MEDICAL SURGICAL NURSING CLASS PRESENTATION ON CURRENT .

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MEDICAL SURGICAL NURSINGCLASS PRESENTATIONONCURRENT TRENDSINMEDICAL SURGICAL NURSINGSUBMITTED TOSUBMITTED BYMISS GURPRETT KAURNAVPREET KAURLECTURERM.Sc. NURSING 1ST YEARDEPARTMENT OFMEDICAL SURGICAL NURSINGCHILD HEALTH NURSING

MEDICAL SURGICAL NURSINGCLASS PRESENTATIONONCURRENT TRENDSINMEDICAL SURGICAL NURSINGSUBMITTED TOSUBMITTED BYMISS NAZIMA BHATTINAVPREET KAURLECTURERM.Sc. NURSING 1ST YEARDEPARTMENT OFMEDICAL SURGICAL NURSINGMEDICAL SURGICAL NURSING

NAME OF THE STUDENT:NAVPREET KAURM.Sc. NURSING 1ST YEARMEDICAL-SURSICAL NURSINGNAME OF THE SUPERVISOR:MISS. GURPREET KAURLECTURERDEPARTEMENT OF PEDIATRIC NURSINGSUBJECT:TOPIC:STUDENT GROUP:VENUE:TIME:METHOD OF TEACHING:A.V. AIDS:NURSING EDUCATIONCURRENT TRENDS IN MEDICAL SURGICAL NURSINGM.Sc. NURSING 1ST YEARCLASS ROOM40 MINLECTURE CUM DISCUSSIONWHITE BOARD, OHP, LEAFLETS.

GENERAL OBJECTIVES:At the end of the presentation the group will improve knowledge, skills and attitude regarding CURRENT TRENDS IN MEDICAL SURGICAL NURSINGSPECIFIC OBJECTINVES:At the end of the presentation the group will able to answer: Describe the domain of medical surgical nursing.Explain the role of nurse.Explain the influence on future nursing practice.Explain trends in medical surgical nursing.

NAME OF THE STUDENT:NAVPREET KAURM.Sc. NURSING 1ST YEARMEDICAL-SURSICAL NURSINGNAME OF THE SUPERVISOR:MISS. NAZIMA BHATTILECTURERDEPARTEMENT OF MEDICAL SURGICAL NURSINGSUBJECT:TOPIC:STUDENT GROUP:VENUE:TIME:METHOD OF TEACHING:A.V. AIDS:MEDICAL SURGICAL NURSINGCURRENT TRENDS IN MEDICAL SURGICAL NURSINGM.Sc. NURSING 1ST YEARCLASS ROOM40 MINLECTURE CUM DISCUSSIONWHITE BOARD, OHP, LEAFLETS.

GENERAL OBJECTIVES:At the end of the presentation the group will improve knowledge, skills and attitude regarding CURRENT TRENDS IN MEDICAL SURGICAL NURSINGSPECIFIC OBJECTINVES:At the end of the presentation the group will able to answer: Describe the domain of medical surgical nursing.Explain the role of nurse.Explain the influence on future nursing practice.Explain trends in medical surgical nursing.

S.NO.TIMESPECIFICOBJECTIVE1. 1 minSelf introduction.2. 2 minIntroduction of topic.3. 3 minDescribe the domainof medical surgicalnursing.4. 6 minExplain the role ofnurse.CONTENTSELF INTROCTION:Myself Navpreet Kaur student of M.Sc. nursing 1st year. And today Iwill teach you the Topic: CURRETN TRENDS IN MEDICALSURGICAL NURSING.INTRODUCTION:Current Trends and Issues in “Medical and Surgical Nursing “providesa forum for knowledgeable debate on the important issues that nursesface today. Issues have provided information and viewpoints ofdevelopments that continue to impact the delivery of health care andthe nursing profession. This provides the opportunity to analyzeconflicting viewpoints and to synthesize one's own thoughts on thedemands being made on the nursing profession and the difficult issuesaffecting today's health care delivery.DOMAIN OF MEDICAL AND SURGICAL NURSING(NURSING AS A PROFESSION):Nursing practice today is composed of a wide variety of roles andresponsibilities necessary to meet the health care needs of society.They practice in virtually all health care settings and communities,offering skilled care to those recuperating from illness or injury,advocate for patients rights, teach patients so that they can makeinformed decisions, support patients at critical times, and help themnavigate the increasingly complex health care system.NURSING ROLE:ENTRY: level nurses with an associate or baccalaureate degree innursing in are prepared to function as generalists. In this role nursesprovide direct health care and focus on ensuring co-ordinated andcomprehensive care to patients in a variety of settings.CERTIFICATION PROFESSIONAL: Recognition of expertise in aspecialty area is obtained through certification. It is offered through avariety of organizations, usually requires a certain amount of clinicalexperience and successful completion of an ctureA.V.AIDSWhiteboardLectureLecture cumdiscussionEVALUATIONWhat do youmean by trendsin medicalsurgicalnursing?What are thedomains ofmedical surgicalnursing?WhiteboardWhat is the roleof nurse?

NURSING SPECIALITIES INCLUDE: ambulatory care; painmanagement; cardiovascular care; genetic nursing; gerontology, Anemerging speciality is forensic nursing , an area of nursing thataddress sexual assault, abuse, domestic violence and deathinvestigation.ADVANCED PRACTICE NURSE: Additional formal education andexperience can prepare nurses for advanced roles. An advancedpractice nurse is a nurse with a master’s degree in nursing, Examplesof advanced practice nurse are clinical nurse specialists, nursepractioners, nurse midwives and nurse anesthetists. In addition tomanaging and delivering direct patient care, advanced practice nurseshave roles in health promotion, case management, administration,research and multi-disciplinary systems.CLINICAL NURSE LEADER: New role has been introduced by theAmerican Association of colleges of Nursing(AACN) in response topatient care needs and in anticipation of competencies needed in thecurrent and future health care system The clinical nurse leader isdescribed as a generalists clinician with education at the master’sdegree level5. 8 minExplain the influenceon future nursingpractice.INFLUENCES ON FUTURE NURSING PRACTICE:EXPANDING KNOWLEDGE AND TECHNOLOGY:Rapidly changing technologies and dramatically expanding knowledgeare increasing the responsibility of nurses in a complex health careenvironment. Nurses are caring for patients in a setting where there is ademand for high quality, cost effective care. Ethical dilemmas can becreated by controversies regarding the use of new scientific knowledgeand the inequality of access to technologically advanced health care.Access to internet allows patients to obtain information about theirhealth problems and health care. Nurses must be able to not only helppatients find and use appropriate health problems and health careneeds, but also to evaluate information that relates to their ownpracticeCritical thinking and methods to promote critical thinking have beensubjects of concern for many professional practice fields affected byincreasing technology and access to informationLectureLeaflets What is theinfluence onfuture nursingpractice?

HEALTHY PEOPLE INITIATIVESGovernment has been active in establishing goals and objectives forpromoting health. This activity is known as Healthy People InitiativesIt is a big challenge for nursing. Both nursing education programmsand clinical nursing practice must respond to the major trends in healthcare .Educational programmes for entry –level nurses now require agreater emphasis on health promotion , maientaience and cost effectivecare that responds to the needs of culturally diverse groups andunderserved populations.EVIDENCE BASED PRACTICE:Is the conscientious use of the best evidence (i.e. findings fromresearch, quality improvement and practice management initiatives,and patient assessment)in combination with clinician expertise andpatient preferences and values in clinical decision making Theexpectation for high quality, cost effective care and the rapidexpansion of easily accessible knowledge in a competing health caremarket place have driven the need for the daily use of evidence toimprove point of service care. Regulatory and accrediting agenciesnow require that practice be based on evidence. All of these factorshave led to the need for all health care providers to gain knowledgeand skill in E.B.P.STANDARDIZED NURSING TERMINOLOGIESThe demands of the current health care system are challenging thenursing profession to define its practice and the impact that it has onthe health and health care of individuals, families and communities. Inresponse to this nursing has moved toward standardizing nursingterminologies .Standardized nursing terminologies are used to clearlydefine and evaluate nursing care. They can promote continuity ofpatient care and provide data that can support the credibility of theprofession. Standardized languages help identify the most effectivenursing interventions and describe nursing phenomenaThree of the, nursing interventions, nursing terminologies recognizedby the A.N.A are now available to consistently describe patientresponse. and patient outcomes: NANDA INTERNATIONAL:

Nursing Diagnoses, definitions and classifications; 2.NursingInterventions Classifications 3 .Nursing outcome classification.HEALTH CARE INFORMATICS:The current erratic and inconsistent use of paper records andcomputers to document ,store, and retrieve patient care information isundergoing a major upheaval as federal initiative promote thedevelopment of a uniform electronic health record. Patient’s recordsare maintained through electronic health system. This system providesa single place for health provider to review and update a patient shealth record All aspects of a patient record are integrated, includingactive problems, allergies , current medications, laboratory result, vitalsigns , hospitalizations and outpatient clinic history. A nationaluniform E.H.R has the potential of greatly reducing medical errorsassociated with traditional paper records and vastly improving patientsafety and quality of care.NURSING INFORMATICS:It is a nursing specialty integrating nursing science, computer science,and information science in identifying, collecting, processing andmanaging data and information to support nursing practice.Administration, education, research and the expansion of knowledge.This allows nurses to work within the information system departmentso that nursing issues can be integrated at the beginning of computerprojects rather than just evaluating the problems for nursing when aproject is complete. Nursing Informatics studies the structure andprocessing of nursing information to arrive at clinical decision and tobuild systems to support and automate that processing.6. 12 min Explain trends inmedical surgicalnursing.TRENDS IN MEDICAL AND SURGICALNURSINGTrends in nursing are closely tied to what is happening to healthcare ingeneral. Trends are fascinating phenomena, but they do not exist invacuums. Most are interrelated; one trend often spawns another.Although trends are more than fads, they are far from money-backguarantees. We watch to anticipate the direction that a particular trendLectureOHPWhat are thenew trends inmedical surgicalnursing?

will take us, to remove the element of surprise. When we look back ontrends, however, some will have heralded permanent changes, butothers might have been no more than blips on the radar screen.Trend #1: Where Art Thou, Nurse?Nurses comprising the largest division of the healthcare workforce.Yet in 2004, we continue to face a slowly growing shortfall of nurses.Although this is not the first nursing shortage our nation has faced,there are some worrisome differences this time. This shortage is notcaused by any single factor in isolation, such as the voluntary cutbacksin the nursing labour force of the 1990s, which could be solved byramping up recruitment efforts. This shortage is caused by aconvergence of many pressures, including financial constraints, adissipating workforce, and an increasingly complicated and stressfulwork environment. Furthermore, the global nature of this shortagemakes it impractical to recruit nurses from other countries to fillvacancies.Many registered nurses (RNs) have left nursing for better opportunitiesand higher paying jobs. In when experienced nurses leave theirpositions after only a few years in the profession, they are oftenreplaced with recently graduated and inexperienced staff members.This is the revolving door syndrome, the worst possible model ofworkforce replacement for a profession such as nursing.Notwithstanding the tragic loss of nursing expertise that occurs when anurse leaves the profession, new nurses who are usually mentored bythe older, experienced nurses after graduation must then learn to copewithout such guidance.Job dissatisfaction and wages have both been cited as factorscontributing to the nursing exodus. Another important factor relating tothe nursing shortage is the "aging RN factor the demographic thatpaints the gloomiest picture of our healthcare future:Retirement is looming . more over there is migration of nurses. Morethan a million new and replacement nurses will be needed by the year2010. Are we already too late to avert a crisis in patient care? Will

demographics be our downfall? Much depends on whether employersand policymakers pay as much attention to retaining the currentexperienced workforce as they do to increasing enrolments. Everyonehas to care about the nursing shortage, both now and in the future,because everyone will be affected by it at some point in time.Trend #2: The Patient Safety ImperativeA vigorous demand for increased patient safety is being heard from allsectors. Patient safety will be paramount in 2004. Although a greaterfocus on patient safety has been a trend since the Institute ofMedicine's landmark report in 1999 estimating that 44,000-98,000people die yearly as a result of medical errors, several recent studieshave turned the spotlight on nursing as a safety net. Reflect upon thesesentiments expressed by the authors of a major new report about nursesand patient safety: "how well we are cared for by nurses affects ourhealth, and sometimes can be a matter of life or death.in caring for usall, nurses are indispensable to our safety".When nurses' workloads are too heavy, safety can too easily becomecompromised. Can we expect nurses caring for too many patients orworking too many hours to continue to intercept 86% of themedication errors made by physicians and pharmacists that theyusually intercept before such errors reach the patient? Can we expectthe same outcomes of care that are achieved with more reasonableworkloads? To no one's surprise, heavier patient loads are associatedwith higher rates of infection, gastrointestinal bleeding, pneumonia,cardiac arrest, and death from these and other causes.The typical work environment of nurses harbours many latentconditions that are sources of threats to patient safety. Sicker patients,inadequate orientation for new nurses, communication failures,interruptions, and distractions were among the environmental factorsfound to contribute to errors. A new report from the Institute ofMedicine finds that "the work environment of nurses needs to besubstantially transformed to better protect patients from healthcareerrors." The report calls for changes in how nurse staffing levels are

established and mandatory limits on nurses' work hours as part of acomprehensive plan to reduce problems that threaten patient safety bystrengthening the work environment in 4 areas: management,workforce deployment, work design, and organizational culture.Trend #3: Skyrocketing Healthcare CostsHealthcare is rapidly becoming unaffordable. The government spendsmore on healthcare than any other industrialized country. In 2001, totalnational healthcare spending reached 1.4 trillion (an increase of 8.7%in a single year!) or 14.1% of the nation's gross domestic product.Increasing at a rate that is 5 times the inflation rate, healthcarespending in 2003 continued to rise at the fastest rate in our history.Unless spending slows significantly, health insurance premiums willcontinue to rise Healthcare spending is projected to reach 2.6 trillionin 2010.A big contributor to escalating healthcare costs in the medicallitigation system. The runaway litigation system raises the costs ofhealthcare for everyone, costs that are paid for through higherpremiums for health insurance, higher out-of-pocket payments toobtain care, and higher taxes.Trend #4: Born Earlier and Living LongerNeonatal nurses have witnessed a flood of premature babies in the pastseveral years, a trend that is likely to continue in 2004. The increase inprematurity is partly a consequence of the popularity of assistedreproductive technology (ART). In 2000, 53% of infants born throughART were twins, triplets, or higher-order multiples compared with 3%of the general population. Twins and other multiples are more oftenpremature and/or of low birth weight, and often require neonatalintensive care.On the other end of the life spectrum, people are expected to live

longer (77.2 years, in 2001). The "over 85s" are the fastest growingsegment of the older population. In fact, the whole population isgetting older. The percentage of people over the age of 65 years in isnow increased compared with just 5-10 years ago. We can expect thisto rise further as the first of the baby boomers enter their sixties just 2years from nowTrend #5: Healthcare Consumerism and "E-Health""People want the best healthcare "Consumerism is an intriguing trendthat bears close watching in 2004."Consumerism" is a buzzword thatmeans different things to different people with different interests. In itstruest sense, consumerism is "a movement seeking to protect the rightsof consumers by requiring such practices as honest packaging,labeling, and advertising, fair pricing, and improved safety standards."In healthcare, a consumer has come to mean a more informedparticipant, perhaps one who uses the Internet to obtain informationabout health, disease, and quality ratings of providers and hospitals.Defined as such, consumerism is a positive development in healthcare.The big push behind the consumerism movement is the hope that itwill ultimately drive down healthcare costs. However, employers havebeen shifting more of the costs of health insurance premiums toemployees for years now, yet the cost of health insurance keepssoaring.Further, it is believed that information technology will help consumersmake better choices about healthcare, getting more "value for money."Indeed, use of healthcare Web sites by consumers tripled in 2002 asindividuals spent more time exploring their options before makinghealthcare decisions. The problem is, even with a boatload ofinformation about disease, diagnostic tests, and treatment options,someone with a healthcare background can have difficulty makingdecisions about what is necessary and what is fluff, particularly whenfaced with the crisis of a serious illness. How is the average layconsumer to accomplish this? Hospital and physician "report cards"and other forms of quality ratings will become more prevalent,

purportedly to help consumers make choices about where to spendtheir healthcare dollars. It remains to be seen if people will shop forhealthcare services the way they do for a car or a television set, or ifthey will continue to rely on word of mouth, convenience, and whatthey are comfortable with, just as they have done in the past.Trend #7: Complementary and Alternative MedicineHand-in-hand with the healthcare consumerism movement is a trendknown as complementary and alternative medicine, or CAM. CAM isa group of diverse medical and healthcare systems, practices, andproducts that are not presently considered to be part of conventionalmedicineIn attempts to improve their health and/or combat illness, Mosthealthcare consumers will use the Internet to find information aboutalternative therapies. While some scientific evidence exists regardingsome CAM therapies, for most there are key questions stillunanswered.Nurses will not only be questioned about complementary andalternative therapies, but they will need to be proactive and opendialogues with patients about their use of CAM in order to addresssafety issues. In the very near future, nurses might have a greater rolein providing CAM in some healthcare settings, including hospitals.The flurry of interest in CAM has stimulated a movement to integrateCAM into the conventional healthcare system, and has led to fundingfor clinical trials to determine safety and efficacy of CAM therapies.Trend #8: Technological Wonders and WoesImagine a wireless

in medical surgical nursing? 3. 3 min Describe the domain of medical surgical nursing. DOMAIN OF MEDICAL AND SURGICAL NURSING (NURSING AS A PROFESSION): Nursing practice today is composed of a wide variety of roles and responsibilities necessary to meet the health care needs of society.

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