Advance Directive
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
Gerontology
the study of older patients
Maslows Hierarchy of needs has how many levels starting with the lowest?
7... Physiologic- food shelter clothing Safety Belongingness and love Esteem Need to know and understand Aesthetics Self Actualization
Nonverbal communication
exchange of information, thoughts, and messages by tone of voice, speed of speech, facial expressions, and body language
Paralanguage
Cadence and rhythm of speech, music of language
Patient Assesment
objective evaluation and determination of the status of the patient
Patient Autonomy
Ability and right of patients to make their own decisions regarding their medical care
verbal communication
messages sent using the spoken word-shaped by vocabulary, clarity, tone and pitch
positive non verbal cues
eye contact, smiling, responding candidly, friendly tone
Negative non-verbal cues
standing away, arms folded
Self actualization
characterized by confident in who the person is and what the persons goals are in life
Esteem
Often acheived after clinical experience
Physiologic/ survival
illnesses or trauma to a pt can cause them to behave out of character and needs to be taken into consideration during interaction
What are the 3 types of touch?
- emotional support- pat on back
- Emphasis- Highlight/specify instructions
- Palpation- locate bony landmarks
At what age to children begin to think logically and analyze suituations?
7
What is a young adult?
25-45
What is middle aged?t
45-65
What is mature adult?
65+
Young-old is what age group?
65-75- healthy and active
Old-old is described as what?
75-84- in transitional period
Oldest-old is defined as?
85+ whom are frail and infirm
Primary Aging is defined as?
gradual and inevitable process of deterioration that begins in childhood and extends through old age
Secondary Aging is defined as?
consisting of disease or abuse–within control of the individual
What is closed awareness? In regards to the terminally ill?
Patient not told about their condition
What is suspicious awareness? In regards to the terminally ill?
patient watches for clues but keeps healthcare team unaware of what they know.
What is open awareness? In regards to the terminally ill?
Pt permits everyone to work through various stages preceding death
What are the 5 stages of grief?
- Denial and Isolation
- Anger
- Bargaining
- Depression
- Acceptance
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
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
What does bargaining entail during the 5 stages of grief?
focuses on hope and may be based on religion. hope itself can reduce stress
What does depression entail during the 5 stages of grief?
occurs when remission ends and additional treatments must begin
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
What are the Core Values?
R-respect
I- integrity
C- compassion
E- excellence
5 steps of rounding with a pt?
A- Aknowledge I- Introduce yourself D- Duration E- Explain T- Thank you
