TFN week 10

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1
what is the theory of jean watson?
THEORY OF HUMAN CARING
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She states that she is “attempting to integrate these wounds into my life and work. One of the gifts through the suffering was the privilege of experiencing and receiving my own theory through the care from my husband and loving nurse friends and colleagues.”
Jean Watson
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It is concerned with how nurses express care to their patients. The nursing model states that “nursing is concerned with promoting health, preventing illness, caring for the sick, and restoring health”.
Theory of Human Caring
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It is interpersonal relationship; involves other people; constant interaction with the patient; learning how to communicate effectively.
Transpersonal (watson)
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Care; factors that affect care.
Carative
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Value or cherish and how you express carative factors.
CARITAS PROCESS
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It helps the patients to recover.
Caring Invironment
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It is focused on promoting health.
Caring (watson)
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Accept a person as a patient that needs care despite their background, even if they are murderers.
Nurses (watson)
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Facilitate treatment given by a doctor.
Curing
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Addressing other needs of patients.
Caring
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We go beyond the professional relationship.
transpersonal caring theory
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One person comes together with another person creating a caring environment.
Caring Occattion/momen
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It is the guide for nursing.
Carative factors
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what are the 10 Carative Factors
(1) Embrace
(2) Inspire
(3) Trust
(4) Nurture
(5) Forgive
(6) Deepen
(7) Balance
(8) Co-create
(9) Minister
(10) Open
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Whose theory is “Neuman System Model”?It acts as a boundary for a single client, a group, or even several groups; it can also be defined as a social issue.
Betty Neuman
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It focuses on the response of the patient system to actual or potential environmental stressors and the maintenance of the client’s systems stability through primary, secondary and tertiary nursing prevention.
Neuman System Model
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An unique, open-system based perspective that provides a unifying focus for approaching a wide range of concerns.
Neuman System Model
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It acts as a boundary for a single client, a group, or even several groups; it can also be defined as a social issue.
System
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A system in which there is a continuous flow of input and process, output and feedback. It is a system of organized complexity, where all elements are in interaction
Open System
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Comprises those basic survival factors common to the species. These factors include the system variables, genetic features, and strengths and weaknesses of the system parts.
Basic Structure of energy and Sources
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What are the 4 client variables?
Physiological, pshycological, socio-cultural, spirittual
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Refers to the physio helical structure and functions of the body.í
physiological
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Refer to the mental process intervention.
Psychological
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Refers to the relationship and social culture,
expectations and activities.
Socio-cultural
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Refers to the influence of spiritual beliefs.
Spiritual
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What are the 3 lines?
lines of resistance, Normal line of deffense, Flexible line of deffense.
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Protection factors are activated when stressors have penetrated the normal line of defense, causing reactions symptomatology.
line of resistance
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An adaptational level of health developed over time and is considered normal for a particular individual client of the system.
Normal line deffense
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A protective accordion- like mechanism that surrounds and protects the normal line of defense from invasion by stressors.
Felxible lineof deffense
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It is any phenomenon that might penetrate both the flexible and normal lines of defense, resulting in either a positive or
negative outcome.
Stressors
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Are those that occur within the client system boundary and correlate with the internal environment.
Intrapersonal Stressors
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Occur outside the client system boundary, are proximal to the system, and impact the system.
Interpersonal stressors
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Also occur outside the client system boundaries but are at a greater distance from the system than are interpersonal stressors. An example is a social policy.
Extrapersonal stressors
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A state of balance or harmony requiring energy exchanges as the client adequately copes with stressors to retain, attain, or maintain an optimal health level, thus preserving system integrity.
An energy conservation process that increases organization and complexity, moving the system toward stability or a higher degree of wellness.
Stability
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The amount of system instability resulting from stressor invasion of the normal
line of defense.
degree of reaction
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A process of energy depletion and disorganization moving the system toward
illness or possible death.
entropy
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An energy conservation process that increases organization and complexity, moving the system toward stability or a higher degree of wellness.
Negentropy
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The matter, energy, and information exchanged between the client and environment entering or leaving the system at any point in time.
input/output
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Following treatment of stressor reaction, the return and maintenance of system stability may result in a higher or lower wellness level.
Reconstitution
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For nursing action and determinants for both client and nurse entry into the health care system.
Interventions Modes
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it includes health promotion and wellness maintenance. It focuses on strengthening the flexible line of defense through preventing stress and reducing risk factors.
Primary intervention
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Occurs after the system reacts to a stressor and is provided in terms of existing symptoms. It focuses on strengthening the internal lines of resistance.
Secondary intervention
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Occurs after the system has been treated through secondary prevention strategies. Its purpose is to maintain wellness or protect the client system reconstitution by supporting existing strengths and preserving energy.
Tertiary intervention
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What is the theory of Marjorie Gordon?
Functional Health Pattern
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What are the 11 Functional Health Pattern
????
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Describe the client’s perceived health & well-being and how health is managed.
Health perception-Health Management Pattern
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Describe food and fluid consumption relative to metabolic need and pattern indicators of local nutrients.
Nutritional Metabolic Pattern
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Describe the pattern of excretory pattern (bowel, bladder, skin).
Elimination Pattern
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Describes activity level, exercise program, and leisure activities.
Activity-Exeecise Pattern
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Describes patterns of sleep, rest, and relaxation.
Sleep and rest patter
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Describes the ability of an individual to comprehend and use information and on the sensory functions.
Cognitive-Perceptual Patter
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COLDSPA MEANING
C - Character
O - Onset
L - Location
D - Duration
S - Severity
P - Pattern
A - Associated Pattern
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Describes client’s/individual's attitudes toward self including identity, body image and sense of self worth.
Self perception- Self concept pattern
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It focuses on an individual coping with stressors and their ability to adapt to challenging situations.
Role relationship pattern
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It focuses on an individual's sexual health reproductive function and sexual relationships.
Sexuality-Reproductive patter
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It assesses how individuals cope with stressors and their ability to adapt to challenging situations.
Coping stress tolerance pattern
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Describes the patterns of values, beliefs (including spiritual), and goals that guides the client's choices or decisions.
Value belief and pattern
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Whose theory is “Gate Control Theory of Pain”?
Ronald Melzack
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It is an understanding of the complex process of pain perception, transmission and modulation in order to develop effective nursing interventions for managing different types of pain. This theory emphasizes the importance of considering both sensory input and modulatory input in order to promote health by managing pain effectively.
Gate control of pain
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Refers to a neural pathway that transmits pain signals from the peripheral nerves to the spinal cord and brain (nerve cell that acts gate whether you feel or not).
Gate
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Pathways that are open, pain is felt.
Open gate
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Pain is not felt.
Closed Gate
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What are the 3 Systems located in the Spinal Cord? (act to influence perception of pain)
Substantia gelatinosa in the dorsal horn, Dorsal column fibers, Central transmission cells
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From the ‘nociceptors’ to the dorsal horn of the spinal cord.
primary
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From the dorsal horn to the thalamus
Secondary
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From thalamus to cortex and awareness.
tertiary
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The gate control theory of pain has led to classification of pain into (3) three categories, which are?
Nociceptive Pain, Neuropathic Pain, and Mixed Pain
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-It is caused by damage or dysfunction in the Nervous system and can be chronic or persistent.
-Pharmacological interventions such as cognitive-behavioral therapy, mindfulness, meditation and physical therapy
Neuropathic pain
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-It involves both nociceptive and neuropathic pain. -A multidisciplinary approach involving both non-pharmacological and pharmacological interventions is recommended for managing mixed pain.
Mixed pain
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Non-pharmacological interventions such as relaxation techniques, distraction therapy, massage therapy.
Nocicetive pain
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This is the initial stage of pain where there is a stimulation of the sensory receptors in the body due to injury or tissue damage.This is the stage where the CNS processes and modulates the pain signals.
Nociception (physical aspects)
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This is the process by which the nociceptive stimuli are converted into neural signals that can be transmitted to the central nervous system.
Transduction (physical aspects)
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This is the stage where the neural signals are interpreted by the brain as pain.
Perception (phsycological aspects)
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This is the stage where the CNS processes and modulates the pain signals.
Modulation (phsycological aspect)
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Where patients communicate their pain to others.
Expression (phsycological aspect)
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Where the patients learn to cope with their pain over time.
Adaptation
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Whose theory is Maternal-Infant Bonding (Attachment Theory)?
Marshall klaus
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Patient-centered care. Promotes practices centered on improving the physical and emotional well-being of both the mother and infant.
Maternal infant Bonding (attachment theory)
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This model puts into limelight the reciprocal interactions and mutual regulation between mothers and infants during the postpartum period.
Mutual regulation Model
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Adaptation to the process of reading each other's signal (mother to baby, baby to mother)
Reciprocal interaction
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Ways to regulate physiology and behavior.
Mutual regulation
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4-6 weeks after childbirth.
Postpartum Period
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It refers to the mothers affective state; maternal feelings and emotions towards the infant and vice versa are the major predictors of maternal-infant bonding.
Post partum
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First year of baby's life (postpartum).
Maternal-Infant Bonding
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Survival & development
attachment
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Emotional and physiological.
Baby
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Mental and emotional.
Mother
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Immediate and continuous skin-to-skin contact between mothers and newborns is highly advised by Klaus and Kennell.
Skin to Skin (Kanggaroo Care)
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The infant being physically close to the mother.
Rooming in
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Imposes the idea that there is a critical period during the early moments of the postpartum period. This period is considered crucial for the establishment of a strong emotional bond.
Critical Period of Bonding
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If the mother is capable of lactating, this is an important procedure for the health and development of the baby
Promotion of Breastfeeding
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Promotion of early and positive interactions.
Enhancing Mother and infant Relationship
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Goal in face-to-face time, sustaining focus to the baby.
Attunement
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Language of mothers is often used when talking to their baby.
Motherese
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Baby is dependent on the mother for survival, infants feel and sense bug emotions, the primary caregiver assists to regulate babies emotions, mothers tend to stare at their babies, attachment forms mother sensitivity.
Consistent predictable and appropriate responses to the babies needs
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More time a mother spends with the baby the bond grows, such as talking, touching, and singing.
Live positive interaction or play
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Most important, rapid growth and development How attachment progresses.
first 7 months of life
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Being focused, paghilot o pag-haplos, vagal activity, gastric motility, proper digestion gain weight, increases temp, reduces stress behaviors both mother and baby
touch therapy
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