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What are the Level of Prevention?
- Primary
- Secondary
- Tertiary
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Primary Prevention=
Prevention
- vaccinations
- nutrition
- prenatal class
- water fluoridation
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Secondary Prevention=
Screening
- HIV testing
- Mammograms
- Lead Screening
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Tertiary=
Treatment
- rehab counseling
- Therapy
- Teaching diabetic to give insulin
- support groups
- shelter for battered woman
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Basic Principals of Infection Control
Define Infection
Clinical Syndrome caused by the invasion and multipication of a pathogen in body tissues
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Basic Principals of Infection Control
Name the phases
- Incubation Period
- Prodromal Period
- Clinical Illness
- Convalescence
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Basic Principals of Infection Control
Describe Incubation Period
Time of expossure to the organsim to the appearance of the first symptoms
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Basic Principals of Infection Control
Describe Prodromal Phase
Period of vagues nonspecific symptoms
Low grade fever, nausea, weakness preceded the full manifestation of the infection
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Basic Principals of Infection Control
Describe Clinical Illness
Time when symptoms are fully manifested and most clearly recognized as a specific infection
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Basic Principals of Infection Control
Describe Concalescence
Time following the heaight of the acute symptoms to the time the person experiences a return to normal health
Decreased energy
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What is a Nosocomial Infection
Infection you get when you are in the hospital
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Defenses against infection
Primary
skin/mucus membranes resp. system, gastrointestinal system, circulatory system
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Defenses against infection
Secondary
- inflammatory response-
- a localized reaction to injury
immune response- specific to the antigen or foreign body that has invaded the body
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Morbidity
Complication
illness
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Potential life lost
Potential is different and quality of life has decreased
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Falls
Who is at most risk and what is the concern
Elderly
resluts in increased morbidity, immobility, early nursing home placement, death
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Difference between subjective and objective
Subjective- what the pt tells you
Objective- what can be measured
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Pressure Ulcer Causes
Shear--sliding, parallel movement
Friction- Rubbing
Excoriation- Scratching
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What does is mean when the skin is not blanchable and what does it indicate
press on the skin and it does not turn white
1st stage of pressure ulcer
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Describe Disuse Syndrome
Cease or decrease use of organs or body part to restrict activites or to be immobile
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Name the phases of the nursing process
- Assessment
- Diagnosis
- Planning
- Interventions
- Evaluation
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Vital Signs
What is normal for each sign
- Temp- 98.6
- Resp- 12-20
- Pulse60-100
- BP 110-130 systolic 60-80 diastolic
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Name the 4 routes you can take temp
- Oral
- Rectal
- Axillary
- Tympanic
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Community Nursing
Describe Assessment
Used to determine health status, resources or needs of community
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Community Nursing
Where can Community Based Care be given
Hospitals, ambulatory care, surgical centers, clinics dr office, home
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Click to to get to answer space. It's just a card to know :)
Community health nursing- definte philospohy of practice and requires specific knowledge and skills
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Health Promotion and Disease Prevention
Define Health
state of physical, mental and social well being not merely absence of disease or infirmity
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Health promotion and Disease Prevention
What does Acute Care focus on
focus on resolving immediate health problems
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Health promotion and Disease Prevention
What does community based care focus on
focus on prmotin health and preventing illness to enhance quality of life, maximize individual potential for self care
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Health promotion and Disease Prevention
2 goals of healthy people
- eliminating health disparities
- increase quality and years of healthy life
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Ethics
Examples of Intentional Torte
- Fraud
- Defamation
- Assault
- Battery
- false imprisonment
- invasion of privacy
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Ethics
Examples of Unintentional Torte
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The nursing Profession
5 Characteristics
- Body of knowledge
- Long Period of Education and Training
- Controlled Entry
- Enforced code of ethics
- Unselfish service to others
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The Nursing Profession
What does the ANA do
improves nursing practice standards and seeks higher status for nurses
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The Nursing Profession
What does the NLN do
Promotes increased development of nursing services and education in nursing
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Documentation
Purpose of
- Communication between health care providers
- legal accountability
- reimbusement
- research
- quality assurance
Not Documented=Not Done
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Documentation
Content
- Admit notes
- change of shift notes
- assessment notes
- intervention or progress notes
- transfer notes
- discharge notes
- client teaching notes
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Anxiety
Name 2 Categories
Threat to biological Integrity
Threat to ego integrity
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Anxiety
Functions
- Normal response to stress
- Alerts to potential harm
- Initiates protective defenses
- Provokes us to take action
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Anxiety
What does the SNS do
Activates emergency response
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Anxiety
What does the PNS
Return body to relaxed state
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End of Life Care
Define Loss
removal, change, or reducation in value of something valused or held dear and the feelings that result
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End of Life Care
Define Bereavement
Deprived by death
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End of Life Care
Define Grief
Emotional, Physical Cognitive and behavioral response to bereavement, separation or loss
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Cultural and Spiritual Diversity
Define culture
group of people with same lanquage beliefs practices
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Cultural and Spiritual Diversity
Barriers to providing competent care
- Sterotyping
- Ethnocentrism (ones own way is superior)
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Cultural and Spiritual Diversity
Benefits
Increases nurses understanding of health care behavior
improves clients compliance
increases clients satisfaction
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Spirituality defined
connectedness to self world others nature
sense of peace
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Benefits of Spirituality
Related to high level wellness and anziety is lower
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Nursing Diagnosis for Spirituality
- Spiritual distress
- readiness for enhanced spiritual well being
- impaired religiosity
- ineffective coping
- hoplessness
- complicated grieving
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Lewins 3 Phase Change Model
Unfreezing- assists to become ready to change
Change- The change is introduced
Refreezing- estability new stability or status quo
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5 Facts to memorize about Older Adults
most don't live in nursing homes
Memory problems are part of a disease process
Not preoccupied w.dying
age doesn't change personality or bring wisdom
they need ongoing learning and stimulation
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Safety
RACE
- Rescue/Remove
- Alarm- Shout out code red
- Confine fire/close doors
- Extiquish small fire/Evacuate
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Safety Codes
Code Triage
Code Red
Code Blue
Code Pink
Code Adam
- Code Triage= Diaster
- Code Red= Fire
- Code Blue= Adult Cardiac Arrest
- Code Pink= Infant Cardiac Arrest
- Code Adam= Missing Person
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