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Chapter 44 Potter and Perry

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Potter & Perry, Chapter 26, Documentation & Informatics
Potter & Perry, Chapter 27, Patient Safety
Giddens, Chapter 41, Communication
Giddens, Chapter 43, Safety
Giddens, Chapter 44, Technology & Informatics
Potter & Perry, Chapter 23, Legal Implications in Nursing Practice
Giddens, Chapter 53, Health Care Law

QSEN – Quality and Safety Education for Nurses
Basic Needs – according to Maslow’s hierarchy of needs, physiological needs must be met first; * Oxygen * People need sufficient oxygen for their bodies to work … duh * However, oxygen makes fires more dangerous – they burn hotter and faster with more oxygen so supplemental oxygen is risky especially when a patient smokes * Smoking leading cause of burns… * Home hazards can cause lack of oxygen (ie, carbon monoxide) * Nutrition * FDA regulates food and drugs, duh * Food in hospitals must meet certain standards and nutritional requirements * Pregnant women, young children, older adults and immunocompromised people at most risk for low nutrition * Temperature * Most people enjoy temps between 65-75 F * Hypothermia (below 95F body temp) – Old patients, young patients, patients with cardiovascular problems, people who have ingested high amounts of drugs and alcohol and homeless people are at most risk * and hyperthermia – Young children, older adults and chronically ill patients at most risk for overheating * Physical Hazards * Car Accidents * Poison * Fires * Falls * Falls are the leading cause of death in people over 64 year of age * What increases this risk: urinary incontinence, reduced vision, orthostatic hypertension, gait and balance problems, use of walking aids, and certain medications increase fall risk * * Disasters * Transmission of Pathogens * Pathogen ~ any microorganism capable of causing ilnness or disease * Most common mode of transmission – through hand to hand contact * Immunization * Can prevent the spread of pathogens in many people * Risks at Developmental Stages * Infant, Toddler, Preschooler * Injuries are the number one cause of death and lead to more death and disabilities at this age than all disease combined * Choking, falls, fire… playing with things they shouldn’t be able to reach * School Age Child * Head injuries from sports and particularly bicycle injuries are a leading cause of death and injury * Remember: seat belts and booster seats are important * Adolescents * Drugs and alcohol through peer pressure * Car accidents (think: learning to drive) and drowning * Also at risks for STDs * Adult * Risk depends on lifestyle – drinking more might mean risk for car accidents and shit * Older Adults * Immune System and body/mind changes lead to risk for falls and chronic disease * FALL are HHUGE RISK DAMMIT * Individual Risk Factors * Lifestyle * Drugs and alcohol use while at work or while using machinery…etc * Anxiety, fatigue, drugs/medications can put someone at risk ofor accidents and shit * Impaired Mobility * Muscle weakness, paralysis, poor coordination/balance – RISK for FALLS * Cognitive Impairment * Risk for injury, fall, etc

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