Friday, October 9, 2020

Class of October 9 2020

 open system 

close system 

A system with no inputs is called a closed system. One with inputs is an open system. Since human being needs energy, water, minerals, etc. (as inputs), human body is an open system.

subsystem( a large system 

open system 

can be all living thing , can be hospital school nursing 

closed system 

bratpit - yourself sustaining 

subsystem - a hospital could be a system , larger enviroment

anybody know the top left 

Minnesota  -Mayo clinic -

characteristic of the system 

organ system 'tissue , synergy, subsystem working together 

the one only go so far 

a change in one of the system creates change in other part

changing one system to another system e.g lowering heart rate 

open system 

between open system 

dynamic balance within and between , systems and supra system 

 

homeostatsis

 

 a system is a set of interrelated parts 

system may be open or close 

very few are close 

living system 

sub system ( cell in the body ) component of you . 

moving on 

three fundamental 

health of the system or individual 

health is dynamic 

it might be good this week next week might be worse 

Holistic 

you got the person ( who are you need to taking care 

component to be remember 

patient care 

patient teaching 

how adaptable 

to receive information 

just not ready to received information

but people are adaptable 

people are changing 

the person is an open system 

genetic eniviroment - genetic 

motivated by need 

we all motivated by need 

we want the homeostatis 

the enviroment 

physical air /temperature

non physical - family ,cultural  

open system - human need 

your patient can be a patient , family can be whole community 

determine by genetic 

we all shape by genetic

we cannot change that the 

Maslowharacy 

maslow study human behavior triangle human need 

the who base 

the bottom of the triangle need-to -meet the top of the triangle

the next and important 

things safety

nothnig perfect 

resonable predictable 

if you got that you will get cat II 

social relation 

connection with other human 

selfesteem is important 

self actualization 

safety very important too 

love belonging 

esteem respect self , and others 

self actualization ( a person motivation to reach the top of the chart 

assumption 

no1 partial satisfied 

teaching need 

smocking cessation programme ( if they have nothng to eat , a place to stay so they do not intersted that you are teaching giving education ) 

what Maslow stage 

self actualization 

one morning i was walking i saw buddha taking picture . ( Big Island ) 

next one 

it is not the most nutrious at all 

2008 school year 

provide food and backpack 

payroll deduction 

2007 more than 12 million living in adequate food 

hungry children 

educator 

80 % student improve acaedemic 

the proof is 

what 

if you cannot get enough food we can not pay attention at school

Created trying to keep the work they do 

Food insecurity 

concept 

second concept is enviroment

this kid get not enough food at home 

support the enviroment 

you can 

internal satisfaction of those need 

Florence Nightingale understood this and stress 

Enviromental -family system  -neuclear family - ( with your parents , you ,) 

extended - ( your aunt , your grandpa ) 

depend on the culture ( separation ) same continent 

1960 single parent  family

23 percent now compare to 1960 it was 8% that time.

single women 39.8 thats alot it hard raising kid

what are the thing they worry about 

trying to raise a kid 

in hospital we always screen for abuse 

not strictly limited to any couple 

are you having emotional trauma ?

are you feel safe at home ? 

here is a thing 

how my lip has a little bit red on this . trip over on the laundry busket. 

patient and doctor 

face bleeding or somewhere else  

the husband took photo 

are you safe at home 

they think that i was domestic abuse at home 

did you get bet up

family trend 

culture system 

what you eat what you wear ( all these are influence ) 

salad bowl ( much healthier multicultural way ) 

social -society 

13 percent foreign resident 

social system 

social readjustment rating scale 

thats look like 

recent 

those thing are 

the more likely may have a bad outcome 

not that just stress 

distress 

stress -cumulative affect -- really eye opening 

when you go to the doctor . 

no popular in the social science 

the reason i take the test - tool -second thought 

20=20  

social 

nurses potential impact 

not just thermometer 

the colum mercury 

we are trying to get other thing ( recycling ) 

change all the plastic 

we are trying to work on safe community 

the other part 

illness to illness 

who DEFINITION - THE HEALTH IS NOT BEEN JUST WITHOUT THE DISEASE BUT SOCIAL EMOTIONAL WELL BEING  IS A COMPLETE STATE

SIMILAR ONE IN CANADA  https://health.gov/healthypeople  HEALTHY PEOPLE 

https://health.gov/healthypeople  

Health belief Models 

related to stuff going on today .

it really hard to 

what the bottom line is 

perception is ( Rosenstock's Health Belief Model) 

Until you truly not motivated 

evaluation 

how effective the health maintenance 

behavior might be 

precipitate 

with covid 19

behavior 

seriousness of that condition 

Feb --- Covid outbreak 

posted few things on facebook

infectious disease 

family member of mine 

every one from my family are in the same page 

but other family member vulnerable 

part II how effective behaior might be 

in my family here is what happen 

 

it was his daughter wedding 

 

trigger event _ here is the change in attitude 

here is the health belief model 

your attitude can change and your behavior can change 

family started pandemic at Texas 

mandate mask 

big deal - 

family comeback in california 

nothing was close in Texas  

Different states they doing different practice

strange ----

So angry - they definite don't know about this virus

Bro -

brother in law 

he was in ICU 

what is the underlying factor 

that was the most sensitive 

blame the victim much 

equal opportunity

I understand that the question coming 

own perspect 

good for you 

it is rising here 

it is not rising there

now there is 

movie star 

but 

i see absolutely health belief model

some of these concept 

i could bring example for the people 

how belief are not necessary true 

really really influence --- the decision making  

for my nephew 

second facebook posting 

business practice 

started selling 

something 

really embrace 

part of his life is 

finicial state --- 

somebody belief are right or wrong ( we can not convince ) 

hard to take that is real 

for me is very real clearly 

but something is still not happen to them they do not take it seriously 

( covid ---very very horrible lonely way to die )

self efficacy 


if you feel like you can do something about it 

if you don't feel you cannot do about it 

any bother about with weight 

the research has been done 

permanent result ( surgery I don't want to do anything ) exercise 13 miles on the bike 

happy accident 

last august 

my daughter came home 

keto --- 

this are good for 

this are bad for 

we all try for keto

I lost 7 pound for the first week

i actually lost 50 pound 

i really related 

the belief you can change something 

really stubbor 

whats the point

I tried i failed 

i tried i failed 

this is a last time to get out of the dangerous zone 

from january -- when i read that about belief 


belief can effort to change 

the whole things is ---- you know the internal or external lost of control 

you are not the 


Holistic care 

nursing is a provision system of healthcare service 

we are just happy to be there

nursing is a regardless of the age 

no matter who you are we will take care of you

 

knows your bounderies 

understand that what is good practice for you 

you need to recognized

you are not feeling compassionate 

you can change every year 

choose your practice area wisely 

not really a good fun 

the job is really 

just not feel right 

i had a job opportunity 

if somebody want you doesn't 

working at a o corna

prisoner --IVDU - cause bacterial infection -caused bacteria endocarditis ( infection to valve       ) 

very 

you have to be careful about 

my view are not the same with their view so i cannot judge them.

some resident are difficult to deal with the family 

sub acute care 

i had my patient for a little bit older 

 

i would get patient                             







 




Reading assignment


 CONCEPTS IN PRACTICE 

(1) IDEA 

(2 ) PLAN 

(3) ACTION

nursing outcome classification in action 

NOC AIDE NURSES WITH THE  CHALLENGE 

DELINEATING ( DESCRIBE ) THE CLIENT GOAL AND OUTCOMES 

INCLUDING SETTING PRIORITIES 

IDENTIFYING POTENTIAL BARRIERS,

AND CHOOSING INTERVENTIONS THAT HAVE THE BEST LIKEIHOOD 

WEIGHT LOST FOR OVER WEIGHT TEEN GIRL WITH BROKEN LEG

 

NIC - NURSING INTERVENTION CLASSIFICATION

CONTAINS TWO INTERVENTION IT CAN BE THE WEIGHT 


 


Info for Class 3 - click to read (OCTOBER 9 , 2020 ) CLASS

 


Please refer to the reading list for the assigned readings.

 

Sample Health Beliefs Questionnaire:  Diabetes Health Beliefs Questionnaire.pdfPreview the document

 
 

 

 

COURSE ESSENTIALS:  PLEASE NOTE!

Last day for drops without a W = Oct 4

Last day for drops = Nov 13

My Culture- extra credit assignment

 

My Culture- extra credit assignment

  • Due Oct 16 by 11:59pm
  • Points 0
  • Submitting a text entry box
  • Attempts 0
  • Allowed Attempts 1
  • Available Sep 26 at 7am - Oct 16 at 11:59pm 21 days
  1. Your primary culture.
  2. The primary language spoken at home.
  3. Who makes the healthcare decisions in your family?
    • Does this person make all family decision?
  4. Describe how illness is perceived in the culture. In other words, in your observations and knowledge how do individuals in your culture behave towards someone who is ill?  How do they behave when they are ill? How does the person express physical pain? How is mental illness perceived in your culture? Is physical and emotional pain expressed differently between men and women?
    • Give one example.
  5.  What are your family’s characteristic responses to illness or emotional and/or physical pain of a family member? How do adults of all ages (young adults to the elderly) express physical pain?  How is emotional pain expressed and perceived in your family?
    • Give one example

BE BRIEF AND CONCISE.

Monday, October 5, 2020

career opportunity in nursing ( introduction)

DE ANZA COLLEGE
NURSING 50: CAREER OPPORTUNITIES IN NURSING
FALL QUARTER 2020
Units: 2


Class: Section 01Z: Friday 1:30- 3:20PM
Section 03Z: Friday 3:30-5:20PM
Room: Zoom (link available in Canvas to registered students)
Instructor: Patricia Williams, RN, MSN, CCRN
williamspatricia@fhda.edu
Telephone: 408/864-8641
Office Hours: Monday 9:30-10:30AM & 1:30-2:30PM
Friday 10:30AM – 12:30PM
Course description: This course is a survey of careers in the health field with emphasis on
current nursing education and nursing practice. NURSING 50 is designed to help the
student identify strengths and weaknesses affecting that individual’s admission into the
nursing program. Information about applying for De Anza’s Associate Degree in Nursing
Program and the process of student selection is discussed during this course.
Student Learning Outcome:
Differentiate among the various nursing educational programs, both the educational
preparation and scope of nursing practice.
Course objectives: The student will:
compare and contrast the various careers in the health field with those in nursing.
• examine the impact of nursing history.
• evaluate the terms “science,” “art,” “academic degree,”

“credential/credentialing,” “certificate/certification,” “license/licensing,” and
“profession” as each applies to nursing.
• differentiate among various nursing programs as to length of “primary
preparation site” and level of preparation.
• compare the major nursing organizations as to membership and goals.
• analyze the impact of social change and social policy on health care.
• determine, based upon employer’s expectations, your own opportunities
and potential for success in the field of nursing today.
• identify the appropriate quarter for application to the nursing program.

Required text:
Black, Beth Perry. Professional Nursing: Concepts & Challenges (9th edition).
Elsevier: St. Louis, 2020.
Materials needed:
• Note-taking materials
• Computer access for downloading course materials and taking tests
• Power Point slides are available on class Canvas site
Communication with instructor is best done through e-mail. Please type ‘Nursing 50’
under ‘subject’.
Method of Evaluation:
• Midterm and final exams*
• Group participation (attendance record will be monitored closely)
• Occasional “pop” quizzes
This course is graded on a “Pass/No Pass” basis. To successfully pass the course, the
student must:
• Earn a combined average of 75% or more on the 2 exams, and
• Meet attendance requirements**
*Note: Examinations will be given only as scheduled. The only exceptions to this rule
are at the sole discretion of the instructor for reasons such as serious illness with
hospitalization, death in immediate family, etc. with documentation required. The final
exam cannot be taken early for any reason, per department policy.
Students are expected to be in front of their computers and ready to start the test at the
scheduled time. If you are unable to take a test at the appointed time, you must notify the
instructor as soon as possible before the exam. You MUST have a computer with a camera
webcam for monitoring during exams.
**Attendance: Attendance and punctuality are expected in this course. Much of the
learning in the class depends on listening to the topics and participating in the discussions.
If you arrive to class more than 5 minutes after class has started, the virtual classroom
door may be locked to prevent disruption of the class. Students will be dropped from the
course on the 3rd absence, provided the drop date has not passed. If the drop date has
already passed a grade of NP (no pass) will be earned. Attendance will be verified by both
Zoom attendance (automatically recorded, including total time spent in class) and pop
quizzes given by the teacher based on information from the lecture. For attendance
purposes, two tardy notations = one absence. Plan ahead for technical difficulties and plan
to arrive in the waiting room at least 5 minutes prior to class. Note: early departure from
class (more than 15 minutes before class is dismissed) also counts as an absence.
All examinations, quizzes, assignments and homework are considered to be individual (not
group) work unless explicitly stated by the instructor. Dishonest behavior such as
cheating (or attempts to cheat), or placing yourself in a situation where cheating may be
perceived) on any required class-relate work or tests will result in a failing grade on that
assignment or examination.
De Anza College will enforce all policies and procedures set forth in the Standards of Student
Conduct (see catalog). Any student disrupting class may be ejected from class.

Friday, October 2, 2020

What is occupation

 commitment 

occupation can be very commited 

people often change job

it can happen 

one kind to another kind of nurse 

commitment 

accountability


you come in you scared 

you mad 

my nurse is mean 

you need to put your own anxiety

eye contact 

i go up and shake hand

look in the eye 

give me a minute 

bear


nursing relies on the theories 

we just don't do it 

i questioning every thing 

we realized that 

are not getting enough nutrition

not holding feed

over 500cc 

sound like a lot 

critically

100cc residual 

knowledge is evolving 

nursing you have to keep being educated

graduated not be the story

different step in nursing process

 keep and eye on progress making

ANA accountability

accountable for what you have care

accountable for what you did not  do 

accountability

 telling the truth 

to do good 

trying to do good for them

to do no harm

you read 

respect for patient self determination

nurses 

my patient

is not your anything

we are just happy there

a patient can refuse anything 

it is their choice

institution of higher learning 

what famous medical center or clinic 

just may be 

mayo clinic 

netfilix

huge fan of mayo

 everybody is dying to work there

i was memorized 

yale 

first university of nursing 1965

all nursing institution should take higher education 

the goal for 

entry level 

you should be have

target date 1985

every the whole BSN required to take 

one state 

NewYork 80% of RN prepare BSN stuff now 

it is not a quota

not enough

autonomy =control of our own practices 

something to discuss for sure 

they might be 

things that u graduate 

everything 

if you question the order

they should have no problem 

real life 

its your job to question

sometimes we have two patient 

sometime float out two pcu you might have 3 patient or four 

i would have 10 to 20 patient

they have critically ill

i got a patient admission 2 in the morning 

age 60 walking n talking yester 

bp 200/130mmhg

d5w

what are we doing 

we got to do something

i know who was incharge 

kate would take care 

inappropiate admission

she came 

through assessment

it was not right

 the order is we are not making her better

doctor came up from the ER

prescribed 80mg of lasix 

i knew why ?

you just blindly follow the order

is really not quite right

i guess 

seriously

you have to make sense 

a lot of people 

critical care nursing 

ANA does have state 

CNA- California nursing association

CNA is considered 

wanted to get into part of union

When he was not working 

When I came to california 

working for union 

to get VA nurses raises 

when I join

here is the thing

i benefit it from 

any body?

when ever fight the wages for nurses 

eventhough 

i did not get full credit

union hospital 

union help our wage tramendously

ANA professional organizaition

you can get your license if you spend in jail , DUI 

where man and women appeal the judge 

provision to reduce 

37page PDF 

drug 

spouse abuse 

boundaries crossing 

DUI 

she has a couple of DUI 

use the technology 

ANA have to go online pay for it 

2 years ago camip fire 

pretty intense

8 group 

take out

we are a lot more stronger together 

There are different path way 

Diploma 

AS degree 

AND

BSN

always 

Master 

Doctor in nursing practice 

There are 

Post license 

RN to BSN

they are common 

college and university

became less popular

healthcare is getting less complex

very service oriented 

include GE 

advance practice certification program

orginally ment to leave NCLEX RN 

she did some research

nursing techician

there is some of the 

is that 

BSN 

ADN 

we are all RN
ADN programm

very 

advance placement 

google it 

there is tons of program