Nurse 420 Home Health & the Omaha System & Telemed. – Flashcards

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Nursing process
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-used specifically in this setting
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Most important skill for nurses
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-observation
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Nursing min data sect
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-most important data needed to be collected from X disease process -What where the interventions made and observations noted
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Overview of Omaha system
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-Communication tool: for communication of community-based practice -research-based, comprehensive, standardized taxonomy/classification for public domain -helps enhance practice, documentation, and information management -Intended for use across the continuum of care for indv, fam, and communities who represent all demographics
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Virginia Saba
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-Omaha system -early nurse informatics -Focused on community and care of community -Opinionated little lady
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Omaha System Model
Omaha System Model
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-is researched based -created inductively: build on observations
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3 components
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1-problem classification scheme (pt assessment) 2-intervention scheme (care plans & services) 3- problem rating scale for outcomes (changes in pt status and eval)
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Problem classification scheme
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-the enviro (income, sanitation, residence, neighborhood safety) -psychosocial domain( mental health, neglect, sexuality, parenting, isolation) -Physiologic domain ( pain, skin, oral health, sensory) -health related behaviors domain (med regiment, substance use, activity, nutrition)
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Intervention schemes: teaching, guidance, and counseling
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-activities designed to provide info and materials, encourage action and responsibility for self-care, coping, and assist the pt/fam/community to make decisions and solve problems
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intervention schemes: treatment/procedures
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-technical activities such as wound care, specimens, medications -to prevent s/s
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intervention schemes: case managment
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-coordinate, advocate, referral -improve communication with providers -promote assertiveness
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interventional schemes: surveillance
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-detection, measurement, critical analysis, and monitoring intended to ID the individual/fam/community's status in relation to a given condition
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Problem rating scale
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-Based off of knowledge (ability to remember/interprate info), behavior (observable responses), and status (the extent of s/s)
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Telehealth and telemed
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-use of electronic information and telecommunication to support long-distance clinical health-care, pt, & professional health-related edu, public health and health admin. -use various technologies -telehealth is different for teemed b/c it refers to a broader scope of remote healthcare services than telemed. telehealth can be non-clinical services (providing training, admin meetings, continuing edu for healthcare peeps)
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WHO telehealth definitin
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-the delivery of health care services where distance is a critical factor, by all health care professionals using information and communicate tech. for the exchange of valid info for dx, treatment, and prevention of disease and such and continuing edu of health care providers, all in the interest of advancing the health of indv and their communities -good god...
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The technology...
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-capacity -user friendly -cost effective
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informatics
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-communication systems/nursing minimum data sets (the Omaha system) -Interface capacity w/ other language system -interpretability -meaningful use
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Impact of telehealth
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-Improve physical, emotional, and financial health outcomes -significantly lower rates of rehospitalization and ER use -improved med managment
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