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Med/Surg
Wk 1: C 2, 5, 7 & 10
| Question | Answer | Additional Info |
|---|---|---|
| Home Health Care Visits/Reimbursement | Must be authorized by physician. Plan of care: diagnosis, mental status , types of services needed, | supplies & equip ordered, freq. of visits, prognosis, rehab potential, funtional limitations, nutrition, meds and treatment |
| Disability Levels | Level I | Slight limitation in one or more ADL; able to work |
| Disability Levels | Level II | Moderate limitation in one or more ADL; able to work but workplace may need modifications. |
| Disability Levels | Level III | Severe limitation to one or more ADL; unable to work. |
| Disability Levels | Level IV | Total disability, with nearly complete dependency on others for assistance with ADL; unable to work. |
| Intermediate Care | Custodial care, Pt oftern need assist. w/2 or 3 ADL, 24hr availability, require an RN to serve as DON & LPN to be on duty at least 8 hrs daily | |
| Effects of Long-Term Care | Depersonalize, Indignity | *Try to redefine the "normal" |
| Holistic Care | View as whole individual, considers physical, emotional, social, economic, and spritual needs of individual and family | Mind Body Soul |
| Attitudes | Feelings toward people or things; reactions that flow from values and beliefs | |
| Values | Principles shared by a society that determine what is desirable or worthwhile; worth given to an idea or action | |
| Beliefs | A conviction or opinion | |
| Patient vs. Client | Patient | Denotes doing to or for someone. |
| Patient vs. Client | Client | Denotes partnership; working with someone |
| Patients' Bill of Rights | A way to help the patient feel respected as an individual; always refer to them by name | 1973 American Hospital Association |
| Nursing Attributes | Awareness of self, analyze one's own feelings, model to others, desire the help others, sense of ethics/high principles, responsible | Helper Role |
| Assertive Communication | Express yourself w/o violating others | |
| Aggressive Communication | Violates others rights. | |
| Effective Listening | Make sure you hear what is said, clarify, accept Pts needs & feelings, pay attention to noverbal communication | |
| Empathy | Ability to identify with and understand another person's situation, feelings, and motives. Requires compassion, understanding, and good therapeutic communication skills. | Responding with genuineness, warmth, and sensitivity to promote well-being of the patient |
| Developmental Tasks | Young Adult (20-45) | Self body image, independence from parental home & financial aid, assume responsibilities, decision making, able to express love responsibly thru more than sexual contact, maintain home, decide on family |
| Developmental Tasks | Middle Age (45-65) | Help growing & grown children become responsible, balance work, prepare for retirement, accept & adj to physical changes. Develop satisfying leisure activities. |
| Development Tasks | Older Adults (65 and over) | Recognize the aging process, adj. to decreasing physical strengths, adj. to retirement, establish satisfactory living arrangements, maintain max level of health, cope with death of parent, spouse, and friends |
| Role | How one is expected to behave in a situation What is expected of a person in a certain position. | |
| Affective Communication | Verbal messages of: Caring and physical gestures of touching, caressing, holding and looking | Verbal expression of affection usually predominate |
| Dysfunctional Communication | Unclear transmission of information prohibits receiver from understanding the intent or meaning | Gets people on the defense, communication becomes confusing, vague, indirect, secretive,and defensive |
| Adaptation to Stress | Internal | Family pulling together and responding to a problem as a unit. Positive communication |
| Adaptation to Stress | External | Use of social support Willing to accept help from outside the family. |
| Causes of Death | Young Adults | Accidents, suicide, homicide |
| Causes of Death | Middle Adult | Cardiovascular Disease |
| Causes of Death | Older Adult | Chronic illness Cardiovascular Disease Cancer Diabetes |
| Handicap | ||
| Handicap | Unable to perform daily physical activities | |
| Disability | A measurable loss of function | |
| Impairment | A disturbance in functioning | Example: wearing eyeglasses |
| Nurse Helper Role | Awareness of self ability to analyze one's own feelings ability to serve as a model to others desire to help others strong sense of ethics & high principles sense of responsibility | |
| Non-Traditional Families | Open marriages Communal families Cohabiting couples Group marriages Gay & Lesbian Marriages Family & Culture | |
| Assessing Cultures | Know, likes, dislikes and beliefs | |
| Mastery | Results of using effective coping strategies The family functions in a healthy manner | |
| Martyr | Sacrifices everything for the family | |
| Scapegoat | Problem member of the family (diverts attention away from marital conflict) | |
| Encourager | Praises other contributions to the family | |
| Caretaker | nurtures and cares for other members in need | |
| Initiator-Contributor | Opposes and rejects ideas | |
| Medicare | Part A: Hospital care, extended care facility, home health Part B: Covers 80% customary and usual rates after deductibles are met Part D: Prescription drugs | 1965 |
Created by:
sricherson
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