Ch.11 Pt Interactions Flashcards

1
Q

Advance Directive

A

Legal document prepared by a living competent adult outlining direction the healthcare team should take if said patient cannot make that decision-aka living will

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2
Q

Gerontology

A

the study of older patients

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3
Q

Maslows Hierarchy of needs has how many levels starting with the lowest?

A
7... Physiologic- food shelter clothing
Safety
Belongingness and love
Esteem
Need to know and understand
Aesthetics
Self Actualization
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4
Q

Nonverbal communication

A

exchange of information, thoughts, and messages by tone of voice, speed of speech, facial expressions, and body language

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5
Q

Paralanguage

A

Cadence and rhythm of speech, music of language

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6
Q

Patient Assesment

A

objective evaluation and determination of the status of the patient

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7
Q

Patient Autonomy

A

Ability and right of patients to make their own decisions regarding their medical care

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8
Q

verbal communication

A

messages sent using the spoken word-shaped by vocabulary, clarity, tone and pitch

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9
Q

positive non verbal cues

A

eye contact, smiling, responding candidly, friendly tone

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10
Q

Negative non-verbal cues

A

standing away, arms folded

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11
Q

Self actualization

A

characterized by confident in who the person is and what the persons goals are in life

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12
Q

Esteem

A

Often acheived after clinical experience

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13
Q

Physiologic/ survival

A

illnesses or trauma to a pt can cause them to behave out of character and needs to be taken into consideration during interaction

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14
Q

What are the 3 types of touch?

A
  1. emotional support- pat on back
  2. Emphasis- Highlight/specify instructions
  3. Palpation- locate bony landmarks
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15
Q

At what age to children begin to think logically and analyze suituations?

A

7

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16
Q

What is a young adult?

17
Q

What is middle aged?t

18
Q

What is mature adult?

19
Q

Young-old is what age group?

A

65-75- healthy and active

20
Q

Old-old is described as what?

A

75-84- in transitional period

21
Q

Oldest-old is defined as?

A

85+ whom are frail and infirm

22
Q

Primary Aging is defined as?

A

gradual and inevitable process of deterioration that begins in childhood and extends through old age

23
Q

Secondary Aging is defined as?

A

consisting of disease or abuse–within control of the individual

24
Q

What is closed awareness? In regards to the terminally ill?

A

Patient not told about their condition

25
What is suspicious awareness? In regards to the terminally ill?
patient watches for clues but keeps healthcare team unaware of what they know.
26
What is open awareness? In regards to the terminally ill?
Pt permits everyone to work through various stages preceding death
27
What are the 5 stages of grief?
1. Denial and Isolation 2. Anger 3. Bargaining 4. Depression 5. Acceptance
28
What does denial entail during the 5 stages of grief?
Initial reactions which should be supported by silence and acceptance of the person w/out discussing death
29
What does anger entail during the 5 stages of grief?
occurs as a result of the realization that life will be interrupted before everything the person planned has been accomplished and will soon be forgotten
30
What does bargaining entail during the 5 stages of grief?
focuses on hope and may be based on religion. hope itself can reduce stress
31
What does depression entail during the 5 stages of grief?
occurs when remission ends and additional treatments must begin
32
What does acceptance entail during the 5 stages of grief?
can occur only if enough time is provided and if the pt is appropriately helped through the other stages. -near total lack of feelings
33
What are the Core Values?
R-respect I- integrity C- compassion E- excellence
34
5 steps of rounding with a pt?
``` A- Aknowledge I- Introduce yourself D- Duration E- Explain T- Thank you ```