This book seeks to define nursing at a management or administrative level. Using the widely regarded Orem self-care deficit model to provide a nursing focus, the authors explore the nursing needs of populations, the roles and functions of advanced practice nursing administration, and the administrative structures, processes and outcomes that facilitate nursing practice.

Appendix 11A: Extracts from Minutes Describing a Patient Population, a Nursing System for it, and Organizational Problems

Appendix 11A: Extracts from Minutes Describing a Patient Population, a Nursing System for it, and Organizational Problems

Appendix 11A: Extracts from minutes describing a patient population, a nursing system for it, and organizational problems

Initial Meeting

Purpose

To design and develop a nursing system for wound, enterostomal, and incontinent patients.

Description of Patient Population Served

  • Basic conditioning factors—general characteristics
    • Age: Newborns to elderly/terminal; predominantly older with chronic wounds.
    • Developmental stage: Varied.
    • Race: about 60% black, remainder white.
    • Sex: Males and females; young black males—20% gunshot wounds; females—diverticulitis, cancer—pelvic exenteration.
    • Education: 80% less than 12th grade, operational level of majority about 6th grade. This does not interfere with teaching: Use pictures, practice doing. Example: An illiterate mechanic understood gaskets, stoma appliance related to a gasket. This was easily understood. ...
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