chapter 36 patients with special challenges

  1. Intellectual Disability:

    which disability refers to insufficient development of the brain resulting in some level of dysfunction or impairment
    • developmental disablility
    • -can include intelectual, hearing or vision impairments
  2. Intellectual Disability:

    which disability results in the inability to learn and socially adapt to a normal developmental rate
    Intellectual Disability
  3. Intellectual Disability:

    patients that are the following have a ____ impairment
    -are slow to understand or limited vocabulary
    -behave immaturely compared to peers
    slight impairment
  4. which disorder characterized by..
    -severe behavioral problems
    -repetitive motor activities
    -may be hyper or hypo sensitive to sensory stimuli
    -may show pain in unusual ways(humming, singing, removing clothing
    Autism Spectrum Disorder
  5. which disorder is typically diagnosed at age 3
    Autism Spectrum Disorder
  6. which disorder affect males four times more than females
    Autism Spectrum Disorder
  7. a chromosomal defect that can occur during fetal development
    down syndrome
  8. Down Syndrome patients may have physical abnormalities
  9. as many as ___% of down syndrome patients may have heart conditions, hearing and visual problems
  10. Down Syndrome:

    why may intubation be difficult on Down Syndrome patients?
    they may have enlarged tongues and small oral and nasal cavities
  11. Down Syndrome:

    which joint is unstable in about 15% of Down Syndrome patients?
    atlantoaxial joint(where the first two veretebrae meet)
  12. Brain Injury:

    patients with brain injury, you should find out what is considered normal for the patients
  13. what should you take with you for patients with visual impairments?
    any mobility aids and or a service dog
  14. what kind of deafness is caused by nerve damage
    sensorineural deafness
  15. what hearing loss is caused by faulty transmission of sound waves
    conductive hearing loss
  16. when communicating with a patient with a hearing impairment how far should you position yourself?
    18 inches
  17. changing to a lower tone in your voice may help with communicating with a patient with a hearing impairment
  18. what device amplifies the sound for patients with hearing impairments
    hearing aids
  19. hearing aids:

    what hearing is contained in a plastic case that rest behind the ear
    behind the ear hearing aid
  20. hearing aids:

    what type of hearing aid is an older style used for profound hearing loss
    conventional body style
  21. hearing aids: 

    what hearing contained in a plastic case that fits partly or completely inside the ear
    in the canal and completely in the canal type
  22. hearing aids:

    what hearing aid is contained in a shell that fits in the outer part of the ear
    in ear type hearing aid
  23. a group of disorders characterized by poorly controlled body movement
    Cerebral Palsy
  24. these are possible causes of what disorder?
    -Result of damage to the developing fetal brain while in utero
    -Oxygen deprivation at birth
    -Traumatic brain injury at birth
    -Infection such as meningitis during early childhood
    Cerebral Palsy
  25. a birth defect caused by incomplete closure of the spinal column
    • Spina Bifida
    • -can be fixed surgically but often leaves spinal damage
  26. these are associated conditions of what?

    –Hydrocephalus (requires shunt)
    –Partial or full paralysis of the lower extremities
    –Loss of bowel and bladder control
    –Extreme latex allergy
    Spina Bifida
  27. Bariatric Patients:

    someone who is __% over their ideal body weight is considered obese
  28. Bariatric Patients:

    severely obese patients are how many times over their body weight
    2-3times over
  29. what provides a path between the neck and the trachea
    Tracheostomy Tubes
  30. Tracheostomy Tubes are only permanent
    • false
    • may be temporary or permanent
  31. Tracheostomy Tubes are prone to obstruction
  32. what mnemonic help recognize obstructions in a Tracheostomy Tube
  33. Tracheostomy Tubes:

    the D in DOPE stands for
    displacement, dislodged. damaged tube
  34. Tracheostomy Tubes:

    the O in DOPE stands for
  35. Tracheostomy Tubes: 

    the P in DOPE stands for
    • pneumothorax
    • -collapsed lung
  36. Tracheostomy Tubes:

    th E in DOPE stands for
    equipment failure(kinked tube, ventilator malfunction, empty oxygen)
  37. what is used for patients who cannot breathe on their own
    Mechanical Ventilators
  38. Mechanical Ventilators:

    if ventilator fails what should you do
    apply a trachostomy collar if available or place face mask over stoma
  39. what is used for infants who

    –Are premature and have severe gastroesophageal reflux
    –Have family history of SIDS (sudden infant death syndrome)
    –Experienced a life-threatening event
    apnea monitors
  40. apnea monitors:

    apnea monitors are used __ weeks to __ months to monitor the respiratory system
    2weeks to 2 months
  41. apnea monitors:

    what will happen if the the infants experiences bradycardia ot apnea
    an alarm will sound
  42. apnea monitors:

    apnea monitors also provide a oximetry reading
  43. Internal Cardiac Pacemakers:

    where are pace makers implanted
    on the non dominate side of the patients chest
  44. Internal Cardiac Pacemakers:

    what may be included in a pacemaker
    automated implanted defibrilator
  45. what is implanted under the skin to regulate heart rate
    Internal Cardiac Pacemakers
  46. what device take over control of either one or both heart ventricles
    Left Ventricular Assist Devices
  47. what device is worn under the patients clothes and monitors and defibrilates when patient is in cardia arrest
    External Defibrillator Vest
  48. you should remove an External Defibrillator Vest before performing CPR on that patient
  49. device with its tip placed in the vena cava to provide venous access
    Central Venous Catheter
  50. this device is used for many types of home care patients receiving:
    -Long-term antibiotic drug therapy or pain management
    -Total parenteral nutrition (TPN)
    Central Venous Catheter
  51. what are the common locations of a Central Venous Catheter
    • chest
    • upper arm
    • subclavicular area
  52. what is placed into the stomach for patients who cannot ingest fluids, food or medication by mouth
    Gastrostomy Tubes
  53. Gastrostomy Tubes:

    how are Gastrostomy Tubes placed on the patient
    • -tube placed thru the nose or mouth and goes to the stomach
    • -surgically thru the abdominal wall to the stomach
  54. a tube that drains excess CSF
  55. shunts are used for patients chronic neurologic conditions
  56. Shunts:

    what type of shunt drains excess fluid from the ventricles of the brain into the peritoneum of the abdomen
    ventricular peritoneum shunt
  57. Shunts:

    what type of shunt drains excess fluid from the ventricles of the brain into the right atrium of the heart
    ventricular atrium shunt
  58. Vagus Nerve Stimulators:

    Vagus Nerve Stimulators are implanted to prevent what?
  59. these are characteristics of what?
    -used to prevent seizures
    -used in children older than 12yrs old
    -about the size of a silver dollar
    -placed under the skin
    Vagus Nerve Stimulators
  60. surgical procedure that creates an opening between the small or large intestine and the surface of the body
    colostomy/ ileostomy
  61. what allows for elimination of waste products into a clear, external bag or pouch
  62. surgical procedure that connect the urinary system to the surface of the skin
  63. most Hospice Care and Terminally Ill Patients have what kind of form or document with them
Card Set
chapter 36 patients with special challenges
chapter 36 patients with special challenges emergency care and transportation of the sick and injured 11th edition