The goddess herself: Florence Nightingale ● Cared for wounded soldiers in the Crimean War. They lacked medicalsupplies and dealt with unsanitary conditions ● brought medicalsupplies, food, cleanliness, and sanitation to the military hospital ● Nightingale carried a lamp to check on soldiers at night-- “the Lady with the Lamp” ● Her help decreased death rates from 40% to 2% ● Always provided excellent patient care and safe/clean hospital environments. Week 2 Critical thinking is skills to synthesize relevant information and use it in a purposeful way. (purposeful and solution-seeking) Nursing Process (ADPIE) (also ANA standards) ● Assess- gather info about pt condition ● Diagnose- identify pt problems ● Plan- set goals of care and desired outcomes; identify nursing actions needed ● Implement- perform nursing actions from your planning ● Evaluate-see if goals and expected outcomes were achieved Levels of Care: ● Primary- health promotion → office/clinic visits, nutrition counseling, family planning, etc ● Preventative Care- program based → cancer screening, immunizations, mental health counseling ● Secondary- diagnosis & treatment of acute illness/injury → emergency care, acute med/surg care, x-rays, CT scans ● Tertiary-specialized/ highly technical care → ICU care, oncology or burn centers ● Restorative- intermediate follow-up care for restoring health → home health, rehab, SNF ● Continuing- long-term or chronic health care needs → palliative or hospice care, adult daycare Subjective Data- data from the client; what the client or family members say verbal description: feelings, perceptions, and concerns. Collected through assessment. Objective Data- observable and measurable data (physical exam, labs, diagnostic tests etc) How to select and write nursing diagnosis A problem/diagnosisrelated to x factor/cause as evidence by data/observations. Risk: problem/diagnosis related to x factor/cause Medical Dx Examples: VS Nursing Dx Examples: Myocardial infarction fear r/t possible recurrence of uncertain outcome