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