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SCOPE OF NURSINGPRACTICE

FOUR AREAS:

Promoting Health and Wellness

Preventing Illness

Restoring Health

Care of the Dying

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SCOPE OF NURSINGPRACTICE

PROMOTING HEALTH AND WELLNESS

Wellness state of well-being. Engaging in

attitudes and behavior that enhance thequality of life and maximize personal potential

For both healthy and ill.

Involve individual and community activities toenhance healthy lifestyle, such as improving

nutrition and physical fitness, preventing drugand alcohol misuse, restricting smoking, andpreventing accidents and injury in the homeand workplace.

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SCOPE OF NURSINGPRACTICE

RESTORING HEALTH

Focuses on the ill client Extends from early detection of disease to helping the

client during the recovery period NURSING ACTIVITIES:

Providing direct care to the ill person: administeringmedications, baths, and specific procedures and treatments

Providing diagnostic and assessment procedures:measuring BP and examining feces for occult blood

Consulting with other health care professionals about

clients problems Teaching clients about recovery activities: exercise that will

accelerate recovery after a stroke Rehabilitating clients to their optimal functional level

following physical or mental illness, injury, or chemicaladdiction

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SCOPE OF NURSINGPRACTICE

CARE OF THE DYING

Involves comforting and caring for people of all

ages who are dying Includes helping clients live as comfortable as

possible until death and helping supportpersons cope with death.

Work in homes, hospitals, and extended carefacilities

Hospices are specifically designed for thispurpose.

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CONSENT

KINDS OF CONSENT: Informed Consent Implied Consent

INFORMED CONSENT

Agreement by the client to accept a course of treatment or aprocedure after complete information, including the risk oftreatment and facts relating to it, has been provided by thephysician

ELEMENTS OF INFORMED CONSENT: Consent must be given voluntarily Consent must be given by an individual with the capacity,

competence, and understanding. The client must be given enough information to be the ultimate

decision maker.

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CONSENT

NURSES RESPONSIBILITY Witnessing the exchange between the client and the

physician.

Establish that the client really did understand, that is, wasreally informed

Witnessing the clients signature

PEOPLE WHO ARE NOT ALLOWED TO PROVIDECONSENT:

Minors below 18 years old; except for married andalready a parent

Mentally ill

Unconscious or injured in such a way that they are unableto give consent.

IMPLIED CONSENT In a life threatening situations and consent can not be