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Pathophysiology
Foundations
| Term | Definition |
|---|---|
| Pathophysiology | study of functional alterations at the molecular, cellular, tissue, and organ systems level which impacts and involves disease states |
| Etiology | cause of disease (genetics, infectious, environmental) |
| Pathogenesis | disease developments |
| Clinical manifestations | signs and symptoms of a disease |
| Diagnosis | identification of disease |
| Prognosis | likely outcome of disease |
| Modifiable Risk Factors | behaviors or exposures which can be changed: smoking, poor diet, physical activity |
| Non-Modifiable Risk Factors | characteristics that cannot be changed: age, genetics, sex, family history |
| What Do Risk Factors Allow | allow for prevention, early detection, and management of a disease |
| Treatment | based upon result: can lead to surgical or pharmacological |
| Epidemiology | study of the distribution and determinants of health-related states or events in populations. informs public health to make strategies |
| Incidence | number of new cases in a specific time period |
| Prevalence | total number of existing cases |
| Morbidity | to the condition of being diseased; disease rate in a group |
| Mortality | refers to death rates within a population due to a disease |
| Leading Indicators of Morbidity and Mortality | heart disease, cancer, chronic lower respiratory disease, stroke, diabetes, alzheimer's disease, unintentional injuries (overdoses, car accidents) |
| Importance of EBP | improve patient outcomes, increases healthcare quality and safety, ensures consistent care standards, support clinical decision-making, reduces potential errors |
| Strategy/Priority for ABCs | prioritize immediate physiological needs |
| Strategy/Priority for Maslow's Hierarchy of Needs | after ABCs, consider other physiological needs (nutrition, elimination, pain relief) before psychological needs |
| Strategy/Priority for ADPIE | apply assessment, diagnosis, planning, implementation, evaluation |
| Strategy/Priority for Safety First | prioritize client and and staff safety; fall risk patient needs preventative measures rather than being offered a snack |
| Strategy/Priority for Least Restrictive/Invasive | choose interventions that are minimally restrictive/invasive when appropriate; offer oral meds than an IM first if applicable |
| Strategy/Priority for Acute vs Chronic/Stable vs Unstable | prioritize acute, unstable, or life threatening conditions over chronic or stable ones |
| Strategy/Priority for Emergent vs Non-Emergent | address conditions requiring immediate attention over those that can wait |
| Strategy/Priority for Delegation Rules | understand what can and cannot be delegated to LPN and UAPs |
| Test Strategies for Identifying Client and Setting | note age, diagnosis, comorbidities, and care setting |
| Test Strategies for Eliminating Obvious Wrong Answers | quickly discard options that are clearly incorrect or unsafe |
| Test Strategies: Look for Umbrella Option | sometimes one answer encompasses several other correct, but less comprehensive options |
| Test Strategies: Avoid Absolute Words | be cautious of options containing words like always, never, all, none, and every |
| Test Strategies: Think Assessment Before Intervention | unless client is in immediate life-threatening danger |
| Test Strategies: Trust Your Gut Feeling | after careful reading, your first instinct is often correct if you've studied well |
| Test Strategies: Expected vs Unexpected Findings | identify what is normal or expected for a given condition vs what is an abnormal or critical finding |
| Clinical Judgement: Analyze Cues | organize and interpret the recognized cues, linking them to the client' condition and underlying pathophysiology |
| Clinical Judgement: Prioritize Hypotheses | generate possible explanations or solutions for the clients problem and rank them by urgency and likelihood |
| Clinical Judgement: Generate Solutions | develop a plan of care by identifying expected outcomes and appropriate nursing interventions for the prioritized hypotheses |
| Clinical Judgement: Take Action | implement the most appropriate and prioritized nursing interventions |
| Clinical Judgement: Evaluate | compare observed outcomes with expected outcomes to determine the effectiveness of nursing actions |