REVISION QUESTIONS WEEK 2

Module content:
· Introduction to goal setting
· Methods of evaluating care interventions
· Ethical principles and decision making in everyday dilemmas within the context of the Code of Conduct

QUESTIONS:

1. List the types of patient documentation that might exist.
2. Name six methods that the nurse can use to evaluate the care that she has given.
3. Name four ethical principles. In relation to Mrs Mary Hance identify how the principles can be applied to her nursing care.

ANSWERS:

1. Care plans,
charts,
GP records,
reports (insurance and data purposes),
baby health records.

2. Patient giving information,
Observations,
Waterlow assessment- risk assessment,
Wound assessment- colours, size, smell,
Handovers,
Multi-displinary team meetings- MDM.

3. JUSTICE- non discrimination
AUTONOMY- gaining consent, giving choices, confidentiality, privacy and dignity.
NON MALAFICENCE- benefits of long term goals against short term risks.
BENEFICENCE- “best intreasts”, competence

REVISION QUESTIONS WEEK 1

Module content:
· Introduction to systematic approaches to patient/service-user care
· Introduction to care planning

QUESTIONS:

1. Please state what the nursing process is and identify how this relates to care planning.
2. Make a record of the knowledge, skills and personal values that assist the nurse with care planning.
3.Name the main components that a good problem statement will always include.
4.State what the acronym SMART stands for. Write one sentence to explain each aspect/word as it applies to writing a goal statement.

ANSWERS :

1. The nursing process is:
• ASSESSMENT- identification of patient/service user problems
Involves looking at the patients needs (physical, intellectual, emotional, environmental, spiritual, sexual, social, economic)
• PLANNING– setting patient/service user goals
Should be patient centred, time frame to achieve goal (SMART)
• IMPLEMENTATION– nursing care/provision (providing)of care to patient/service user
Giving the care
• EVALUATION– measuring outcomes/assessment of goals
How it’s been achieved? Any improvements?

2.----------------------------------------------------------------------------------------------

3. Components a good problem statement will include are:
· Be patient centered
· Be specific
· Written formally, clearly and in sufficient detail
· Contain a rationale
· Logical
· Factual

4. SPECIFIC: The goal must relate to the specific problem
MEASURABLE: Recordable signs/symptoms, change/reduce/disappear.
General Measurable and Non-Measurable Verbs:
• Understand
• Appreciate
• Think
• Feel
• Accept
• Know
• Increase/decrease
• Stand/walk/sit
• Perform/Demonstrate
• Describe/state

ACHIVEABLE:
REALSTIC: The goal should be relevant in relation to the problem and individual patient/service user
– Need to consider ability of patient/service user
– Need to consider degree of ill health
– Need to consider what patient/service user wants
– Need to consider resources available
– Need to consider care setting

TIME: The goal set must include a time period when the goal should be reached.
Ø Short term goals – now, today, a few days.
Ø Long term goals – usually weeks or months.