LP 7-8 Flashcards
1
Q
pathology
A
tissue/organ
2
Q
transition
A
from healthy to no healthy
3
Q
immunocompromised patient
A
decreased ability to fight infection, poor nutrition, poor skin integrity
4
Q
death and dying
A
natural progression of life
5
Q
example of incident report
A
falls, med errors
6
Q
golden hour
A
providing treatment within first hour for trauma victim
7
Q
who signs in the case of a minor?
A
parent or legal guardian
8
Q
surgical consent
A
authorizes performance of surgical intervention
9
Q
urgent procedures pregnant patient
A
delayed until 3 trimester
10
Q
obese patients
A
overworked heart, high BP, compromises all systems
11
Q
active euthanasia
A
action that speeds up the process of dying
12
Q
health concerns with downs syndrome
A
heart defects, GERD
13
Q
who is responsible for consent?
A
surgeon
14
Q
patient is surrounded by family and friends in post op area
A
love and belonging needs
15
Q
what procedures should be first of the day?
A
diabetic so they can get back on regular dietary schedule
16
Q
passive euthanasia
A
does nothing
17
Q
bacteriology
A
cultures
18
Q
rule for maslows hierarchy
A
lower level needs must be met in order to meet higher level
19
Q
what is something witness be signed?
A
identification of patient, voluntary signing, mental competence
20
Q
diabetic patient
A
infection, dehydration
special: monitor sugar levels and need for insulin
vascular system compromised
21
Q
social psychologist
A
individuals relation to others
22
Q
possible complications of a trauma patient
A
hypothermia, blood loss, infection
23
Q
anesthesia administration
A
lists anesthesia provider, risks and possible alternatives
24
Q
life map
A
your story, beginning to end of life
25
regression
may regress to earlier stage of light ex: pout, cry
26
legal guidelines for consents
freely, legal age, parent or guardian, mentally competent pt
27
cytology
smears, fluids
28
whole brain death
nonreversible loss of all brain function, no heartbeat, non responsive, lack of pupil reflexes
29
what is the medical record?
interaction between the patient and health care providers during illness or treatment
30
patients still on life support
documentation signed by family will dictate what organs
31
therapeutic procedures
treat or manage a diease
32
maslows hierarchy
physiological needs, safety, love and belonging, esteem, self actualization
33
cardiac death
irreversible loss of cardiac and respiratory function, no heartbeat or respirations, may HAVE BRAIN WAVES
34
what needs to be done if consent not done correctly?
incident report, could become a legal issue
35
aim of surgery
restore organs to as near normal function as possible, remove pathological processes
36
special consent
required for procedures that entail a higher than normal risk
ie: surgery, transfusion, chemo
37
patient removed from life support
corneas, skin, bone
38
self actualization
fulfill what one believes is ones purpose
39
convalescence
resolution
40
What can general anesthesia in pregnancy cause?
preterm labor, fetal death, low birth weight
41
documentation verified before surgery
```
H&P
treatments
diagnostic and therapeutic reports
consent
checklist
vitals
orders
```
42
what should documentation be?
objective
43
developmental psychologist
individual
44
organ transplant
whole brain death
45
preoperatively special needs
take care of anxiety, maintain nutritional status
46
palliative
end of life care, patient comfort
47
incident reports
unusual events that may have legal ramifications for staff/patients/visits
48
what is included on a surgical consent?
legal name and signature, procedure, signature of witness, date and time of signatures
49
general consent
admission to hospital
50
what does a medical record include?
identification patient, care team, diagnosis, tx plan, medication record
51
safety needs
environment is safe
52
what is the primary role of the ST?
the patient
53
who is able to witness signing of consent?
physician, NURSE, general- other hospital employees
54
social needs
ones identification or interaction with another individual or group
ex: family, relationship
55
what does JACHO develop?
standards and performance criteria, check yearly to make sure are practiced
56
higher brain death
nonreversible loss of higher brain function, respiration, bp, heartbeat still present
57
main responsibility of the ST intraop
sterile technique
58
purpose of consent
protects patient from unapproved and unwanted procedures, protects surgeon
59
what does stress do to the body?
loss of appetite, change in digestion, mental status
60
what needs to be done post op when count not done?
a xray
61
documentation intra op
anesthesia records, pts condition, counts, start/stop time
62
does everyone experience all the stages of grief?
no
63
what are anesthesia and circulator responsible for?
consent is correct, properly signed
64
physiological needs
most basic needs
65
esteem needs
positive evaluation of oneself
66
what are hospitals required to report?
child/elder abuse, births/deaths, criminal acts
67
tribute
entrust you with his life and health
68
surgery from a pts point of view
act of faith, invasion of privacy, act of submission
69
rationalization
looking for reasons this may have developed, may be a mistake
70
acceptance
has enough time to work through he first 4 stages
71
1st trimester surgery
increased chances of spontaneous abortion
72
medical records department
transcribes, collects, reviews and verifies medical records
73
trauma patient
most life threatening will be performed before lesser injuries
74
when does advance directive kick in?
patient no longer able to make decision
75
life stage development
recognition of the psychosicial concerns of patient
76
physical needs
activity related to genetics, physiology, or anatomy
| ex: hunger, thirst
77
the surgical patients adaption to stress involves only physiologic changes
false
78
isolation precautions
prevent transmission of pathogenic microorganisms
79
denial
doesn't accept the situation
80
how might religious values cause conflict with modern medicine?
moral values
| legal problems
81
life sustaining therapy
without this therapy the patient would die
82
JACHO
state, local federal laws which regulate medical documentation
83
what are obese patients prone to?
tissue breakdown, clot formation, delayed healing
84
what can charts determine?
negligence
85
psychological needs
identification and understanding of oneself
| ex: self esteem
86
what is included in a advance directive?
living will and or power of attorney
87
life threatening circumstances consent for surgery
2 physicians agree it is necessary and sign consent, cant be surgeon
88
are incident reports part of patient general record?
no
89
repression
ignore the medical issue ex: may skip treatment
90
what age do we achieve physiological stability?
2-6 years old
91
advance directives
the right of an incapacitated patient to self determination
92
3 stages of adaptation to illness
transition, acceptance, convalescence
93
4 components to an individual
physical needs
psychological needs
social needs
spiritual needs
94
how st can communicate with pt
communicate with circulator, plan for things that may help pt, introduce self, don't joke about situation
95
love and belonging
social needs
96
consent for surgery
informed consent in understandable language
97
bargaining
may bargain with God to let you live until...
98
5 stages of grief
```
denial
anger
bargaining
depression
acceptance
```
99
abd surgeries pregnant
2nd trimester, fetus stable
100
who is PTSD mostly associated with?
military personnel
101
maslows hierarchy
establishes a means of prioritizing needs
102
depression
great loss, doom, sadness, no hope
103
life support systems
preserve a patients life
104
power of attorney
authorizes one person to take legal actions in behalf of another, health care of financial
105
steps taken to expedite care of a trauma patient
flexible, emergency supplies ready, move quickly
106
what forces a revolution in thinking, feeling, behavoir
developmental change
107
spiritual need
identification and understanding of ones place in an organized universe
108
can a patient take back a consent?
yes
109
responsibilities of the st when a pregnant patient has general surgery
move quickly to keep anesthesia to a minimum
110
3rd trimester pregnant
premature labor, enlarged uterus displaces organs
111
risk management departments
attempt to identify factors that caused incident
112
coping mechanisms
denial
rationalization
regression
repression
113
typical order of priority for trauma patient
head, chest, abd, extremities
114
what should be done if an error in documentation occurs?
justify/ and or correct
115
euthanasia
painless inducement of quick death
116
emancipated
married or independently earning a living or given birth if under 18
117
elective surgeries for pregnant
until recovery from delivery
118
surgeons point of view
necessary, art, science, risk
119
patients new role of dependence may manifest personality characteristics such as
anger, depression, fear
120
what is documentation?
placing of information into a patients record
121
what is surgery?
treatment of abnormal conditions of the body, or treats disease
122
postoperatively special needs
prevent infection
123
advantages of electronic health records
improves safety
done at bedside
decrease workload
124
blanket consent
authorizes any related procedure deemed necessary by the surgeon
125
intraoperatively special needs
basic physiological needs, oxygen, warmth
