Chapter 11

  1. Entry of a patient into a health care facility
  2. Charting notation when a patient leaves a health care facility without aphysicianʼs order for discharge
    Against Medical Advice (AMA)-
  3. Continuing of established patient care from one setting to another
    Continuity of Care
  4. Release of a patient from a health care facility
  5. Schedule of events often planned by a multidisciplinary team leasing to the return ofa patient from hospital confinement to life at home or another health care setting
    Discharge Planning
  6. Mental confusion characterized by inadequate or incorrect perceptions of place, time, and identity
  7. Ability to recognize and, to some extent, share the emotions and states of mind of another andto understand the meaning and significance of that personʼs behavior
  8. Agency or institution that provides health care
    Health Care Facility
  9. An organization that provides health care in the home
    Home Health Agency
  10. Fear and apprehension caused by separation from familiar surroundings andsignificant people
    Separation Anxiety
  11. Entities (persons or elements) other than the giver or receiver of service responsiblefor payment (ex. medicare or insurance company)
    Third-party payors
  12. Moving a patient from one unit to another (intraagency transfer) or moving a patient from onehealth care facility to another (interagency transfer)
  13. moving a patient from one health care facility to another
    interagency transfer
  14. moving a patient from one unit to another
    intraagency transfer
  15. Common Patient Reactions to Hospitalization
    Patient is usually very concerned about health problems or potential health problems and the potentialoutcome of treatment• First contact with nurses and health care workers is important• Provides an opportunity to lessen anxiety and fears and initiate a positive attitude regardingthe care to be received• Follow admission routines that are efficient and show appropriate concern for the patient• This is a way to significantly ease the patientʼs anxiety and promote cooperation andpositive response to treatment• Each personʼs reaction to hospitalization is unique
  16. Some common reaction to be expected (reactions are related to some of the needs described byMaslow):
    • Fear of the unknown
    • Loss of identity
    • Disorientation
    • Separation Anxiety
    • Loneliness
  17. Common Patient Reactions to Hospitalization:
    Nurse has the ability to help reduce the severity of these common reactions to hospitalization with awarm, caring attitude and with courtesy and empathy

    Treat patients with respect; maintain their dignity; involve them in the plan of care; and wheneverpossible, adjust hospital routine to meet their desires
Card Set
Chapter 11
fundamental of nursing