HDFS 4810 Test 3
Pain Management Techniques:
-Sucrose water -Lidocaine (injectable/topical) -Vibration and cold -Buzzy -- cold and vibrating bee -Cold spray
HMOs:
(Health maintenance organizations) a network of providers for which costs are covered inside but not outside the network
Affordable Care Act:
(Obamacare) -No lifetime caps on insurance coverage -Dental and vision until 19 -No preexisting conditions
PPOs:
(Preferred Provider Organization) Covers routine preventative care. My use in-network or out-of-network providers (at a higher cost to you). Usually have higher premiums.
Private Health Care Plans:
-Not coverage through an employer -Fee-for-service or traditional indemnity plans -Managed health care (HMOs and PPOs)
Night Shift:
-Pay is higher -You need more support -Good sleep is vital
Ethical and professional dilemmas related to patient blogs and social media:
-Privacy or confidentiality -Professional reactions/reputations -Privacy of child/family -Therapeutic boundaries--babysitting
Intrapartum: During labor
-Admission -Medication/Epidural -INduction -C-Section (nurses are a nonsterol resource) -Pushing--coaching -Delivery
Therapeutic Rapport:
-Building a relationship -Building trust -Birth plans--patients are a part of the healthcare team
Non-Pharmacological Pain Management:
-Distraction -Guided Imagery -Positioning for comfort -Emotional support -Deep breathing
Involving Support System:
-Family-Centered C-Sections -No visiting hours -Couch shirt and ID Band
Antepartum: Before labor
-Illness -Decreased Fetal Movement -Labor Assessment -Evaluating conditions complicating pregnancy
Why use imagery?
-Increased capacity for comfort -Increased ability to dissociate from pain experience -Increased ability to reduce anxiety -Increased ability to alter their pain and their overall experience
Lack of Insurance:
-Lack of a consistent source of medical care can have psychosocial implications for children -Families often look to hospital ER as their child's health provider
Medicaid:
-Low income, blind -64% of special needs families are turning down jobs in order to maintain health care in an effort to stay in the right income bracket
Postpartum: After delivery
-NRP (neonatal recessitation protocol) -Care of mom and well infant -Circumcision -Infant feeding (breast or formula) -Discharge
Principles of Professional Ethics:
-The duty "do good" that is the duty to promote the welfare of the individual -The duty to avoid or at least minimize harm and burden -Beneficence and nonmaleficence are rarely, if ever, mutually exclusive -There is almost always some tradeoff of harm or burden for the anticipated good -The duty to recognize an individual as having unwise worth, character and potential and deserving treatments with dignity -The duty to respect and fast self-determination and freedom of action of the individual (autonomy) and this principle includes the obligation to consider and respect the decision-making capacity of each individual; -The duty to be fair, impartial and equitable and to avoid any discriminatory practices -The obligation to be truthful -The duty to keep promises (fidelity) -The duty to attain and maintain adequate skills and abilities to perform responsibilities (competence) -The responsibility to respect and protect the privacy of others and to refrain from sharing potentially, harmful, embarrassing or irrelevant information (confidentiality)
Living Will:
-Your own wishes expressed in a document -Also referred to as an Advance Medical Directive or Health Care Proxy
Grief:
A normal and natural reaction to the loss which includes any feelings, thoughts, and/or behavioral responses
Waiting Period:
A period of time you waiting before insurance covers your losses
Coinsurance:
A provision under which both the insured and the insurer share the covered losses
Co-payment:
A specific amount of money a patient pays for a particular service
Deep Breathing:
A useful coping technique that can be used in the midst of pain
Nurses do what?
ASSESS (color, speech, walk etc.), PLAN, IMPLEMENT THE PLAN, and EVALUATE--all documentation required
3 Events Associated with Guided Imagery:
Absorption - patient totally involves Disassociation - separate self from pain Suggestibility - suggest scenes, the patient can agree or disagree
Deductible:
Amount you must pay before you begin receiving any benefits from your insurance company
Policy Provision:
Any phrase or clause in an insurance policy that describes the policy's coverages, exclusions, limits, conditions, or other features.
Durable Power of Attorney for Health Care:
Appoints a person to make health care decisions
Durable Power of Attorney for Finances:
Appoints a person to manage your property or finances
ADN:
Associate degree nurses
BSN:
Bachelors of science and nursing
Preexisting Condition:
Cancer, diabetes, asthma
"Dignity of Risk":
Decisions to allow teens to make choices, even potentially harmful choices, in an effort to develop and exercise decision-making abilities
Nursing Shift Work:
Generally 12-hours (7-7am/pm)) and hourly pay accept in operating room
Georgia Medical Consent Law:
Gives physicians to treat anyone who is unable to give informed consent (nonemergency or emergency)
Individuals who smoke:
Have higher premiums and some hospitals won't hire them
HIPAA:
Health Insurance Portability and Accountability Act which protects the privacy of individuals health information
Premium:
How much you pay for the total amount of insurance you purchase (yearly or monthly)
Guided Imagery:
Induces an altered state of consciousness where a patient develops a heightened focus on a particular idea for the purpose of relaxation or distraction
Worker's Comp:
Job injuries
Powers of Attorney:
Legal documents authorizing another person (agent) to act on their behalf of another (principal) *do not continue after you die
LPN:
Licensing practiced nurses
"The Golden Hour":
Limited visitors to help with mother-baby bonding, breastfeeding, and Kangaroo Care, delayed bath
Coinsurance Cap or Stop Loss Provision:
Limits the out of pocket expenses every year
Guided imagery is most useful for _________ procedures or for bedside pain management
Longer
Leora Kuttner uses hypnotic pain management tools to help children to minimize their level of pain --
Magic Glove
Coordination of Benefits Clause:
Makes sure you are not getting more money than you need to from the insurance company
Medicare:
National Health Insurance program for the elderly and disabled.
Long-term Care Insurance:
Services are provided when a person cannot perform certain activities of daily living (ADLs) and/or is cognitively impaired such as: custodial care, home care services, physical therapy, homemakers, home health aides, assisted living, adult daycare
Individuals who are obese:
Should they pay higher premiums? What are employers doing to encourage healthy lifestyles?
Nagy Stage-Based Theory:
Stage 1: there is no definitive death -Death is not seen as final (ages 0-4) Stage 2: death = a person -Death is imagined as a separate person (ages 5-9) Stage 3: the cessation of corporal life -Death is seen as final and universal (ages 9+)
Loss:
The end or change of a familiar pattern of living or behavior
Policy Limits:
The maximum amount an insured may collect, or for which an insured is protected under the terms of the policy
Powers of Attorney Disadvantage:
The person you choose can abuse their power (to benefit themselves or their family)
Why are professional boundaries so important?
They prevent "burnout" and protect yourself
PeachCare for Kids:
Under 18, don't qualify for Medicaid, under certain income level
Powers of Attorney Advantage:
You reduce the need for someone to go to court to get approval to make decisions on your behalf
Procedural pain in _____________ to all pediatric patients and _________ _______ pain in the most common source of pain in hospitalized children
universal; needle stick