MDC 1
Exam 1 Prep/review
Culture and Religion
► Be aware that, when someone is in the healthcare system and has to make a decision that is contrary to their beliefs and practices, making that decision can cause
...
MDC 1
Exam 1 Prep/review
Culture and Religion
► Be aware that, when someone is in the healthcare system and has to make a decision that is contrary to their beliefs and practices, making that decision can cause them moral distress
► When a client or family is making the decision for a DNR (Do Not Resuscitate) order ~ Catholics may want to have ‘last rights’ administered. If so, we need to reach out to their priest or clergy and honor their wishes
► When a new immigrant has to go into the healthcare system unexpectedly, they may have difficulty communicating and experience culture shock
► If a client has little or not English-speaking skills, it is not a good idea to use a family member as a translator. We are required by law to provide a certified medical interpreter
► Comfortable distancing differs by culture. In the U.S., the distances are:
► Intimate distance, 0 to 2 feet
► Personal distance, 18 inches to 4 feet
► Social distance, 4 to 12 feet
► Public distance, 12 feet or more
Patient Rights
Client Safety
► When moving/lifting a client with mobility issues, it is best to use a mechanical lift (Hoyer Lift, Ceiling Lift, etc.) to save your back and prevent skin breakdown or injuries to the client.
► While ambulating a client who is unsteady, use a gait belt so if they start to fall you can slowly lower them to the floor to prevent injury
► When transferring a client from bed to wheel chair or vice versa, make sure all wheels are locked on the bed and wheelchair
► New parents need to be aware of safety issues for their infant
► Don’t sleep with baby
► Car seat faces backward
► Baby should sleep in their back
► Do not use microwave to heat formula
Client Safety (Cont.)
► When orientating a new client to their room, make sure they can use the call light before you exit
► Clients who are confused and/or agitated, are best placed near the nurses’ station for their safety
► If we have a disorientated client, it is usually not helpful to try and re- orientate them. It is best to just provide comfort care
► If someone is eating (adult or child) and they begin to cough but are still breathing, it is best to just encourage them to cough
Client Education
► Clients with neurological abnormalities (epilepsy, narcolepsy) should be told to avoid driving
► When educating a client on non-pharmacological methods of treating a sprain, remember the RICE acronym
► Rest
► Ice
► Compression
► Elevation
Therapeutic Communication
► Why/when do we use open-ended questions? What is the advantage?
► Why/when do we use closed-ended questions?
► When someone has a personal crisis or is disappointed with their live, sometimes it is best to be silent and listen
► Know the difference between sympathy and empathy
► Know the definition of the four phases of communication
► Pre-interaction
► Orientation
► Working
► Termination
Environmental Safety
► Remember the acronyms RACE and PASS
When you see a fire ~ RACE To use a fire extinguisher ~ PASS
Rescue ~ remove patient from danger Pull the pin
Alarm ~ pull the alarm Aim at the base of the fire
Contain ~ close doors Squeeze the handles
Extinguish the fire Sweep back and forth
..................................................................................continued................................................................................
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