotion.

Author(s):  
Anne-S. Helvik

AbstractThe population of older adults (≥60 years) is currently growing. Thus, in the years to come it is expected that a high proportion of patients hospitalized will be in the older age range. In western countries, the proportion of older inpatients is about 40% in the medical and surgical hospitals units. Older people with illness is vulnerable to both physical and cognitive impairments as well as depression. Therefore, a health-promoting perspective and approach are highly warranted in clinical nursing care of older adults in medical hospitals. This chapter focuses on health promotion related to depressive symptoms, impairment in activities of daily living, and cognitive impairment in older hospitalized adults.


2019 ◽  
Vol 10 (2) ◽  
pp. 148
Author(s):  
Lalu Wirentanus

The increasing need for health services requires nurses currently to have knowledge and skills in various fields. At present, nurses have a broader role with an emphasis on improving health and preventing disease, as well as looking at clients comprehensively. This study discusses the role and authority of nurses in carrying out their duties based on the provisions of law number 38 of 2014 concerning nursing. This research is normative research with a legislative approach and critical legal studies. The results of the study that the role of nurses must be able to ensure that the company meets the laws and regulations, develop health surveillance programs, conducts counseling, coordinates health promotion activities and fitness, at all. As for the authority of nurses, based on article 30 paragraph (1) of law number 38 of 2014 that nurses carry out their duties as providers of nursing care in the field of individual health efforts, nurses are authorized to a) carry out holistic nursing assessments, b) establish a nursing diagnosis, c) plan nursing actions. Carry out nursing actions, d) evaluating the results of nursing actions and so on which, based on reality, are still not well implemented.Keywords: authority of nurses, nursing law, roleABSTRAKBertambahnya kebutuhan pelayanan kesehatan menuntut perawat saat ini memiliki pengetahuan dan keterampilan di berbagai bidang. Saat ini perawat memiliki peran yang lebih luas dengan penekanan pada peningkatan kesehatan dan pencegahan penyakit, juga memandang klien secara komprehensif. Penelitian ini membahas tentang peran dan wewenang perawat dalam menjalankan tugasnya berdasarkan ketentuan undang-undang nomor 38 tahun 2014 tentang keperawatan. Penelitian ini merupakan penelitian normatif dengan pendekatan perundang-undangan dan studi hukum kritis. Hasil penelitian, bahwa peran perawat harus mampu meyakinkan bahwa perusahaan memenuhi peraturan perundangan-undangan, mengembangkan program surveilance kesehatan, melakukan konseling, melakukan koordinasi untuk kegiatan promosi kesehatan dan fitnes, dan seterusnya. Adapun kewenangan perawat, berdasarkan pasal 30 ayat (1) undang-undang nomor 38 tahun 2014 bahwa perawat menjalankan tugas sebagai pemberi asuhan keperawatan di bidang upaya kesehatan perorangan, perawat berwenang a) melakukan pengkajian keperawatan secara holistik. b) menetapkan diagnosis keperawatan. c) merencanakan tindakan keperawatan. melaksanakan tindakan keperawatan. e) mengevaluasi hasil tindakan keperawatan dan seterusnya yang berdasarkan kenyataan masih belum terimplementasi dengan baik.Kata kunci: undang-undang keperawatan, peran, wewenang perawat


2012 ◽  
Vol 19 (2) ◽  
pp. 104-110 ◽  
Author(s):  
Gina M. Berg ◽  
Denise Spaeth ◽  
Cynthia Sook ◽  
Charles Burdsal ◽  
Diana Lippoldt

2021 ◽  
Vol 44 (2) ◽  
pp. 140-146
Author(s):  
Britney Leffall ◽  
Lauren Myers ◽  
John B. Holcomb ◽  
Stacy A. Drake

2020 ◽  
Vol 28 (8) ◽  
pp. 1997-2000 ◽  
Author(s):  
Olga Lopez‐Dicastillo ◽  
Edurne Zabaleta‐del‐Olmo ◽  
Agurtzane Mujika ◽  
Elena Antoñanzas‐Baztán ◽  
Naia Hernantes ◽  
...  

AORN Journal ◽  
1989 ◽  
Vol 50 (1) ◽  
pp. 40-50
Author(s):  
Monica C.R. Freeman ◽  
Maureen E. Flanagan ◽  
Howard R. Champion

2020 ◽  
Vol 15 (1) ◽  
pp. 13
Author(s):  
Randy Ian Ferenal Gallego

ABSTRACKPsychiatric nursing care is an indispensable aspect of the total health care services provided by nurses in both the acute and chronic care settings. This study investigated the extent of preliminary clinical nursing care provided by registered nurses in dealing with clients who have unique psycho-behavioral needs. It further looked into the relationship between the nurses’ socio-economic profile including their ethnic affiliation and the acute care services offered to patients admitted in the regular hospital, non-psychiatric healthcare settings. It used a descriptive-correlational design through a validated and reliability-tested instrument responded by 113 staff nurses from six hospitals around Lanao del Sur. It involved the statistical analysis of data using frequency, weighted mean, and Pearson correlation. The findings show that the nurse-respondents of the selected hospitals in Lanao del Sur generally considers the extent of implementation of the six nursing care areas (counseling, milieu therapy, self-care activities, psychobiologic interventions & health-teachings, case management, health promotion and maintenance) as frequently done or as generally emphasized in about 75% of the time in their respective clinical areas.  When tested at 0.05 level of significance, the p-value obtained was less than the critical value (p=0.00-0.006) revealing that the ethnic affiliation of nurses was significantly correlated to the health promotion and maintenance care that they provide to clients with psycho-behavioral pathologies. Therefore, nurses serving in acute clinical settings need to possess a significant amount of competency in psychiatric care to be able to render preliminary interventions despite non-specialist background. Nurses also have to be cognizant of the cultural history and background of the clients being served even at the preliminary phase of the nurse-patient interaction and accommodate them with nursing interventions based on transcultural competence.Keywords: Culturally-sensitive psychiatric care, psycho-behavioral pathologies, preliminary psychiatric interventions, psychiatric care in acute settings


Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 139 ◽  
Author(s):  
Tatjana Fischer ◽  
Markus Jobst

Background: The number of persons who have to overcome extensive geographical distances for caring for their older parent(s), hereinafter referred to as long-distance caregiving relatives (LDCs), is rising. However, in the non-English-speaking Global North, little is known about the LDCs’ health literacy and the design of tailor-made health promotion measures for this target-group. Using the example of nursing care discussion forums (NCDF), this paper reflects the requirements and (future) potential of professionally-lead support groups for LDCs on the case-study example of Upper Austria. Methods: In order to approach this unexplored topic considering spatial-related aspects, a qualitative-explorative study design was chosen, focusing on the providers’ perspective. A written survey among all NCDF-group leaders was carried out. Results: LDCs do not make use of NCDFs at present. It is considered that this is above all for time constraints, lack of information and location-based problems of fit. This applies for urban as well as rural contexts. Conclusions: LDCs need more attention in public health. Suitable NCDFs have to be located in the LCDs’ residential municipalities and have to fulfill different requirements from those of local caregiving relatives, particularly with regard to purpose and scope.


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