Tiêu đề NCM 114 SEMI FI ✅

NCM 114 SEMI FI BY TONS and MADS ELEMENTS OF SUCCESSFUL AGING 0 Trends / Issues and Challenges on the Care of Older Persons 0 Advocacy Programs & Mental Health 0 Ethico Legal Considerations in the Care of Older Adult 0 Conflict and dilemma 0 Polypharmacy 0 1

NCM 114 SEMI FI BY TONS and MADS ◆ Nurse Gerontologist ◆ Occupational Therapist ➔ Evaluate medical, social and emotional needs, with special emphasis on common problems in older adults: memory problems, falls, incontinence and multiple medications. ➔ Ultimate goal: help older adults age gracefully. ➔ Specialized care setting 1. GERIATRICIAN a. work with primary care doctor as needed to ensure continuity of care. b. collaborate with other professionals, including social workers, nurses, pharmacists, physical therapists, and others, to manage all aspects of your care. 2. GERONTOLOGY NURSE a. Direct-care provider b. Teacher c. Leader d. Advocate e. Evidence-based clinician 3. OCCUPATIONAL THERAPIST a. evaluate client’s ability to take care of oneself following surgery/treatment. b. show different ways to care for oneself while following the precautions set forth by the doctor. Documentation Guidelines for Nurses Documentation and record keeping is a vital part of registered nursing practice. The quality and coordination of client care depends on communication between different health-care providers. Documentation is a communication tool that allows RNs and other health-care providers to exchange information about a client’s care. Regardless of what format you use to document, documentation and the client record are formal, legal documents that provide details about a client’s health-care and progress. Differences may exist in how the client records are kept and how you document, depending on what setting or client population you work with. Documentation ➔ any written or electronically generated information about a client that describes the status, care or services provided to that client. ➔ Through documentation, you communicate observations, decisions, actions and outcomes of these actions for clients, demonstrating the nursing process. ➔ Client may be an individual, family, group, community or population. ➔ ideally nurse should be with the doctor when doing rounds Role of the nurse: they should clarify if patient is abt to be discharged or not. ➔ During documentation, it is needed to write clearly and legibly. ➔ Why We Document? ◆ Communication between health-care providers ● Clear, complete and accurate documentation ensures that everyone involved in client’s care, including the client, has access to information they need to plan and evaluate client care. ● A good test to evaluate whether documentation is satisfactory is to ask: “If another RN or health-care provider had to step in and take over this assignment, does the client record provide sufficient information for the seamless delivery of safe, competent and ethical care?” ◆ Meeting legislative requirements ● Documentation is valuable method of demonstrating that you have applied nursing knowledge, skill and judgment within a nurse-client relationship in accordance with Regulated Health Professions Act, General Regulations, Standards of Practice and Code of Ethics for Registered Nurses. ● Standard #4 – Client record: Registered nurses are responsible and accountable for quality documentation practices to support safe, client-centred care. As an RN, you must: ○ 25) Demonstrate skill in written and/or electronic communication that promotes quality documentation & communication between team members. ○ 26) Appropriately document nursing care provided in a record specific to each client. ○ 27) Document nursing care provided in the client’s record as the nursing care is provided or as soon as possible after care is provided. ◆ Quality improvement ● Clear, complete, accurate nursing documentation facilitates quality improvement initiatives and risk management analysis for clients, staff and organizations. ● Documentation is used to evaluate quality of services and appropriateness of care through chart audits and performance reviews. ◆ Research ● Health records serve as a valuable and major source of data for new health-care knowledge. The type of research made possible through information reviewed in client records can help improve nursing practice. 3