Podcast
Questions and Answers
Which of the following is NOT a learning objective for Week #9?
Which of the following is NOT a learning objective for Week #9?
- Understanding the importance of various therapeutic diets
- Describing the principles for provision of oral care
- Discussing factors that affect exercise performance (correct)
- Distinguishing dysphagia and aspiration pneumonia
Which chapters in Potter & Perry are NOT included in the required readings for Week #9?
Which chapters in Potter & Perry are NOT included in the required readings for Week #9?
- Chap 42 (correct)
- Chap 43
- Chap 39
- Chap 44
During which week will the groups switch between Performance Testing and Simulation Lab?
During which week will the groups switch between Performance Testing and Simulation Lab?
- Week #10
- Week #9
- Week #12
- Week #11 (correct)
Where can students find guidelines for performance testing and work in the Simulation Lab?
Where can students find guidelines for performance testing and work in the Simulation Lab?
What does the Canadian Nutrition Screening Tool assess for nutritional risk?
What does the Canadian Nutrition Screening Tool assess for nutritional risk?
What does dietary history assessment cover?
What does dietary history assessment cover?
What is included in the assessment for nutritional risk?
What is included in the assessment for nutritional risk?
What do Canada's dietary guidelines emphasize?
What do Canada's dietary guidelines emphasize?
What is covered in the Mosby Basic Skills Videos?
What is covered in the Mosby Basic Skills Videos?
What do cultural considerations in nutrition include?
What do cultural considerations in nutrition include?
What does a balanced diet include?
What does a balanced diet include?
What do nurses integrate to assess a client's nutrition?
What do nurses integrate to assess a client's nutrition?
What do personal care assistants assist with for clients?
What do personal care assistants assist with for clients?
What is emphasized in Canada's Food Guide?
What is emphasized in Canada's Food Guide?
What do various religions have as dietary restrictions?
What do various religions have as dietary restrictions?
What does the Canadian Nutrition Screening Tool assess?
What does the Canadian Nutrition Screening Tool assess?
What are some feeding strategies for patients with dementia?
What are some feeding strategies for patients with dementia?
What are warning signs of dysphagia?
What are warning signs of dysphagia?
What is a symptom of aspiration pneumonia?
What is a symptom of aspiration pneumonia?
What are essential components of oral care for patients?
What are essential components of oral care for patients?
What is dysphagia?
What is dysphagia?
What is NPO in the context of diagnostic tests?
What is NPO in the context of diagnostic tests?
What is aspiration in the context of respiratory health?
What is aspiration in the context of respiratory health?
What are some feeding strategies for patients with dysphagia?
What are some feeding strategies for patients with dysphagia?
What can medications affect in relation to nutrition?
What can medications affect in relation to nutrition?
What is a risk associated with dysphagia?
What is a risk associated with dysphagia?
What are warning signs of dysphagia?
What are warning signs of dysphagia?
What are some emergency procedures for airway obstruction due to choking?
What are some emergency procedures for airway obstruction due to choking?
What is recommended for clients with dryness and inflammation of the oral mucosa?
What is recommended for clients with dryness and inflammation of the oral mucosa?
What is an essential consideration for caring for a client living with dementia?
What is an essential consideration for caring for a client living with dementia?
What should be avoided when caring for clients with stomatitis/xerostomia?
What should be avoided when caring for clients with stomatitis/xerostomia?
What is essential for oral hygiene in the unconscious client?
What is essential for oral hygiene in the unconscious client?
What are older adults at risk for in terms of oral hygiene?
What are older adults at risk for in terms of oral hygiene?
What are dental care challenges for older adults primarily related to?
What are dental care challenges for older adults primarily related to?
What should be considered for meal assistance and dysphagia?
What should be considered for meal assistance and dysphagia?
What are nursing interventions for dysphagia primarily focused on?
What are nursing interventions for dysphagia primarily focused on?
What do older adults experience in relation to saliva secretion?
What do older adults experience in relation to saliva secretion?
What are some factors contributing to poor oral hygiene in older adults?
What are some factors contributing to poor oral hygiene in older adults?
What is the five-step clinical decision-making approach in the nursing process?
What is the five-step clinical decision-making approach in the nursing process?
What historical images have nurses been portrayed as?
What historical images have nurses been portrayed as?
What does the label of 'angel' imply about the historical image of nursing?
What does the label of 'angel' imply about the historical image of nursing?
What is the focus of exploring the gendered, political, and economic nature of nursing?
What is the focus of exploring the gendered, political, and economic nature of nursing?
What is the primary responsibility of the College of Nurses of Ontario (CNO)?
What is the primary responsibility of the College of Nurses of Ontario (CNO)?
What is the main role of the Ontario Nurses Association (ONA)?
What is the main role of the Ontario Nurses Association (ONA)?
What is the primary focus of the Canadian Nurses Association (CNA)?
What is the primary focus of the Canadian Nurses Association (CNA)?
What is the main responsibility of the Canadian Association of Schools of Nursing (CASN)?
What is the main responsibility of the Canadian Association of Schools of Nursing (CASN)?
Which type of nursing theory provides broad perspectives?
Which type of nursing theory provides broad perspectives?
What is the primary focus of cultural humility in nursing?
What is the primary focus of cultural humility in nursing?
What does cultural safety in nursing challenge?
What does cultural safety in nursing challenge?
What does antiracism involve?
What does antiracism involve?
What is the primary focus of evidence-informed practice in nursing?
What is the primary focus of evidence-informed practice in nursing?
What is the primary influence of colonialism on nursing practice?
What is the primary influence of colonialism on nursing practice?
What is the main focus of the equity, diversity, and inclusion (EDI) statement in the Student Handbook?
What is the main focus of the equity, diversity, and inclusion (EDI) statement in the Student Handbook?
What does cultural competence in nursing involve?
What does cultural competence in nursing involve?
What is the primary focus of scholarliness in nursing?
What is the primary focus of scholarliness in nursing?
What is the primary characteristic of race as a socially constructed category?
What is the primary characteristic of race as a socially constructed category?
What does evidence-informed practice in nursing involve?
What does evidence-informed practice in nursing involve?
What is the primary focus of nursing theories like Nightingale, Roy, and Watson?
What is the primary focus of nursing theories like Nightingale, Roy, and Watson?
What is emphasized in the Truth and Reconciliation Commission of Canada report?
What is emphasized in the Truth and Reconciliation Commission of Canada report?
What is crucial for indigenous people in Canadian healthcare?
What is crucial for indigenous people in Canadian healthcare?
What is fundamental for nursing practice related to indigenous people's values, health, and well-being?
What is fundamental for nursing practice related to indigenous people's values, health, and well-being?
Which model emphasizes listening to client needs, establishing therapeutic partnerships, and reinforcing health literacy?
Which model emphasizes listening to client needs, establishing therapeutic partnerships, and reinforcing health literacy?
What are the three learning domains essential for different aspects of learning?
What are the three learning domains essential for different aspects of learning?
What does the Transtheoretical Model of Change outline stages from?
What does the Transtheoretical Model of Change outline stages from?
What is relevant in the context of nursing care in Canada?
What is relevant in the context of nursing care in Canada?
What is essential for a rich learning environment in nursing education?
What is essential for a rich learning environment in nursing education?
What results in chronic substandard outcomes for indigenous peoples in the healthcare system?
What results in chronic substandard outcomes for indigenous peoples in the healthcare system?
What impacts indigenous health in Canada?
What impacts indigenous health in Canada?
What is relevant in the context of nursing care to engage clients as active participants, respecting their preferences and values?
What is relevant in the context of nursing care to engage clients as active participants, respecting their preferences and values?
What is significant in understanding indigenous health today?
What is significant in understanding indigenous health today?
Who is considered the father of Medicare in Canada?
Who is considered the father of Medicare in Canada?
Which act introduced the first universal, pre-paid health care system in Canada?
Which act introduced the first universal, pre-paid health care system in Canada?
What are the key principles of the Canada Health Act (1984)?
What are the key principles of the Canada Health Act (1984)?
What are the three layers of coverage in the Canadian healthcare system?
What are the three layers of coverage in the Canadian healthcare system?
What is a crucial issue in the current Canadian healthcare system?
What is a crucial issue in the current Canadian healthcare system?
What did the Industrial Revolution and urbanization lead to in the late 19th to early 20th century in Canada?
What did the Industrial Revolution and urbanization lead to in the late 19th to early 20th century in Canada?
What is the role of various levels of Canadian government in funding and delivering health services?
What is the role of various levels of Canadian government in funding and delivering health services?
What are the current healthcare system issues in Canada?
What are the current healthcare system issues in Canada?
What is the Canada Health Transfer (CHT) crucial for?
What is the Canada Health Transfer (CHT) crucial for?
What challenges does the Canadian healthcare system face related to its aging population?
What challenges does the Canadian healthcare system face related to its aging population?
What influences patient care and is guided by professional accountability and the CNO Code of Conduct?
What influences patient care and is guided by professional accountability and the CNO Code of Conduct?
What are the ways of knowing in nursing?
What are the ways of knowing in nursing?
What is the meta-paradigm of nursing?
What is the meta-paradigm of nursing?
What is the focus of Critical Social Theory (CST) in nursing?
What is the focus of Critical Social Theory (CST) in nursing?
What are the components of the nursing process?
What are the components of the nursing process?
What is the focus of the meta-paradigm concepts in nursing theories?
What is the focus of the meta-paradigm concepts in nursing theories?
What is the focus of the nursing process?
What is the focus of the nursing process?
What is the focus of the Clinical Judgment Model in nursing?
What is the focus of the Clinical Judgment Model in nursing?
What is the primary focus of nursing as a profession?
What is the primary focus of nursing as a profession?
What is the focus of the meta-paradigm of nursing?
What is the focus of the meta-paradigm of nursing?
What are the cognitive skills and critical thinking dispositions required for clinical decision making in nursing?
What are the cognitive skills and critical thinking dispositions required for clinical decision making in nursing?
What is the focus of Barriers to critical thinking and ethical reasoning in nursing?
What is the focus of Barriers to critical thinking and ethical reasoning in nursing?
Study Notes
Nutritional Care and Oral Health for Patients
- Medications can affect taste, absorption, and metabolism, leading to decreased appetite.
- Diagnostic tests can disrupt meals and may require clients to be NPO (nothing by mouth).
- Nurses need to assess clients' nutritional status and plan interventions to improve their appetite and dietary intake.
- Feeding strategies for patients with dementia include verbal encouragement, determining favorite foods, and offering adequate time for meals.
- Dysphagia, or difficulty swallowing, increases the risk of aspiration and aspiration pneumonia.
- Warning signs of dysphagia include coughing during eating, abnormal movements of the mouth, and delayed swallowing.
- Feeding strategies for patients with dysphagia include elevation of the head of the bed, verbal coaching, and thickening of food and fluids.
- Aspiration, the misdirection of secretions into the respiratory tract, is associated with decreased alertness and difficulty managing saliva.
- Symptoms of aspiration pneumonia include elevated respiratory rate, fever, cough, and delirium.
- Emergency procedures for airway obstruction due to choking include stopping feeding immediately and calling for help.
- Oral care assessment involves evaluating the risk for aspiration, common oral problems, and the ability to grasp.
- Essential oral care includes brushing teeth, flossing, and proper denture care to maintain oral hygiene and prevent infection.
Oral Hygiene and Care for At-Risk Clients
- Risk factors for oral hygiene problems include inability to perform oral hygiene effectively, dehydration, presence of tubes, medications, trauma to the mouth, age-related changes, immunosuppression, diabetes mellitus, and clients receiving chemotherapy or radiation.
- For clients with mucosal changes associated with aging and certain drugs, more frequent mouth care and anti-infective agents are recommended.
- For clients with dryness and inflammation of the oral mucosa, more frequent mouth care, increased hydration, and water-soluble lubricant application to lips are advised.
- Care for clients with stomatitis/xerostomia involves gentle brushing, flossing, increasing oral hygiene frequency, hydration, water-soluble lubricant application, avoiding alcohol and commercial mouthwash, and using normal saline rinses.
- Caring for a client living with dementia involves assessing abilities and mouth, using distraction, a 2-person approach, hand-over-hand technique, and a 2-toothbrush approach.
- Oral hygiene for the unconscious client should address drying of mucous-thickened saliva, avoiding use of fingers to hold the mouth open, assessing the gag reflex, and placing the client in the Sims position.
- For the unconscious client, mouth cleaning every 2 hours, checking policy for using chlorhexidine, and potential suctioning during rinsing are essential.
- Performing mouth care for the unconscious or debilitated patient requires extra care due to increased risk of aspiration pneumonia, dry inflamed oral mucosa, and absent gag reflex, necessitating proper positioning, use of bedside suction, and monitoring of respirations.
- Older adults are at risk for poor oral hygiene due to various factors such as edentulous state, weakened periodontal membrane, chronic illnesses, ill-fitting dentures, weaker jaw muscles, decline in saliva secretion, poor nutritional status, and limited access to dental care.
- Dental care challenges for older adults include financial limitations, low income, lack of transportation, and reluctance to seek care due to beliefs about tooth loss.
- Considerations for meal assistance and dysphagia include identifying risk factors for aspiration, signs and symptoms of dysphagia, creating a safe mealtime environment, and examining the oral cavity for pocketing.
- Nursing interventions for dysphagia include assessing the oral cavity, responding to coughing, and handling client requests during and after meals.
Nursing Theory and Practice
- Phenomenology in nursing involves understanding the client's experiences of health and healing within the nurse-client relationship
- Critical Social Theory (CST) uncovers underlying social relationships and relates to social justice by challenging the status quo and unveiling inequities
- Ways of Knowing in nursing include ethical, empirical, personal, aesthetic, and emancipatory ways of understanding, which help nurses reflect on their practice
- Personal and professional values and beliefs impact self-awareness and the nursing profession, requiring ethical reasoning and decision-making to address conflicts
- Nursing as a profession requires specialized knowledge, skills, scientific methods, higher education, advocacy for ethical standards, autonomous functioning, commitment to advanced study, and motivation by service to society
- Cognitive skills and critical thinking dispositions required for clinical decision making in nursing involve purposeful and reflective cognitive skills, as well as three levels of critical thinking competencies and five stages of the Novice to Expert model
- The nursing process involves assessment, diagnosis, planning, implementation, and evaluation
- The Clinical Judgment Model and ethical reasoning are integral to critical thinking in nursing
- Barriers to critical thinking and ethical reasoning include attitudes and habits, cognitive dissonance, and conflicts between personal and professional values
- Paradigms, paradigm shifts, and metaparadigms are fundamental to understanding worldviews and theories in nursing
- The meta-paradigm of nursing encompasses person, health, environment, and nursing, influencing nursing knowledge and scholarship
- The meta-paradigm concepts relate to theories by Nightingale, Roy, and Watson, who emphasized the environment, the person's interaction with a changing environment, and nursing as caring, respectively
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Description
Test your knowledge on providing nutritional care and maintaining oral health for at-risk patients. Explore topics such as feeding strategies for dementia patients, oral hygiene for unconscious clients, risk factors for poor oral health, and nursing interventions for dysphagia. This quiz covers essential information for healthcare professionals involved in the care of vulnerable individuals.
