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Last Step in Abdominal Assessment for Enema

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0% found this document useful (0 votes)
43 views6 pages

Last Step in Abdominal Assessment for Enema

Uploaded by

saranya amu
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

1.

Define Nursing
Nursing is to bring the healthy and those who are suffering from disease to a
condition for nature to act for preserving the health, preventing disease and injury and to
restore health and cure disease.

- Florence Nightingale
Nursing is defined as a direct service, goal directed and adaptable to the needs of the
individual, family and community during health and illness.

- American Nursing Association, 1973


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2. List out the steps in Nursing Process

NURSING PROCESS

The nursing process is a scientific method that nurses use to make clinical
decisions regarding patient-centred care. This helps the nurse develop care plans

The steps are as follows:

 Assessment phase
 Diagnosis phase
 Planning phase
 Implementing phase
 Evaluation phase

3. Principles of Medication Administration.

 The primary role of the nurse in drug administration is to ensure that prescribed
medications are delivered in a safe manner.
 Medication knowledge and understanding
 The rights of drug administration
 Patient compliance and successful pharmacotherapy
 Drug orders and time schedules .

The Rights of drug administration


The traditional five rights of drug administration form the operational basis for the safe
delivery of medications
 Right patient.
 Right medication.
 Right dose.
 Right route of administration.
 Right time of delivery
 The Rights of drug administration
 The three checks of drug administration that the nurse uses in conjunction with the five rights
help to ensure patient safety and drug effectiveness.
 Checking the drug with the medication information system when removing it
from the medication drawer, refrigerator, or controlled substance locker.
 Checking the drug when preparing it, pouring it, taking it out of the unit-dose
container.
 Checking the drug before administering it to the patient.

4. Enumerate the level of prevention of illness.

Prevention activities are typically categorized by the following three definitions:


1. Primary Prevention—intervening before health effects occur, through
measures such as vaccinations, altering risky behaviours (poor eating habits, tobacco
use), and banning substances known to be associated with a disease or health condition.
2. Secondary Prevention—screening to identify diseases in the earliest stages,
before the onset of signs and symptoms, through measures such as mammography and
regular blood pressure testing.
3. Tertiary Prevention—managing disease post diagnosis to slow or stop disease
progression through measures such as chemotherapy, rehabilitation, and screening for
complications.
5. Mention four functions of Nurse.

Function of a Nurse

1. Caregiver
 The caregiver role has traditionally included those activities that assist the client physically
and psychologically while preserving the client’s dignity. Caregiving encompasses the
physical, psychosocial, developmental, cultural and spiritual levels.
2. Communicator
 Communication is an integral to all nursing roles. Nurses communicate with the client,
support persons, other health professionals, and people in the community. In the role of
communicator, nurses identify client problems and then communicate these verbally or in
writing to other members of the health team. The quality of a nurse’s communication is an
important factor in nursing care.
3. Teacher
 As a teacher, the nurse helps clients learn about their health and the health care procedures
they need to perform to restore or maintain their health. The nurse assesses the client’s
learning needs and readiness to learn, sets specific learning goals in conjunction with the
client, enacts teaching strategies and measures learning.
4. Client advocate
 Client advocate acts to protect the client. In this role the nurse may represent the client’s
needs and wishes to other health professionals, such as relaying the client’s wishes for
information to the physician. They also assist clients in exercising their rights and help them
speak up for themselves.
5. Counselor
 Counseling is a process of helping a client to recognize and cope with stressful psychologic
or social problems, to developed improved interpersonal relationships, and to promote
personal growth. It involves providing emotional, intellectual, and psychologic support.

6. Change agent
 The nurse acts as a change agent when assisting others, that is, clients, to make
modifications in their own behavior. Nurses also often act to make changes in a system such
as clinical care, if it is not helping a client return to health.
7. Leader
 A leader influences others to work together to accomplish a specific goal. The leader role
can be employed at different levels; individual client, family, groups of clients, colleagues,
or the community. Effective leadership is a learned process requiring an understanding of
the needs and goals that motivate people, the knowledge to apply the leadership skills, and
the interpersonal skills to influence others.
8. Manager
 The nurse manages the nursing care of individuals, families, and communities. The nurse-
manager also delegates nursing activities to ancillary workers and other nurses, and
supervises and evaluates their performance.
9. Case manager
 Nurse case managers work with the multidisciplinary health care team to measure the
effectiveness of the case management plan and to monitor outcomes.
10. Research consumer
nurses often use research to improve client care. In a clinical area nurses need to:
 Have some awareness of the process and language of research
 Be sensitive to issues related to protecting the rights of human subjects
 Participate in identification of significant researchable problems
 Be a discriminating consumer of research finding

6. Define Embalming.

Embalming is a primitive procedure of temporary body preservation, typically


employed in advance of an open-casket viewing, long-distance transportation, or for
medical/scientific reasons. Moreover, embalming consists of depleting the deceased’s
fluids and injecting chemical solutions into the tissues, organs, and arteries.

7. List out the components to recording of vital signs .


 Vital signs are measurements of the current physical functioning of the body that
can indicate acute and chronic conditions in patients.
 These are indices of health, or signposts in determining client’s condition. This is
also known as cardinal signs and it includes body temperature, pulse,
respirations, and blood pressure. These signs have to be looked at in total, to
monitor the functions of the body.

8. Mention four main methods of physical assessment.

A physical examination is an investigation of the body to determine its state of


health. There are four methods that are typically used to complete the physical
assessment portion of a health assessment. They are inspection, palpation, percussion,
and auscultation.
Physical examination is critical in the diagnosis and treatment of a variety of
health issues. It assists healthcare personnel in detecting irregularities, assessing the
efficacy of treatments, and monitoring a patient’s general health status. Physical
examination techniques are also employed in routine health screenings to discover
potential health problems before they become serious.

9. Define urinary catheterization.

Urinary Catheterization is the introduction of a catheter through the urethra into


the bladder for the purpose of withdrawing urine.
Urinary catheterisation is a procedure used to drain the bladder and collect urine,
through a flexible tube called a catheter. The catheter usually remains in the bladder,
allowing urine to flow through it and into a drainage bag. A urinary catheter is usually
used in people who have difficulty passing urine naturally. It can also be used to empty

the bladder before or after surgery and to help perform certain tests.

[Link] any four types of enema.


Enemas are a common medical procedure that involves the insertion of liquid or gas into
the rectum and colon to help treat a variety of conditions. There are several types of enemas,
each with their specific indications and nursing interventions.

Enema is the instillation of solution into the large intestines for the purpose of cleaning,
softening feces, assisting peristalsis, administering medications, and nutrition. Enema is the
administration of fluid into the lower bowel through the rectum for the purpose of cleaning or to
introduce medication is known as enema.

TYPES OF ENEMA:

CLEANSING ENEMA: removes feces from the colon

HYPOTONIC OR ISOTONIC ENEMA:Large volume cleansing enema.

HYPERTONIC ENEMA: small volume cleansing enema.

OIL RETENTION ENEMA: lubricates the stool and internal mucosa, making defecation easier.

CARMINATIVE ENEMA: helps to expel flatus from the rectum and helps to relieve distension
due to flatus.

MEDICATED ENEMA: To administer medication rectally.

NUTRITIVE ENEMA: to supply nutrition and fluids rectally.

Common questions

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Essential components for recording vital signs include measuring body temperature, pulse, respiration rate, and blood pressure. This process is critical because these indicators provide fundamental data regarding a patient's current health status, help in detecting acute or chronic medical conditions early, and enable timely interventions. Accurate records help monitor the patient's response to treatment and guide clinical decisions .

A nurse functions as a change agent by facilitating behavior changes in clients to improve health outcomes or by influencing systemic changes in clinical care practices. For example, a nurse might implement new protocols to reduce hospital-acquired infections or work with a patient to modify their diet for better blood glucose control. This role requires strong advocacy, communication skills, and a commitment to quality improvement .

The embalming process, unlike other preservation methods, involves depleting the body's fluids and injecting chemical solutions into the tissues, organs, and arteries. Its main purposes include preserving the body for open-casket viewings, ensuring safe transportation over long distances, and preparing bodies for medical or scientific purposes .

The key steps in the nursing process are Assessment, Diagnosis, Planning, Implementation, and Evaluation. Assessment involves gathering patient's data to understand their health status. Diagnosis uses this data to identify patient health problems. Planning involves setting goals and determining ways to achieve them. Implementation is carrying out the care plan, and Evaluation assesses the effectiveness of the care plan and makes necessary adjustments. Each step is crucial for delivering personalized, effective patient care and ensuring positive health outcomes .

The nursing role as a communicator enhances patient care outcomes by facilitating clear and effective exchange of information among patients, their families, and the healthcare team. It helps in accurately identifying and addressing patient needs and advancing therapeutic relationships. Effective communication leads to better patient compliance, reduces errors in care plans, and increases patient satisfaction and safety .

The four main methods used during a physical assessment are inspection, palpation, percussion, and auscultation. Inspection involves observing the patient for any physical signs of health issues. Palpation uses touch to assess areas like tenderness, lumps, or organ enlargement. Percussion involves tapping body parts to evaluate underlying structures. Auscultation is the listening to body sounds, typically with a stethoscope, to assess functions like heartbeats or breath sounds. Together, these methods provide a comprehensive view of a patient's health .

The principles essential for patient safety in medication administration include the "Five Rights": right patient, right medication, right dose, right route, and right time. Implementation involves the "three checks": verifying the medication with the information system upon retrieval, during preparation, and before administration to the patient. These principles ensure correct and safe delivery, minimize errors, and enhance the effectiveness of pharmacotherapy .

Primary prevention aims to prevent the onset of disease by addressing risk factors such as vaccination and promoting healthy lifestyles. Secondary prevention focuses on early disease detection through screening, such as mammography, to halt progression. Tertiary prevention involves managing established diseases to slow progression and reduce complications, like using chemotherapy for cancer patients . These levels differ in their timing relative to disease development and the methods used to promote health and prevent disease progression.

Nurses use research findings to improve patient care by integrating evidence-based practices into their daily clinical routines, ensuring treatments are effective and up-to-date. They play roles in identifying researchable problems, protecting patient rights during studies, and critically evaluating research findings before application. As research consumers, nurses contribute to a culture of continuous improvement and patient safety .

The role of a client advocate in nursing involves protecting the client’s interests and rights, ensuring their needs and wishes are communicated to other health professionals. Advocates help clients exercise their rights and make decisions about their treatment. On the other hand, the role of a counselor focuses on providing emotional, intellectual, and psychological support to help clients cope with stress and develop personal growth, involving helping clients recognize and resolve personal problems .

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