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Flashcards in CPI Deck (52)
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Describe appropriate care for patients suffering from coma

Atmosphere
Breathing
Introduction
Touch
Observation with interpretation
Feedback
Copying
Amplifying
Resisting
Enabling expression

1

Define cultural competency

Refers to the need for professional Al's to honor cultural diversity of families in the provision of services. It refers to the ability to respect those beliefs, interpersonal styles, attitudes and behaviors of the families receiving service.

2

Four areas in which cultural competency is NB when counseling RE TOP

Religious beliefs
Language
Cultural background
Informed consent

3

Three sections of GCS

Best verbal response
Motor response
Eye response

4

Define locked in syndrome

Patient is aware and awake but unable to communicate due to complete paralysis of voluntary muscles (except eyes)

5

Define vegetative state

Absence of responsiveness and awareness due to overwhelming cerebral hemisphere dysfunction. Autonomic and motor reflexes are often sparred and sleep wake cycle is often intact. May also have complete reflexes (yawn, eyes) but has no awareness of self or environment.

6

Biological factors that may contribute to depression

Genetic
Neurochemical
Neuroendocrine
Neurophysiological

7

Four theories of aetiology of depression

Psychodynamic theory
Cognitive theory
Learned helplessness theory
Life-event theory

8

Factors that may cause people not to present to HCW with depression

Lack of awareness
Stigma, fear, shame
Cost

9

Sign and symptoms to diagnose depression

Depressed mood
Markedly diminished interest/ pleasure
Weight loss
Insomnia/ hypersomnia
Psychomotor agitation
Fatigue
Feelings of worthlessness, guilt
Diminished ability to think, concentrate
Recurrent thoughts of death

10

Define attachment

The disposition of a child to seek proximity to and contact with a specific figure. Including the tendency to do so in stressful situations (tired, scared, ill)

11

Three types of attachment

Secure attachment
Anxious resistant attachment
Anxious avoidant attachment

12

Approach to care of stoke patient's caregivers

Family centered approach.
False hope and unrealistic expectations dealt with.
Transition out of hospital and all care related to that.
Disability grants etc.
Reconcile HCW goals for patient and family's.

13

Four communication elements of cultural competency

Communication repertoire
Situational awareness
Adaptability
Knowledge (of culture)

14

Define cultural relativism

Individuals beliefs and activities should be understood in the context of their culture

15

Define kinship

Relationship between any entities that share a genealogical origin (decent or marriage)
The basic principle of organizing individuals into social groups, roles and categories.

16

Define stigma

An attribute linking a person to a set of undesirable characteristics that may produce prejudice or discrimination

17

Reasons for not leaving a violent relationship

1. Fear leaving > staying
2. Economic factors
3. Perceived needs of children
4. Self blame
5. Expectations of others
6. Hope that abuse will stop
7. Concern for spouse
8. Learned helplessness
9. Beliefs

18

Approach to helping those in abusive relationship

Identify abuse
Not alone/ blame
Right to live without fear
Listen and believe her
Encourage other sources of help
Safety plan
Support her decisions

19

Risk factors for injury/death in abusive relationship

Increasing severity of abuse
Available weapon
Threats to kill
Previous attempts to kill
Suicide attempt by abused
Stalking

20

Define unnatural death

Death causes by:
External factors
Acts of omission / commission
Sudden unexpected death (until proven otherwise)
Procedure related death

21

Doctors obligations regarding death

Aware of process of dying
Able to diagnose death
Distinguish natural vs unnatural
Complete DNF
Know when autopsy needed

22

Autopsy legislation

Inquest act
National health act

23

Criteria for alcohol abuse

Failure to fulfill major obligations
Recurrent alcohol use that is physically harzardous
Legal problems
Continued use despite social and interpersonal problems
(PHLO)

24

Criteria for alcohol dependence

Tolerance (increased amount needed, diminished effect)
Withdrawal (symptoms, or taken to avoid symptoms)
Larger amounts for longer periods
Unable to cut down despite trying
Time spent (obtaining, recovering)
Give up on social, occupational and recreational activities
Continued use despite having adverse effects

25

Factors that caused a delay in seeking TOP

Sociodemographic
Pregnancy recognition, confirmation & response
Contraceptive use
Personal and emotional factors
No knowledge of legislation
Difficulty accessing service
Stigma
Religious views

26

Rights of disabled

Equality before law
Non discrimination
Equal opportunity
Independent living
Full integration
Personal freedom
Security of person

27

Effects of language barrier

Decreased work efficiency
Concern about accuracy of interpretation
Enhanced by lack of training
Medico-legal dilemmas
Neg influence on attitudes between staff and pts
Decreasing quality of care
Decreasing satisfaction with care
Cross cultural misunderstandings

28

Levels of consciousness

The cortex : contents of consciousness
The brainstem : level/state if consciousness
Extended consciousness
Emotion and consciousness

29

Four basic emotions

Seeking - ventral tegmental
Fear - amygdala
Rage - amygdala
Panic - anterior cingulate gyrus