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246 Exam 3
246 CH 16, 18, 19
| Term | Definition |
|---|---|
| worries of families in ICU | death, role changes, uncertainty, financial concern, routine disruption |
| families in ICU look for | insurance, information, proximity, comfort, support |
| nursing role in ICU | takes time to meet support and medical needs, provides communication through specialist |
| ambiguity | being open to more than one interpretation |
| directing behaviors | acting as an advisor by working with a family member to make decisions |
| supportive behavior | bringing items to make feel more comfortable with nurses and provider |
| whiteboard | outlines plan of care, communicates with nurses and provider |
| provider awareness | increase interaction so trust does not have to be rebuilt |
| visiting policies | unrestricted decreases patient anxiety, confusion, agitation, decreases length of stay, increases patient satisfaction and enhances quality and safety |
| discharge planning | starts at admission, educating about admission, assessing health literacy and type of learner, assess illness story and family demographics |
| discharge plan | what to do when the person gets home, how to do it, instruction to make appointments |
| family interventions | discuss physical care of patients, ways to assist, recuperate family members at home, nurse follow up call to address information |
| advanced directives | patient appoint a decision maker and they make the decision for the patient; living will, durable POA |
| withdrawing or withholding LST | CPR, blood products, cancer treatment, support devices |
| family presence during CPR | results in positive outcomes for both family members and patients |
| organ donation | discuss separate from notification of death, team is in rapid response and does not delay funeral |
| mental illness | all diagnosable mental disorders that involve a significant change in thinking, emotions and behavior along with distress and problems functioning |
| criteria for mental health and illness | alterations in a person's thinking, mood or behavior that causes individual distress, impairs functioning, places individuals at significant risk |
| family needs of members with mental illness | affordable respite care |
| parenting mental illness | double burden common, isolation, grief, blame |
| siblings of mental illness | potentially negative impact relationship |
| crisis plan | predetermined plan to follow when crisis occurs |
| psychiatric advance directive | legal document that allows a second party to act on behalf of the patient if they become unable to make decisions |
| strength based nursing approach | promotes self efficacy, empowerment and hope guided by core interrelated values |
| SBN values | health and healing, uniqueness, holism and embodiment, subjective reality and created meaning, person and environment, self determination, learning, timing and readiness, collaboration |
| holism | look at needs and finding strengths, how can you build on them |
| self determination | how we can help one's conditions and build |
| tidal model | emphasizes shift in how nurses think about the care provided to people with mental health conditions, value patients voice while working through care plan |
| tidal principles | value the voice, respect the language, become the apprentice, be transparent, use tools, develop curiosity |
| recovery model principles | unique to each individual, different pathways things can occur, not a linear process |
| recovery | process of change where individuals improve their health and wellness, live a self directed life and strive to reach their full potential |
| MDD | major clinical depression, causes a persistent feeling of sadness and loss of interest, it affects how someone thinks, feels and behaves |
| PHQ 9 | tool to screen and assess responses, evaluates symptoms and treatment plan |
| serotonin syndrome | stimulants and herbal supplements, life threatening |
| adults MDD | anhedonia, anxiety, decreased energy, change in appetite and sleep, body aches |
| children MDD | irritability, anger, poor academic performance, substance use |
| anhedonia | no pleasure in enjoyable activities |
| bipolar disorder | recurring, treatable condition that causes cycles of mania and depression; episodes 1 day to months, can be genetic, average onset of 25 |
| schizophrenia | chronic condition of disturbed thought processes, perceptions and affect that can lead to severe social and occupational dysfunction and hospitalization |
| schizophrenia psychosis | first time late teens, early twenties |
| psychotic symptoms | distorted thinking, altered perceptions, delusion, hallucination |
| negative symptoms | loss of motivation, loss of interest |
| cognitive symptoms | problems in concentration or memory |
| ADHD | attention deficit, impulsivity and hyperactivity |
| children ADHD | behavior problems, anxiety, depression, diminished concentration |
| stigma | labeling, stereotyping, separation, status loss, discrimination |
| self stigma | negative attitudes, internalized |
| community | population groups and individuals who share similar interests, needs and outcomes regardless of geographical location or setting |
| population health | health outcomes of a group of individuals |
| public health nurse | practice of promoting and protecting health of populations regardless of geographical location or setting |
| public health nurse | practice of promoting and protecting health of populations |
| alma atta | proposed 5 interconnected primary health care principles |
| ottawa | overarching strategies |
| population health framework | key assumptions |
| SDOH | major determinants of health; health care access and quality, education, social and community context, economic stability, neighborhood |
| role of public health nurse | health education, facilitate access to resources, assessment, assurance, policy development |
| alma ata 5 | health promotion, accessibility, public participation, appropriate technology and intersectoral collaboration |
| ottawa strategies | develop personal skills, creative supportive environments, build healthy public policy, strengthen community action, reorient health services |
| population assumptions model | recognition of determinants of health, use research and practice knowledge, collaborate with families and use appropriate actions and build relationships based on mutual respect and caring |
| family homes | visiting home to asses safety, nutrition, emotional need |
Created by:
ahommel
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