FUNCTIONAL ABILITY
RNSG 1430
Health Care Concepts 1
Concept – FUNCTIONAL ABILITY
Concept Definition
The physical, psychological, cognitive and social ability to carry on normal activities of life.
Exemplars *
Parkinson’s disease
Multiple Sclerosis
Alzheimer’s disease
Cerebral Vascular Accident- Stroke
Down’s syndrome
*including only functional ability aspects of care in exemplars.
Objectives
1. Explain the concept of Functional Ability (including definition, antecedents, and attributes).
2. Identify the four domains of Functional Ability.
3. Identify the two categories of Functional Ability.
4. Identify when the concept most likely to be present.
5. Identify how the nurse would recognize variances with the concept (conditions which place a patient at risk developing an imbalance).
6. Explain how the nurse provides care for those affected by negative consequences of this concept.
7. Discuss the exemplars of Functional Ability.
8. Apply the nursing process (including collaborative interventions) for individuals experiencing Functional Ability imbalance.
Assignments
Prior to class:
1. Review definitions of interrelated concepts on concept analysis diagram.
2. Review concept analysis diagram.
3. Review Activities of daily living.
4. Required assigned reading:
*Page numbers, assignments, and other lecture information will be posted on
blackboard.
· Giddens, J.F. (2017). Concepts for nursing practice (2nd ed.). St. Louis. MO: Mosby Elsevier.
§ Chapter 2: Concept Functional Ability
· Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical surgical
nursing (9th ed.). St. Louis. MO: Mosby Elsevier.
§ Chapter 58: Stroke
§ Chapter 59: Chronic Neurological Problems: Multiple Sclerosis, Parkinson’s
§ Chapter 60: Alzheimer’s Disease, Dementia & Delirium
· McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013). Maternal-child nursing (4th ed). St.
Louis: Elsevier Saunders.
§ Chapter 54: The Child with a Developmental Disability: Down Syndrome
· Burchum, J. & Rosenthal, L. (2016). Lehne’s pharmacology for nursing care (9th ed.). St. Louis:
Elsevier.
§ Chapter 21: Drugs for Parkinson’s Disease
§ Chapter 22: Drugs for Alzheimer’s Disease
§ Chapter 23: Drugs for Multiple Sclerosis
§ Chapter 52: Anticoagulant, Antiplatelet and Thrombolytic Drugs (CVA/Stroke)
Concept content outline:
Concept: Functional Ability
Sub Concepts: BADL and IADLs
Functional Impairment
Primary vs Secondary
Antecedents: Developmental Milestones
Acquisition of Skills
Learning
Perceived Ability
Integration of Neural/Endocrine/Musculoskeletal Capacity
Metabolic Manifestation to provide energy (Krebs cycle)
Risk factors: Developmental abnormalities
Physical or psychological trauma or disease
Social and cultural
Beliefs
Perceptions of health
Physical environment
Age and Co morbidities
Cognitive function
Level of depression
Socioeconomic factors
Assessment: Comprehensive history
Physical assessment
Physical and psychological clinical manifestations
Diagnostic tests
Positive outcomes:
Goal achievement
Quality of life/well being
Learning effective coping
Adaptation to work, environment, and health status
Hope
Negative outcomes:
Physiological
Psychological
Clinical Management:
Nursing interventions
Collaborative interventions
Pharmacological therapy
Procedural therapies
Diagnostic studies
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