Clinical Focus Alterations in Human Functioning The Client in OB High Risk (Gynecology)

Clinical Focus Description

: The related learning experience is designed to provide nursing students practical application, technical intervention and nursing care management of client with gynecology problem.

Terminal Competencies :

Given a situation from simple to complex problem the nursing student will be able to ac uire !nowledge, s!ills and clinical competencies in the nursing care of clients in gynecology problem.

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Clinical )receptor

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"$TERME'" ATE COMPETE$ C"E# Gi(en an actual client with simple to complex health problem the stu ent will) 1. I enti*ies signi*icant sub+ecti(e ata client history 2. I enti*ies e(iation *rom normal using IPPA an result o* iagnostic test to obtain ob+ecti(e ata

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INDIVIDUAL STUDENT PORTFOLIO

I. Client with Gynecology problem. A. Assessment 1. Physical 2. Diagnostic 2.1 Chest x-ray 2.2 Ultrasoun 2.! C" #can 2.$ %&I !. 'ursing history

1. Physical 1. Assessment examination s-ills utili,ing assessment *orm 2. Communicating s-ills 2. 'ursing history !. .bser(ation $. Documentation s-ills

1. Actual patient interaction 2. /istory ta-ing !. Preparing patient *or iagnostic examination !.1 0ital sign ta-ing !.2 1xplain proce ure !.! obtain consent i* necessary !.$ Carry out octor2s or er !.3 A ministration o* me ication i* nee e !.4 Assist client be*ore5 uring 6 a*ter proce ure

/onesty Caring Patience Accuracy .r erliness Alertness Attenti(eness 'eatness Punctuality

&eturn emo o* physical assessment .ral re(ali a

#ubmission o* assessment *orm use . Compilation o* nursing health history with signi*icant lab result.

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7. Planning o* case management *or client with gynecology problem an high ris- a ult.

"$TERME'"A TE COMPETE$C "E# Gi(en an actual patient the stu ent will be able to) 1. 8ormulate #%A&" utili,ing nursing process. 2. I enti*y the i**erent ris*actors *or high ris- a ult.

RE(&"REME $T# Case Analysis 'CP &ea ings

#)"%%#* COMPETE$C + Planning s-ill Communication Analysis

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INDIVIDUAL STUDENT PORTFOLIO

1. nurse patient interaction 1.1 1stablishing rapport 1.2 %onitor U9# 1.! %onitoring untowar sign an symptoms 1.$ Charting :#.API1;

Accuracy Compassionate &espect Concern Attenti(eness Alertness /onesty

Presentation o* case analysis .ral re(ali a

#ubmission o* case analysis 'CP9 reaction paper an result o* re(ali a

C%"$"CA% FOC&# C. Implementation o* nursing care management *or client with Gynecology problem o* high risa ult

"$TERME'" ATE COMPETE$ C"E# Gi(en an actual patient the stu ent will be able to) 1. I enti*y sign an symptoms

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#)"%%#* COMPETE$C + 1. 1nhancing therapeutic communication s-ills 2. %astery o* i**erent sign an symptoms an management 'PI

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INDIVIDUAL STUDENT PORTFOLIO

2. 8amiliari,e 1. Airway97reathing sel* on the course o* the 1.1 .2 "herapy isease 1.2 Intubation 1.! #urgical !. Pro(i e - 1x-lap appropriate "A/7I#. nursing care

/onesty 1. A ministration o* .2 therapy (ia nasal an *acemas %onitoring .2 toxicity thru pulse oximeter %onitor U9# A minister nebuli,ation Per*orming chest physiotherapry Accuracy 1mpathy &espect Alertness 'eatness "horoughness <in ness

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2. Care o* intubate patient %onitoring (ital sign .ral hygiene %onitoring laboratory result Chec-ing o* 1" patency !. Care o* patient with surgical Incision !.1 %onitoring (ital sign !.2 .ral hygiene !.! Cleaning o* woun #uctioning Positioning client e(ery 2 hours 'ebuli,ation as or ere "eaching client on breathing exercises %onitoring

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"$'","'&A% #T&'E$T PORTFO%"O

patient with pulse oximeter an

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(entilation machine %onitoring U9# especially 7P an C& Assessing patient le(el o* consciousness using GC# A ministrating *lui pro ucts /osting I0 *lui s &egulating *low rate %onitoring sign an symptoms o* bloo reaction Chec-ing patency o* insertion site %onitoring inta-e an output Initiate re*erral

system Charting9 ocumentation using #.API1

C%"$"CA% FOC&# !. %e ication A ministration !.1 &oute a. .ral b. Parenteral - #-in test - #ubcutaneous - I% - I0 c. Anal !.2 Dosage an #olution

"$TERME'" ATE COMPETE$ C"E# I enti*ies common rug gi(en to each particular isease - Compute osage an solution correctly - A ministers rugs an solution using 3&s

RE(&"REME$ T# Drug #tu y

#)"%%#* COMPETE$C + - Computation s-ills - Drugs a ministration s-ills

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"$'","'&A% #T&'E$T PORTFO%"O

- Carry out octor Accuracy or ers o* me ication /onesty - Preparing me ication - A ministering me ication using 3&s - Charting9 ocumentation - %onitoring untowar rug reaction Alertness Attenti(eness Cleanliness Punctuality

=ui, an .ral &e(ali a

Drug #tu y

C%"$"CA% FOC&# 1(aluation o* nursing Care %anagement o* Client with Gynecology problem

"$TERME'"A TE COMPETE$C" E# Gi(en an actual patient the stu ent will be able to)

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"$'","'&A% #T&'E$T PORTFO%"O

1(aluating s-ills a. 1(aluate the plan 6 implementation o* action

%onitoring o* patient (erbali,ation about wellness &ecor ing *ully reco(ery 6 strength /ealth teaching 6 patient

/onesty #incerity Compassionate Charm Gla ness

% > e ication 1 - xercise " > reatment / > ygiene . > thers

D > iet # > six5 spiritual ?*ollow-up patient