Introduction to the Care of the Adult Patient with Complex Needs

1
Introduction to the Care of the Adult Patient
with Complex Needs

• Janie Best, MSN, ACNS-BC, ONC
• NURS 228 - Spring 2009

2
Overview

• Building on prior knowledge
• Reflective thinking
• Integrating new knowledge

3
Institute of Medicine (IOM) Competencies

• Patient centered care
• Work in interdisciplinary teams
• Employ evidence-based practice
• Apply quality improvement principles
• Utilize informatics

4
Patient Centered Care

• Respect
• Coordination of continuous care
• Relive pain and suffering
• Education
• Decision-making
• Advocate for health promotion, healthy lifestyle,
  disease prevention

5
Work in interdisciplinary teams

• Cooperation
• Communication
• Integration of care that is continuous and
  reliable

6
Employ evidence-based practice

• Integration of research with clinical practice
• Participation in learning and research activities
  within scope of practice and education level

7
Apply quality improvement principles

• Safety
• Standardization of care
• Quality outcomes

8
Utilize informatics

• Mitigation of errors
• Electronic medical record
• medication administration
• Communication
• HIPAA

9
ANA Code of Ethics

• 9 provisions
• Values and commitment
• Duty and loyalty
• Duties beyond individual patient encounters
• Guides nursing decision-making
• Accountability

10
Professional issues

• Definition
• How do you define profession?
• Professional behavior
• Begins in the classroom
• Extends to clinical settings
• Questions to ask yourself