CCM Nursing Program

Major Components of the program:

• MAN
• HEALTH
• NURSING
• ENVIRONMENT

• -comprised of a variety of systems
• -a biopsychosocial being
• -an integrated whole with a basic psychophysiologigal needs (maslow)
• -a spiritual being created in the image of G*d

P-E-R-S-O-N

Wellness- Illness Contimuum that states that health is a dynamic state ranging from wellness to illness.

...anywhere that a nurse provides care.

the dx and tx of human responses to actual or potential health problems.

• The nursing process is the way that we deliver nursing care.
• A-ssessment
• D-iagnosis
• P-lanning
• I-mplementation and intervention
• E-Evaluation

• some needs are more basic than others
• physiological needs must be met first and have the highest priority

• Physiological Needs
• Safety & Security Needs
• Love & Belonging Needs
• Self-Esteem Needs
• Self-Actualization

• Oxygen
• Fluids
• Nutrition
• Temperature
• Sex
• Elimination
• Shelter
• Rest
• Activity
• Avoidance of pain

• Physiological safety
• Psychological safety

• Friendship
• Social Relationships
• Sexual Love
• Giving & Receiving Affection
• Attaining a place in a group
• Maintaining the feeling of belonging

*might not initially be important but will become important as the immediate problems are controlled

• self-confidence
• usefulness
• achievement
• self-worth
• feelings of independence, competence and self-respect
• esteem for others- recognition, respect and appreciation

*inability to do most basic needs will hinder a pts self-esteem but if you allow pts choices it will help raise their self esteem

• reaching your full potential
• the innate need to develop to ones maximum potential and to realize ones ability and quality

• P-sychosocial
• E-limination
• R-est and activity
• S-afe environment
• O-xygen
• N-utrition

• the very old
• the very young
• physically disabled/chronically ill
• emotionally disturbed

...the way that we deliver nursing care. It is an organized, cyclic, dynamic process which the pt is centered. It is interpersonal and collaborative.

• A-ssessment
• D-iagnosis
• P-lanning
• I-mplementation and intervention
• E-valuation

elements that are necessary for human survival and health such as food, water, safety and love. Basic human needs are shared by all people and the extent to which basic needs are met is a major factor in determining a persons overall level of health.

• self-concept
• love
• belonging
• cultural/spiritual
• interpersonal skills
• economic status
• mental health
• psychosocial developmental tasks

ridding the body of waste products of metabolism such as

• 1. lungs rid body of CO2
• 2. skin rids body of excess H2O and Na
• 3. kidneys rid body of fluid, electrolytes, H ions and acids
• 4. intestines rid body of solid waste and water

• sleep patterns
• mobility
• pain management
• performing ADL's

safe environment is one in which basic needs are achievable by

• 1.reducing physical hazards
• 2. transmission of pathogens are reduced
• 3. controlling pollution and sanitation
• 4. maintaining skin integrity

cardiac and respiratory systems. O2 is required to sustain life.

blood is oxygenated through mechanisms of ventilation, diffusion and perfusion.

fuel for metabolism to function, repair and grow

protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the dx and tx of the human response, and advocacy in the care of individuals, families, communities and populations

• the collecting, organizing, validating and recording of data about a pts health status
• purpose is to establish a database abt the pts responses to health concerns or illness and the ability to manage health care needs
• it involves critical thinking skills to make reliable observations, distinguish important vs unimportant and relevant vs irrelevant date

• analyzing and interpreting data by identifying pt problems, formulating nursing diagnoses and documenting nurses diagnoses
• purpose is to identify the pts strength and health problems that can be prevented or resolved by collaborative and independent nursing actions
• diagnosing requires the ability to interpret and analyze data to compare it to standards, cluster it into groups and identify gaps and inconsistencies; determine a pts strengths, risks and problems; and form a nursing dx

• to determine how to prevent, reduce or resolve the identified pt problems; to establish pt centered goals and expected outcomes; to establish priorities and to select the appropriate interventions
• purpose id to develop an individualized care plan that specifies pt goals and expected outcomes and related interventions
• planning involves the ability to set priorities, goals and outcomes in collaboration with the pt; write goals/ outcome criteria; select appropriate nursing strategies and interactions; consult with other professionals and write and communicate the plan

• is carrying out the planned nursing intervention for the purpose of assisting the pt to meet desired goals; to promote health and wellness; to prevent illness and disease and to facilitate coping with health problems
• activites include reassessing the pt to update the database; determine the need for nursing assistance; perform or delegate planned nursing interventions and communicate interventions- verbally as necessary and documentation of care and pt response

• is measuring the degree to which goals/outcomes have been achieved; and to identify factors that positively or negatively influenced the goal achievement
• purpose is to determine the extent to which the goals have been achieved and to determine whether to continue, modify or terminate the plan of care
• activities include collaborating with pt and collecting data related to expected outcomes;judging whether the goals have been achieved; relating nursing actions to pt outcomes;making decisions about problem status and reviewing and modifying plan if indicated

• is healthy promotion
• immunizations
• vaccines
• health education

• health screening
• early detection of disease
• identifying disease ex) mammography
• preventing complications ex) fall precautions

looking at pts who have been dxed with a chronic conditions and are looking to prevent further disability and maximize function.