1. Group 1 Mariel Lontoc Josephine Macaraig Jignasa Pancholy

2.  Recognize the patient or designee as the source of control and full partner in providing and coordinated care based on respect for patient’s preference’s, values and needs. (QSEN).

3.  Information and skills acquired through experience or education  The theoretical and practical understanding of a subject.

4.  Definition  Creative thinking vs reflective thinking  Application in professional Nursing practice.

5.  Gather all pertinent information  Collaborate with the team  Use critical thinking and problem solving skills  Consider patients values, beliefs and goals when appropriate.

6. AssessmentDiagnosis Implement PLAN Evaluate

7.  4 Central Concepts: 1. Human beings 2. Environment 3. Health 4. Nursing

8.  Continuity of Care  Assuring coordination  Integration  Communication

9.  Ms. N 70 y.o. female  c/o left labial pain, hematuria x3d  Hx: DM, HTN, CKD, CAD, PVD, DN  Arrived from Philippines. ‘97  Separated from husband  6 children  $300 income SSI  Guest friends house

10.  Temp 98.2  BP 155/42  HR 55  RR 22  No mention of pain  A & Ox3  Ambulatory

11.  Day 1 HD, treated for UTI  Day 3 Gyn Consult noted fluctuance on labial lesion 4x3cm  Transferred to ACE unit

12.  Assess patient cognition- MINI COG  Monitor ADL, baseline function  Ambulation  Communal dining  Activities  IPOC rounds

13.  HD 3x week While waiting for a HD slot-pt transferred to a regular floor Two weeks-developed progressive difficulty ambulating Gait unsteady, assist with ADL’s D/C to SNF

14.  Law and Ethics  Ethical standard: Consider the patient’s wishes and goals  Care for the whole patient  Legal standard: What would a reasonably prudent nurse in like or similar circumstances do?

15.  Respecting, Recognizing and Understanding patients cultural and social values along with ethical responsibilities in patients outcome.

16.  Culture  Transcultural nursing  Multicultural nursing

17.  Examination of personal Values, Beliefs, Biases, and prejudices.  Cultural Awareness  Specific Communication Strategies  Interaction with Different Cultures  Mistake Identification and Acknowledgement  Remediation for Cultural Mistakes

18.  Culturally Congruent Care  Multi Cultural Professionalism must occur.  Understanding physical appearance variations  Understanding variation in philosophy

19.  Ms. N was one of the victim of Hospital – Associated Disability  Ms. N was an immigrant from Philippines and her primary language was Tagalog  Ms. N came for pain on her libia  Ms. N was placed in long term care

20.  Preventing Hospital Acquired Disability  Team collaboration  Continuity of care  Client Advocate and Attitude

21. Knowledge AttitudeSkills

22. Betancourt, J. R. (2004, September 2). Cultural Competence — Marginal or Mainstream Movement? The New England Journal of Medicine, 351 (2004), 953-955. Covinsky, K. E., Pierluissi, E., & Johnston, B. C. (2011, October 26). Hospitalization-Associated Disability. JAMA, 306 (16), 1782-1793. Retrieved from jama.ama-assn.org QSEN - Quality & Safety Education for Nurses. (n.d.). Retrieved February 19, 2012, from http://www.qsen.org/ Jama.ama-assn.org@ucsf.edu http://www.youtube.com/watch?v=SSauhroFTpk Assessment tools (see forms) Hood 7 th edition 2009

23.  www. QSEN.ORG  Jama.ama-assn.org@ucsf.edu Jama.ama-assn.org@ucsf.edu  http://www.youtube.com/watch?v=SSauhroF Tpk http://www.youtube.com/watch?v=SSauhroF Tpk  Assessment tools (see forms)  Hood 7 th edition 2009