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0
Q

Adaptive Model: Wellness

A

Disease is considered a failure in adaptation ; treatment is to restore persons ability to cope / adapt

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1
Q

Role-performance model: Wellness

A

Health defined by individuals ability to fulfill societal roles

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2
Q

Clinical Model: Wellness

A

Health is defined by absence of signs and symptoms of disease or injury

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3
Q

Health promotion

A

Aims to informing, influencing and assisting both individuals and organizations to accept responsibility and be active in matters affects mental and physical health

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4
Q

Determinants of Health: Examples

A

Income/ social status, Social networks ,Education, Employment, Social environment , Physical environment, Personal health practices, Healthy child development, Genetics, Health services, Gender, Culture

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5
Q

Downstream thinker

A

Acts on immediate problem

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6
Q

Upstream thinker

A

Examines problems and advocate for health.

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7
Q

Basic human needs

A

Food, Water, Shelter, Protection, Love

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8
Q

Healthy living needs

A

Oxygen/Circulation, Nutrition, Elimination, Fluid & Electrolyte, Activity & Rest, Safety/Protection, Neurohormonal Integrity, Psychosocial Needs

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9
Q

Asepsis

A

Absess of disease producing microorganisms

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10
Q

Medical asepsis

A

Procedures to reduce and prevent microorganisms

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11
Q

Surgical asepsis

A

Sterilization- eliminates all microorganisms including pathogens and spores

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12
Q

Normal flora

A

Bacteria normal found in areas of the body ex. GI, skin

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13
Q

Nosocomial infection

A

Acquired in health care facility

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14
Q

Chain of infection

A 
Pathogen
Reservoir
Portal of exit
Route of transportation
Portal of entry
Susceptible host
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15
Q

Airborne infection

A

Transmitted by airborne droplet nuclei smaller than 5 microns: wear n95 mask.
Ex. TB, chickenpox

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16
Q

Droplet infection

A

Serious illnesses transmitted by particle droplet 5 microns or larger- need mask, gown , gloves
Ex. Pneumonia, mumps, diphtheria

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17
Q

Contact infection

A

Transmitter by direct contact- hand hygiene, need gloves and gown
Ex. C. Diff, wound infection

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18
Q

Risks that infect safety: Age

A

Elderly- decreased cognitive, mobility, sensory function

Adolescent- sense of immortality

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19
Q

Risks that affects safety: Lifestyle

A

Alcohol, drugs, risk taking, less sleep, poor diet, less exercise, stress, smoking

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20
Q

Risk factors that affect safety- impaired mobility

A

Elderly- many have decreased mobility

Children- not developed mobility skills

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21
Q

Risk factors that affect safety- sensory/ cognitive impairment

A

Less mobility, vision, hearing, mental ability

Children

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22
Q

Risk factors that affect safety- lack of safety knowledge

A

Impaired awareness
Adolescent
Not enough safety training on job
Low income

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23
Q

Promote safety: Restraints

A

Use as little as possible- check client often

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24
ADL
Activities of Daily Living
25
What are ADLs
Feeding,dressing, tolieting, bathing/hygiene
26
Nursing process
``` A- assessment N- nursing diagnosis P- planning I- implementation E-evaluation ```
27
Objective data
Can be tested- Seen, felt, heard, smelled
28
Subjective data
Client's perceptions, beliefs, feelings, values and attitudes : also known as symptoms
29
Physical assessment
``` Includes I- inspection P- palpitation P- percussion A- auscultation ```
30
Types of percussion sounds
``` Resonance Hyperesonance Tympany Dull Flat ```
31
What do you auscultate for?
Frequency Loudness Quality Duration
32
Age of a Young Adult
20-40
33
Age of a Middle Adult
40-65
34
Menopause
Change of hormones in women
35
Andropause
Change in hormones for men
36
Times vitals are assessed
``` Admission Routine schedule Before and after surgery Change in condition Before and after some medications ```
37
Temperature norms
35.8 - 37.3
38
Ways to lose heat
Radiation- transfer of heat without direct contact Conduction- transfer of heat with direct contact Convection- transfer of heat by air movement Evaporation
39
Medical term for fever
Pyrexia
40
Febrile
To have a fever
41
Afebrile
No fever
42
Diaphoresis
Visible perspiration; excessive
43
Pulse norms
60-100 beats per minute
44
Bradycardia
Slow pulse (<60)
45
Tachycardia
Fast pulse (>100)
46
Arrhythmia
Abnormal rhythm in heart rate
47
Pulse deficit
Difference between apical and radial pulse
48
Pulse characteristics
Rate Rhythm Strength Equality
49
Respiration norms
12-20 breaths per minute
50
Apnea
No breathing periods
51
Dyspnea
Laboured breathing
52
Eupnea
Normal breathing
53
Orthopnea
Easier breathing sitting
54
Cheyne's stokes
"Death rattle" deep shallow breathing, periods of apnea
55
Kussmal's
Abnormally deep and rapid breathing
56
Characteristics of respirations
Rate Depth Rhythm Quality
57
Blood pressure norms
``` 120/80= optimal 140/90= hypertension ```
58
Pulse pressure
Difference between systolic and diastolic blood pressure
59
O2 sat norms
95%-100% 75% below= LIFE THREATENING
60
Chest assessment
Inspection- 2:1,chest expansion, tactile fremitus Palpitation- lumps , bumps, mushy Auscultation- landmarks
61
Bronchial sounds
High pitched, loud | Inspiration< expiration
62
Bronchialvesicular sounds
Located over bronchi Blowing noises Inspiration=expiration
63
Vesicular
Soft, breezy, low pitched Inspiration x3 of expiration Over lung periphery
64
Fluid distribution: Intracellular
In cells: 2/3 of total body fluid
65
Fluid distribution: extracellular
Outside cells | 1/3 of total body fluid
66
ADH- antidiuretic hormone
Controls fluid excreted by kidneys
67
Adolsterone
Hormone reabsorbs sodium and water from kidney tubules
68
Osmoreceptors
Hormone regulation- sense volume conestoa ruin of blood
69
Hypothalamus
Part of brain regulating hormones
70
Electrolytes
Sodium Potassium Chloride Bicarbonate
71
Fluid deficit
Mild-2% body wt loss Moderate-5% body wt loss Severe - 8% body wt loss
72
Edema
Swelling resulting from excessive accommodation of fluid in tissues Shiny, taut skin
73
Putting Edema
Pressure from thumb leaves indentation in skin
74
Aerobic exercise
Cardio | Ex, dance, running

Healthy Living Needs (1 decks)

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