final exam n110
Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the UAP that making this accusation has violated which legal tort? Libel Slander Assault Negligence
slander
narcolepsy
sleep attacks uncontrolalble episodes
common sleep disorders
sleepwalking / talking bruxism night terrrors REM sleep behavior disturbances enuresis
non-living reservoir
soil , food, water
durable power of attourney
someone that makes decisions on your behalf if you are not ale to
belief
something that one accepts as true
goal
specfically fixes the problem in the diagnosis
smart goal
specific measurable attainable relevant time specific
local adaptation syndrom
specific to a body part or organ
NREM sleep
stage 1: person easily aroused. relaxed but aware of surroundings stage 2: person falls asleep ,but easily aroused stage 3: depth of sleep increases. deepest sleep.
therapeutic relationship
stage 1: preinteraction phase-gathering infromation prior to meeting client stage 2: orientation phase: meeeting the client, introductions;establishing rapport and trust stage 3: working place-use of therapeutic communication techniques. client clarifies feelings and concerns through verbal and nonverbal communication stage 4: termination phase-conclusion of the relationship
The nurse in the hospital has a prescription to administer medication at 0400 to Mrs. Giovanni. Mrs. Giovanni is asleep when the nurse enters the room. She is difficult to arouse and confused. Identify the stage of sleep Mrs. Giovanni was likely in when the nurse awakened her.
stage 4
The patient reports episodes of sleepwalking to the nurse. Through understanding of the sleep cycle, the nurse recognizes that sleepwalking occurs during which sleep phase?
stage 4 nrem
what is the deepest stage of sleep
stage 4 nrem
transduction
stimulates nocireceptors that make us aware of the pain
primary defense
structural barries of the human body EX) skin, tears, mouth
adaptive stress
study groups, deep breathing, planning
primary dta
subjective and objective data from client
days to hours before death
sudden urge in energy
cutaneous / superficial pain
surface level pain
assessment
systematic gathering of information related to physiological, psychological sociocultural developmental spiritual status of an individual group or community
ethics
systematic study of right and wrong. how the nurse should act. -guides what we ought to do in a given situation -rooted in legal system
cross-tolerance
taking one type of opiod and dr wants to switch you to another type, you may already have a toelrance to opiods in general.
libel
talking crap in writing
deep somatic pain
tendons/bones/cartilage
The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? The client fell out of bed. The client climbed over the side rails. The client was found lying on the floor. The client became restless and tried to get out of bed.
the client was found lying on the floor
beneficence
the duty to do or promote good
chronic sorrow related to crying and episodes of inability sleep aeb.. what is wron
the etiology is the s/s/
tolerance
the longer you take a med the more used to it you get
diagnosis
the nurse identifies the patient's health needs usually stated in the form of a problem *don't think medical terminology, think responses to health problem
justice
the obligation to be fair
full spectrum nursing
thinking, caring, doing and patient sitution, context
psychological dependence
this is an addiction. you develop a need for this med
nonmaleficence
to do no harm and to prevent harm -nightingale pledge -respect for dignity EX) protecting patients
indirect contact
touching something the patient has touched with mrsa
direct contact
touching/kissing/ mrsa
external stressor
traffic jam
what happens when you have pain?
transduction: stimulate nocireceptors that something is causing the pain transmission: a sensory nerves go to the spinal cord to the brain perception: brain is percieving / becoming aware of the pain. This is what tell us to move our hand modulation: how our body adapts to the pain
manipulative body based
massage chiropractic osteopathy
manipulative body based methods
massage chiropractic osteopathy
The nurse is preparing to perform a general survey of a client who was admitted to the hospital a few hours ago. Which components of the general survey may be delegated to the unlicensed assistive personnel (UAP)? Select all that apply. Inspecting skin surfaces Observing the client's behavior Measuring the client's height and weight Assessing the client's general appearance Monitoring oral intake and urinary output
measuring client's height and weight monitoring oral intake and urinary output
CMS
medicare program & parts of medicaid. oversight of HIPAA, health identifiers & security standards.
rest
mild to no activity relaxation;stress free leads to feeling refreshed
opiod analgesics
mimic endogenous opioids in the body
syndrome
more than 1 diagnosis/contains more than 1 thing
chronic pain
more than six months mild to severe no longer serves a purpose vs may be normal may not see pain behaviors can be progressive often not able to determine cause
what is the protype for opiods
morphine
severe analgesic ladder
morphine hydromorphine methadone fentanyl oxycodone adjuvants
nociceptive
most common activation of nociceptors
isotonic
movement of the joint during muscle contraction
what receptors do opiod analgesics activate
mu
isometric
muscle contraction without movement
organ donation
must be eighteen years old relatives cannot refuse their organ donation
portal of exit
natural: the body naturally tries to eject pathogen (throwing up, coughing, sneezing)
failing to report bp is it negligence or malpractiec
negligence
Can you use antibiotics for the flu?
no
adminster and insulin injection correctly is this a smart goal
no
can you get informed consent from an unconscious person?
no
share her feelings about the death of her mother is this a smart goal
no
understand the symptoms of low blood sugar are these smart goals?
no
being clean and sterile when giving injections is part of what moral principle
nonmalefience
Pt has a right side himiplega as a result of a stroke and wants coffee. Even though patient is insistent, nurse doesn't permit her to drink coffee unsupervised. This nurse is using the moral principal of
nonmalifience
A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right? performing a procedure without consent Threatening to give a client a medication Telling the client that he or she cannot leave the hospital Observing care provided to the client without the client's permission
observing care provided to the client without the client's permission
focused assessment
obtain data about actual, potential problem that has been identified or suspected
battery
occurs when intentional, offensive physical contact actually takes place
superinfection
oppurtunistic growth of normal transient microorganims
planning outcomes
outcomes a.k.a. goals -what the patient will achieve based on nursing interventions -goals drive interventions
exclusive provider organization
outside of the network are not covered; usually PCP referral not required to see specialist.
pain assessment
p-provking q-quality r-radiation and region s-severity t-timing
privacy and confidentiality
part of autonomy
incubation
pathogen gets in body. mostly dormant in this period, but slowly multiplying
prodoromal
pathogen starts multiplying. S/s beginning of a cold. most likely to spread infection during this time
convalescence
pathogens numbers decline and return to a state of healthy
moments before death
patient may be unresponsive to touch / sound
1-3 months before death
patient withdraws from the world: sleep increases and apetite decreases
one to two week before death
patients typically exhibit decreased blood pressure, increased heart rate, increased perspiration, and temperature fluctuations;
parasomnia
patterns of awake behaviors that appear while the person is sleeping
ongoing assessment
performed as needed
sleep apnea
periodic breathing cessation for at least ten seconds during sleep s/s: snoring, snorting, thrashing
secondary defense
phagocytosis, the compliment cascade, inflammation, and fever
neuropathic
complex and chronic injury to nerve usually pins/needles/burns
palliative care
focuses more on the symptoms -they do not need to be dying, but usually have a chronic illness
constituional law
freedom of speech
anxiety
general vague unknown fear
delayed grief
grief happens later than when incident occurs
disenfranchised grief
grief that is not accepted by the soceity EX) if gay person lost their significant other
chronic grief
grief that is unresolved and lasts a long time
practical knowledge
hands on knowledge
referred pain
happens somewhere you don't feel pain where it is happening
nosocomial infection
healthcare acquired infection
comprehensive assessment
holistic information about patient overall health via observation, physical assessment, nursing history inteveiw
alternative medical systems
homeopathy naturopathy aryuveda
alternative medical systems
homeopathy naturopathy ayruveda
modulation
how our body adapts to the pain
living will
how the person would like to be treated in their end of life. -are able to change it any time with doctor
living reservoirs:
human, animal, insect
tertiary
humoral immunity and cell mediated immunity
internal stressor
illness, - self talk
moral distress
inability to carry out a moral decision -perceived constraints EX) decision to give patient supplies but are not able to because of constraints.
fomite:
inatimate object. infection can spread but can't multiply. EX)if you cough on a tablethe table is now a fomite
impaired swallowing related to cerebral vascular accident aeb...
incorrect r/t is a medical diagnosis cannot have a medical diagnosis
physiological stressor
increased heart rate when stressed; don't sleep
involuntary coping response
increased heart rate, hair falling out
septicemia
infection spraed via blood
subjective data
information communicated to a nurse by patient family or communicty
vector
insect animal EX) malaria mosquito
jcaho
inspects & surveys participating hospitals to ensure high standards & quality care of pt.s
malpractice
intentionally cauing harm. fails to follow standard care of, resulting in harm.
psychological loss
internal
circadian rhythym
internal clock 24 hour day-night sleep/wake pattern affects overall level of functioning
planning interventions
interventions re intended to help patient achieve stated goals
What are prevailing characteristics of narcolepsy?
involuntary cataplexy hallucinations temporary paralysis
misdemeanor
involves crimes punishable by less than a year (assault, battery, petty theft)
alternative
it is a diff type of medicine (instead of) f
what if a patient has a CAM practice that they heavily believe in?
it is our duty to support our patients by not pushing anything that isn't supported by clinical evidence. We should telle them the risks, tlel them to talk to a doctor. we can't give advice as a nurse. we can just support them as long as it doesn't hurt them.
moral / ethical agency
it is the ability of nurses to base their practice on professional standards of ethical conduct and participate in ethical decision making. -nurses are responsible for their actions
spirituality
journey, accumulation of life experiences and insights, awareness
inferences
judgments/interpretations
broad spectrum antibiotics
kill all bacteria. we like to identify what type of bacteria so we cn give antibiotic specific for htem
CDC
lead federal agency protecting health & safety of people at home & abroad, credible info, strong partnerships
advanced directives
living will dpoa polst
hospice care
looks at the patient in a holistic manner must have two doctors that say they have less than six months to live
medicaid
low income citizens, legal immigrants, pregnant women, children, parents of low-income children, seniors, individuals w/disabilities. ACA: includes those who are not eligible for health insurance through an employer & cannot afford to buy health insurance through the Marketplace.
MORAL model
m: massage the dilemma o: outline the options r: resolve the dilemma a: act by applying the chosen option l: look back and evaluate
who is responsible for cultural competence
madeline leninger
documentation
making a written record of patient care
ethical knowledge
"do you know what is ethically right in nursing?"
self knowledge
"i know that i have this knowledge"
evaluation
-client's progress towards goals or desired health outcomes (met,partially met, not met) -recording of subjective and objective data
ATTITUDE
-feeling toward person object, idea -includes thinking and feeling component
chain of infection
-infectious agent -reservoir -portal of exit -means of transmission -portal of entry -susceptible host
actue pain
-less than six months mild to severe serves a purpose fight or flight reaction pain behaviors can be sudden usuaslly goes away when cause is id'd and treated
moral
-right vs. wrong. -personal beliefs, cultural differences / generational differences -private, personal, or group standards of right and wrong.
coomunication process
-sender: starts convo encoding: selects words, gestures, tones, signs message: the verbal/nonverbal info channel: how the message was sent -receiver: interprets the message -feedback: validates message was received
Which client statements best demonstrate to the nurse that the client understands the concepts of an advance directive? Select all that apply. "This document is a separate document from my final will." "This document is strictly for indicating if I want to be resuscitated." "I need to have my family sign this document in case my condition worsens." "This document describes the kind of treatment I want depending on how sick I am." "This document tells what I want and gives medical power of attorney to my doctor."
-this document is a separate document from my final will -this document describes the kind of treatment i want depending on how sick i am
five major categories of critical thinking
1) contextual awareness 2) inquiry/using credible sourcers 3) considering alternatives 4) analzying assumptinos 5 reflecting and decding
four components of full spectrum nursing
1) critical thinking 2) nursing knowledge 3) nursing process 4) patient situation
what are the two ways to modulate?
1) dump indogenous opiods/endorphins 2) gate control theory: brain stimulates neurons to inhibit pain neurons
Stages of infection
1) incubation 2) prodromal 2) illness) 4) decline 5) convalescence
How do you treat carbon monoxide poisioning
100% humidified oxygn
how much exercise is recomennded per day?
30 minutes
non-intentional tort
malpractice/negligence ligability' four elements: duty, breach of duty, causation, damages
good samaritan law
A Good Samaritan law is passed by a state legislature to encourage nurses and other HCPs to provide care to a person when an accident, emergency, or injury occurs without fear of being sued for the care provided.
medicare
Age 65 Under 65 for certain people with disabilities Under 65 for people with ESRD
general adaptation system
Alarm stage: fight or flight, can last up to twenty four hours resistance: alter, adapt or avoid the stressor. There is no set time on this stage exhaustion / recovery
paper health record con
Access may be delayed Retrieving information may be slow Documentation is time consuming Relatively high risk for patient care error Storage is expensive Confidentiality is difficult to protect
paper health record pro
Care providers comfortable-small learning curve No large databases and secure networks needed to function No downtime for system changes, weather.... Relatively inexpensive to create new or update old forms
health record
Collection of documentation, orders, care information same thing as medical chart
problem oriented record system pro
Common problem list includes input from all disciplines
preferred provider organization
Cover care provided both inside & outside the plan's network; large groups negotiate big discounts to keep consumer costs low; consumers can go out of network for $$
electronic health recod pro
Enhanced communication/collaboration; Improved access to to information; Time savings; Improved quality of care; information is private/safe.
electronic health recod con
Expense; Downtime; Difficulties associated w/change; lack of integration.
charting by exception con
Inadvertent omissions; assumption care done when not
The client asks the nurse why an electronic health record (EHR) system is being used. Which response by the nurse indicates an understanding of the rationale for an EHR system?
It improves interdisciplinary collaboration that improves efficiency in procedures.
The dr. explains to the laboring woman the impact on unborn child of refusing c-section at birth which outline of MORAL is it.
O: OUTLINE THE OPTIONS
two exceptions to informed consent
One is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second is when the client waives the right to give informed consent.
problem oriented record system
Organized around patient's problems Four parts-database, problem list, POC, progress notes
pace
Patient/Problem, Assessment/Actions, Continuing/Changes, Evaluation
POLST
Physician Orders for Life Sustaining Treatment
health maintenance organization
Prepaid health insurance only covers care provided by providers & healthcare facilities inside the HMO network; Need referral from PMD to see specialist; not covered outside of network.
Electronic Health Record (HER) Systems:
Records entered via computer; combines systems
charting by exception pro
Reduces documentation time, repetitive charting
problem oriented recod system con
Requires cooperation among providers, diligent DB updates
if you want to put a medical diagnosis into your nursing diagnosis what do you say?
SECONDARY TO...
charting by exception
Significant findings, exceptions to normals/standards
tort
a claim for malpractice or negligence which is also civil law
percieved loss
a loss that can only be identifed by the person losing it
veracity
a nurses duty to tell the turth -a nurse must always be very honest
carrier
a person or animal who shows no symptoms of the illness but who have the pathogen inside their body EX) TB or HIV
code of ethics
a set of ethical principles that are accepted by all members of a profession
reservoir
a source of infcetion; a place where pathogens survive and multiply
stress
abnormal balance
circadian disorder
abnormality in sleep wake times
implementation
action phase we must document
why does pain exist
acts as a defense mechanism to inform you that something is wrong. prevents further damage
denotative language
actual literal definition
active euthanasia
actually administering the medication to make the person die.
common law
affirmative duty
what step of the ladder can you use adjuvants
all three
categories of cam
alternative systems mind-body interventions biology-based methods body-based methods energy therapies
activation of mu receptors causes
analgesia=pain relief euphora=happy,silly sedation respiratory depression decreased GI motility
droplet
anything spread via droplets. Assume it can travel 13 feet
airborne
anything that can be passed through air/ EX) TB must be in negative pressure room
moderate analgesic ladder
apap/codeine apap/hydrocodine apap/oxycodone apap/dihydrocodeine tramadol adjuvants
Tier one standard isolation precautions
applies to everyone -apply to blood all body fluids, secretions, excretions, non-intact skin and mucous membranes EX) gowns, gloves
mild analgesic ladder
asprin acetaminophen nsaids adjuvants
A client has refused to eat more than a few spoonfuls of breakfast. The health care provider has prescribed that tube feedings be initiated if the client fails to eat at least half of a meal because the client has lost a significant amount of weight during the previous 2 months. The nurse enters the room, looks at the tray, and states, "If you don't eat any more than that, I'm going to have to put a tube down your throat and get a feeding in that way." The client begins crying and tries to eat more. Based on the nurse's actions, the nurse may be accused of which violation? Assault Battery Slander Invasion of privacy
assault
intentional tort
assault, battery, false imprisonment, fraut, invasion of privacy
local infection
at a specificed spot
autonmy
autonomy refers to a peron's right to choose and ability act on that choice
three approaches to coping with stress
avoid, adapt, alter
rando grief stages
avoidance, confrontation acceptance
five features of cultural competence
awareness skills knowledge encounters desire and safety
infectious agent
bacteria, virus, fungi
systemic infcetion
bacterima: presence of baceria in blood septicemia: infction is spread via blodo
theorteical knowledge
basing it off of informatino "i know i need to give the insulin sub q. here are the sites."
The nurse calls security and has physical restraints applied to a client who was admitted voluntarily when the client becomes verbally abusive, demanding to be discharged from the hospital. Which represents the possible legal ramifications for the nurse associated with these interventions? Select all that apply. Libel Battery Assault Slander False imprisonment
battery assault false imprisonment
moral outrage
belief that others are acting immorally -powerlessness "cannot prevent a wrong" "respond with whistleblowing"
giving education is part of what moral principle?
beneficence
putting meds in their food without them knowing is part of what moral principle?
beneficence --> paternalism
paternalism is part of what moral principle?
beneficence?
interpersonal
between two people
nurse practice acts
board of nursing, composition and powers nursing defintion; nursing practice boundaries, licensure requirements grounds for disciplinary action against license
physical dependence
body becomes dependent. you have a physiologcal side effect if you stop taking it
central sleep apnea
brain fails to signal muscles responsible for breathing
perception
brain is percieving/ becoming aware of the pain. This is what tell us to move our hand
obstructive
breathing rapidly. stops and starts during sleep. muscles intermittently relax and block air during sleep.
vector
bug that spreads the disease
what do you do if your child ingests posion?
call CDC
endogenous
caused by an infectious agent alrady prsent in body but has been dormant
collaborative problem
certain potential physiological complications that re always associated with a disease, test or treatment
how do you treat poision
charcoal
ethical dilemma
choice must be made between two equally undesirable choices
illness stage
classic s/s
asepsis
clean
s/s of overdose
coma respiratory depression RR<8 pinpoint pupils
informed consent
completeness clarity and comprehension voluntariness competence
Tier 2: transmission categories
contact enteric droplet airborne
nursing diagnosis
contains problem and etiology does not include a medical diagnosis
5 points of critical thinking
contextual awareness analyzing assumptions exploring alternatives use credible sources reflecting and deciding
side effects of opiod analgesics
contipation nausea/vomitting puritis (itching) respiratory depression drowsiness
exercise
contraction/relaxation of muscles increases muscle tone/strength
masked grief
covers up the pain
felony
crimes punishable by more than 1 year (murder, rape, drug theft)
culturally competent care
cultural awareness cultural sensitivity cultural competenece
culture
culture includes art, beliefs, values, customs, characteristics, race, and ethnicity
sleep
cyclical states/altered consciousness decreased motor activity / perception selective response to external stimuli
objective data
data gathered by assessment /lab diagnostics
source oriented system con
data may be fragmented / scattered
criminal law
deals with wrongs/offenses against society
visceral pain
deeper/harder to localize
quasi intentional tort
defemation of character : libel/slander
statutory law
defintion of nursing
administrative law
delegation and supervision
kubler-ross
denial anger bargaining depression acceptance
biology based therapy
diet herbs vitamins
biologically based therpaies
diets herbals vitamins
madeline leninger
discovered cultural care and caring beliefs, values, and practices analyzed the similarites and differences of these beliefs among the different cultures
exogenous
diseae from hospital
civil law
dispute between individuals or entites involves contract law and tort law
situational stress
does not last forever
evaluation
don't evaluate the things we did. we are evaluating the goal.
source oriented system
each discipline charts seperate sections
source oriented system pro
easily find specific disciplines care
adaptation
either adapt to stressor or avoid it
OSHA
establishes/enforces protective standards, reaches out to employers/employees.
welness does not have..
etiology
The nurse is giving a report to an unlicensed assistive personnel (UAP) who will be caring for a client who has hand restraints (safety devices). The nurse instructs the UAP to check the skin integrity of the restrained hands how frequently
every 30 minutes
hypersomnia
excessive sleeping sleep-related or disease related
negligence
failing to do something
causes of malpractice
failure to respond failure to educate failure to communicate failure to document failure to act as an advocate failure to follow standards of care and facility policies and procedures
two levels of criminal law?
felonies-crimes punishable by more than 1 year (murder,rape, drug theft) misdemeanor-involves crimes punishable by less than a year (assault, battery, petty theft)
decline
fever breaks starting to feel better
REM sleep
first 70-90 minutes after sleeping dream stage
nursing assessmetn
focus on patient's response to illness -holistic approach -teach client's self care strategies to increase Independence in daily activities
medical assessment
focused on disease and pathology -diagnose and treat disease 0teach patients about treatments for their disae or injury
bacterima:
preence of bacteria in blood
if pt. has s/s it no longer is a risk, but becomes a ..
problem
three parts of diagnostic statement
problem: etiology: s: signs/ symptoms (AEB) (should be at least three signs and symptoms)
actual nursing diagnosis
problems that patient actually/currently has
medical asepsis
procedurse that decrease the spread of infection
proper body mechanics
proper alignemtn wide base of support avoid bending and twisting squat to lift keep objects close when lifting raise beds
HHS
protecting health of all americans & providing essential human services.
assisted suicide
provides the means to commit suicide
risk/possible diagnosis
pt is at a risk for if nurse does not intervene
wellness
pt is in a good state of health ready for the next step
intial assessment
pt. first comes to health care agency
group communication
public speaking
adjuvant therapies
reduce the amount of opiod the patient recquires many are used for conditions other than pain -many useful for neuropathic pain
fidelity
refers to the agreement to keep promises
energy therapies
reiki magnets qigong
energy therapies
reiki magnets quigong
anxiety related to aids what is wrong with this diagnosis
related a nursing dx to a medical dx
decoding
relating the message to your past experiences to determine the meaning
morphine
relief of moderate to severe pain opiod agonist
maladpative stress
relieve symptoms temporarly but does not adresss root of the problem
disinfection
removes a mask all pathogens on inantimate objects but does not guarentee they are all gone
reticular activating system
responsible for maintaining wakefulness; regulates sleep and awake cycles
informed consent
right to know risk and benefits -part of autonomy
religion
roadmap
risk has no..
s/s (AEB)
bowlby grief
says that feeling of grief comes from realization that your loved one is gone.
engel's stage of grief
says that if you have uncomplicated grief you should follow a predictable pattern depending on the severity and how prepared you were for the loss
secondary data
secondhand from medical record or caregiver
intrapersonal
self talk
transmission
sensory nerves go to the spinal cord to the brain
engel's stages of grief
shock and disbelief developing awareness restitution and recovery
bowlby phases of grief
shock and numbness yearning and searching disorganization and repair reorganization
A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? Obtain a court order for the surgical procedure. Ask the EMS team to sign the informed consent. Transport the victim to the operating room for surgery. Call the police to identify the client and locate the family.
transport the victim to the operating room for surgery
True/false: people with chronic pain may seem normal
true
special need assessment
type of focused assessment in depth information about a particular area
restless leg syndrome
uncontrollable movement of legs during sleep /rest
loss
undesired change or removal of a valued object, person, or situation
patient self determination act
uphold the rights of a patient regarding the decision of his own healthcare
isokinetic
use of machines that control the speed of contraction
active listening
uses all senses to focus on the sender's message, gives undivided attention and allows the sender the opportunity to complete comments without interruptions
candence
variation in pitch don't want to sound monotone
inflammatory response
wbc, histamine, redness, swelling
stressor
what causes the stress
connotative
what the language implies
cues
what the patient says
fear
what we know we are afraid of
reflex pain response
when reflex pain response is triggered it signals inflammation process
reservoir:
where the bacteria grows
tort law
with wrongs not involving a contract
psychosocial stressor
withdrawal/ party drink
passive euthanasia
withholding air / water / food so that the person dies
voluntary coping response
working out, yoga, discussion
contract law
written or oral agreement between parties breach of contrct
identify two techniques to reduce fatigue is this a smart goal
yes
risk for falls related to decreased cognitive mental status secondary to huntington's disease is this correct
yes
mind-body medicine
yoga spirituality relaxation
mind-body therapies
yoga spirituality relaxation
complementary
you can do it on top of your traditional medicine
anticaptory grief
you know that you are going to lose the person soon.. EX) saying to the nurse, "i'm glad that my mother wil be out of pain soon."
psychogenic pain
your brain is telling you that you are having pain. you think you are having pain but there is no way to measure it EX) fibromyalgia
5 orders of POLST
§ CPR § Medical Interventions § Antibiotics § Tube feeding § Medical Condition/Goals