Test 2 (from lectures) Flashcards
(45 cards)
cultural awareness
being sensitive to issues related to culture, race, gender, sexual orientation, social class, and socioeconomic factors -
cultural competency
set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals that enables effective work in cross cultural situations. IDENTIFICATION OF SELF IS VITAL. ENSURING NEEDS OF DIVERSE PATIENTS - MAY NEED TO DEVELOP ADDITIONAL SKILLS. Need to know your community! Everyone has unique view! Culture affects who we are.
Levels of Intercultural Awareness Stretch
ON-GOING PROCESS - 1) Non-Aware of Difference 2) Awareness of Difference 3) acknowledge Differences/ Self-validate 4) understand cultural differences 5) cultural adaptation 6) intercultural skillfulness (becoming competent)
Health literacy
the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
What is true in regards to health literacy
Misuderstanding stuff - medication instructions, time differences, reading level - Drives health costs up! Informed patients have better outcomes. Not necessarily literacy… people just may not understand.
Teach back method
Have the client repeat back what you just told them.
Strongest predictor of health status?
Literacy
Attributes of a Symptom (7)
1) Location 2) quality 3) quantity/severity 4) timing 5) setting in which occurs 6) remitting or exacerbating factors 7) associated manifestations
concussion
disturbance in brain function caused by direct or indirect force to the head.
classic migrane
unilateral in 70% of cases; pulsating or throbbing; hours to days; female; nausea/vomiting; missing meals, menses, BCP, stress, certain food
cluster headache
adulthood; unilateral; .5-2 hours; intsense burning, searing, knife-like; several nights for several days and gone; males; increased nasal discharge/tearing
tension headache
adulthood; unilateral or bilateral; hours to days; anytime onset; band-like, constricting no prodrome (visual, auditory or nasal effect prior to onset); stress, anger, teeth, grinding
medication rebound
diffuse;; hours; hours or days of last dose; dull/throbbing; daily analgesics; abrupt analgesics; abrupt analgesic stop
hyperthyroidism
nervousness; weightloss; excessive sweating heat intolerance; warm, smooth, moist skin; graves disease; tachycardia
hypothyroidism
fatigue, lethargy; modest weight-gain; dry coarse skin, cold intolerance; swelling of face and hands, legs; bradycardia; impaired memory
Sutures
separate infant/child skull bones
fontanelles
where sutures intersect (anterior - closes 9-24 months and posterior - closes 2 months)
fontanelles can indicate swelling or dehydration - it will feel full or sunken
microcephaly
small head
hydrocephalus
increased intracranial pressure from deficient spinal fluid circulation - causes enlargement of the calvarium before sutures are closed
molding
re-positioning of cranial bones to allow passage of the baby through the birth canal
caput succedaneum
subcutaneous edema over the presenting part of the head at delivery. Usually over occipitoparietal area and CROSSES SUTURE LINES. TRANSLUMUNATES
cephalhematoma
subperiosteal collection of blood. DOES NOT CROSS OVER SUTURE LINES. DOES NOT TRANSLUMINATE
plagiocephaly
abnormal shape of head - infant may lie on one side constantly
craniosynostosis
asymmetry/abnormal shape of head due to cranial suture closure early. Ovalish head from side to side ex) brachycephaly - premature closure of coronal suture
