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Stages of dying
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
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4 choices for care
- Home care
- Hospice care
- Residential care
- Acute care
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Respite care
Relief for the caregivers
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Residential care
Nursing homes
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Hospice care
A facility for addressing the care of the terminally ill
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Signs of dying heart failure
- Hypotension
- Irregular wek rapid pulse
- Mottled skin
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Signs of dying liver failure
- Internal bleeding
- Edema
- Jaundice
- N-v
- Anorexia impaired digestion
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Signs of dying lungs
- Dyspnea
- Death rattle accumulation of fluid
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Signs of death kidney failure
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Signs of death brain
- Fever
- Confusion
- Stupor
- Coma
- Reduced sensations and reflexes
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Hypoesthesia
Reduced sensations
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Hyporeflexia
Reduced reflexes
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Who discusses the harvesting of organs
Organ procurement officer
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Autopsy
Examination of the organs and tissues of the body after death
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Anticipatory grieving
Grieving that begins before the loss occurs
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Pathological grief
Dysfunctional grief ppl can't accept the death
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Resolution of grief
The ability to talk about the deceased
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Members of the nursing team
- RN
- LPN
- Nursing assistant
- Student nurse
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CNS is what
Clinical nurse specialist
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What is a CNS
Master nurse who specializes in an area focuses on research
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CNM stands for
Certified nurse midwife
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CRNA stands for
Certified registered nurse anesthetist
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CNM specializes in
Women's health
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CRNA are
Similar to anesthesiologist
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The role of the LPN is dependent on
Rn
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HAP stands for
Unlicensed assistive personnel
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Case method of nursing
One nurse to one patient
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Functional nursing
Each nurse or aid is assigned tasks to perform on every patient
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Team method of nursing
RN LPN and aids all work together to provide patient care
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Primary method
RN has total responsibility
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Case management
A nurse or social worker who oversees the clients overall health care among all teams
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Patient focused care
Making acute care settings more patient focused
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What is a unit manager responsible for
Supervising and coordinating management functions for patient units
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DHHS stands for
Dept of health and human services
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VNA stands for
Visiting nurse association
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What 6 agencies make up the usphs
- Fda
- Cdc
- Nih
- Hsa
- Hra
- Alcohol drug abuse and mental health administration
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NIH stands for
National institute of health
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HSA stands for
Health services administration
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HRA stands for
Health resources admin
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WHO stands for
World health organization
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What is the major objective of WHO
Highest possible level of health for ppl all over through world
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APN stands for
Advanced practice nurse
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Ambulatory care facilities are also known as
Urgent care center
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What is custodial care
Assistance with ADL's
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SNF
Skilled nursing facilities
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What are the two types of health care settings
Public and private
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Explain private setting health care
They charges fees for services
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2 types of public setting health care
Government and voluntary
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Money for public health care settings comes from....
Taxes
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Money for public health care settings comes from...
Donations
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Ex. Of public health care settings
- Local and state health dept
- FDA,CDC,WHO
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Ex. Of public health care settings
- American heart association.
- Alcoholics anonymous
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Ex. Of private health care settings
ER primary care settings,etc
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Focus of public health care settings
Disease prevention and wellness promotion
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Focus of public health care settings
Reasearch and education
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Focus of private health care setting
Curing illness and disease
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Purpose of rehabilitation
Return function and prevent further disability
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3 types of nursing homes
Short term care,long term care,intermediate care
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Types of clients that use short term care
For clients wit complex med needs following discharge
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Goal of short term care
To return home
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Short term care has access to nurses
24-7
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Clients that require long term care
Clients wit chronic med prob
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Goal of long term care
To manage chronic conditions
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Access to nursing care in long term care
24-7
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Clients that use intermediate care
Clients requiring limited nursing care
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Goal for clients in intermediate care
Assistance with ADL's
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4 types of alternatives of nursing homes
Independent,board and care homes,enriched homes,assisted care facilities
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Description of independent living
Apt communities for seniors
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Services provided by independent living
Social activities and trans services
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Description of board and care homes
Single family homes for clients wit similar needs
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Services provided by board and care homes
Assistance with ADL's and self med admin
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Description of enriched housing
Retirement community
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Services provided by enriched housing
At least one meal a day,lawn care,ice or snow shoveling
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Descibe assisted care facilities
Private rooms for older adults who need help with ADL's
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Services provided by assisted living
Bathing. Daily activities.med admin
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Culture
A set of learned beliefs,values,and behaviors
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4 steps process of cultural competence
- Acknowledging that pts. Will have cultural differences
- developing an awareness of the cultures in your area
- Performing cultural assessments on pts
- Altering the plan of care to accommodate for cultural differences
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Customs
Generally accepted ways of doing things within a culture
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Assimilation means
Member of a subculture taking on the customs of the main culture
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Ethnocentrism means
Belief that one culture is superior to another
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Prejudice means
Intolerance of another culture
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Discrimination
Withholding rights or privileges from a cultural groul
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Stereotyping
Inaccurate generalizations used to describe all members of a specific groups
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Philosophy of individual worth
A person has a right to live according to their personal beliefs and values as long as they do not interfere with the rights of others
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Spirituality is
Ideals and beliefs that deal with life death hope and suffering
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Religion is
Specific beliefs and customs used to express spiritualty
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What type of questions do u ask to help pts. And family members verbalize beliefs fears and concerns
Opened ended
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Proselyter means
A person who tries to convert another person to ones own religious beliefs
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Agnostic means
Belief that the existence of higher being can neither be proved or disproved
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Atheist means
Belief there is no higher being
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General beliefs and practices for Jewish pts.
Jews believe in God but not in Christ
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Jewish observation of the Sabbath is..
Sunset on Fri to sunset on Sat
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Dietary rules for Jewish pts.
Kosher diet some do not eat pork,ham,or eggs wit blood spots
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What does a kosher diet involve
Meat may be consumed a few minutes after drinking milk, but 6 hours must pass after eating meat before drinking milk
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Dying Jewish pts. Beliefs and practices
- Family wants to be with pt at all times
- Do not believe in autopsies,embalming, or cremation
- Nurse should not touch the body of the deceased pt
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Beliefs for baptism
Necessary for salvation and initiation into the community. Removes all sins
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If a child is gravely ill or born stillborn who can baptize the infant
The nurse
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Diet restriction for catholics
None except abstain from meat on ash Wednesday and all fridays during lent
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Sexuality and catholics
Abortion is not allowed natural methods of family planning are allowed
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When do Muslims pray
After dawn,at noon,in mid afternoon,after sunset, and at night
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How is the Koran handled
Can not touch it or place anything on top of it
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Beliefs of female modesty muslims
Prefer to be clothed from head to ankle
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Death practices muslims
- Women may be barred from the room
- Body has to be turned towards mecca
- The family washes the body and seals the orifices with cotton
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How soon must a Muslim be buried
Within 24 hours
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Christian scientist beliefs
Believes sin causes sickness and studying the bible will heal them
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Dietary for buddist
Most are lacto-ovo vegetarians
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How do Hispanic Americans believe the evil eye can be given
If a person makes eye contact with the child without touching the child on the head
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