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Nursing Funds

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Term
Definition
WHAT IS QUALITY OF CARE?   health care that is safe, effective, pt. centered, timely, efficient & equitable, or fair (time orientation)  
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HEALTH DISPARITY   particular type of health difference that is closely linked w/ social, economic, and/or environmental disadvantage  
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PARITY   means equality  
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MARGINALIZED GROUPS   to put or keep (someone) in a powerless or unimportant position within a society/group (poor health & diet at an early age)  
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ACCULTURATION   adapting or adopting a new culture (social organization)  
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ASSIMILATION   an individual gives up his or her ethnic identity in favor of a dominant culture  
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ETHNICITY   shared identity related to social/cultural heritage  
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LADDER OF CULTURAL COMPETENCE   emphasizes how culturally competent organizations & individuals can work to eliminate healthcare disparities  
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POOR HEALTH OUTCOMES   limited health literacy  
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CULTURE   integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, & institutions of racial, ethnic, religious, or social groups  
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INTERESECTIONALITY   privilege & oppression  
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OPPRESSION   formal & informal system of advantages and disadvantages tied to out membership in a social group (individual/cultural/institutional)  
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WORLD VIEW   how people perceive others, how they interact & relate to reality; how they process information "the way people look upon the world"  
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TRANSCULTURAL NURSING   comparative study of cultures in order to understand their similarities & the differences among them  
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CULTURALLY CONGRUENT CARE   care that fits a person's life patterns, values, & system of meaning  
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CULTURAL ENCOUNTERS   cross-cultural interactions to learn of the cultures  
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SOCIAL DETERMINANTS OF HEALTH   resources such as access to health care, job opportunities, nutritious food, clean air & transportation (social factors)  
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STEREOTYPING   assumption that people in a culture, racial, or ethnic group are alike & share the same values & beliefs  
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ILLNESS   the way individuals & families react disease  
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DISEASE   a malfunctioning of biological/psychological processes  
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CORE MEASURES   key quality indicators that help healthcare institutions improve performance, increase accountability & decrease costs, healthcare disparities  
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CULTURAL COMPETENCE   a health care professional strives to work effectively within the cultural context of a pt./ensure delivery of culturally congruent care  
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COMPONENTS OF CULTURAL COMPENTENCE   -cultural awareness -cultural knowledge -cultural skills -cultural encounters -cultural desire  
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CULTURAL DESIRE   motivation & commitment to caring that moves an individual to learn from others  
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CULTURAL KNOWLEDGE   comparative of diverse groups, endogenous, values, worldview  
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CULTURAL SKILLS   assess pt. treatment & care; assess social, cultural & biophysical  
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CULTURAL ENCOUNTERS   learn about other cultures  
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CULTURAL DESIRE   motivation/commitment to caring that moves an individual to learn from others  
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ESTABLISHING RELATIONSHIPS   transcultural communication skills to interpret behavior  
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MODEL OF CULTURAL COMPETENCE   1. developing self-awareness 2. understanding the worldview of others 3. developing appropriate strategies/skills/interventions 4. understanding organizational/institutional forces that either enable or inhibit cultural competence  
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BIAS   predisposition to see people or things in a certain light, either positive or negative  
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CULTURAL ASSESSMENT    
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LINGUISTIC COMPETENCE   ability of an organization & it's staff to communicate effectively & convey information in a manner that is easily understood by diverse audiences  
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EXPLANATORY MODEL   ability to elicit a pt's explanation of an illness & its causes  
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PATIENT-CENTERED CARE   provides individualized care & restores an emphasis on personal relationships  
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OFFICE OF MINORITY HEALTH & HEALTH DISPARITIES   organization requiring culturally sensitive health care delivery  
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SPIRITUALITY   an awareness of one's inner self & a sense of connection to a higher being, nature, or some purpose greater than oneself  
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HOLISTIC   of or pertaining to the whole; considering all factors; balance of physical, psychological, etc.)  
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FLORENCE NIGHTINGALE   believed that spirituality is a force that provides energy needed in a healthy hospital environment & spiritual needs just as important as physical needs  
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SELF-TRANSCENDENCE   connecting to your inner self, which allows one to go beyond oneself to understand the meaning of experiences; send of authentically connecting to one's inner self  
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TRANSCENDENCE   the belief that there is a positive force outside of & greater than oneself that allows one to develop new perspectives that are beyond physical boundaries  
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INTRAPERSONALLY   connected w/ oneself  
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INTERPERSONALLY   connected w/ others & the environment  
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TRANSPERSONALLY   connected w/ God, unseen higher power  
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FAITH & BELIEF   assess source of authority & guidance that pts. use in life to choose & act on their beliefs  
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FAITH   self of beliefs & a way of relating to self, others, & a supreme being; reasoning & trusting faith  
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HOPE   source of energy that helps a person plan & achieve future goals; living & looking forward to something  
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INNER STRENGTH   energy source that instills hope, provides motivation, & promotes a positive outlook on life, even in difficult times  
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INNER PEACE   fosters calm & positive feelings despite life experiences of chaos, fear, & uncertainty  
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ATHEIST   do not believe God exists  
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AGNOSTIC   believe that any ultimate reality is unknown or unknowable  
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SPIRITUAL WELL-BEING   individuals spirituality that enables a person to love, have faith, & hope, seek the meaning of life, & nurtures relationships with others  
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CONNECTEDNESS   assess whether pt. loses the ability to express; having close spiritual relationships w/ oneself, other, & God or another spiritual being  
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LIFE SATISFACTION   determine whether a pt. feels fulfilled w/ what he/she has accomplished in life  
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LIFE & SELF RESPONSIBILITY   determine whether pt. understands limitations posed by an illness & how they adjust  
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MEDITATION   lowers B/P, stress/pain & enhances the function of the immune system  
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4 DIMENSIONS OF SPIRITUAL WELL-BEING   1. personal - how you relate with oneself; meaning of life 2. communal - quality of your interpersonal relationships 3. environmental - how you interact with the world 4. transcendental - relationship between yourself & God  
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RELIGION   specific system of organized beliefs & worship that a person practices to outwardly express spirituality (particular denomination of worship)  
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SPIRITUAL CARE   helps people maintain personal relationships & a relationship w/ a higher being or life force to identify meaning & purpose of life  
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RELIGIOUS CARE   helps pts. follow their belief systems and worship practices  
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SPIRITUAL DISTRESS   impaired ability to experience and integrate meaning & purpose in life through connectedness w/ self, other, art, music, etc. (anger towards God because of illness or other matter)  
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ESTABLISHING PRESENCE   pay attention, answer questions, listen & have a positive and encouraging attitude  
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NEAR DEATH EXPERIENCE (NDE)   psychological phenomenon in which people have either been close to clinical death or recovered after being declared dead  
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FICA - evaluates spirituality & quality of life   F - Faith/belief I - Importance of spirituality C - individuals spiritual Community A - interventions to Address spiritual needs  
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CONNECTEDNESS   having close spiritual relationships w/ oneself, other, & God or another spiritual being  
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PRAYER   personal communication w/ one's God  
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FELLOWSHIP   relationship an individual has w/ other people; family, friends, coworkers, school or church  
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RITUALS   participation in a religious group or private worship, prayer, sacraments (eg: Christian, communion) (eg: circumcision)  
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SPIRITUAL HEALTH   gained by find balance in life  
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FELLOWSHIP & COMMUNITY   explore the extent & nature of the pt's support network  
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RITUAL & PRACTICE   assess participation in worship, prayer, etc.  
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SUPPORT SYSTEMS   human-link between pts, nurses & pts lifestyle; family friends, spiritual advisors, clergy & pastoral  
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DIET THERAPIES   food & nutrition (consult w/ dietician) (eg: muslims cannot eat pork)  
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SUPPORTING RITUALS   plan care to allow time for pt. to practice the rituals & activities, religious readings, & spiritual visitations  
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VOCATION   strong feeling of suitability for a particular career or occupation  
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FACTORS INFLUENCING SPIRITUALITY   acute, chronic, or terminal illnesses & near death experiences  
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SUPPORTING A HEALING RELATIONSHIP   mobilize hope, help pt. find acceptability  
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ACUTE ILLNESS   creates an unanticipated scramble to integrate and cope w/ new realities  
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CHRONIC ILLNESS   threatens the persons independence, causing fear, anxiety, & spiritual distress  
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TERMINAL ILLNESS   causes fears of physical pain, isolation, & the unknown, dying  
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ASSESSMENT   pts faith, beliefs, views on life, & religion to ensure patient centered clinical decisions  
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STRESS   physiological/psychological tension that threatens homeostasis or person's psychological equilibrium; result of inability to immediately deal w/ event/threat  
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STRESSORS   tension-producing stimuli in a person's external/internal environment that require change/adaptation; any perceived event that can evoke stress  
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COPING   person's effort to manage psychological stress  
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GENERAL ADAPTATION SYNDROME   a 3-stage defense response of the body to stress 1. alarm reaction 2. resistance stage 3. exhaustion stage  
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ALARM REACTION STAGE   initial stage of the GAS during which defense mechanisms are mobilized  
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RESISTANCE STAGE   second stage of stress response when a person attempts to adapt to the stressor  
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EXHAUSTION STAGE   final GAS stage that occurs when the body no longer can resist the stress  
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PITUITARY GLAND   small gland located below the hypothalamus that produces stress hormones, regulates secretion of thyroid, parathyroid & gonadal hormones  
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ENDORPHINS   hormones that interact with opiate receptors & reduce pain perception & produce sense of well-being  
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FIGHT-OR-FLIGHT RESPONSE   total physiological response to stress during the alarm reaction stage  
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APPRAISAL   individual interpretation of the impact of a stressor or event & subsequent behavior  
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PRIMARY APPRAISAL   evaluates an event for its personal meaning related to stress  
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SECONDARY APPRAISAL   evaluates one's possible coping strategies when confronted w/ a stressor  
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EGO-DEFENSE MECHANISMS   regulate emotional distress & provide a person protection from anxiety and stress  
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COMPENSATION   making up for deficiency in self-image by strongly emphasizing a feature considered an asset  
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CONVERSION   unconsciously repressing an anxiety-producing conflict & transforming it into non-organic symptoms  
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DENIAL   refusing to consciously acknowledge anything that causes intolerable emotional pain  
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DISPLACEMENT   transferring emotions, ideas, or wishes from a stressful situation to something less stressful  
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IDENTIFICATION   patterning behavior after that of another person  
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DISSOCIATION   experiencing a subjective sense of numbing & a reduced awareness of one's surroundings  
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REGRESSION   coping w/ a stressor through actions & behaviors associated w/ an earlier developmental period  
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STRESS MANAGEMENT   techniques used to cope w/ generalized stress & arousal to relax the body and mind  
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STRESS & COPING THEORY   the Neuman Systems Model  
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FACTORS INFLUENCING STRESS & COPING   situational sociocultural maturational  
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SITUATION STRESS FACTORS   personal/family changes; eg: divorce, job loss, chronic illness  
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MATURATIONAL STRESS FACTORS   life stage changes; eg: appearance, identity, death, empty nest  
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SOCIOCULTURAL STRESS FACTORS   environmental & social issues; eg: handicapped, lives w/ violence, substance abuse, prison  
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COMPASSION FATIGUE   a state of burnout & secondary traumatic stress  
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BURNOUT   condition that occurs when perceived demands outweigh perceived resources  
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ASSESSMENT R/T STRESS & COPING   establish pts stress level & coping resources & observe nonverbal behavior  
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SUBJECT ASSESSMENT FINDINGS   create a non-threatening physical environment when asking nursing questions (what the patient tells you)  
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OBJECTIVE ASSESSMENT   through observation of the appearance & non-verbal behavior of a patient (what you SEE)  
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PRIMARY MODES OF INTERVENTION OF STRESS   decrease stressful situations, increase stress resistance, gain skills to reduce stress response  
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HOMEOSTASIS   state of constancy in the internal environment, maintained naturally by physiological adaptive mechanism  
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CRISIS   turning point in life in which previous way of coping are ineffective, requiring change; when an event overwhelms a person's coping mechanism & demands  
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CRISIS INTERVENTION   use of therapeutic techniques to help a pt. resolve a particular & immediate problem  
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PATIENT OUTCOMES   maintain ongoing communication w/ the patient regarding coping  
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APPROACH TO STRESS & COPING   use critical thinking skills to understand the pts stressor & the stress response  
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STRESS-RELATED NURSING DX   gather data from assessment; analyze clusters of defining traits to identify relevant diagnosis  
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SECONDARY TRAUMATIC STRESS   trauma HCPs experience when witnessing & caring for others suffering from trauma  
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SOCIOECONOMIC STATUS   access to support & financial, educational or occupational resources for coping  
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CULTURE & ETHNICITY   interpretations of loss, acceptable expressions of grief & attitudes toward terminal illnesses  
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SPIRITUAL & RELIGIOUS BELIEFS   faith in a higher power, support communities, friends, sense of hope & meaning in life, religious practices  
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END-OF-LIFE DECISION MAKING   suggest pts communicate care wishes so family can act as surrogates when pts cannot speak for themselves  
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ASSESSMENT   discuss grief variables & reactions to ensure patient-centered decisions are made  
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OLDER ADULT CONSIDERATIONS   ask questions about recent relationships, significant life events & other stressful events ongoing all at once  
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PRIORITIES IN PLANNING FOR GRIEF CARE   important to assess patient's most urgent physical & psychological needs  
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PALLIATIVE CARE   level of care designed to relieve/reduce intensity of uncomfortable symptoms but not produce a cure  
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THERAPEUTIC COMMUNICATION   establishing a trusting relationship w/ the patient & family by using an "open-hearted" style  
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HOSPICE   model for care of terminally ill patient & their families; assist clients comfort and with the family-centered care  
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GRIEVING FAMILY   offer holistic, family-centered support, compassion, & education individual to each patient  
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PROMOTE DIGNITY & SELF-ESTREEM   respect pt. as a whole, give importance to things the patient cares about, listen to patient's stories  
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MAINTAIN A COMFORTABLE & PEACEFUL ENVIRONMENT   frequently reposition, keep bed linens dry, control noise & create a familiar environment  
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MANAGEMENT OF SYMPTOMS   reassess pain & medication side effects & advocate change if the patient does not obtain relief  
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EXAMPLES OF LOSS   body parts or function, self-esteem, friendships, confidence, or income, death  
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POST-MORTEM CARE   care of a patient's body after death  
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SIUTATIONAL LOSS   loss of a person, thing, or quality resulting from a change in a life situation (eg: trauma from car accident)  
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KUBLER-ROSS'S CLASSIC THEORY - 5 RESPONSES TO LOSS   1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance  
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AUTOPSY   surgical dissection of a body after death to determine exact case/discover the pathway of a disease  
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RANDO'S "R" PROCESS MODEL   focuses on a series of processes instead of stages  
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NORMAL GRIEF   universal reaction to loss; emotional, cognitive, social, physical, behavioral & spiritual responses  
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FACILITATE MOURNING   help survivors accept loss as real, support adjustment to loss, allow time to grieve, and provide ongoing support  
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BEREAVEMENT   subjective suffering experienced after losing someone significant  
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PERSONAL RELATIONSHIP FACTORS   the quality & meaning of the lost relationship  
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REORGANIZATION   stage of mourning when a person begins to accept new roles, acquire new skills, & build new relationships  
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ACCEPTANCE   individual begins to accept the reality & inevitability of loss & looks to the future  
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NATURE OF THE LOSS   highly visible loss generally stimulates helping responses from others; more private loss brings less support  
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GRIEF TASK MODEL   theory in which individuals actively engage in working through tasks to overcome grief  
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ATTACHMENT THEORY   numbing, yearning, & searching, disorganization & despair and reorganization  
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PERCEIVED LOSS   loss that is less obvious to people other than to the individual experiencing it  
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SPIRITUAL COMFORT & HOPE   involve spiritual care providers in institutional setting; collaborate w/ patient's spiritual leaders  
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ANGER   stage in which individual resists the loss  
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BARGAINING   person postpones awareness of loss & tries to prevent it from happening by making deal/promises  
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PSYCHOSOCIAL CARE   ensure pt. understands the condition, course of disease, & benefits/burdens of the treatment options  
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MATURATIONAL LOSS   loss resulting from the normal changes of growth & development  
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DENIAL   stage of grief in which individual acts like nothing has happened  
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DISORGANIZATION & DESPAIR   stage of mourning in which an individual endlessly examines how & why the loss occurred  
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GRIEF   form of sorrow involving the person's thoughts, feelings, & behaviors as a response to a loss  
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ANTICIPATORY GRIEF   grief response in which the person begins the grieving process before an actual loss; letting go  
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COMPLICATED GRIEF   grief response when a person has a prolonged or very difficult time moving forward after a loss (chronic/delayed/exaggerated/masked)  
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ACTUAL LOSS   loss of an object, person, body part or function, or emotion that is overt & easily identifiable; can no longer be felt, heard, known or experienced  
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YEARNING & SEARCHING   stage of mourning that includes emotional outburst of tearful sobbing & acute distress  
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DEPRESSION   person realizes the full significance of the loss during this stage  
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PROCESS OF GRIEVING   mourning  
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HUMAN DEVELOPMENT   patient age & stage of development  
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NUMBING   stage of mourning that includes lack of feeling or feeling stunned by the loss  
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DISENFRANCHISED GRIEF   grief response when someone's grief is not socially sanctioned or cannot be openly shared (unable to acknowledge; secret)  
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HOW A NURSE CAN HELP WITH LOSS   -knowledge of grief process, the loss, the disease process -reflect on experience -attitudes of risk-taking, self-confidence, humility -standards-guide of assessment & data  
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SELF-CONCEPT & SEXUALITY INCLUDE:   -unconscious & conscious thoughts -attitudes & perceptions  
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SELF-CONCEPT   your view of who you are; if affects your self-esteem & how you feel about yourself; conscious & unconscious thoughts, attitudes, and perceptions  
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SEXUALITY   refers to all aspects of being sexual; a function of the total personality...concerned w/ the biological, psychological, sociological, spiritual, & culture variables of life  
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SEX   bow chicka bow bow..........HAHAHA just kidding basic physiological need & sexual intimacy throughout the life span is equally important for sexual health  
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TRUST VS. MISTRUST   birth - 1 yr. trust from consistency in caregiving & nurturing  
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AUTONOMY VS. SHAME & DOUBT   1 - 3 yrs. communicates likes & dislikes, independent thoughts & actions, appreciates body appearance  
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INITIATIVE VS. GUILT   3 - 6 yrs. takes initiative, identifies gender, enhance self-awareness, increase language skills  
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INDUSTRY VS. INFERIORITY   6 - 12 yrs. incorporates feedback from peers, increase self-esteem, sex identity increases, aware of strength & limitations  
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IDENTITY VS. ROLE CONFUSION   12 - 20 yrs. accepts body changes, examines attitudes & values, feels positive sense of self  
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INTIMACY VS. ISOLATION   20 - 40 yrs. intimate relationships, stable, positive feelings about self, success rose transitions  
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GENERATIVITY VS. SELF-ABSORPTION   40 - 60 yrs. accepts changes, commitment, reassess life goals  
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EGO INTEGRITY VS. DESPAIR   60 - death positive about one's life and death, providing legacy to next generation  
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DUDESSSSSS   MY HANDS ARE KILLING ME!!!!!!!!!!!!!!!!! LMAO  
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IDENTITY   the sense of individuality & being distinct and separate from others "oneself"; necessary for intimate relationships and sexuality is part of identity  
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GENDER IDENTITY   person's private view of maleness or femaleness and gender role is the feminine or masculine behavior exhibited  
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RACIAL/CULTURAL IDENTITY   identifying & socializing within an established group & through incorporating the responses of individuals who do not belong to that group into one's self-concept  
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BODY IMAGE   involves attitudes related to the perception of the body, including physical appearance, femininity & masculinity, youthfulness, health & strength  
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LOCALIZED SITE INFECTIONS   from tattoos & piercings plastic piercing retainer or 14/16 gauge needle to keep piercing open  
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HETEROSEXUAL   attracted to different sex partners  
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LESBIAN/GAY   same sex partners  
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BISEXUAL   both male & female partners  
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TRANSGENDER   different gender identity from as it was at birth  
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ROLE PERFORMANCE   the way in which a person views his/her ability to carry out significant roles; meeting certain expectations (eg: mom/dad, sister/brother, etc)  
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SELF-ESTEEM   an individual's overall sense of personal worth or value; positive when capable & competent  
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SELF-CONCEPT STRESSOR   any real/perceived change that threatens identity, body image or role performance  
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SEXUAL ORIENTATION   clear, persistent erotic preference for a person of one sex or the other  
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SEXUAL DYSFUNCTION   (involves problems w/ desire, arousal, or orgasm); inability or difficulty in sexual functioning caused by physiological or psychological factors or both  
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SEXUAL PERFORMANCE-ENHANCING MEDICATIONS   sildenafil - VIAGRA tadalafil - CIALIS  
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MENARCHE   onset of menstrual cycle in girls  
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SEXUALLY TRANSMITTED INFECTIONS (STIs)   infectious process spread through sexual contact including oral, genital or anal sexual activity  
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STIs????????   PUT A FUCKING RAINCOAT ON!!!!!!!  
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20 MILLION PEOPLE IN US ARE INFECTED WITH   genial human papillomavirus (HPV) 50% are adolescents & young adults 15-24  
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MATTER-OF-FACT STATEMENTS   "this wound is healing nicely" "this looks healthy"  
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NON-VERBAL COMMUNICATION   communication using expressions, gestures, body posture & positioning rather than words  
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AUTONOMY   freedom to choose their own life plan and ability/tendency to function independently  
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SEXUAL HEALTH   integration of the somatic, emotional, intellectual and social aspects of sexual being, in ways that are positive  
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P L I S S I T   P = Permission for HCP to discuss sexuality issues LI = Limited Information SS = Specific Suggestions IT = Intensive Therapy  
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ASSESSMENT OF SEXUALITY INVOLVES   -physical variables -social variables -psychological variables -cultural variables  
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IN US 50 YR. & OLDER ARE ONE OF THE FASTEST GROWING POPULATIONS FOR HIV & AIDS   HIV - human immunodeficiency virus AIDS - acquired immunodeficiency syndrome HPV - human papilloma virus  
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NURSING PROCESS ASSESSMENT   -actual/potential stressors -subjective/objective data -family input -initiate health promotion of activities by self  
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NURSING DIAGNOSIS   -disturbed body image -caregiver role strain  
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NURSING GOALS   -emphasize strengths, not weaknesses -participate in care -adapt to changed body -discuss feelings  
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NURSING INTERVENTIONS   -encourage self care -provide time to listen -teach problem solving techniques -provide positive feedback  
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NURSING EVALUATION   -grooming -posture, non-verbals -social interactions -patient role? (father, mother, sister, etc.)  
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GOOD LUCK   I'M DONE DONE DONE T YPING FOR THE NIGHT!  
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IF ANY MISPELLED WORDS   I DON'T CARE~!!  
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I NEED A LONG HOT BATH   WHOOSH WHOOSH GOES THE WATER!!!!!! CLEARN THEM LADY PARTS!!!!!  
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ugh   I don't want to study  
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