Fancy recently lost her dog that she had since she was 10 yrs old. She is suffering from disturbed sleep and loss of appetite
What mood would she be going through that would relate to her recent loss?
C. Depression - you got it!
Depression: a commonmental disorder that presents with depressed mood, loss of interest or pleasure,feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration
What are the five types of losses?
Remember P A
A S D
1. Perceived
2. Actual
3. Anticipatory
4. Situational
5. Developmental
what is actual loss
When loss is recognized by others
what is perceived loss
Experienced by one person but cannot be verified by others.
(ex. loosing a pet but others cant relate)
What is Anticipatory loss
Experienced before loss occurs–Can be actual or perceived
what is Situational loss
Things or events that remind person of loss
(Ex. A widow's husband birthday reminds her of husbands passing.)
Husband is not passing AT THAT MOMENT (he's already gone) but eventmakes it a situational loss
What is Developmental loss?
Losses that happen over a specific stage of life
(ex. Chanse leaves Elisa for his NBA scholarship [empty nest symdome], Retirement at old-age)
What are the (5) Kubler-Ross(1969) Stages of Grieving?
D
A
B
D
A
Denial
Anger
Bargaining
Depression
Acceptance
What does DABDA stand for? And what theroist does it belong to?
Kubler-Ross(1969) Stages of Grieving
Denial
Anger
Bargaining
Depression
Acceptance
What are a few Factors Affecting Grief
1. Age
2. culture
3. Gender
4. Cause of death
What are the 3 Clinical Signs of Death
Cessation of:
1. Apical Pulse
2. Repsiration
3. Blood pressure
Is a DNR a living will or a proxy directive?
Living will
List the 2 advanced directives
1: Living will
2: Proxy directive
What is the difference between a living will and a proxy directive?
A living will is a written list of do's and don'ts/ instructions for when a person is no longer able to speak for themselves
A proxy directive is a person assigned to make your decisions when you are unable to speak for yourself and a living will does not exist
What are the 5 C'S of Good Nursing Notes?
Clear
Concise
Comprehensive
Consistent
Complete
Why Document
used to monitor a client’s progress and communicate with other care providers. It also reflects the nursing care that is provided to a client.
Purpose of Documentation?
Communication
Accountability
Legislative Requirements
Quality Improvement
Research
Funding and Resource Manageme
What are the 4 Types of Documentation Forms?
1:Worksheets and Kardexes
2:Care Plans
3:Flow sheets and Checklists
4:Monitoring Strips
What kind of documentation is Worksheet and Kardex's
The information kardexes and worksheets contain may be erasable as long as the permanent health record reflects the nursing assessment
What is the proper GBC Signature and Designation?
C. S. Dennis GBC SPN1
What causes DEPRESSION?
decreased SEROTONIN
Depression is not worse in the morning.
True or False?
FALSE!!
com on son' you know you are sad in the morning
How would a nurse screen for depression?
The p/t would experience five symptons daily lasting 2-3 weeks.
(ex. sleep disturbance, lose of appetite, loss of interest)
what are THREE nursing interventions for DEPRESSION?
1. identify cause? (ex. death)
2. Monitor for suicide
3. Non-pharmacological approaches first (ex. counselling, SW. etc)
esort to meds)
What are pharmacological treatments available to treat depression?
•SSRIs (serotonin re-uptake inhibitors)–
Examples- celexa, effexor, paxil–increase the amount of serotonin available in brain to improve mood
Side effects- constipation, dry mouth, stomach upset
What is DELIRIUM?
Acute disturbance of consciousness accompanied by a change in cognition
what are key characteristics of DELIRIUM?
woresning of confuision
drowsiness
quickly
halutionation
fear,anger,terror
is DELIRIUM reversable?
yes.
when underlying physiological issues are treated
What is a NURSING DIAGNOSIS for Delerium?
Acute confusion RELATED TO delerium AS EVIDENCE BY adverse medication effects
Acute confusion RELATED TO delerium AS EVIDENCE BY dehydration
What are NUSING INTERVENTIONS for Delerium?
1: Ongoing mental status assessment
2: Asess and manage pain
3: Create a quiet, calm, and safe enviornment
This disorder is a chronic, progressive and degenerative brain disorder. It effects cognitive function declines & leads to inability to perform ADLs.
What is this disorder?
Dementia
"Loss of purposeful movement, difficulty performing familiar tasks"
B) Apraxia
"Loss of visual acuity, judgement"
C) Altered perception
Apathy
B) Loss of initiation, mood changes
Anosognosia
C) No knowledge of their disease
Agnosia
B) Loss of recognition
Aphasia
B) Loss of language skills
What is amesia?
Loss of memory
You must have (---) altered domains of functioning for dementia to exist.
C) 2
What is the NURSING DIAGNOSIS of Dementia?
TRICK QUESTION!
There is none... It can only be diagnosed after the person has died. An autopsy determines diagnosis.
What is a GOAL for dementia?
To slow the progression and apapt the care to changing needs
What is NURSING ASSESSMENT for dementia?
Mini mental status examination (scores the severity of dementia and aseesses cognitive function)
What is the cause of dementia?
A decrease of acetylcholine in the brain (that's what causes them to lose their memory)
What are NURSING INTERVENTIONS for dementia?
-To support cognitive function (ex. repeating yourself and providing simple explanations)
-Promoting physical safety (fall preventions)
- Reduce anxiety and agitation
-Meeting socialization needs
What is Parkinsons?
Slow, degenerative neurological disorder due to the loss of dopamine stores
